I went through this in my career .. I had coping mechanisms without meds until there were changes and i hit tipping points and had to readjust .. My Worst tipping point was suicide attempts which is abit extreme but that’s what the frustration and depression that i got after i was unable to cope. Because the frustrations of the environment affect performance and once productivity goes down.. it’s a downward spiral from there
So i would suggest you talk to your therapist on how to readjust to survive in your environment before you hit a tipping point.Its good you have recognised this early and you are willing to make changes to survive
For sure Adderall would do you good and probably you could probably enrol in something you could do in the evenings or weekends like yoga , gym or any activity that you will look forward to when the going gets hard in the office
hope this helps.
All the best ..