Diagnosed at 45, the best metaphor I’ve heard is “everyone has to carry all their marbles in a bag; adhd is like holes in your bag, or not having a bag at all”.

I’d been diagnosed in the 1980s, no treatment no info; I was a “gifted” golden boy. As an adult I immediately failed out of college (and more), found that drugs relaxed me, lived with anxiety, depression, addiction, obesity, and loneliness for 25 years. Then,

Vyvanse

It didn’t fix everything, but helped me to understand that motivation is a chemical, I’m not just lazy and worthless. One can build on this.

I’ve tried Vyvanse, Adderall, and now take Adzenys. Vyvanse was the most effective, Adderall was OK, had to move to Adzenys due to supply chain (it’s my secret, there’s no shortage of it). You should understand the pharmacology of amph, and how body stuff (like urine pH, malabsorption conditions) can affect it. You should experiment with diet, supplements, timing, hydration, and should be taking time off/titrating to reset tolerance. You should not continue to increase dosage arbitrarily, if you develop tolerance manage that within your dosage. See a cardiologist, they may want to counter it pharmaceutically. Beware of antacids and amphs.

I hope you are young. I spent a lifetime trying to catch falling marbles, and problem-solve my way into preventing it again, not realizing that I’m supposed to have a bag. I could never look beyond that problem to new opportunities, and adding new marbles to my life was out of the question. If it wasn’t for my programming hobby, I’d be in a much bigger hole than I am.