> On medication for ADHD, it helps in the short term, but I still struggle to commit to working on things in the long term. I either get bored or forget or find a new shiny.
Could just be that you're a "scanner" rather than you having some condition. Barbara Sher wrote multiple books about the subject of "I want to do everything, what's wrong with me?" and while the book I read ("Refuse to chose") is filled with lots of empty platitudes and overly positive language, I think the core idea discussed in the book is reasonable.
A somewhat neutral/borderline negative (but realistic) review of the book can be found here: https://shkspr.mobi/blog/2024/01/book-review-refuse-to-choos...
I'm not saying it'll solve the problem, but maybe there are "issues" that shouldn't be considered issues, related to you getting bored and so on.