Comorbid Depression and ADHD in Children and Adolescents4

Hoo boy. I read this some time ago, but I’ve never really felt like writing anything about it. I’m cleaning up my bookmarks today, though, so I’m getting this out of there and throwing out another, slightly related, link I’ve had kicking around. I’ll start with that one because it’s a lot shorter, then we’ll move onto the main event. As a cautionary measure, if my life bores you, you have my permission to skip this post and buy Recettear instead. It’s on Steam, and available completely DRM-free (if I remember right) through Impulse and GamersGate.

        If you’re still here, the first link is something vael tossed out once upon a time, so it may seem familiar to you. It’s simply the wikipedia article for anhedonia, which is a possibly theoretical? thing suggesting a chicken/egg relationship between depression and not feeling happiness. Does not feeling any pleasure come from the depression, or do you get depressed because you don’t feel any pleasure? There’s not enough info on it to really say for sure, but at any rate it’s something that feels extremely familiar to me. Regardless of which came first, not feeling the kind of pure joy a lot of people get from, well, everything has had a huge effect on my hobbies and my personality. The games I play, books I read, why I do it at all - it kinda comes back to what I get out of it and how I can get motivated to play or read them in the first place. It sounds very depressing, but that depends on how much I’m enjoying my current project. At the moment, I don’t have one, because I’ve been working on homework and will be for some time. Ah well.

        But back to the main link, which as I’m looking at it again… I think I might have mentioned it somewhere because I remember half of it making no sense. At any rate I will scroll through it and see what I have to say about it. I’ll let you know if it’s worth reading as well.

        We start with some numbers, for the sake of referring to research, and it basically says “no one knows the truth about this, oh well!” That seems to be the purpose of all the numbers in here, so keep on truckin’ even if you have no idea what exactly you’re reading at the moment.

        Anyway, the fact that depression in children leads to a lot of the symptoms of ADHD is interesting to note. Also the question of whether ADHD is even a valid thing or just a label we slap on kids when we don’t know what to do with ‘em. For the record, I’m no longer identifying myself as having had a learning disorder for official university purposes, despite the general idea that I was mega-ADHD as a kid. I’d have to get tested and have them tell me “no you are fine” and that would just be a waste of time. So, did I even have ADHD, or do I just have things that are associated with ADHD? Good question.

        They mention externalizing (taking things out on other people) and internalizing (taking things out on yourself) disorders, and then make slight mention of the fact that, actually, people who are depressed and have other internalizing disorders might still externalize things. I can guarantee that’s true and I wonder if it’s possible to even classify things that way except for the most absolutely simple diseases. Well, by that I mean, anxiety is internalizing there’s no way you could bring that onto other people. Because you are anxious and likely having trouble interacting with them. Generally it isn’t that clear-cut.

        Actually that’s the only thing I’ve found of note until the treatment issues part. Yeah, I knew there was a reason I hadn’t written anything about this article. What’s interesting about that is that they refer only treatment via medication - this being the Psychiatric Times, and not the Psychological Times. So their question is, when we’re sending them on their way with a bottle of drugs, how do we guarantee the maximum effectiveness before they come back in four weeks? No thought is even given to other forms of treatment. Which pill should we use… Hmm… Well this one is good for one thing, and that one is good for another… Maybe if we give them both…

Comorbid depression in patients with ADHD suffers from an “attention deficit” by both researchers and clinicians, compared with other comorbidities (eg, ODD, anxiety).

Yeah they said that.

        On further review I’ve decided this article is kinda shitty. There isn’t much redeeming value in it aside from the idea that ADHD and depression could affect/cause eachother and really it’ll have to all come down to what I have to say about myself and the concept. What do I have to say about it? I’m not really sure, mainly stemming from a lack of motivation to say anything at all. I mean, ADHD and depression are two things I dealt with at a very young age. The depression is something that, clearly, I haven’t conquered permanently, but I hope I have a better handle on it now. Same with the ADHD.

        I was diagnosed with ADHD, hmm, as early as 7 or 8. I couldn’t swallow the pills, or chose not to, or whatever, and likely that alone has strengthened my physical inhibition against it - I have to choose my medication (vitamins, or when I was getting my wisdom teeth out, antibiotics and whatnot) around the fact that swallowed pills aren’t an option for me. Actually, that’s probably why I never take ibuprofen or anything like that. They don’t tend to be available otherwise.

        At any rate, I took my ritalin by sticking it inside an Oreo cookie and chewing that, which was still disgusting, but it worked. I took it for three or four years before I decided I didn’t want to depend on it anymore, and out of stubborn rebellion avoided taking it and learned how to control myself. This places us around fifth grade, meaning it coincides with my decision to be mature and quiet and generally get rid of all the things I hated about myself - most of which were things I was taking the ritalin for. I felt that I spoke too much (not really my imagination, people complained), that I was too excited all the time, too childish, stuff like that. I didn’t want to depend on the ritalin anymore, and I hated the side effects as much as I could bring myself to care while it was in my system. So over time I got rid of all of that, maybe even went too far in the other direction, but I didn’t need the ritalin anymore and for all intents and purposes my ADHD was miraculously cured in a very short period of time. It was amazing, the medication was so fucking effective that rather than controlling the symptoms it made them go away! Wow!

        So the part where this article becomes interesting to me is the side effects of the ritalin. I felt nothing. No joy, no real sadness either, but then that’s just plain sad. It was emptiness, which was worse in a whole lot of ways than being a pain in everyone else’s ass. I didn’t start getting depressed until after I started taking the ritalin. After I stopped having fun playing video games, after I stopped laughing and smiling except in the best of circumstances. Maybe it was just a matter of time anyway, like I would be depressed now regardless of what happened then. But that’s some damn good timing.

        It’s interesting, as well, that the games I fell in love with are all games I played not long after getting off of the ritalin and not being as deeply depressed yet. Final Fantasy IX, the Ratchet & Clank series (which I still think of as extremely fun, despite not enjoying them much anymore), even Final Fantasy X-2, and of course a number of browser based games. Heh, I used to spend hours, every single day, playing daily browser based games. Before you could pay for more play time, I’d just find more games. My current set of webcomics (18 of them) is about what I would have had for browser based games at the very peak. There were plenty of flash games as well, a lot of stuff that’s probably terrible by today’s standards but entertained me a fair bit at the ages of 10-12.

        I think about that age range in years, 2002-2004, and think “where would I have found flash games that far back?” but of course Newgrounds was there, sites like AddictingGames were around, Armor Games might even still have been Games of Gandor (fact check: Games of Gandor existed from 2004-2005). Kids these days wouldn’t even know that all their bases are belong to us…

        /nostalgia

        Even though I own a physical copy of Final Fantasy IX, rented and played for 50 hours when it was initially released, then rescued from an EBGames bargain bin some years later (and finished with that same save file, thanks to the glory of memory cards), I bought it for $10 from the PlayStation Network so I could replay it eventually. No disc switching, no wonkiness, just ten bucks straight to Square Enix and (hopefully) a bundle of nostalgic joy for me. Will I get the same feeling for the game now that I’m more or less in the same joyless state as I was while taking ritalin? Good question. Will I still like the game without the pure joy of VIDEO GAMES flowing through my veins? Also a good question. I’ll let you know if and when I get back to playing it.

Revenge of the Introvert

You know those magazine things that are all going out of business because nobody buys them and they make little to no money from the ads on their websites? I’ve started seeing a lot of them lying around in various bookstores or bus stop convenience stores here in The Big City. Used to be I’d never see actual, physical magazines. At any rate, I posted about something from the cover of Wired not long ago, and now I’ve got another sensational magazine cover to share with you.

        This time it’s Psychology Today, with a cover promoting the “Revenge of the Introvert.” Sounds interesting, but once again, I ran home to look the article up online rather than drop cash on a magazine. Sorry, guys. At any rate, the article is wonderful, and there are too many great quotes for me to actually single any out. If I did, I’d have to pick out all of the good ones, and this post would rival the length of the original. But please do read the article itself, as you’ll get some good value out of it whether you’re introverted or not. Maybe you’re severely extroverted, but in that case, you’ll learn how not to bulldoze over the introverts in your life. If you’re introverted, I’m sure this will give you plenty to think about.

        So go read it!

        I’m going to assume everyone reads that. You’d better, because I won’t have any incredibly lengthy posts to keep you busy today.

        There’s also the… “interesting” (and I write it that way for emphasis of it’s questionable value) Highly Sensitive Introvert Survival Guide. I didn’t know there were introverts and Highly Sensitive (abbreviated HSP…? Highly Sensitive Person, perhaps? Highly Sensitive Perhaps?) Introverts. But if you’re beyond regular introversion, maybe you qualify. I do know what she means by hating people getting in my space and ruining my planned relaxation time. Her suggestions are pretty good, though: get noise cancelling headphones, enjoy your alone time as much as possible. Go for a run if things get too hectic. This isn’t even on the required reading scale, so it’s just bonus material if you want. You won’t be tested on this one.

        Did I mention there would be a test on all the awesome things I link to? Because there will be. So I hope your interests coincide perfectly with mine and you read absolutely everything I put up.

———————————————————————

        Listened to Hollow Place by Polar Bear Club (not the song my tumblr’s title comes from, but a favourite nonetheless) while writing this post, and went to check out their myspace to see if I could catch them live now that I live in a real place. Turns out they’re playing in Toronto on November 21st and Quebec City on the 22nd. Both of those are very possible. Tickets are a little under $30, which is not bad at all, though transportation costs will be where the real expenses lie. They’re also playing with August Burns Red, who I do listen to, and a few other names I recognize but can’t remember liking. It’s possible I hate them. At any rate, there’s also Bring Me The Horizon, Emarosa, and This Is Hell.

        The moral of the story is I might make plans to go to one of those shows. November 21st is a sunday, so I could do a weekend trip. That means the 22nd is a monday, which is a day I have two classes (and a tutorial) so that wouldn’t be possible would be a bad idea.

        I guess I like living near interesting things.

Baccano x Inception poster4

I read both Destructoid and its anime-centric sister site, Japanator, on a daily basis. I learn and see a lot of things. This is one of those rare things that is so amazing I must share it with you.

Did you like Baccano? Did you like Inception? This has both. It was created by one of the Japanator writers (double checking reveals him to be an intern) and it’s great in every way. The credits and everything are all from the anime itself, so it is actually a “legitimate” movie poster style advertisement for Baccano.

But the tag line is the best part.

“A life of crime can last forever…”

YES!

BioWare is watching you!4

Actually, it’s cooler than you might think. Yes, BioWare is anonymously collecting data from you, without your permission or knowledge. But aside from being anonymous, the whole idea is to make Mass Effect 3 better. I doubt anyone will complain about that.

Weird that PC players all wanted to bang Miranda and 360 players all wanted to chill with Grunt. Note that I haven’t played either Mass Effect so this means nothing to me. That’s why I have nothing much to say about it. But it was worth linking.

Oh wait it’s the sunday something! Hey yeah alright one second.

Privates: It’s a game starring condom-wearing things who are specially trained to eliminate STIs and whatnot. What’s not to like?! It’s free, it’ll take you about an hour to play, and you get to see chlamydia as an invisible tentacle monster and shoot anti-herpes ammo at abundant amounts of herpes. Strangely enough, no matter which level you are in, there are swarms of giant sperm… Including a boy’s anus. You also have to deliver a morning-after pill in the form of a nuke inside the womb.

MORNING-AFTER BOMB. IN THE WOMB.

Also cancer of the penis. You don’t want that.

Good Old Games taking on new form4

If you knew of GOG already, this will probably make you sad. If you didn’t, watch out for it when it comes back up.

I hope they didn’t run themselves out of business by being amazing. I hope they can still do the no-DRM thing. I can’t say I’ve seen GOG releases on torrent sites, but then I haven’t been looking for the games either, so the point may be moot. From what I remember, I think the policy on Blackcats Games (which has recently stopped being a walled fortress) was that they weren’t allowed to be uploaded. Not that they’re the biggest source of VIDEO GAMES on the internet, but I’d hope the same appreciation for the service would exist elsewhere as well.

At any rate, no matter what it comes down to, if they have the same prices it will still be amazing. Compatibility is less of an issue now that Windows 7 can mostly take care of things, but trying to get some of that stuff to work on XP and Vista would have been a nightmare.

We’ll just have to wait and see.

Hey there kids! Have you ever wanted to have instant access to ten video game consoles at once? Have you ever wanted your very own R2-D2 unit? You’ll never have either of those, but someone else does!
There are some pictures here, and the creator’s...

Hey there kids! Have you ever wanted to have instant access to ten video game consoles at once? Have you ever wanted your very own R2-D2 unit? You’ll never have either of those, but someone else does!

There are some pictures here, and the creator’s website (somewhat out of date, but promising updates) has technical details alongside older pictures. He claims you could build your own with the documentation provided. Is it true? I have no idea.

The Tatami Galaxy and the quarter-life crisis4

Look, I know I should tell you what this is, but the title alone made me drop everything and read the article myself and I want you all to be that excited about it. Solely based on the phrase “quarter-life crisis.”

Are you excited?

Is there any one of us who looks back at life and wished we could have done something different?

Most of us realize this is a futile way of thinking and move on. But if we had incredible angst and the ability to time travel, our lives might look a bit like The Tatami Galaxy, noitaminA’s Spring 2010 anime series.

Alright, there. Now you know what it is without even having to read about it. Go on with your lives or check it out. I sincerely plan on watching it. Eventually. It seems great.

It’s been pretty lonely the last couple of days. The odd time I end up on the computer, nobody is around! It is very sad. I am busy, you are busy, everyone is busy. Terribly sad.

Using the bus and walking around campus, as opposed to driving everywhere, has been pretty nice so far. I am building copious amounts of muscles, which may or may not have easily recognizable names. They are the muscles involved in carrying heavy things on your back and walking up a lot of stairs, as well as standing on a bus and balancing your entire body via a pole above your head. These are complex muscles groups, certainly, but they will be very important in the days ahead.

Anyway, I’m going to fencing tonight at 9 pm. Might not be able to get a bus depending on when it ends. I have a drive if need be, anyway. Hooray! Should be a good time.

It’s a good thing my dad doesn’t drive a DeLorean.

He’s got a shiny red American sports car, so the speedometer reads in mph with km/h underneath. We get onto the 100 km/h highway, and he goes 100 mph. This is equivalent to 160 km/h, which is like an instant loss of your license if you get caught plus a huge fine.

        Neato!

        It’s also time for the Sunday Something! I have two somethings for you this sunday. Both are from Art of Manliness, and this is basically the end of my reading list. I have yet to post the comorbid ADHD and depression article, but all in due time.

        Our Disembodied Selves and the Decline of Empathy: Kids these days are assholes and don’t connect very well to other people. Once upon a time, kids were not like that. In those days, they had to interact with people in person rather than over the internet and that probably has a lot to do with it. Know anybody who forgets sometimes that the Internet has different social rules from meatspace?

        How to Firmly Say No Without Coming Off Like a Jerk: Don’t be the person who says yes when they’re secretly screaming no on the inside. It’ll be useful eventually, and everyone can do with some good manners.

        Also goddamnit vossk’s Sadurday. Goddamnit.

        It did, however, add to the realization that few people probably want all the details on how my dog died. So I won’t detail the whole story here on tumblr, because putting it into words will probably only make it worse for me. At any rate, here’s the basic version.

        Our six-year old black lab, Shadow, loved going for rides in the car. She also didn’t get much exercise, and so when she got outside and hadn’t had much exercise recently, she would make us chase her around until she felt like going back inside. The easy solution to this was to unlock the car and let her in, then go inside to grab her leash so she would come inside. It literally never failed, she knew she was about to be brought inside but she still held out hope that we’d go for a drive anyway.

        Yesterday, we were cleaning the house (vacuuming the dog hair, cleaning nose prints off of the windows, etc.) and she got out the front door when I was bringing something out to the garbage. I let her into the van like I’d done a hundred times before, and she hopped right in to wait for a drive. This was sometime before lunch. I even put her leash on the seat so it would be right there for me to bring her in. I threw out the garbage, then went back inside and got distracted cleaning the house.

        Sometime after 4 pm, my mom asked my brother and I if she was with us. We said no, and that we thought she’d been with her. I joked to my brother that she was probably hiding in his closet again, because I spent fifteen minutes scouring the house for her the other day only to find her in there. A few minutes later, my mom yelled down “did you get her out of the car?”

        It was a hot day. Probably 30+ Celsius. You don’t leave anything that can’t get out on its own (babies, pets) in cars in the summer. But we did, because we all assumed she was hanging out inside somewhere.

        It was far too late at that point. The body is to be cremated, and the ashes will be spread in a pet cemetery. We kept her collar. My dad, who hasn’t seen her a whole lot in the past year since he accepted the new job in Ottawa, agreed to gather up her things from our house and take them to his. Hopefully it isn’t painful for him to see her blankets and her food dishes.

        In a weird way, I’m glad that all I had to do was sweep some corners in the basement to finalize it all. You’d be surprised where you find dog hair when you own a dog that sheds.

        She destroyed the blind and drapes for our living room window, which spans the wall there. Something like a thousand dollars worth of damages. That was… Monday.

        While in the van, she chewed through the three seatbelts on the driver’s side, so it’s illegal to drive until we spend at least $300 on the driver’s side seatbelt. $200 for the middle seatbelt, and $100 for the back seatbelt. However all we need are the belts themselves, which could easily be found at a junkyard. So the installation could be far cheaper, or it’s possible we could even do it ourselves. I don’t know what other damage there might be on the inside.

        We were going to spend about $1500 on completing the fencing around our yard so she’d be able to enjoy the backyard without having to be on a leash or a chain. We never finalized the details, and it’s possible we may not bother now.

        But the money doesn’t even matter. She lived with us from six weeks through to six years. She had easily that many more left to go. I still expect her to come running to the door when I come back into the house. I still expect her to lick my face and get me out of bed so she can go out to pee.

        I loved that dog.

Deus Ex: The Human Question4

Here’s an interesting interview with the general manager from Eidos Montreal, the guys working on the new Deus Ex game. I guess the general manager is the guy who hires people or something? At any rate, he talks about the specifics of actually making a studio work, from hiring the right people to making sure the right people sit together for optimal productivity. It’s not the kind of details that often emerge about a studio, so if you’ve been absolutely strapped for info about Deus Ex: Human Revolution, worry not. I’ve got you covered.

Sunday Something

I’m not sure how many times I’ve link dumped on a sunday, and I’m not sure if I’ll make it a weekly event. But it’s sunday, and this is something, so without further ado, I present several things for your reading pleasure. I’ve been cleaning out my Read It Later list, so for that reason you also get to read the things I’ve picked up over the last couple of months.

First we have a number of Gamasutra articles, beginning with MMOs and moving gradually into the mainstream:

  • MMOs: Just a Matter of Time?: A well designed MMO relies not on time spent playing, but rather on spacing out its content and ensuring players come back for more. By enforcing a regular schedule (raids only once a week, or limiting the experience to be gained in a specific period) it creates a mental pattern encouraging the players to come back more often and hopefully spend their spare time away from the grind making friends. Making friends means staying in the game. Staying in the game means making more money. The reality, then, is that no MMO designer wants to limit the time you spend playing their game. They just want to make the game seem more fair, and keep you around for a longer period of time. Why let you play 3000 hours in your first month, when they can limit you to 300 and keep you for ten months?
  • Targeted Focus, Broad Audience?: Two design angles for social games that are seemingly at odds with eachother. One method says to target a niche audience, another says to keep your appeal broad and get as many individuals as possible. The question, then, is how to unify the two. Some games might seem pretty niche at first (Frontier Ville, Mafia Wars - how many western or mafia games have you played recently, in comparison to much more popular genres like World War II shooters and sci-fi? Those are also bad examples because two successful and high profile games have recently come out in both of those genres, but hey, I tried), but then have a general enough appeal to get your grandmother playing. Seems like cornering a market is the real key to success.
  • Warren Specter on Game Culture in the Mainstream: Warren Spector reminds us that casual gamers are gamers too, and says that gaming will thrive as it enters the mainstream culture much like every new art form before it has. By embracing other types of gamers and expanding gaming’s appeal, we’ll see more and more widespread cultural acceptance, not to mention bring some diversity into the types of games available. Imagine if movies tended to fall in only two categories: the Nintendo family game and the violent and bloody power fantasies. The hope, then, is that with a more diverse audience we’ll have more and more demand for games that fall outside of those groups.

Next, on an entirely different spectrum, we have an article about the future of books. However, there’s a hilarious quote from a man who doesn’t know video games other than them Grand Auto Thefts and Modern Wars, so for that reason it’s the logical follow-up to articles about video games.

  • Book Have Many Futures: It’s pretty good timing that this article mentions a gradual transition away from the traditional university textbook, as spending hundreds of dollars on books that are out of date by the time they come into our hands is an incredibly wasteful, expensive, and ultimately unsustainable practice. Not that the textbook publishers have a problem with that. On a broader note, they also discuss the possible avenues for books to pursue in the future. A word of caution, too, on the Kindle vs hardcover books statistic: paperbacks are of course not included in that number, so it’s not like they sold more electronic books than they did physical ones. Personally, I loathe hardcover books, so I wait a year or more if that’s what it takes to get my hands on a paperback. Not just because of price, either, I just hate having huge books that wouldn’t look out of place in a classy library when you take off the jacket.

Moving from books to writing for anime, we have a rant from the writer behind well-known anime like Ergo Proxy, Samurai Champloo, Eureka 7, Ghost in the Shell: Standalone Complex, and the biggest one of all - Cowboy Bebop. Then a roundtable discussion on his rant from the wonderful folks at Japanator. Following that is a discussion of the American meaning of the word “otaku.”

  • Storywriter Dai Sato is frustrated with Japanese anime: Not much to say about this, honestly, it’s just the story of how this guy is really angry about the state of anime in Japan and how he sees the industry losing much of what made it special and pandering to a rapidly shrinking audience. By catering to existing fans and not seeking to provide new experiences and expand that audience, the anime industry as we know it could very well crash. More on that in the next article.
  • Japanator Discusses: Dai Sato rants on the state of anime: Analysis of Dai Sato’s rant, judging it more than a little “butthurt” but admitting he may also have a point. In particular, Brad Rice dishes (hey get it rice dishes) some Serious Business on the industry, which is exactly why he hosts an infrequent podcast called Serious Business with Brad Rice.
  • I, Otaku: Identifying as a J-Culture enthusiast: People like to have a label for themselves, if only to explain to other people what exactly they’re interested in. For that reason, otaku has largely become the accepted term for english-speaking fans of anime and pretty much anything Japanese. Some people argue against the use of the term by people who are ignorant of its origins (it’s a derogatory term in Japan), while others happily prance about squealing about how they’re the NUMBAR OEN OTAKU EVAR. The reality, then, is that this is America and we can steal words and adopt them for an entirely different use than they were originally intended. But isn’t that a wonderful thing? I think it is. I think we can be otaku if we want to be.

If you have no idea about my interests, there’s your crash course. Hope you enjoyed something up there!