Sunday, May 6, 2007

Some Personal Thoughts

This blog was designed to provide information but I think it's also important to provide personal reactions so that when other people read it it might resonate with people who are dealing with ADD, testing, or diagnosis. So here are some personal thoughts. They are from a longer essay, edited for legnth and identifying features. That's why it sounds disjointed.

I am part of a growing number of students and adults who are diagnosed post-childhood because, growing up, they were the academic super-stars, popular, and more or less well behaved. Their symptoms were overlooked when they were children because they seemed to fare well without medication or therapy.

The first time I remember having a panic attack was in fourth grade. I didn’t call it that. I didn’t call it that until I was a junior in college. But when I was nine, I had the test the next day on the digestive system, and I didn’t feel prepared so I burst into tears, the big back-shaking kind, with liquid coming from everywhere, eyes, nose, mouth. I don’t remember what my mom said. I do remember that she came into my room later that night and took the diagrams of the stomach and intestines and the flashlight from under my blankets. I got an 103 on the test. No one worried, because when the tears dried I was an overachiever....

On the molecular level, Speed—the blanket name given to a group of drugs that produce the stimulant effect—and Adderall are the same drug. Both are Amphetamines—the title that is given collectively to an assortment of drugs with similar molecular structures including Meth, which can be made illegally in secret laboratories. Amphetamines, legal or illegal can be taken orally, or through injection, smoking, or snorting and create the same rush.

When I nervously asked a psychiatrist counseling center what the difference was between Speed and Adderall, he said, “nothing. Molecularly, they are the same. The difference is how you take them. Adderall is prescribed in small, controlled doses.” The illegal counterparts of the drug clearly are not.

It’s of little surprise then, that Adderall is easy to get on college campuses. Students, some joking some not, beg for it when they are faced with pulling an all-nighter. Other students use it as a party drug.

“I snort it sometimes when I'm going out for fun, because it hits you faster if you snort it,” an NYU student identified only as Mary told The Washington Square News.

When I told a friend via an instant message chat that I wasn’t sure if I was going to get a prescription for Adderall, he wrote “WHAT!?!??!...but like, it's speed.”

Which is exactly why I didn’t want to take it. Edward Hallowell, a physiatrist who has ADD himself, treats it and has written multiple books about the subject, listed “[t]endency towards addictive behavior,” as a symptom of adult ADD in his book Driven to Distraction. Later in the book, Hallowell, describing high stimulation ADD, a specific subset of Adult ADD, “he—and it is usually a he—may seek high stimulation through relatively safe avenues [such as] creating tight deadlines to work under.”

I don’t know if I have high-stimulation ADD. I don’t fit all of the descriptors and I am not a risk taker in the most widely accepted form it takes. I am afraid of roller coasters and skiing. But I am addicted to deadlines. Ask the person who sits next to me in the library. I hate the exhaustion that comes with writing on tight deadlines. But I love the rush that comes with them.

I have a tendency to addiction—my dependency of coffee indicates that much. So I am afraid of prescription medication.