ADHD & Anxiety
Vyvanse, Guanfacine, SSRIs, therapy, and the ten years I spent treating a brain problem like a discipline problem.
For about a decade I thought I was lazy. Then I thought I was undisciplined. Then I thought I was self-sabotaging. Then I was forty-one and a psychiatrist asked me three questions and diagnosed me with ADHD in under ten minutes, and I cried in my car in the parking lot afterwards because of how much of my life I had spent trying to white-knuckle my way out of a neurological condition.
I take Vyvanse now. I take Guanfacine at night. I tried an SSRI for the anxiety, hated it, switched to Trintellix, which works better for me. I have a therapist I see weekly and another one I see when things get bad. None of this is medical advice. It's the public version of a private file I started keeping because the internet has approximately one million articles about ADHD and almost none of them tell you what it's actually like to be a forty-something founder trying to retrofit a treatment plan onto a life that was built around the condition.
The cornerstone here is I Wasted My Twenties, which has the long version of the diagnosis story and the operating-system rebuild that came after. Other pieces cover the medication tinkering, the supplements that do and don't help, and the meditation habit that finally stuck after about fifteen failed attempts.
If your brain is loud and you're tired of being told to "just focus," the marriage and family writing covers the relational fallout from years of an undiagnosed brain.
More on adhd & anxiety
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I asked ChatGPT to be my relationship coach
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How adding Guanfacine on top of Vyvanse and an SSRI gave me the persistent zen-like calm I'd never felt before.
Letting people down
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I want you to hate me
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She pushed the needle into my arm
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I got diagnosed with a brain disorder
After a neurologist flagged my working memory in the 20th percentile, I went down the ADHD rabbit hole, got formally diagnosed, started Vyvanse, and finally heard quiet for the first time.
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Huberman scared me into dimming every light after sunset—and to my surprise, it dramatically improved my sleep.
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Why Dialectical Behavior Therapy clicked for me where talk therapy had limits—and the two principles I use to snap myself out of unproductive moments.
I hired a shrink to 360-review my life
Mohnish Pabrai told me about a psychologist who'd done a deep audit of his entire life. I hired the guy. Six weeks later I had a shit-sandwich report that ended my marriage and changed everything.
I treat myself like a drug addict
Anything that stimulates dopamine can hook you—including your phone. Here's the self-binding protocol I now use to keep mine inert.