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As another who probably sits right on the border of "could use medication, but isn't interested in it after self-management for 20+ years" I really like how you mentioned practical habits that can alleviate the downsides to the symptoms. To-do lists. Taking notes. These can be learned and if they work, to make life more constructive while not really getting into the physiological side.

Honestly I enjoyed having the mind-set to be rough & tumble in the Proposal Coordinator (or Manager/Writer/etc) type role with 2-6 overlapping projects. It is/was almost a natural fit for being kind of hyper & then shutting down at the end of the day (go home to cook, beer, pets). Having multiple projects was plenty of stimulation, and breaking them each into smaller, prioritized To-Do lists with lots of human contact meshed nicely. Stressful at times, sure, Murphy's Laws are like that, but being the relentless, focused type to put all the pieces together for the whole is quite important when the scale increases (e.g. billion dollar construction projects).



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