Shortly after getting diagnosed ADHD at age 34 (same as you, no hyperactivity just motivation dysfunction) I tried out some ADHD coaches and found that it was a total waste of time and money because they weren’t physically present, telling me to my face the what/when/where of my day. What you’re describing sounds like exactly what I really needed, but I don’t currently have the income to support an expense like that unfortunately. Maybe in 5-10 years...
I do pay far more than the going-rate, and it is 5-6 days in the week. You could give it a try for much less and still pay more than the prevailing wage for caregiver work and have it for 1 or 2 days in the week and see if it works for you.
Not GP but I've found medication is the difference between "adulting" okayish and not adulting at all (bills slip by, staying focused on work is excruciating, house looks like a tornado hit).
I've also found I'm a hyper-metabolizer. Ritalin lasts about 90 minutes before crash, amphetamine about 6h, and straterra just makes me derp. There's a hysteresis effect to the crashes - topping off with more IR isn't the same as preventing a crash.
Current protocol is 15 mg Vyvanse (yes the dexamph prodrug that's supposed to last all day) when I get up around 9, another 15mg around 1300. And actually thinking about switching to 3x. All in an effort to get a really stable blood plasma. Otherwise, I turn into a zombie and can't make dinner.
Still a struggle, and side effects abound, but well worth it.
Yes, it took some experimentation but we (my psychiatrist and I) have found that Vyvanse works quite well. It’s not a perfect solution, but it makes daily life a bit more predictable than when I am left to my own devices. I actually found that microdosing psychedelics was the best medication, but unfortunately I don’t have a steady source for that.
