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Nausea, Stress & Anxiety - How to Combat it?

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I got more responsibility/visibility at work. Asked my doctor for beta blockers. Life changing.

My biggest problem is performance anxiety like presentations, all my insecurities take over, I can't talk, even though I know the topic more than anyone. Had some really bad ones that gave me a sort of PTSD and when I have big presentations coming up it can derail my life for like weeks thinking about how I'm going to embarrass myself. Literally nervous about giving off the impression that I am nervous and don't have confidence and people thinking "what's wrong with that guy"

Beta blockers just completely eliminate the massive side effects and leave me with what I would call a normal person level of anxiety, where I still get the nerves and butterflies and still need to prepare, but then I get into it and it's smooth sailing and I can actually think about the material and not think about my voice creaking or any other number of devils on my shoulder.

I was always hesitant to try them since I'm an addict at heart but I've had them for like two months now and have only used them when necessary which is only like every other week, and at a low dose. And I've found I need them less because I have built up more confidence. Eg I'm less nervous even when I don't take them.

Speaking of which, passed my two year sobriety mark last week! (alcohol)
 
I need some advice on how to consistently implement coping strategies for someone who has the fun combination of inattentive ADHD, social phobia, and GAD. I have some insomnia-like symptoms, avoidant personality, and genetic link to ASD along with behavior/symptoms that make me believe I may have went undiagnosed.

I take strattera for the ADHD and it helps for the most part. I am making more of an effort to work around my limited attention span during the work day.

My biggest issue is hyperfocusing on random bullshit for hours at a time, because my sense of time and ability to plan ahead are broken. I stray from my routines and fail to prioritize doing the things I need to get myself to function normally. (i.e. sleeping, meal planning, budgeting, etc.)
I’m not sure about the social phobia part.

Anxiety and ADHD are closely linked.

For ADHD you can learn to use the hyperfocus to your advantage and be mindful of when you are using it for either self-destructive or wasteful purposes.

The best thing you can do is develop a career around your ADHD. If it’s not realistic to change your career, the second best thing you can do is develop a passion around it if that’s not an option. The hyperfocus will never go away, but you can use it to speed up work you enjoy.

It becomes easier to schedule and organize your day, to stay motivated, etc because you’re doing what you want. You can avoid procrastination and the other nasty things that come with ADHD have less impact.

I used the word “mindful” above, because mindfulness is a really big piece to accepting and learning to thrive with ADHD. Being able to view your neurodivergent thinking as an observer is helpful for being able to slow things down and use the thoughts that you need and dispose of the ones you don’t.

Box breathing to deal with any dysregulation you experience, scheduled exercise, and meditation or yoga are crucial.

Your diet is a massive, massive part of managing ADHD. It takes some jiggering around because I think it’s different for each person, but I think if you’re mindful of it you should be able to figure out which foods give you brain fog and which ones don’t. Try fasting until 10-11 for a few days and see if your thinking is more clear without eating. Then try different breakfasts and lunches to see if your thinking is more clear with certain foods. You may find that carbs and sugar slow you down and that proteins, high fat foods, and veggies really benefit you. Save the garbage for after work is over.

This is a really good resource:


I have no idea what your past is and hate to speak out of turn, but there’s a theory that there is overlap or even misidentification of c-ptsd as ADHD comborbid with other anxiety disorders and phobias.

If you have experienced serious trauma in your past, especially if it was sustained over time, you could do some research on C-PTSD and ACE scores.

If this does not sound like you, keep in mind that I’m not saying it is. This is just a theory that I think makes some sense. I’m just some guy.
 
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