Patrick has a strong post.
1. Get formal neuropsych testing; make sure ADHD.
2. Any mood altering substances? No alcohol, etc. sobriety with sponsor 12-step or find 12 step to ADHD, it’s just a more accountable CBT.
3. Long acting stimulant 24-7 with low dose SSRI
4. ADHD is self doubt, self centered fear. Patrick really says it well.