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To be clear, the shrink did not help. What helped was finally graduating and leaving child-prison. For me, moving forward in adulthood required breaking a pattern where my motivation just stalled out for anything labeled "work," mostly by doing lots of weird, interesting jobs
To the entrenched career human, there might not be a lot of options -- maybe find a job with an inspiring mission/product, try to modify the current job to have more eclectic tasks, or (tbh) brute force it with ADHD meds
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