Earlier quoted context omitted.
The pills help but motivation is not some emergent property of normality. You first need to care about, and genuinely want to do, the task required to accomplish your goals. I’m a fan of this quote from Steve Jobs – (paraphrasing) “every day you wake up and look in the mirror, do you like what you’re doing that day? If not, it’s time to do something else.” The other quote I like is Jeff Bezos and his “picturing mysel…
In your experience does the medication get more effective if you can find ways to work with it? I've been trying to make it work for a while now and it seems like it either does nothing or makes me lock on to some random tangential (usually useless) task I'm near when it kicks in. Really not getting a quieting like with caffeine, which has been disappointing.
In terms of raw productivity, it can definitely make things worse (like the comment I replied to). Or at least, it can replace one problem with another – suddenly your creativity is gone and your hyperfocus is completely misdirected.
Personally I’ve sought out the (re-)diagnosis at times when I felt creativity was less of a priority than execution. If you know exactly what you need to do and can commit to it, the pills can help keep you on track. But they are not the original source of the commitment.
I’m honestly not sure whether it’s worth it, but the dopamine it releases sure does its best to convince me that it is.