nerdyadventurer (u/nerdyadventurer)

nerdyadventurer commented on Ask HN: ADHD have crippled my life, I do not know what to do? · Posted by u/nerdyadventurer

hereme888 · 3 months ago

It must be tiring to keep seeking relief and finding the "right" solutions. Besides ongoing learning and research on your own, I encourage you to keep searching for the right psychiatrist you feel works for you, because the way they gather, organize and look at your data in a systematic manner that allows them to start trialing various plans besides just medications.

I'm sure you spent time writing what you shared, but from a physician standpoint it's not sufficient for actionable insight.

If your developing Asian country doesn't have the right physicians, then hopefully at some point you can see one in another country, and share that data with your own physicians.

nerdyadventurer · 3 months ago

I'm assuming you are asking about childhood symptoms. As a child I'm not troubling kid in class, but when I'm given freedom I walk around the house thinking, grinding teeth. While I did have good grades in class I make very trivial mistakes arithmatic my friends see and give slight smile. When it come to my OCD most of my compulsions were due to poor working memory.ex: did I count correctly?, did I wash my hands correctly? because my wonder. While I scored well at school it was by rigid work just before the exam week, while I saw other students more relaxed before the exam, I was thinking about how to cover up syllabus. This actually went to point exam anxiety which was my first encounter with a psychiatrist.

nerdyadventurer commented on Ask HN: ADHD have crippled my life, I do not know what to do? · Posted by u/nerdyadventurer

BoredPositron · 3 months ago

I am not going to say more because that's for your doctor but if none of the medications you mentioned improved your focus it's not ADHD. 70-80% respond to first line stimulants. 10-20% which have unbearable side effects (your described side effects are standard for starting phases of these meds) but improved cognitive features. The last 10% is misdiagnosed.

nerdyadventurer · 3 months ago

Actually non of amphetamine class stimulants are not available at where I live. Also MPH only available in IR, it is know that IR exacerbate anxiety.

nerdyadventurer commented on Ask HN: ADHD have crippled my life, I do not know what to do? · Posted by u/nerdyadventurer

austin-cheney · 3 months ago

I recommend finding another doctor and getting an ASD evaluation. There is a 60% comorbidity overlap between ASD and ADHD. You can treat ADHD with medication but those same medications are substantially less effective on someone with ASD even with identical symptoms.

As for concentration try to improve your serotonin output. This will have no direct impact on concentration but it has a tremendous indirect impact by improving everything else. The key to improve serotonin is to reduce your intake of caffeine, empty carbs, and alcohol. All of those are microbiome destroyers. Refocus your diet around meat and vegetables and fermented foods like kimchi, kefir, sauerkraut, and such. It takes about 3 weeks for the healthy diet to take effect. 90% of serotonin produced in the body is in the gut, but it’s most impactful to brain activity and gut hormones do not quickly become neurotransmitters in the brain.

nerdyadventurer · 3 months ago

I take Fluoxetine (SSRI), have taken it for years actually for OCD even though OCD does not bother me that much. No coffee, but lot of binge eating due to craving but I feel bad afterwards. I have taken probiotics but did not see improvement, in order to try diet approaches I have to stop medication, since I have heard continuosly taking meds destroy balance of microbiome.

nerdyadventurer commented on Ask HN: Has anyone else been unemployed for over two years? · Posted by u/ncarlson

rob_c · 5 months ago

Given the news in the last 24 hrs plenty of opportunity for excellent coders to rise to the top.

nerdyadventurer · 5 months ago

What do you mean?

nerdyadventurer commented on RFC: PHP license update wiki.php.net/rfc/php_lice... · Posted by u/josephwegner

senko · 7 months ago

In other words, if you're an open source startup and want to avoid being AWS'd, choose dual AGPL + commercial (with IP transfer CLAs).

nerdyadventurer · 7 months ago

Can you please explain how this model works?

nerdyadventurer commented on RFC: PHP license update wiki.php.net/rfc/php_lice... · Posted by u/josephwegner

mbonnet · 7 months ago

Plenty of big businesses will use AGPL software ... because you can dual license. AGPL lets you claim "open source" while still being able to pretty universally charge for the software's use via your commercial licensing option.

nerdyadventurer · 7 months ago

I'm confused can you please explain it bit more, are you talking about open core model?

nerdyadventurer commented on Local-first software (2019) inkandswitch.com/essay/lo... · Posted by u/gasull

DataDaoDe · 7 months ago

Yes a thousand percent! I'm working on this too. I'm sick of everyone trying to come up with a use case to get all my data in everyone's cloud so I have to pay a subscription fee to just make things work. I'm working on a fitness tracking app right now that will use the sublime model - just buy it, get updates for X years, sync with all your devices and use it forever. If you want updates after X years buy the newest version again. If its good enough as is - and that's the goal - just keep using it forever.

This is the model I want from 90% of the software out there, just give me a reasonable price to buy it, make the product good, and don't marry it to the cloud so much that its unusable w/out it.

There are also a lot of added benefits to this model in general beyond the data privacy (most are mentioned in the article), but not all the problems are solved here. This is a big space that still needs a lot of tooling to make things really easy going but the tech to do it is there.

Finally, the best part (IMHO) about local-first software is it brings back a much healthier incentive structure - you're not monetizing via ads or tracking users or maxing "engagement" - you're just building a product and getting paid for how good it is. To me it feels like its software that actually serves the user.

nerdyadventurer · 7 months ago

> get updates for X years, sync with all your devices and use it forever. If you want updates after X years buy the newest version again. If its good enough as is - and that's the goal - just keep using it forever.

While this sounds good deal, with this approach

- You have to charge total cost of subscription at once (1y or 2y),

- Still have to keep servers running for syncing, also you have think about cases where user syncing 1y of data in a single day.

- Have to keep people on the payroll for future developments.

(You are here thinking only in developer perspective.)

nerdyadventurer commented on Schizophrenia is the price we pay for minds poised near the edge of a cliff psychiatrymargins.com/p/s... · Posted by u/Anon84

suzzer99 · 7 months ago

I've lost one of my best friends to what I think is schizophrenia. We don't know because she's cut off all contact with friends and family and refuses to see a doctor. It's definitely psychosis. She thinks she's in some kind of Truman show that she calls "the game". Since none of her friends or family are willing to admit to it, then we must be in on it.

We don't know her full family medical history because her dad was adopted. I do know that she was "microdosing" and macro-dosing hallucinogens for years. Mostly acid and shrooms as far as I know. She followed the band Phish around with a group of friends. I can't imagine most of those shows were sober.

We've also seen a few incidents of paranoia when she was under the influence of drugs/alcohol going back decades. So it feels like this was always there in some form, but maybe the estrogen was holding it back before menopause hit. I read an article about women who get schizophrenia after menopause that suggested this could be the case.

Anyway, whenever I see wellness healers and the like extolling the virtues of psilocybin, I want to point out that there could be a downside. We don't know that all of her hallucinogen use over the years contributed to this. But it's certainly a possibility.

nerdyadventurer · 7 months ago

> We don't know because she's cut off all contact with friends and family and refuses to see a doctor.

It is not just schizophrenia, any mental health condition is isolating, others cannot understand it. I have OCD,ADHD etc so I know it, that's why we prefer who have been or going through same thing than normal people.