I always recognise him but all I know him for is for being someone who techrights (Roy Schestowitz) is/was irrationally mad at. Good to see he won his harassment lawsuit.
If an authority on a topic says something and someone with no demonstrated experience on that topic disagrees with them without providing any evidence, that's not really an argument to authority kind of situation.
I did not see environmental factors in your consideration.
I got ADHD and Autism diagnosed as teen, the diagnostic was rather solid. Got methylphenidate for some months. I ran away from home with 17, i moved together with my girlfriend (at 26) into an emotionally stable environment and... the symptoms disappeared. No jactation, no special interests, no masking. Everything just disappeared. A bit of stimming remains. And a horribly fucked up sleep cycles.
Had undiagnosed RAD and CPTSD for longer than i'm self-aware. Severe emotional neglect for my first 17 years. Parental rejection plays a big part in here.
I'd be like, maybe i'm just a special case, and nothing of this applies to other people. But i see other ADHD-havers being too similar to me, and that includes hypervigilance and silent walking, which are apt adaptions to certain kind of childhood environments.
Maybe too much gets diagnosed as ADHD that is not genetic at all...
CPTSD literally rewires your brain and "appears" in diagnostic tests as ADHD: lower arousal in prefrontal cortex, overactive amygdala causing fast emotional response, impacted hippocampus, dopamine disregulation, etc.
Stress changes the layout of your brain along with your body's chemical responses. With ADHD, genetics seem to play a larger role where you can lack the stressors and still end up with the same end result. I wouldn't be surprised that treatments would work across both CPTSD and ADHD.
> CPTSD literally rewires your brain and "appears" in diagnostic tests as ADHD
This seems unexpectedly one-sided to me. It could equally be that ADHD is CPTSD from something that current knowledge does not consider traumatic (yet).
Anecdotally, I've observed several families (including my own) where one child did not exhibit any ADHD behaviors through adulthood and another that did, separated by only one year and raised together. It's certainly possible there could have been some category of unnoticed traumatic events, but I think a genetic predisposition is more likely, no?
That said, I was likely jumping to conclusions on causality when the science is still out. CPTSD and ADHD may turn out to be the same thing, or may not. They just happen to "look the same" in brain scans.
Scapegoating also produces the pattern of only one symptomatic child. Or a invasive surgery. So, who knows.
In supportive environments you'll be able to tell the difference, by-birth conditions do not heal, while trauma will start healing off in a painful process that is somewhat comparable to peeling layers off an onion.
I am not sure the distinction goes in this direction. Rather than "shouldn't be diagnosed as ADHD" I would sooner say "ADHD should be treated in multiple ways"
It's very typical for there to be overlap between inevitability and environmental circumstances
A lot of psych medication is guess and check. With the right supportive doctors a person with cptsd may have no problem getting stimulants. If they work, great. If they don't, no problem. Hopefully the doctor is cognizant of this, and I don't think they always are. But I would not blanket say 'people with cptsd should not get those'.
Guess and check sounds crude but it's fairly effective on a range of issues. It's guess and don't check that causes a problem. Or guess and don't try anything else, etc.
Edit: I suppose you might be concerned someone never has the cptsd treated? I think that makes sense as a concern. However, I don't think treating the ADHD if the meds do that has to block investigating the cptsd. A lot of people can't do all that inquiry until more of their life is stabilized anyway. Cool if you can go straight to cptsd and that means you don't need ADHD meds...but nothing wrong if you go to ADHD meds, eventually discover trauma angle, and can back off the ADHD meds.
Surely as long as it is all in memory these pauses are not going to be that significant, details like that should be left for the language devs to optimize.
You can tell an average Golang user to use mutexes, you shouldn't be telling them to lock memory manually.
60 years ago you might have ended up in a psychiatric hospital without getting effective treatment, mental health issues were stigmatized and the incentive to seek out help was low. People used to just live a miserable life with their issues.
Nowadays knowledge about mental health issues is widespread in the population, somewhat normalized and leading to people seeking help.
I consider it realistic that depression did not actually increase, its just more people showing up in the statistics.
I 100% believe there is such an effect, and that it’s confounding the measurement of population level changes. But I want to point out that the existence of such an effect is not really evidence _against_ the changes, it’s just another confounder. Your wording is very accurate — you “consider it realistic that depression did not increase”, ie it is possible that depression didn’t increase. But whether depression actually did increase or actually didn’t, is not possible to determine from these numbers directly. Without controlling for confounders and doing some fun statistics, we largely just have opinions
One anecdote. I had a friend who went from healthy to almost unable to walk through a post viral 'chronic fatigue' type thing. She couldn't really work but chronic fatigue wasn't a recognised condition for benefits so had to claim depression to get state assistance. (Ireland)
Depression is related to biological health of the brain. People are exercising less leading to worse biological health of the brain. So you’d expect depression to be increasing.
Exactly. See also statistics for "how many people are left-handed". The incidence of left-handedness didn't go up; acceptance of it went up, and people stopped trying to force other people to hide/mask it.
It is also possible that depression itself is more widespread. But it seems exceedingly likely that acceptance, willingness to talk about it, and general understanding that the correct answer to "chemical imbalance in the brain" is not "cheer up!", have improved substantially.
Calling it a "backdoor" is subjective, because it looks enough like an unintentional exploitable bug that one could make that argument. Is an accidental backdoor still a backdoor? That's pure semantics.
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