(fallen london stamps by the white whale of my personal ADHD difficulties is motivation. I know how to make a task easier to handle. I know how to break them down and track my progress and keep notes on everything so I won't get overwhelmed by trying to remember it all. I even recently figured out how to manage my time blindness (aka "I can't do this five minute task, I have an appointment to go to in two hours")
but while I can lower and lower and lower the activation energy required, producing the activation energy required is still a mystery! drugs are spotty at best. gamification doesn't work because our brain is Too Smart For Its Own Good and will simply cheat or outright decide it doesn't care about making the pointless number go up. bribes do not work for the same reason. threats and guilt-trips just induce depression or anger. I am throwing my newly hairless hands up in exasperation and dialing a therapist specialized in these matters.