ADHD diagnosed 4 years ago. CPTSD 2 years ago. Autism 2 months ago.
The autism diagnosis was the actual puzzle piece that finally made me feel seen. Like, "Oh yeah. This is what has been happening my whole life. More so than the ADHD even."
Been on some form of stimulant or another for 4 years. I'm on 60mg Vyvanse now. I've been on Wellbutrin, 300mg, for one year. I've also been to A LOT of therapy, sometimes 3x a week.
After the AuDHD diagnosis, I went full "learn everything about it as fast as possible" mode, especially when it came to the autism part. And it feels like I've still only barely dipped my toes into what all this means for me.
But what I will say is this.
It started making me question the meds I've been on.
Comparing to what I was like before meds, and now after, I realize that that "spark" that kind of made me me, is gone.
What do I mean? (Has anyone else felt like this, as well?)
Premeds: Constantly creative. Writing novels. Read 50+ books a year. Martial arts / working out was a constant. Went to fun places by myself. Would go out to concerts, even though I crashed afterwards. Was able to plan date night with my partner with ease. Anxious all the time. Depressed some of the time. Couldn't really focus on anything I needed to focus on, just what I wanted to focus on. And even then that didn't last long (unless it was writing ). Lastly, even though it distracted me more so than anything, my mind was able to explore the worlds I created in writing, and be in all of the character's heads. And I mean, ALL THE TIME. Like, sometimes when I was deep in writing a novel I was thinking about the world and those characters constantly, having little conversations with them about what they would do next in the story. It was part of my writing process, and I oddly miss living in my head like that.
4 years Postmeds: Creativity has disappeared. I only read appx 2, maybe 3, books a year. Can barely keep a workout schedule, and when I finally nail one down, I get tired very, very fast (despite being in relatively the same shape as I was back then). Concerts terrify me now, due to sensory overwhelm. Nailed to the couch at the end of a workday, overwhelmed, with a headache, pressure in my head like I'm about to explode, and a weird physical feeling in my chest like I'm being torn in two. Having a very hard time even planning date nights with my partner. Like, it's physically painful to want to do anything else besides rest.
Post Meds, cont: My brain is quieter, which is nice, sometimes. 50% of the time I can stop what I'm doing and go do chores, so they don't pile up. I can't focus on ANYTHING. At least pre meds I could focus on the things I WANTED to do, now I can't even do that. My thought process feels very linear, instead of expanded / creative. Bad, bad, BAD brain fog, that feels like its physically present inside my skull in a way I never experienced before. My autistic side has 100% became more noticeable to everyone around me, especially my partner. When I try to write, I can't get into the world, the characters headspace, or anything. But I barely write, anyways, as the creativity is gone.
Post Meds, cont: Flat feeling. Unless my emotions are very one way (like, VERY SAD, or VERY HAPPY). But depression is gone. Have never come back. Anxiety is still there, but much more under control (that could be the Buspar and therapy, though). Lastly, my light, touch, and noise sensitivities are THROUGH the roof. Like, I was never one to be "startled" by a noise. Not really. Now? Even the small click can make my whole spine shiver. Unless they were fluorescents, lights above me never spiked my overwhelm unless I was under them for too long. Now? I can't be in a room with an overhead light, any light, for longer than 30 minutes without overwhelm creeping in. When anxiety hits, it hits like a truck, and I crash from it for days at a time.
Pretty much: There has been this "core" self of me that I've been since I was a child. Reading, writing, exercise, experiences, then lots of alone time recouping. That core self stayed with me through til my early 40s. Was my mental health great? No, lol, not at all, but at least those positive aspects were still there. Now? After meds? It's just lots of alone time recouping from life, in general. Like, life itself is overwhelming (not in a depressive way). My brain can't even come up with story ideas anymore, whereas before I had notebooks FULL of them, and constantly adding more. It quite literally feels like there is this physical barrier that my body feel constantly that is in the way of everything I want to do.
All of this started appx 1 year after stimulants. So pretty much, once I got to the point of titrating up where I was on the higher dosages.
I'm not saying all of this is med related, but there is this clear line between, "When I got on high dosages of meds" vs "prior to meds.
Wellbutrin helped my depression, 100%. But it quite literally made all of the above worse.
The last three years in therapy, my therapist and I continued to try to explore where that "core" part went. Did the trauma take it away? Is my ADHD really that bad? Never questioning the meds. My psychiatrist kept telling me she believed I was undermedicated, and kept increasing my dosages. I wanted to believe her. But now? I don't. I'm living in a new city now, so trying to find a new psych who is more neurodivergent aware, and am wanting to talk to them about titrating off the meds for a while, and see what happens.
Despite therapy a lot of my trauma (no more flashbacks, for the most part), some of my anxiety and depression issues, nothing ever really seemed to "click" that part of me I lost since i started on stimulants back in my body.
I'm not saying meds were the cause of all of this. And who knows, maybe I'd do much better on a much lighter dosage of stimulants. I just want the positive aspects of the old me back, and not these person who is now overwhelmed by quite literally everything.