Thanks for the insights on the meds. I heard from some people that they can also just be taken as needed. So I could potentially go without them most days, but if I need/want to get something done, or am having a particularly hard time getting moving on something, that can be a tool in my tool belt.

The biggest hurdle to trying right now is the act of finding and setting up an appointment with someone. I've been putting it off until "later" for probably 8 months.

> I don't really care that much about masking

I don't even know who I am. I had to mask just to be in my family growing up, so when people talk about unmasking... I have no idea how to do that. It's so engrained into me. I'm typically pretty quiet when I meet new people, around people I don't know well, or don't see often. I thought this was just me, but have come to realize it's me putting on a blank mask until I can figure out how to act around these new or less familiar people. When I've tried to rush this process in the past it's been awkward.

Thanks to both of you above, both commentators, for the detailed responses. Digesting them right now before replying further. I was asking specifically because, well, at my age after years of extreme difficulties with focus, I think it's time to dig a bit deeper into remedies and possible causes.