Bottom line. You have to go to another doctor. Mine is awesome, and had me on a good treatment plan when my insurance changed and I had to get a new doctor. He didn’t get it and thought Adderall was based on your weight and other dumb stuff. Moving on to another doctor.
I am 48 and was struggling with this bad over the past two years. I really recommend hiring a career Coach. It’s helped a few of my friends and family members. I was about to hire one when I just asked myself what kind of people would I want to work with. When I really thought about it the answer popped into my head: dogs or old people. You can make good money as a dog trainer, but there were no training schools near me. I decided to start my own Elder Companion Care business, which I could start with no capitol. A day later a recruiter called me and after 22 years at my job, got an offer with a better company and a better job. Weird how nothing changed until I started taking action. Then the change was not what I expected, but a godsend.