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I can certainly relate!
My medication helps with this a lot, and I just had it increased to deal with that and other issues. But I work a desk job, in a “cube”, and the talking..and the ring-tones would constantly cut off my train of thought.
I relied on earbuds and music to help drown out everything else. It helped. I also had sound-reducing headphones for a while that helped that too.
I will also get the headaches when my medication is worn off, or not working, and I keep forcing my brain to do my work. When it comes to that, I have to take a break or stop for the day. But I did realize that if I can keep calm, and even if I have to work slowly to prevent stress- If I can manage that, then I won’t get the headache. Usually.