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I can credibly claim stimulant treatment for adhd saved my life so I'm not at all skeptical of its value in this context.

But doesn't everyone respond extremely well to stimulants? They're some of the most common recreational drugs and neurotypical people seek them out for performance enhancement on cognitive tasks.


> doesn't everyone respond extremely well to stimulants?

Not really - despite their popularity (as you say, heavily sought after), studies have shown that there really isn't a significant cognitive boost for neurotypical folks that take these stimulants[1]. While they have a significant effect for those with ADHD because their brain is not providing the chemicals properly, and these drugs enable that. They aren't boosting cognitive abilities for those with ADHD, they are fixing a problem so that folks with ADHD can think and focus properly.

Didn't spend a ton of time looking up the sources I've read this in, but here is one:

[1] - https://www.mdpi.com/2226-4787/6/3/58

> Studies support that stimulants enhance attention, memory, self-regulation and executive function in individuals with ADHD. Recent research, however, has found that many college students without ADHD report misusing prescription stimulants, primarily to enhance their cognitive abilities.

> ...

> Overall, the present findings indicate dissociation between the effects of Adderall on activation and neurocognition, and more importantly, contrary to common belief, Adderall had little impact on neurocognitive performance in healthy college students.

Interesting, their use for that is so common I assumed it was a real effect. People who use them that way definitely think it helps. Prescription stimulants are also pretty powerful mood boosters though so I imagine it's very easy to assume you're smarter while on them just because they make you feel great.

Anyway thanks for the info, definitely upends an assumption I'd had for years.

I had the same assumption for a long time, that's why I share the info. Plus, as someone recently diagnosed with ADHD as an adult (and yes, things all clicked, plus family history, and for the doubters - it was a 6 hour long testing process), I feel like it's important to have correct information about medication out there.
I was a biology major several decades ago now, which is a major dominated by extremely competitive pre-med students trying to get into Harvard Medical School. Taking speed during finals week was extremely common. I only tried it once personally, and I can't say it helped me concentrate better, because I could already concentrate perfectly fine to begin with. But I could not concentrate for 16-20 hours a day, every day for an entire week. With speed, you can do that.
Yea stimulants probably don't really offer much of a performance boost to an already healthy brain - but if your brain is already defective from fatigue they can keep you going beyond what's humanly possible.

The Germans didn't ply their soldiers with speed in WWII because it improved their reflexes or their tactics - they did it so a soldier could fight when his brain would otherwise be mush from not sleeping in days. Anyone can benefit from just having more usable hours in a day.

I think this is a good caveat and not something I've seen called out in the studies I've seen.
Is it fair to say that stimulants having a significant impact is an indicator for having ADHD? If it wasn't basically impossible to see a psychiatrist where I live, I'd try to get tested, because Armodafinil has completely changed my life.
> Is it fair to say that stimulants having a significant impact is an indicator for having ADHD?

Honestly I'd say it's the opposite. Stimulants barely touch the sides with me, even the non-prescribed types a younger version of me may or may not have dabbled in were pretty ineffective.

This is the same so far for me - even mild stimulants like caffeine (I know, it's a different underlying chemical process) have less effect - I could drink coffee right before bed without much/any issue. And still trying to find a stimulant that helps with ADHD myself (only on my 2nd one (Ritalin, Adderall), and pretty mild doses so far). But that is also pretty common for me - I've always had fairly high drug resistance, as it were (need higher doses to feel any affect), so I don't know if that is at all specific to ADHD and those medications.
They don't work for you, I take it?

I had read about how stimulants don't do much for the average person and that much of it is placebo. I know they do a lot for me -- well, Modafinil/Armodafinil does, I haven't tried any other because I'm so happy with these.

I feel lucky I have something that works, I don't mind not having a diagnosis. It'd make sourcing them easier and free, but at $2 a pill and with the multiplier effect it has on my productivity, that doesn't even register.

I hope you've found other ways to improve your experience.

I had thought the dosage I'm on was working and then I lost a freelance client after slipping too far behind schedule.

Decent pay it was as well, cleared a bunch of the debt I'm lugging around. ADHD tax haha, it is what it is.

Waiting on an appointment to review the meds

I do not. I had a psychiatrist years ago who insisted I was ADHD. I was also on heavy dose of Zoloft. He prescribed Adderall XR. Took it for months. Did nothing. Years later, I've done a ton of transformative work on myself. I realized it (the supposed condition) was mostly about me not wanting to do what was in front of me. I've tried taking both standard Adderall and XR in the recent past and it does absolutely zero.

Possibly related - my PCP gave me a genetic test and it showed that I have some gene configuration that essentially makes me immune to the effects of caffeine. Which makes sense, because I have to drink a boatload to feel anything from it.

I’m on stimulants for idiopathic hypersomnia. While they give me energy and motivation, my mind is significantly more scattered when I’m on them. I take Vyvanse daily but have Adderall as a booster and the latter in particular does that to me. I certainly didn’t have the “oh, this is how my brain is supposed to work” moment that I’ve read a lot of people with ADHD having when first taking them.

I’ve also heard that some people with ADHD sleep better on stimulants, which definitely isn’t the case for everyone else.

> But doesn't everyone respond extremely well to stimulants?

I wish lmao. I'm on meds and while I can see a difference between non-meds and now I could easily go back to bed after they kick in and sleep the entire day away. Still doing the dosage dance with the doc.

Someone who didn't need them would likely be a little hyper if not bouncing off the walls depending on the dosage.

That sounds like maybe an adhd thing? Not trying to diagnose you but from the comment it's not clear whether that's what they're prescribed for.

I definitely get a noticeable feeling of calm/steadiness/"settling" as my stimulants kick in, and yes it would be very easy to go back to bed at that point. My understand is that this is not a typical part of the stimulants experience for people without adhd.

But by "responds well" I meant that they improve focus, energy, motivation, and mood even in non-adhd people, not that they have the same effects. Other comments have addressed that this is at least somewhat a misconception on my part though.

Sorry to be more clear yeah I've got an ADHD diagnosis and the meds are for that

Apologies for the misread too

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