this post was submitted on 19 Aug 2023
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AuDHD

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A place for those that got both Autism and ADHD, those confirmed as one and are suspecting they got the other as well, and also everyone who is neither and just genuinely curious.

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I also press F, but for grading the author, not as a sign of respect.

It doesn't exactly inspire confidence into the reliability of expert assessments, when this is the kind of textbook used to train them.

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[–] [email protected] 185 points 1 year ago (3 children)

This sounds like the average extrovert’s perspective on an introvert lifestyle tbh. “Oh you have minimal social life and focus on your passions there must be something wrong with you.”

[–] [email protected] 12 points 1 year ago (4 children)

Yep, or a caffeine addict who is flabbergasted I don't consume caffeine. (I'm not calling everyone who consumes caffeine a caffeine addict, just the ones who literally can't function without it) Like I can't consume more than a negligible amount of caffeine because it triggers my migraine. But apparently something is wrong with me because I'm not dependent on a drug to stay awake.

[–] [email protected] 9 points 1 year ago (2 children)

welcome to the club, for me stimulants just have 0 effect whatsoever.

300mg of caffeine pills? literally forget i've even taken it 15 minutes after.

[–] [email protected] 7 points 1 year ago (3 children)

I have the same issue. I can take 300 mg and then fall asleep. I had a spinal tap this spring and as I get post-spinal headaches they gave me a lot of caffeine and when I fell asleep they were somewhat weirded out. But I am being tested for ADHD which it might be linked to.

[–] [email protected] 4 points 1 year ago (2 children)

It is and it's normal. When I was taking medicine to help with ADHD I could drink a huge coffee and then go to sleep. I stopped taking ADHD medicine 15-20 years ago (mainly due to side effects and being rebellious against my parents) but I still have a weird relationship with caffeine. 3 coffees to even feel it at all, and one just makes me sleepy.

[–] [email protected] 5 points 1 year ago (1 children)

People with ADHD have something called a paradoxical effect with stimulants. It's related to the differences in brain chemistry, and it's why amphetamines are a useful pharmaceutical therapy for those with ADHD while having something more akin to a recreational effect on the neurotypical.

[–] [email protected] 2 points 1 year ago (1 children)

What fucks me up is that i don't even get the paradoxical effect, and i'm hesitant to chug 600mg of caffeine to see if that does anything to me

[–] [email protected] 3 points 1 year ago* (last edited 1 year ago)

Sometimes the paradoxical effect is just nothing, or very limited expected effect. The name is a bit of a misnomer in the sense that stimulants don't have an opposite effect, but rather they are inducing stimulation where it is lacking for ADHD. So instead of getting this rush of energy and focus that a neurotypical individual would, those with ADHD are merely reaching a "normal" level of stimulation by compensating for a lack thereof. In essence the stimulants aren't acting differently with ADHD, instead their action is compensation. You can see evidence of this in that those properly undergoing amphetamine therapy will still have some side effects of stimulants (e.g. reduced appetite).

At least this is how I understand it. I'm only a nurse, so I very well could have some misunderstanding here that hasn't been corrected.

[–] [email protected] 4 points 1 year ago

I call them my coffee naps. 3 cups and then i go pass out for two hours. And I just got diagnosed with ADHD this week. Wasn't aware of the relationship between the two.

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[–] [email protected] 11 points 1 year ago (1 children)

This sounds like the writer is writing about someone specific

[–] [email protected] 7 points 1 year ago* (last edited 1 year ago)

Sounds like the professor is trolling his or her students.

[–] [email protected] 121 points 1 year ago (3 children)

Pay special attention to the last statement before the question - "He is doing well in school and has a girlfriend who is also a medical student." This sentence is there to tell you that the student in question does not have a disorder; his life is going fine. Answers A, B, D, and E are all disorders, and answer C is "traits", not a disorder. Ergo, the correct answer is C.

[–] [email protected] 65 points 1 year ago (1 children)

While that is the best fit for the characteristics, it can’t be the correct answer. The question asked for a disorder and therefore any non-disorder answer is disqualified.

[–] [email protected] 20 points 1 year ago (1 children)
[–] [email protected] 20 points 1 year ago (1 children)

It's a poorly written question. Bad authors don't get to write bad books and call them "trick books".

[–] [email protected] 4 points 1 year ago

I agree, I don't like trick questions

[–] [email protected] 26 points 1 year ago

gf = no disorder

[–] [email protected] 7 points 1 year ago

Lol. The correct answer is written in.

[–] [email protected] 59 points 1 year ago* (last edited 1 year ago) (5 children)

"which disorder do they most likely have"

This is a typical type of question in higher level studies, where the scenario given is intentionally inconclusive to measure your ability to determine what path may warrant further investigation.

The correct answer is C. Not because it's a diagnosis, but if there were to be a diagnosis, that would be most likely

[–] [email protected] 8 points 1 year ago (1 children)

Not a medical student but graduated with a professional degree. This is the way.

[–] [email protected] 7 points 1 year ago (1 children)

To add to that, one of my professors back in college said of Obsessive Compulsive Disorders that medical and pharmacy students may reflect the symptom profile of the disorder during their studies just to get by. Sounds to me like this is the perspective this professor is demonstrating in this question.

[–] [email protected] 3 points 1 year ago (1 children)

One of my professors said there's about 3 or 4 bouts of hypochondria during med school where you're like "oh fuck, I've got this disease" and this might be one of those moments

[–] [email protected] 3 points 1 year ago (1 children)

Yeah, that shit doesn’t stop after med school… that sticks around

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[–] [email protected] 6 points 1 year ago* (last edited 1 year ago)

Isn't it b? This sounds like a real life example of the test I was given for ocpd.

  • diagnosed in early 20s,
  • obsessed with lists,
  • workaholic to the point that you can't socialize,
  • doesn't trust the work of others, and
  • appears successful to outsiders because they're obsessed with perfection.

Each sentence matches a patient question on the evaluation.

[–] [email protected] 5 points 1 year ago* (last edited 1 year ago) (1 children)

F is still the correct answer.

That test needs to leave that poor (hypothetical) kid alone. That kid is going to (hypothetical) graduate and make more money that that test ever did.

[–] UnlimitedRumination 5 points 1 year ago (2 children)

Have you seen the price of textbooks recently?

[–] [email protected] 4 points 1 year ago

You have a point. That hypothetical kid is gonna be rich, but not textbook rich.

[–] [email protected] 2 points 1 year ago

I have, and so I've sailed the high seas yarr

[–] [email protected] 4 points 1 year ago* (last edited 1 year ago) (3 children)

If that were the intention behind the question, it would demonstrate a poor understanding of likelyhood in a strictly analytical sense. The most likely diagnosis would still be none of the options given, but literally "None".

If it were meant as a simple "Gotcha"-Question, it is semantically poorly constructed - and also ethically questionable to teach a lesson of "select the least wrong option from a preselected set of permitted answers" in the context of medical practise.

edit: wording

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[–] [email protected] 50 points 1 year ago

Yeah that sounds totally normal. Sounds like he has everything under control. He's actually organized, making lists and shit. He enjoys what he does. He has a girlfriend, so clearly he's not a total hermit. He just chooses not to spend time with collegues. That sounds like a normal well-organized person

[–] [email protected] 28 points 1 year ago (1 children)

You can't tell what it really is based on the information given. You normally need to meet 4 or 5 criteria in order to give a diagnosis. Besides that, you need knowledge and life history of your patient because a lot of diagnosis overlap. Probably this is the catch from the question, he has traits of being obsessive, but you can't really say what just yet. A bunch of people, even while studying, will fall for questions like these.

[–] [email protected] 16 points 1 year ago (1 children)

he has traits of being obsessive

Yeah, it's C. People here are going overboard. No one is judging you if you have these traits.

[–] [email protected] 4 points 1 year ago

People have a lot of traits of one mental condition or another. And it is normal. There are usually two points of mental health conditions, one if you have enough traits and feelings etc and another if they affect your life negatively. Admittedly no actual graduated doctor in multiple countries would make a diagnosis with this little information which is why I am guessing this is meant for earlier parts of medical education.

[–] commlizard 25 points 1 year ago (1 children)

How does one catch this disorder? I need this disease please

[–] [email protected] 16 points 1 year ago (1 children)

It is called focus and discipline, and you can catch it in your local martial arts strip mall dojo.

[–] [email protected] 3 points 1 year ago

You rack disciprine!

[–] [email protected] 12 points 1 year ago

F. Normal personality in order

[–] [email protected] 10 points 1 year ago

Sounds like a normal person who has their shit together

[–] [email protected] 6 points 1 year ago

I love that option "F" stood for "Fuck you".

[–] [email protected] 4 points 1 year ago (4 children)

This is probably why I was diagnosed with OCD in my teens and endured years of medications that didn’t help me at all. Now I’m in my 40s and finally on proper ADHD meds. Doing pretty well, I’m happy to share.

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