OpenHealth Q&A

Get answered by medical professionals

Seeking Guidance on ADHD and Nicotine Dependence as a College Student

4/2/2025, 4:50:22 AMMale25-34

Greetings, r/AskDocs, I'm a 23-year-old male college student grappling with what I suspect might be ADHD, alongside a dependence on vaping. I've noticed that under pressure, my vaping escalates, and I experience noticeable physical symptoms like leg shaking and lip biting, often to the point of damaging the skin on my lips. I've attempted various online strategies to manage my ADHD—such as gamifying tasks and taking regular breaks—but unfortunately, these have not yielded long-lasting results. In terms of my vaping habit, I've tried quitting abruptly, yet I find myself reverting back to these behaviors again and again. Procrastination has become a significant issue for me; I often delay college assignments and other responsibilities until the very last moment, leading to a frantic rush to complete everything before deadlines. I feel unable to discuss these concerns with my parents, which is why I'm reaching out here. Can professional therapy offer me the support I need, or should I consider consulting other specialists? Additionally, I am on a tight budget and am worried about the costs of treatment. Any advice would be greatly appreciated!

ADHDAddictionAnxiety

Answers (1)

Cony

4/2/2025, 4:50:38 AM

OpenHealth AI

It's understandable to feel overwhelmed when managing both ADHD symptoms and nicotine dependence, especially as a college student facing academic pressures. Let's break this down into manageable steps tailored to your situation.

Main Points:

  1. Consider Professional Support: Therapy can be very beneficial for both ADHD and managing addiction.
  2. Explore Affordable Options: There are low-cost or sliding scale services available for mental health support.
  3. Implement Practical Strategies: Focus on small, achievable changes for both ADHD and nicotine cessation.

Explanation:

ADHD, characterized by challenges with focus, organization, and impulse control, can significantly affect your daily life and academic performance. The physical symptoms of anxiety, like leg shaking and lip biting, can often accompany ADHD and stress. Additionally, using vaping as a coping mechanism can lead to dependence, creating a cycle that makes reducing your use difficult.

Professional therapy, such as cognitive-behavioral therapy (CBT), is effective for ADHD as it helps develop coping strategies and can also address anxiety and nicotine dependence. Therapy provides a safe space to discuss your feelings and formulate an action plan.

Next Steps:

  1. Seek Counseling: Look for college counseling services, which often provide free or low-cost therapy for students. Many universities have resources specifically for mental health.

  2. Start Small with Nicotine Reduction: Instead of quitting abruptly, consider gradually reducing your use. You might set a daily vaping limit, decreasing it each week. Explore nicotine replacement products like patches or gum, which can help ease withdrawal.

  3. Implement Task Management Tools: For procrastination, consider using a planner or app designed for students with ADHD. Break your assignments into smaller tasks with specific deadlines, making it easier to start without feeling overwhelmed.

  4. Incorporate Mindfulness Techniques: Deep breathing exercises or mindfulness meditation can reduce anxiety symptoms and help manage stress. Consider dedicating just a few minutes daily to these practices.

  5. Connect with Supportive Peers: Engage with support groups or forums for students dealing with similar challenges. Sharing experiences can provide motivation and practical tips.

Final Note:

You’re not alone in this journey, and seeking help is a strong first step. Remember to be kind to yourself as you work through these challenges. If you have questions about specific resources or need more tailored strategies, feel free to ask!

Related Questions

Assessing Heavy Menstrual Bleeding: Should I Seek Emergency Care?

To condense my situation, I am now on the 21st day of my menstrual cycle with no sign of it concluding. The flow has been unusually heavy throughout, to the extent that I’ve had to change my menstrual discs within just a couple of hours due to overflow, accompanied by significant clotting. I visited a new gynecological office yesterday to establish care since my regular GYN won’t be available until June. However, this appointment allows me to see another clinician at the end of April. During my visit, we talked about scheduling a transvaginal ultrasound, and I began a course of medroxyprogesterone at a daily dosage of 10 mg, which I will take for the next ten days. Unfortunately, my night was quite troublesome, marked by excessive bleeding even with an ultra tampon in use. My primary concern right now is the risk of anemia. I ordered a CBC test through Labcorp on Monday out of sheer curiosity, which revealed my red blood cell count was at 3.64 and my hemoglobin level was at 10.9. The provider repeated the CBC along with an iron panel, and as of early yesterday afternoon, my results were: - Red Blood Cells: 3.3 - Hemoglobin: 9.9 - Hematocrit: 31 - Iron: 24 - Iron saturation percentage: 6 - Ferritin: 12 I am trying to remain calm and patient with the progression of events, but I recognize that I have been losing a considerable amount of blood since these tests. With the weekend here, I’m increasingly anxious as I likely won’t receive any updates until Monday. Do my lab results indicate the need for immediate medical attention? I intend to commence taking 325 mg of oral ferrous sulfate today to address my iron levels.

InsomniaAnxietyDepression
Male25-34
4 minutes ago

Seeking Guidance from India: Battling Burping Attacks During Exercise

At the age of 45, I maintain a lifestyle that involves no smoking or drinking. Employed in the IT sector, I typically have a sedentary routine and do not engage in regular physical activity. My body mass index (BMI) stands at 26, categorizing me as ‘skinny fat’—I’m not overweight, but I do possess some abdominal fat. My predominant concern arises when I attempt to exercise. Even after ensuring a three-hour interval post-meal, I frequently endure unexpected bouts of burping. These episodes are accompanied by a heavy, tight sensation in my chest, leading to breathing difficulties that provoke feelings of anxiety. Even mild exercises like cycling or performing two to three push-ups can trigger these episodes, and the discomfort persists for over an hour before finally easing. Interestingly, I do not experience heartburn or burping at any other time, only during or following physical exertion. I sought expertise from a gastroenterologist and underwent an endoscopy, which indicated mild gastritis but showed no signs of a hiatal hernia or other irregularities. Additionally, a cardiology assessment that included CT Coronary Angiography revealed no concerns, and a pulmonologist confirmed that my lung function is satisfactory. Due to my limited physical activity, my endurance is quite low. My desire to exercise and adopt a healthier lifestyle is strong, yet the sensations I feel—similar to air trapped in my chest wishing to escape—thwart my efforts. I've noticed that exercising on an empty stomach, particularly early in the morning, seems to stave off these burping issues. My professional environment is not overly demanding, which adds to my frustration. After incurring significant expenses for medical advice, I find myself at a loss with no clear indication of how to move forward. The root cause remains elusive and raises questions: Could it be linked to anxiety or stress? Even simple tasks, like playing football with my son or carrying heavy bags, can instigate these uncomfortable burping attacks, which linger for an hour or two. In this situation, I feel bewildered, disheartened, and utterly spent.

InsomniaAnxietyStress
Male25-34
14 minutes ago

Navigating Alcohol Consumption While on Antidepressants

I am currently prescribed Escitalopram at a dosage of 10mg and Trazodone 50mg, which I take before bed for my mental health. Additionally, I use Clonazepam to help manage my anxiety. Earlier today, I joined a few friends for a social gathering where we had some drinks. I informed them that due to my medication, I usually avoid alcohol; however, I opted to have a single beer so I could participate in the festivities without feeling out of place. Now, approximately three hours later, I do not sense any lingering effects of alcohol. If there were any, they are quite subtle. My question is: Is it safe for me to take my medications in light of this?

AddictionAnxietyDepression
Male25-34
1 hour ago

Concerns About Potential Brain Damage at 16

To begin, I’d like to clarify that I’m currently located in Europe, where I observe that many individuals in my environment engage in more extreme behaviors than I do, even as I strive to partake in social activities without crossing the line into recklessness. My journey with alcohol commenced at the age of 14, albeit in a very mild manner. By the time I turned 15, I started drinking more regularly, making sure to space out my experiences approximately weekly to monthly, totaling around ten instances of intoxication. Notably, I noticed I had an adverse physical reaction to alcohol—specifically, skin flush the following day—which prompted me to transition to cannabis as it felt easier on my body. I limited my cannabis use to weekends while adhering to similar spacing, with one exception. At 16, I found myself smoking almost every day for a week after a particular incident, but I was able to regain control thereafter. When I was 15, I also experimented with psilocybin mushrooms on two occasions, which proved to be positive experiences and made me realize I needed to cut back on alcohol consumption. Recently, I had a successful experience with 150 micrograms of LSD after careful preparation. This evening, I intend to consume half an edible instead of resorting to drinking or smoking, aiming to increase my intervals between substances to once a month at a minimum while maintaining a healthy lifestyle as an athlete. Despite my efforts, my naturally anxious disposition makes me concerned about anything that may cause irreversible damage to my brain, including, for instance, excessive screen time. I would greatly value insights from professionals regarding these worries. For context: I’m 16 years old, assigned female at birth but have been on testosterone for seven months, standing at 5'4" and weighing 125 pounds.

AddictionAnxietyDepression
Male25-34
2 hours ago

Concerns about HSV Transmission During Nasal Suctioning for My Baby

Recently, I experienced my first cold sore at the age of 29, appearing at the edge of my lower lip. With a three-month-old infant, I have been particularly cautious, believing that the herpes simplex virus (HSV) is transmitted solely through direct contact. I made sure to avoid kissing my baby and kept my distance. On her three-month birthday, she woke in the early morning with significant nasal congestion. Feeling exhausted, I instinctively reached for the Frida nasal suction, my usual go-to in such situations. While using the device, I made sure my cold sore was not in contact with it. Typically, I only use the suction in her nostrils, afterward blowing air onto my hand to check for any mucus and then continuing the process. However, as I performed this task, I began to question whether I was potentially spreading the virus; my research revealed that HSV can indeed be transmitted through saliva. Although most of my usage was suctioning, I realized I had occasionally blown into the tube to assess its effectiveness before resuming suction. Naturally, I'm feeling anxious and regretful for not thoroughly considering the risks involved. Additionally, I learned that my illness may have contributed to my cold sore, and now I suspect my baby may also be coming down with something—her first cold has me quite worried. I took precautions by wearing a mask, and throughout the week, she seemed unaffected. Being a breastfeeding mother, I hope she has received ample antibodies to help her. I would greatly appreciate any insights on whether I need to be alarmed or if there are specific signs I should monitor. Thank you for your assistance!

InsomniaAnxietyDepression
Male25-34
3 hours ago