Beyond meds and various coping skills that may be taught via therapy or advice on the internet, I have a nutritional approach that I found to be helpful as an adjuvant to meds. Meds like adderall or provigil tend to be demanding on the brain neurochemistry, so supporting the biochemistry becomes an important part of the strategy, rather than continually going back to the doctor to bump up the dose.

Mostly focus on Omega 3s (specifically DHA, cuz 80% of the brain lipids are DHA), Choline (via AlphaGPC or Phosphatidylcholine) and Magnesium Threonate (the only bioavailable form that can cross the blood brain barrier).

Other lifestyle aspects that are extremely helpful is exercise and focusing on high quality sleep.

Meds are great, but lifestyle is the other half of the equation that's too easy to overlook. I've gone from needing provigil doses at 200mg to about 1/8th of a pill these days and on most days, I skip it because they tend to be slightly too stimulating.