I’ve been on basically the same dose for 15 years now and while it’s hard to say what my life would have been like without it I’m not sure I would have held a job for very long.
The best glimpses I get are like right now when I’m preparing for bed my thoughts are everywhere. I remember vaguely how easily distracted I was and how I self medicated a bit with alcohol.
Anyway, it works for me! I’m sure others have strategies that work for them.