Just as a counterpoint...I was successful throughout school and college but crashed and burned as soon as I moved to a new city for a software job at Amazon. Later, after quitting due to mental health issues I got a diagnosis for ADHD. I took vyvanse for about five or six months, but it didn't really help with my ADD symptoms and it gave me heart palpitations and made my anxiety worse.
After a lot of introspection, I realized that I was actually choosing to be disorganized, bad at managing my time, etc, because I didn't see these things as a priority. I've been working on my executive function, treating it as a skill that is possible to learn, and so far it's going well.
I got some really good advice from my therapist, who told me to stop saying I "should" do things and instead be honest with myself about whether something is actually a priority to me. She pointed out that whenever I tell myself I "should" do something and don't do it, I'm training my brain to ignore my own decisions. Before, I think my mindset was that I have default behaviors, and doing something productive takes effort - now I remind myself that I'm making a choice even when I default to my old habits.
I'm not sure this is much of a "counterpoint". Medication isn't the only solution to ADHD. In fact, it's often recommended that ADHD be treated with medication AND therapy, which often involves working on things like executive function. Also, there are different types of medication for ADHD. If you only tried Vyvanse, it's possible that a different type of medication would help without the negative side effects. You wouldn't say you're allergic to all antibiotics if you had a reaction to a single antibiotic.
After a lot of introspection, I realized that I was actually choosing to be disorganized, bad at managing my time, etc, because I didn't see these things as a priority. I've been working on my executive function, treating it as a skill that is possible to learn, and so far it's going well.
I got some really good advice from my therapist, who told me to stop saying I "should" do things and instead be honest with myself about whether something is actually a priority to me. She pointed out that whenever I tell myself I "should" do something and don't do it, I'm training my brain to ignore my own decisions. Before, I think my mindset was that I have default behaviors, and doing something productive takes effort - now I remind myself that I'm making a choice even when I default to my old habits.