I've been having a lot of difficulty with my ADHD lately, and I've been starting to figure out what seem to be my main problems as well as the fact that, unfortunately, I'm not really sure how to solve them/if there even is a way to.
The thing with my ADHD that causes the most severe problems for me is how I interact with time and consequences. For me, on some weird level in my brain, the future's not real. I don't mean this in like a totally delusional way, like I definitely can acknowledge that time passes and eventually the future is going to be the present, but when it comes to things like scheduling and whatnot the future doesn't exist to me, no matter how hard I try to change that. It makes long-term goal-setting in a meaningful way difficult without external factors, but even with external factors I have a really hard time executing on any plan I might make. It's made school really difficult because even when I know when something is due and take steps to spread out the work in a manageable way (for example, a project I'm working on where I broke it down into 6 week-long chunks that felt manageable for me), when wheels hit pavement I absolutely cannot execute on it and leave everything till the last minute like I always do, and end up with what I'm doing right now scrambling to finish and absolutely melting down along the way. It's really frustrating and I've held a lot of long-standing self-hatred for it, feeling like a failure cause no matter how many times people have tried to help me find ways to structure my time in a healthy way, even people with experience working with ADHD, absolutely none of it sticks no matter how hard I try. There's just something in my brain that ignores absolutely anything in time further than 48 hours ahead of me. Sometimes even just more than 24.
I've been going to therapy, seeing a psych and getting medicated, and while I love my therapist for general emotional stuff and she clearly has a lot of experience working with folks with ADHD, for some reason it feels like meds and strategies haven't really been helping in the ways I need; I take Adderall and Guanfacine, but while the Adderall helps me focus in the moment (sometimes), it's often accompanied by a complete inability to really function once it wears off (and my body absolutely eats through it, like with a 30mg XR dose at 10AM and a 10mg IR second dose at 4ish it's completely gone by like 7 or 8PM, which really doesn't work for what I end up having to do in grad school, especially with the issues I'm having), and it just exacerbates my time blindness in the moment, which is actually really harmful when I also can't really control what I'm focusing on. The Guanfacine is supposed to help with that, but ultimately all I've noticed on that is that I have absolute crashes both at the height of my Adderall's effectiveness and as soon as it wears off, making me fall-asleep-in-my-chair exhausted. That and it's made it noticeably harder to get out of bed in the morning (not necessarily in a depressed way, literally in just an activation energy/impulse way). I've tried organizing by making lists, I've tried setting alarms, I've tried a calendar, I've tried daily planners, nothing sticks. Alarms are hard because for some reason seeing the fact that I have alarms set on my phone when I'm not going to bed just fundamentally bothers me to a strange extent for some reason, and while trying to plan my day out in advance helped for a month or so, I found that the second I slip up for even a day any habit I'd built is completely gone and it's even harder (if not impossible) to start again from scratch (believe me, I've tried that strategy again because it was the only one that's really worked, I just can't get it to stick the second time).
I guess this turned into more of a woe-is-me rant, but ultimately what I really want to know is whether anyone else has experienced this, and if they have any advice on how to handle it? It's honestly really starting to get to me and do some serious damage to both my academic career and how I see myself, because it's really feeling like I'm just...not really built to withstand generally operating as a human being, especially when most of the advice I've gotten is just "well you gotta make a plan and then stick to it" when even with external consequences sometimes, I just can't stick to the plan. People haven't really had much advice to give me once I tell them that, and I'm worried I'm just kind of screwed.