I’ve realized that I kind of rely on my periods of hyperfocus to complete things (when I’m able to direct it toward the right task). If I go onto medication, will I still be able to hyperfocus? As destructive as hyperfocus can be when it’s pointed at the wrong thing, it’s like a superpower when it’s pointed at the right thing. Sometimes I appreciate the periodic flurry of activity and inspiration.
There are long-acting formulations that can get you through a day. If you want a short-acting med then that’s your call, but I prefer a steady level of stimulation that carries me through the day.
On meds I have to make sure I don’t lose control of my focus. It’s the opposite problem; I need to make sure I don’t lock on too strongly, versus not being able to focus at all. After all, the underlying problem of inattentive ADHD is an inability to regulate focus appropriately. I find it’s a much better trade-off, mind you, but my point is that I no longer need to rely on this roll-of-the-dice “hyperfocus” state to kick in. Especially useful since I rarely achieve this unless there is a panic-induced deadline looming.
I’m usually able to just take my AM dose of instant-release meds. I can kick myself into hyperfocus, work through lunch (at least), and then do less intensive stuff in the afternoon if I’m burned out, or just continue with the hyperfocus session if I’m not. By about 2pm the meds have worn off but I’m in “productive” mode and I usually manage to keep going until 5ish.
The only real downside for me is I’m much less physically active this way - I don’t get up and wander around to chat with someone (if I’m in the office) or go for a walk to clear my head. So there’s definitely some physical activity debt that builds up when I’m medicated.