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Mental hell
(mander.xyz)
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This definitely seems like the more likely explanation. There certainly is a mental/emotional hell you go through in academia, but with this y-axis being specifically about psychiatric medication... all I'm seeing is that grad students like/need Adderall.
Yeah my thought looking at this is that it's my understanding that you basically need an extended hypomanic state to complete a PhD and if you're not making that much dopamine at home, store bought is fine.