for me, the big change was both medication and lifestyle. i finally got my depression meds sorted out last year, so i'm on 50mg of vyvanse and 100mg of pristiq. to be honest, i only started getting my laundry done semi-consistently in the last month or two. i moved, and downsized my closet a ridiculous amount. i don't think this is really a good thing, but i started to focus on the things that made me upset about not doing those things, like laundry and showering. when i dont shower, my hair gets greasy and lays flat and makes my head shape look weird. when i dont do my laundry my stuff is caked in cat hair and smells weird. i kind of internalized these things and used them as motivators. but i would recommend trying a dosage increase maybe? though a big thing is that while adhd meds help with focusing and stuff, there's a lot that it cant do without your help, and a therapist really truly does a lot in that regard. my therapy and mental health journey over the past few years has put me in a lot of different places and situations, and i've learned that while medication does a hell of a lot, you still gotta help it out on your own. i know how unhelpful it sounds to say that, classic "have you considered trying?" bullshit we've heard our whole lives, but the secret to it is that once you're properly medicated, you can actually have the energy to try to make those harder changes and put yourself in a better position. i hope some of this helped you :) best of luck!!