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This sounds very familiar.
“The medicine can only do so much. You have to do the rest.”
That’s what my doctor told me when I explained the same thing.
I call it going into hyperfocus mode. I have to be very careful to prioritize and to follow my list.
I’m going to get stuck if I go off on a tangent.
If I start going down “rabbit holes” I have to shut the windows and refocus.
Constantly, checking myself and staying on the list.
It also helps if my list isn’t too long to begin with.
Focus on finishing one item at a time.