Stimulant meds are not a silver bullet but for some % of folks no amount of strategizing is going to help without medication and/or therapy. I use both and it's been enough of a push to see dramatic improvement. My biggest piece of advice if you're struggling with this generally is drop the shame. The shame that you struggle with it, the shame that you might need medication, etc. Then when the shame is gone you can be objective to do get what you need and stack the long term habits that make things easier.