Comment by smabie

5 years ago

If you goal is to get prescribed stimulants (amphetamines, ritalin, or modafinil), it's pretty trivial to get diagnosed and prescribed. Psychs hand that stuff out like candy

I went to my general practitioner (in the US) and got a Ritalin prescription just by saying “I have a hard time concentrating at work”. That’s it. No referral to a specialist or anything.

It is a wonder drug for me. I used to spend a majority of my time farting around on the internet at work, then working long hours and scrambling to get my work done before the deadline. Now I am able to be productive more consistently and don’t miss nearly as many deadlines.

  • Are you a “different” person while on Ritalin? My wife’s a teacher and these days a lot of kids are on Ritalin. She says the kids that “need” it are more manageable when taking it, but it does change their personality. They are less... “lively”.

    • I absolutely feel like a different person. I started on it youngish in my preteen years and have spent a lot of time reflecting on the question of what being a different person means and my conclusion is basically: I like this person more, off the meds I'm quicker to anger which burns bridges and my concentration is absolute trash making me unable to pursue things I want to do. This person's life is better so I choose it over the other one.

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    • I can say I felt more like a zombie or emotionally dampened when I was taking Concerta (which is similar to Ritalin just with a longer duration and smoother effect curve).

    • That's an interesting question. I don't think so? If I was, would I notice? Nobody has ever mentioned it to me.

      I only take it at work so I am pretty much just sitting in front of a computer when I'm on it.

I tried some and I don't like their effect. Yes, I can sit down through boring stuff but the intrinsic interest becomes dries up while on these. It is true that I didn't try this treatment for extended periods of time but I may if I absolutely need to (but only temporarily, up to a couple of months or so). For now I try to enjoy my average productivity which comes in bursts and that is okay

I don't know how it is in the US, but I'm scared of even trying to be diagnosed in the UK. Once you're in the system as somebody with psych problems, a lot of things can get harder. I fear the risk is not worth satiating the curiosity.

  • I guess that’s one benefit of the US’s terrible health system? There isn’t a single “system” so even if one doctor diagnoses you with something, a different doctor in a different office won’t have any idea about it unless you volunteer the information.

    • Wait the US doesn't have a centralized/shared medical records service? I never realized that! In France, I suppose like in the UK, we have our "Carte Vitale" ("Life/Vital Card"), which is scanned each visit to a doctor, hospital, pharmacy, etc, each updating your personal database nationally.

      It also serves as a link to your insurance provider in each location, so reimbursements are automatic.

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    • Just FYI, this is increasingly less true in many respects...although the opposite problem also occurs, where there is so much noise that the important pieces for any given visit do not surface for the doc.