this post was submitted on 23 Apr 2026
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ADHD

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Hi all I need a sanity check.

Diagnosed ADD as a kid, struggled to pay attention and care in school, was on concerta for a decade. Parents would up my dose if my grades went down and expected me to grow out of ADD once I turned 18.

That didn't happen and my life fell apart and I vowed to never take medication again because I saw it as a conspiracy to sell pills and get people messed up in the head.

After 15 years of emotional dysregulation and crippling anxiety I spoke to a dr and tried an extended release amphetamine yesterday.

My whole world changed. No emotional noise, no background feeling of "I'm a bad person and I don't know why", social anxiety is gone (was able to respond to all my messages and even make a phone call AND talk to a cashier!!!). Was able to do tasks I left behind because the anxiety to start was too bad.

I feel like I can do anything I set my mind to now. My self confidence is up. I don't dread things. I woke up calm. My mind used to be a firehose of thoughts and emotions all at max level. Now it's calm and orderly and logical.

This seems too good to be true. I didn't even know existence could be like this. Is this normal? Is it the honeymoon phase? Is it just because I'm taking an amphetamine? I'm beside myself and life feels like I've got all the cheat codes now. It seems too good to be true.

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I don’t mind and actually prefer if it hits a bit less strongly over the next few weeks. Yesterday was lots of heart racing, nausea, and digestive issues haha.

Okay yeah, that'll probably work out just fine for you then!

Caffeine usually causes me anxiety so I’ll hold off until I start finding the meds less effective.

To be clear, caffeine isn't something most psychiatrists would recommend, and it's most effective to just have an increased overall dosage, especially given caffeine is more likely to cause anxiety. I personally just find that it sometimes affects different things.

So for example, if I'm on my meds, AND I take caffeine, I might find myself more focused than usual, but if I'm not careful it could lead to me getting focused on something totally random or unproductive, so I have to choose if I want that added risk of accidentally blowing an hour or two on something totally unrelated to what I sat down to do.

I consider caffeine less of a "making your meds effects stronger" kinda thing, and more of an "altering how your brain responds to your meds in some ways" kind of thing. Depending on the person and their needs, adding caffeine could have wildly different results. Best to focus on meds dosage first imo.

I can’t wait until it calms down because I’m experiencing emotions and feelings I never felt and it’s a bit overwhelming. I feel like I need to relearn how to communicate and move and pick things up and work and be a human lol.

Gosh that's so true. When you live your life trying to accounting for how your brain works on its own, and suddenly you've got meds that totally change how your brain is able to operate, you gotta re-train your brain a bit. All part of the process though :)