Jessica McCabe Profile picture
May 16 15 tweets 3 min read Twitter logo Read on Twitter
It is far past time for stigma about ADHD stimulants to subside.

They are:

✨not addictive when taken as prescribed
✨highly effective for most w/ADHD w/minimal side effects
✨out of our system quickly
✨stimulants. Like…caffeine. They don’t get us high, they help us work.
Can they be abused? Yes. Some are specifically designed to minimize this risk, but some are not.

Be misprescribed? Yes. Vast discrepancy of care for adult ADHD.

But most of what I see as an expert is how devastating the lack of access ✨already is✨ for those who need them
The answer, for anyone concerned, is better access to, & guidelines for, care for adult ADHD (currently being drafted by APSARD in the US)

The more we decrease access, the more common it will be for those who don’t need these meds to obtain them more easily than those who do.
I’m going to finish the resources section of my book which is due tomorrow, but if anyone needs resources or wants to interview me or anything of the sort, please email me: jessica@howtoadhd.com

And check out #itakemypillsbecause to read real life stories of how these meds help
It’s a hashtag I created the last time a big media outlet stirred up moral panic.

This is nothing new.

But it needs to stop.

ADHD can be serious, and untreated, it hurts us.

Costs us jobs, marriages.

& Dr. Barkley’s research: 12.7 years off life span.
Thorough, easily accessible evaluations by doctors w/training in adult ADHD will combat this problem.

Until then, there are those of us who can’t access meds because our EF makes navigating a complex systems hard who are then approached by NTs who are selling them illegally.
Oh and we’re having to navigate these systems ✨without the treatment we need to help us executive function well enough to effectively do so✨
Many, MANY people with ADHD who could not access care before have now been able to because of how accessible private companies have made it. This made it more accessible to others as well, but that’s not a bad thing.

We need access. That is not the piece that needs fixing. #ADHD
What needs fixing is clearer guidelines, better access to care for those who need it…

And for people to stop seeking evals or meds they know for sure they don’t need.

It is not a victimless crime.

It hurts those who can’t function well without access to optimal treatment.
Last thing I’ll note…those with ADHD have been told their whole life their struggles are their fault. They often believe they’re just lazy, or stupid, irresponsible, careless, messy, and worse.

If you think you’re “just lazy,” seek an eval.

I swear it should be in criteria
#Itakemypillsbecause they helped me finish writing a book that will help educate people about ADHD and empower us to work with our brains, not against them. Which is especially critical for those w/o access to proper care. 💖 and b/c meds increase my ability to use other tools.
Also, I’ve taken several different types of meds over the years (including trying non-stimulants, which didn’t work for me) and after 20+ years the worst side effects I’ve had seems to be what most people experience when drinking their morning coffee.
I take meds breaks when I feel like it, titrate up/down based on current needs, take an afternoon booster dose if I need it, truly, quite like others do coffee.

It’s not the Big Evil Drug it’s made out to be.

It. Just. Helps. Us. Function.

The right meds/dose is key.
And medical supervision.

Which we can’t have if we can’t access care.
Adding a caveat here— individual experiences can differ of course. Side effects can do weird shit with any drug. Or food, for that matter, bodies are all different.

Generally speaking, side effects are minimal.

Especially compared with the side effects of *not* treating ADHD.

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More from @HowtoADHD

Mar 25
One of the more interesting aspects of ADHD is shorter time horizons. Things feel like they’re either “now” or “not now” & if they’re “not now,” they don’t exist.

Deadlines don’t feel real until they’re almost on top of us, which can make it hard to kick ourselves into gear…
I have tricks for starting on projects even before the deadline feels real, but there’s one thing I still struggle with:

I’m 5 days out from my book deadline and I still don’t believe I’ll ever be done.

Finishing is in the not-now…which means it doesn’t exist
I feel like I’m operating on pure faith.

I remember doing that in high school, too, on days where everything was overwhelming and awful:

This day will, eventually, be over, I promised myself. Because that’s how time works.

It just, doesn’t *feel* like that at the time.
Read 4 tweets
Feb 11
How my ADHD makes friendship hard

(a thread 🧵) 1/10
When I was a kid, I had a hard time fitting in. Part of this was my overt ADHD symptoms -- I’m fidgety, impulsive, have trouble waiting my turn, have trouble staying focused on activities and conversations that don’t interest me, and keep forgetting everybody’s name. (2/10)
Part of it was that there's also a developmental delay associated with ADHD -- so at 10, I had the self regulation skills of like, a 7 year old. This is why I had an easier time with adults, and kids a couple years younger than me. With my peers, I got made fun of...a lot. (3/10)
Read 11 tweets
Aug 10, 2022
My writing process:

Get started

Get a bunch of ideas down

Feel brilliant and overly confident

Go to write a full draft based on those brilliant ideas and realize it’s actually shit, this is absolute shit why did I agree to this it’s not working and I’m never gonna finish
…or if I do it’ll be terrible and everyone’s gonna know I’m a fraud

Panic

Eat cookies

Keep going

Slowly plod through the shit and rearrange it until it’s slightly … less shit …
Eventually hit the point where you realize it’s actually going to be good

Get excited, actually enjoy the rest of the writing process, and keep going with it, until you either can’t find anything else wrong with it or someone tells you you have to stop :)
Read 4 tweets
May 20, 2022
Ppl are often quick to correct those with disabilities: “don’t dis your ability! You’re capable!”

They don’t want us to be limited by our disability.

*Acknowledging and accommodating impairments makes us more able, not less.*

Imagine if I refused to admit I needed glasses?
Yes, everyone has limits to how well they can see things far away. But compared with the general population, I am extremely nearsighted. The world is not built for people who can’t see things 5 feet in front of them. If it were maybe I wouldn’t need glasses. But it isn’t, so I do
That doesn’t mean I’m not capable in a million other ways. I am. But in specific ways, I am impaired, and to the point where it can be disabling. Once I started acknowledging that, I became *more* capable because I was able to put appropriate tools and supports in place.
Read 4 tweets
Feb 5, 2022
I tend to overexplain because (as a woman with ADHD) I’m used to either not communicating clearly or not being heard.

But overexplaining can overwhelm some ppl.

A simple hack: if I’m overexplaining something, let me know you got it & then repeat it back to me to make sure
If you’ve got it, I can relax and stop explaining.

If not, I can just explain the part that wasn’t clear :)
Also, I’m learning to explain things (to some people) a piece at a time rather than everything all at the same time. Overloading someone’s processors with TMI is apparently a good way to ensure they don’t understand ANY of it
Read 5 tweets
Jan 12, 2022
So…I’m writing a book, and some of the Brains have asked me to share my writing process. First of all — I NEVER do outlines first. Here’s why. (thread)
I’ve learned I can organize info into an outline after I lay out all the pieces, but I need all the pieces in front of me first. I often don’t know what the outline should be before I know what I’m trying to say.
Also, when I do the outline first, I get writer’s block when it comes time to write. The outline says to put info about ___ here, and the pressure of having to go find or come up or remember something about that makes me anxious.
Read 11 tweets

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