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lagrangian


				

				

				

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lagrangian


								

								

								
								
								

								
							
					
 
				


				

				
				
				

				

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					joined 2023 March 17 01:43:40 UTC
				


				
					

					
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				Small-Scale Question Sunday for April 14, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					


And when Scott did a survey on the topic, users ranked it higher, though it's been a long time and I can't remember what the post was.




From his Lorien Psychology page:




    

  1. Is Adderall the right stimulant for me?
There are two commonly used families of stimulant for ADHD: Adderall and Ritalin. Most adults will find drugs in the Adderall family more effective.
    2. 







See for example this survey of 4,425 ADHD patients by ADDitude Magazine, where 52% of adult Adderall users described their treatment as very effective, compared to only 41% of adult Ritalin users. Only 12% of Adderall users described it as ineffective, compared to 22% of Ritalin users.






More formal studies find the same thing. Faraone does a meta-analysis comparing both drugs in children (not exactly our population of interest, but this is the best I can find) and finds Ritalin to have an effect size of around 0.9 and Adderall of around 1.3 (higher means more effective). A separate meta-analysis by Stuhec, Lukic, and Locatelli finds two Adderall-family drugs to have effect sizes of 0.6 – 0.9, compared to Ritalin’s 0.5.






About 80% of my patients who have tried both tell me they prefer Adderall (informal estimate). Along with Adderall being more effective, they complain that Ritalin makes them feel more “robotic” (note the Additude survey shows Ritalin users about half again as likely to complain of “dampened personality”). This isn’t to say that Adderall is better for everyone – just that it’s a better choice to try first.






Does Ritalin have any advantages? The main advantage is that it’s considered harder to get addicted to. But addiction to ADHD drugs is already very unlikely (see the section on Addiction below), and realistically it’s less addictive because it is a worse drug which people like less. Also, there are now members of the Adderall family at least equally suitable for people at risk of addiction (see the section on Vyvanse below). Another Ritalin advantage is that it lasts less time, so if you want very fine-grained control over exactly when you are or aren’t stimulated Ritalin may be a better choice. But you probably do not need this much control. I understand Ritalin may have other advantages for children, but I’m not a child psychiatrist and don’t understand it well enough to comment on.




I personally think the 25% of Adderall that is left handed amphetamine is unpleasant. Go Vyvanse if possible imo (or Dexedrine), for that mellow, pure right-handed goodness.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for April 28, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					
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				Wellness Wednesday for April 24, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					
That's a lot to handle, wow. Did you and your now-husband discuss taking care of elderly/infirm parents to this degree early on (i.e. before marriage)? Either way, was it a difficult decision to let your husband's parents move in?


I'd prefer to end up with someone who wouldn't want us to do this for either set of our parents. I'm not saying I don't care if they rot in a shitty retirement home, I'm just saying I don't care enough to make it my problem. It's unclear to me how unpalatable a statement that would be for someone to hear on a date, or how much it'd actually prevent this kind of scenario in our future.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Wellness Wednesday for April 24, 2024
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Update on Ms. Definitely:


Dates three and four were even better than the first two. But it turns out even in the case that she stays, there's probably a fair amount of extended travel in her next couple years. This all added up to more uncertainty than I could handle, so I gave up. Not an easy decision - I think we both wanted to keep going, just life got in the way. Very glad I met her though.


The whole thing has me feeling a touch heartbroken, but significantly moreso: motivated to try harder at dating, on apps and off. I think that's part of the puzzle here: if I felt like I'd already tried as hard as I could at dating, I'd be more prepared to say "life's complicated, let's figure it out together." But I just haven't. Tried some, sure, but not enough, in no small part because only in the last few years have I gotten to the point that I feel I'm good enough for a woman that's good enough for me.