But i spend a lot of time on the CFS subreddit where the average age is way lower than here and a lot of posts are about how either the person is struggling with ADHD along with CFS or how CFS has destroyed their ability to maintain focus.
I know it’s hard to verify, but reports like this I always take with a big grain of salt. I think a lot of Reddit users think they have ME but weren’t ever diagnosed properly, so who knows. Were these people officially diagnosed with ME/CFS and have all the hallmark symptoms? How did it get triggered? I wonder if they just have CFS-like symptoms from years and years of chronic stimulant use amd ADHD. The problem is there’s this huge confounding other illness (ADHD) with some overlapping symptoms that muddies the waters in determining what symptoms are ME/CFS and what are ADHD or ADHD med use related.
I would think the cognitive dysfunction caused by ME/CFS is quite different than that from ADHD, it’s not a loss of focus, it’s more a slowing of processing speed and difficulty concentrating on analytical work for example because your brain feels like someone poured concrete into it and it literally feels on fire all the time. You can stay focused on the task it just takes a hell of a lot longer. You can often push yourself hard and recruit more brain areas to try and overcome it and speed things up and it works sometimes but exhausts you a lot and causes PEM (unless of course you are severe none of this is possible). And when PEM is really bad the symptoms are so debilitating that you can’t pay attention to anything and have to lie in bed staring at the ceiling, but that’s different than the short attention span and inability to stay focused on one thing before getting distracted with something else of ADHD? (and that kind of dopamine dysfunction)