[viraptor]

Talk to the doctor and all that. But for added context, some stuff I learned which I don't see often mentioned:

- most ADHD meds wear off in hours, even the extended release ones, so you can always try it without long term changes

- people talk mostly about stimulants, but there are non-stimulant options too, with the benefit of easier prescribing and avoiding the shortages

- HN (thanks @Podgajski) pointed me at an interesting paper https://sci-hub.se/10.1016/j.mehy.2013.11.018 and letter I was sent https://www.cambridge.org/core/journals/bjpsych-open/article... which work really well for me, so you could even try checking for vitamin deficiencies first (daily b6+b2 worked better than other things I've tried)

[locuscoeruleus]

Can you elaborate on point 3. Did you fix the deficiencies using supplements or a changed diet? On what time scale did you see improvements?

[viraptor]

Supplements. Almost 2 months on 200mg b6 daily (first paper), a couple of weeks with added b2 (found the second paper). Effects kicked in in ~half a week. Contrary to the paper, the effects still mostly wear off in over a day. Tried both ritalin and non-stimulants before (which worked), but all had bad side effects. These vitamins are about as effective for the issues I had.

I didn't get tested first, so can't tell if I would come up with the described deficiencies from the second paper.