Appreciate you articulating your experience. I resonate especially with “slip ups” which ruin a routine. Also, knowing what to do but without the follow through.

I’ve tried medication as an adult. It doesn’t fix all my problems but helps me get started doing things I don’t particularly want to do.

Unsure of your insurance situation. I’ve identified two paths:

1. Specialized ADHD care

2. Generalized psychiatry/medication

I went with #2 as #1 seemed to require several thousand dollars upfront, and potential insurance gymnastics which I doubt my ability to follow through on.

With #2, a shotgun approach to finding care is effective. Some practitioners are not accepting new patients. Try a bunch. Psychiatrists aren’t the only ones who can prescribe medication. If you have a PCP they can also prescribe it. There are also nurse practitioners.

#1 may be better long-term. Haven’t explored this further.