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It sounds like you need to come up with a plan. But in order for any plan to be successful, you should do whatever you can to get your hands on Adderall so that you can be organized and diligent in following your plan (and even with coming up with a reasonable plan in the first place). It's pretty easy to get a prescription-- you can literally just describe various symptoms of ADHD and talk about how you keep experiencing them. Just don't directly mention anything about drugs or ADHD. If the doctor/psychiatrist won't prescribe it to you, then just go to another. It shouldn't take long to find one who will give it to you. If you don't have insurance then try to find one that will let you pay out of pocket. Once you are back on meds you should probably ease your way back into technical work. You might consider taking freelance gigs on Upwork or something, even at low rates, just to get back into the swing of things. Often these gigs can turn into consistent remote working opportunities. Once you are back into the mode of doing technical work on a routine basis, start applying to jobs. Look at the "who is hiring?" threads here on HN. Also, try going to tech meetups for things that you are interested (e.g., Node, Python, etc.) as a way to network. You probably shouldn't tell your whole story to potential employers. Instead, you can say that you felt burned out from overwork and decided to take it easy for a while and focus on yourself. Now that you've rested, you are ready to work again. If you managed to get hired and promoted at a good startup there is absolutely no reason you can't again. You are certainly living in the right place for it, which gives you a huge leg up versus 98% of the coders in the world!