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January 11, 2010

Post Adderall – Year of the Motivational Famine

Filed under: Adderall — Anthony @ 6:06 am

So it’s been about a year since I said goodbye to Adderall. And it has been one @%^@%! boring year. Every now and then I manage to get caught up in something for a few days – but never have the oomph to follow through and really create. Oh how I miss my old productive self.

I’ve come to the painful conclusion that I might actually have to go through an unpleasant re-training process. My brain became so accustomed to effortlessly cruising along, fueled by the little magical orange candy for $30/month, that it seems to have forgotten what real effort is. Now I mentally recoil at the thought of making myself DO something.

So I haven’t  spontaneously re-awakened after a year (@#%$!); I guess it’s time to be systematic about it. Set some goals or something (recoil! recoil! recoil!).

June 17, 2009

Adderall – The [Real] Epilogue

Filed under: Adderall — Anthony @ 4:54 pm

Coming up on July again.

July 4th of 2007 – all  of my “4th of July” memories are secondary to my “4th of July on Adderall” memories. Indeed, almost all of my memories from 2007 through 2008 are anchored to Adderall in some way.

“Oh, yes, that was the month I first ran out over a week early. I remember taking my last dose at 3am.”

“THAT was the time I took 60mgs at once. My feet turned blue, and my chest felt so tight that I simply had a lie motionless for an  hour. That was ok though, because lying there motionally, I had a flood of inspired ideas [for coding].” [And they WERE actually great ideas, that I will have time to pursue... when I win the lotto.]

“I do remember that… it happened a couple of days after my first experience of having the sun rise and birds start chirping while I was speeding away.” [It's very depressing the first few times the sun rises on you... when you first notice the cracks in the window blinds have gone from black to slighly gray.]

I can read through code I’d written (mainly for BoxCAD) and remember what time it was, what mood I was in, and how much Adderall I had left.

It’s not surprising that all of my memories are associated with Adderall in some way, considering that I had an explicit thought about the stuff literally every ten minutes max.

The “funny” thing is, in almost all of those memories, there is a vague unpleasantness. A hovering feeling that something is very wrong. While I might have been pleasantly speeding at any given time (I won’t lie – it’s very pleasant), my credit was ransacked, my wife was crying or angry that I was still dosing after two or three days awake (and my oblivion to my son asking to “go to the park,” among other things), and my house was starting to look like it had been abandoned.

So where are we now?

I haven’t touched Adderall for four or five months. An accurate measure of my obsession can be found in “Time between thoughts of Adderall”:

Just after last dose: 5 minutes
Week after last dose: 10 mintues
Month after last dose: 10 minutes
Two Months: 15 minutes
Three Months: 1 hour
Four Months: 1 day
Current: Every other day

I no longer crave it. I’m at about 90% of my pre-Adderall functionality.

But what would I do if I found a piece of Adderall laying around… that had been misplaced? I feel like I could resist, but I also know that the beast is simply asleep. It will probably never be dead.

There’s a lot more to say – things that might be helpful to other addicts in withdrawal. But, I have to say – I write at about half the speed I did before I quit. :\ So I will have to say my “more” in a later post.

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February 24, 2009

Adderall – The [Almost] Epilogue

Filed under: Adderall — Anthony @ 11:56 am

Well, it’s been miserable saying goodbye to Adderall, to say the least; it has turned into a long and drawn out process. I’ve “quit” several times, actually – each time returning to it primarily out of neccessity (i.e. to finish a job, bill a client, then MY bills), but there is also a strong addictive component to my returns.

The last time I gave in (3 weeks ago), I asked the doctor for a 20mg/day prescription, down from 45mg. I did not use it as a continuous taper, but rather as two spaced binge events. My last usage was two weeks ago.

There are two primary withdrawal effects that plague me. First is drowsiness. For the first few days, I slept about 18 hours per day. Now, two weeks after last dose, I sleep about 12 hours a day.

Second is (initially profound) anhedonism and lethargy. And I’m not using the word “profound” lightly.

During the first week, I took about 2 showers. When I wasn’t sleeping, I was playing games on the computer. Or reading. I haven’t worked with music (normally an obscession), programming or anything else. Nothing sounded worth the effort.

Now, two weeks later, the anhedonia/lethargy is strong, but not as crippling. I still have very little interest in “hobbies”, but I have been able to work some.

More and more, I have very brief sparks of inspiration, where hobbies actually sound fascinating again. But it’s a very fleeting feeling. It seems like my brain is an engine trying to turn over; some times it fires a couple of pistons then sputters out.

Forcing myself to do “things” causes intense agitation. Earlier in withdrawal, simply taking a shower would cause feelings of childish tantrum throwing to run through my head. It’s not that severe now, but I still become mildly irritated if I attempt to work at something for any useful length of time.

Appetite wise – well, I’ve gained over 10 pounds over the last two weeks. Most of that was in the first few days. My appetite is currently at pre-Adderall levels.

So, why is this the “almost” epilogue? Because I know from experience that I will at some point face a seemingly irresistable compulsion to ask my doctor for a refill. Overall though, while I may end up doing so (as I have a couple of times already), I am making real progress. Each “quitting” cycle, the urge to abuse decreases, and I use less. I am currently in new territory; I HAVE made it two weeks before, but I didn’t feel this “well”.

Perhaps more encouraging than anything, according to my wife, “it feels like you’ve been gone for a long time, and just came back.” Indeed, my mood has improved – but there are much more vague, subtle ways that Adderall impacts your personality, and it’s in those details that the real changes have taken place.

One last note – I’m experiencing a near-total inversion of normal circadian rythms. I’ve always been a night-owl, but lately, I literally wake up at night as if it was morning, and literally go to bed in the early morning hours. I’ve also experienced some intense sleep-onset paralysis (something I have not experienced for 4 years or so). I read somewhere, once upon a time, that after chronic amphetamine use, sleep patterns continue to be modified for up to several months after stoppage. So I may have a ways to go…

Ah well. One thing at a time.

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December 12, 2008

Adderall – Subtle and Profound; Beneficial and so very Dangerous

Filed under: Adderall — Tags: , , — Anthony @ 12:22 pm

I know – the title is a  mouthful. Maybe a bit overly dramatic.

But – if anything (in my life) deserves a dramatic title, it’s Adderall.

I’ve now been using Adderall for about 18 months. Perhaps sad to say, of all the agents of personal change in my life, it has been the most potent. If you read any of the blog entries from the Adderall category, especially the earlier entries, you’ll see that I’ve held it in very high regard… almost to the  point of glamorizing it.

Now I’m going to backpedal a bit.

The plot above ( 10^(x – 14)) is my personal time (x in months) versus Adderall abuse (y in… I dunno, actually… it just “looks right”) equation.

To save you the trouble of counting ticks, I’ve been on Adderall for about 18 months, and things went awry at about 14 months, and then – let’s say  “catastrophic” - at 16 months.

And what do I mean by catastrophic? I don’t want to detail it for (paranoid) legal reasons – but let’s just say I’ve been awake for a very long time as of now, and my fingers and feet are very, very cold. Despite the cold, I’m strangely sweaty – with the awful smell of ammonia present in force (a symptom of significant sleep deprivation).

I work for nearly 18 hours a day. And yet I get no more accomplished than I used to in a normal 8 hour day (perhaps even less). Why? The  best example of “why” is the way I use search engines in my current state. Normally, I never go beyond maybe the third page of google results before trying a different query. In my current state, I regularly get into the high 20’s before giving up.

I’m usually disheveled, with dark shadows under the eyes and 4 or 5 days worth of facial hair.

The lawn has not been mowed in several months.

I weigh 126lbs (6′0″ tall).

My desk is cluttered with junk that belongs in a waste basket.

And despite all of the hours I put in - paid for with sleep deprivation – I actually don’t know how I’m going to make all of the bills this month.

* * *

Adderall addiction, in my case, snuck up so very quietly. It started as a dependence – which I maintained for a couple of months – then exploded into all out addiction and abuse. I typically run out of Adderall after about half of the prescription period. For the second half, I experience first extreme lethargy and hyperphagia, then sink into a profound depression.

I’ve become aware of certain aspects of the human brain over the last few months. First is it’s amazing capacity to lie to “itself” - and justify any action. There has never been a time when I couldn’t find some excuse for why “at THIS point, I legitimately need to use a little bit extra….” To some extent, the conscious part of the mind seems to be a puppet of the unconscious parts. In my case, my rational processes never fail to bow to the brain’s chemical reward circuits.

To go off on a momentary tangent – the previous paragraph can be summarized as “It’s not my fault, the dopamine made me do it!” Sound ridiculous? It sure does – until it comes to the decision of whether or not to take more Adderall. Then it’s suddenly a deep truth that makes the rational part of the mind feel much better about it’s doing.

Anyway, while it is a silly mind-trick, it is actually true – that the conscious seems to be a puppet to the unconscious. It raises some interesting questions. What are decisions, really? Simply the expression of our unconscious? Does our conscious have veto power? While they are interesting thoughts, we don’t know enough about how the brain actually works to go beyond speculation.

Regardless, I have a new-found sympathy for addicts in general.

Adderall is not “wrong” in general. For many people, it has a huge positive impact on quality of life. For myself, with an apparently addictive personality – it’s time to look elsewhere for a solution. But even no solution is better that Adderall at this point, hypersomnia or not. I DO believe that doctor’s (at least in my case) are far to quick to prescribe with the most facile diagnostics.

Now for the preachy part – try alternatives before trying Adderall for narcolepsy or excessive drowsiness. Provigil is not nearly as addictive (hope you’ve got good insurance). Obviously, this is all advice from personal experience – and obviously the internet is not generally a good place to get medical information you’re planning on acting on – so (I have to say this), talk to you doctor.

But… make sure you’ve got a good doctor. One who actually seems legitimately concerned for your well-being.

What’s next for me? Withdrawal. There is no such thing as “weaning off” when you’re addicted. After a bit of research, it sounds like Bupropion (Wellbutrin) may be of some help.

(to be continued…)

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