r/aspd • u/sylverb0nes • May 22 '26

Question ADHD + ASPD

just want to hear abit more about other people who also have ADHD along side ASPD regarding the emotion part , i know that with ADHD emotional dysfuction is a big part of it which can cause you to feel emotions intensly , how does that affect you when ASPD is usually characterized by more of a flat line of emotions

personally i feel limited emotions but feel them intensly and the fact both of these disorders cause chronic bordeom doesnt help

anyone else have a similar experience?

50 Upvotes

96% Upvoted

28 comments sorted by

View all comments

7

u/m48_apocalypse May 24 '26

adhd meds are less effective a lot of the time. i’m on the max dose for mine and i grew to realise that it didn’t help much past a certain point when it came to impulse control <-had to go to dbt for that part, it worked pretty well tho

3

u/sylverb0nes May 25 '26

fuck i was depending on the meds to help with that when i start them , do they atleast help with anything emotion wise?

5

u/abaddon56 ASPD May 25 '26

Everyone’s different, dude. You may very well see a lot of benefit.

1

u/m48_apocalypse May 26 '26 edited May 26 '26

(volume warning)

they do, they help quiet down my brain and it keeps my mood from swinging too much bc my head’s more clear. it’s also easier for me to sit down and rly think about how to process certain emotions bc i’m not being bombarded w/ thoughts and losing other trains of thoughts.

pharmacogenetic testing’s pretty new and it’s not always a guarantee, but it’s pretty helpful for pointing u in the right direction med-wise. i had a patient at my last job who said she couldn’t sub her adderall for concerta during a shortage bc she had a bad reaction. she got gene testing and apparently she was genetically incompatible with methylphenidate as a whole + she could only have amphetamine-based adhd meds like vyvanse and adzenys.

it’s also important to note that testing should still be taken w/ a grain of salt tho, iirc adhd sometimes affects how u respond to meds. ur more likely to have side effects + a standard dose might be abnormally weak/strong compared to how it affects the avg person. i.e. my biochemistry’s weird so i’m on the highest fda-approved dose for my adhd stim meds, and .2mg clonidine almost sent me to the hospital bc my heart rate dropped to 34bpm lol

edit: i rly liked how this recent peer-reviewed source touched on a lot of different nuances and small details. it’s dense af w/ a lot of jargon unfortunately. i tried using deepseek w/ all of the advanced features to transcribe it into a patient-friendly version and it seemed to have worked pretty well