"But you're so successful without it."
Content warning: This post contains mentions of suicidal ideation.
I got a message earlier tonight that I'm not going to post, but I did ask the person involved if I could talk about what we subsequently ended up talking about in DMs because I feel it's important.
Basically, it was along the lines of "My kid got diagnosed with ADHD and really wants to try meds. I know from reading your blog that correct treatment for ADHD can be really beneficial, but I just don't think she's severe enough to need them."
The message then went on to ask me, as someone who is unmedicated with ADHD, for some tricks and tips on how to be successful without medication because clearly, look how well I'm doing without them. I mean, look at my blog, look at my book(s)! Surely if I can do all that without ADHD meds, other people can too. Surely there's a trick. A skill. Something you can learn if you just try hard enough...
This is not the first time I have received a message like this. In fact, I probably get about 2-5 messages like this a week.
Usually from other people who also have ADHD/suspect ADHD but don't want medication because they don't think they need it/don't want to need it, and yet can't figure out why they're struggling so much, and ask me how do I do the thing(s) and cope so well and get so much done, etc., etc.
So I'm going to tell you what I told this person tonight in case it helps someone. Yes, I have ADHD. No, I am not medicated due to severe health complications, and yes, I get a lot done. From the outside, I am sure it looks incredibly productive and successful. But I'm going to let you in on what that success feels like.
It feels like my brain is on fire; every nerve in my body scraped raw; every part of me wired and exposed to the noise of the world. There is no quiet; there is no calm. And even when my brain does fall silent, it's another kind of death. The inside of my head is sludge, flowing uphill like treacle, weighing me down, pulling me under in the riptide of my inability to focus. I can see what needs to be done, I can see it so clearly, yet sometimes it's like I don't control my own body. Not enough dopamine. Not enough brain chemicals for the message I'm screaming in my head to make my limbs do the simplest of tasks. Like, feed myself. Take a shower. Answer that email. Text my friends back. Go to bed when I'm tired. Write a best-selling novel...
A novel that almost killed me and not because of my other ailments, but because of my unmedicated ADHD.
I didn't realize it at the time, but I was already operating at critical mass when I went into final rewrites/edits. Every coping mechanism I had fell apart. Like training wheels falling off a tricycle, leaving me to wobble unsteadily until the main wheels fell off, swiftly followed by the handlebars until all that was left was me peddling frantically trying to keep my balance and not getting anywhere. I didn't realize it then, but I was heading towards a complete mental collapse. And even when I dragged myself across the finish line with the above and beyond help provided by my friends and editors, I was so burned out I couldn't enjoy my success. Worse, my success made me suicidal.
It took me until very recently, almost two years later, to be able to read Phangs without feeling suicidal. My brain associated it with the trauma of experiencing complete ADHD burnout but having to complete a monumental task anyway.
I had to go into intensive therapy to recover. I am still in intensive therapy for it.
It took me even longer after that to be able to sit down and write without harming myself. I still struggle with it, and I tell you this in all honest sincerity in the hope it makes you realize what it costs me to be "successful" and unmedicated.
And this wasn't the first time I've had to deal with this, either.
I struggled all through high school, all through college, all through every career job I ever had, knowing there was something wrong, but not quite being able to put my finger on it because hey, I still got stuff done, so it couldn't be that bad, right? Surely everyone went through life feeling this way? Right?
It wasn't until I got my ADHD diagnosis as an adult that I realized what was happening. Why I struggled so much. Why life was so hard. In many ways, it was like the sun coming up. An internal dawning of realization and acceptance, but also rage.
Rage at how much I'd had to struggle because no one noticed because I was quiet and undisruptive. Rage at a system that forced me to learn in ways that were not intuitive to my brain. To always being told, "doesn't apply herself" while it felt like I was clawing my brain apart trying to do what people wanted from me. To a work-life balance, that rewards all the things that make ADHD actively worse. Rage. So much rage it hurts. And to top it all off, I can't be medicated for it. I finally know what's different, I finally know why my world feels raw and turned inside out, and I can't take any of the medications that might help me.
Do you know how angry I wake up every day that there is a possible solution just within my grasp, but my health conditions prevent me from trying them? Do you know how much it hurts? How much I grieve for the person I could be if I was able to have help beyond therapy and coaching? How much happier I could be...
Not productive. Not successful. Happy.
So ask yourself, what do you want more? A child who has to go through all of this and resents you for prolonging their suffering? Who winds up hating themselves by internalizing the false concept that if they just try hard enough, they can do whatever they set their mind to.
Or do you want to help them?
Or if this is you, why are you afraid to help yourself?
Please, don't use me as an example to harm yourself or others. Yes, I am successful without medication. But the toll is high. Too high.
Rid yourself of the idea that you need to suffer more to be allowed help. You don't. They don't. No one does.
