Spyke

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TIL about state dependence, and it makes so much sense

This is primarily talking about state dependence with ADHD medication (stimulants).

State dependence is when information that is learned while taking ADHD medication is difficult to recall when not in the same physiological state (when not on ADHD meds).

I started taking Vyvanse about 7.5 years ago, and at that time I started learning so much more than I ever have. I hyperfocused on computers, learned how to program in multiple programming languages, I learned a lot about Linux. During that time, I also learned a lot about 3D printing and mechanical engineering, and made a lot of cool things. About 2 years ago, my tolerance to the meds reached a certain threshold where I stopped being able to recall all the things I have learned.

When I take double my prescribed dose (which I am not advising you to do), I can reach that state of clarity and recall everything again, but only for a few hours, and then I crash lasting a few days. It's not healthy for me to continuously do this, and my dose is already too high for my doctor to raise it anymore (90mg concerta).

Today I read about state dependence in a wellness book that has a section about stimulants and ADHD, and it explains why I can't remember or do any of the computer-related things I used to do. I wish there was a way to recall all the information I've learned without having to raise my dose or use any sort of substance. It's really a pickle of a situation.

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Those who have been on prescribed stimulants for many years (>5), how do you manage tolerance and crashing?

I have been on ADHD meds for about 7.5 years now. I started with Vyvanse and my dose was at 70mg in the first year. I was having bad crashes at night, so I switched to Adderall 40mg with 10mg Dexidrine and stayed on it for a few years. Recently, I switched to Concerta 90mg because my tolerance was getting too high and it wasn't working anymore, hoping that by switching it will reset my tolerance. It didn't. In fact, my tolerance drops to being feeling depressed/unmotivated in about 3 days now. So that sucks.

Taking breaks is agony for me. I have the worst stimulat headaches, no motivation, and can't sleep. My doctor knows this but does nothing. He won't raise my dose.

How do you guys manage? Thanks.

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edc·Everyday Carry. What essentials do you carry on a daily basis?bytonystark29

This is what I keep in my (right front pocket) leather organizer

In the front two exterior pockets, the sewing kit fits in on the left and the Knipex fits in the right.

It's basically a mini commonly used hardware and medication pouch. I use fishing line for sewing in situations where I need strong thread, and I have various size needles in there too. The Altoids Smalls tin has a few of my most commonly used medication for me and my family. The Rolaids are for my heartburn unfortunately.

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edc·Everyday Carry. What essentials do you carry on a daily basis?bytonystark29

My complete current EDC.

The leather wallet is homemade, while I bought the Hide & Drink pocket organizer.

Contents:

  • Homemade wallet
  • Field notebook (stored in the back pocket of wallet)
  • Mini BIC lighter
  • Swisscard Lite tools inside a 3D printed card enclosure (because I broke the original one)
  • Zebra F-701 pen (in the bottom horizontal pocket of wallet)
  • Hide & Drink pocket organizer
  • Fenix R18RV2 flashlight
  • Victorinox Cybertool L
  • Knipex Cobra XS pliers
  • EDCPocketTools Mini CatClaw (prototype)
  • Zipties (not shown - inside organizer)
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diy·Do It Yourselfbytonystark29

I made this utility bike trailer. It's not perfect, but it's solid and does the job.

I messed up on the stain, but it's one of my first woodworking projects that I have used stain on, so it's a learning project. It started as one of those child/pet carrier bike trailers. I removed everything but the bare frame and wheels and built it up with wood. It weighs 40lbs, which isn't great, but I have an ebike that helps with the weight. I've only had it for a couple weeks, but I've already used it a few times to get groceries or large things I needed to pick up (don't have a car).

https://imgur.com/a/BYXJc1UOpen linkView original on lemmy.world
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