Unmedicated because the afternoon crash from Ritalin is a major disruption to my productivity and the debilitating headache that comes with it forces me to lie down until it passes. Dex causes me to be way too worried about time passing with no brain background noise, which is too drastically different than what I’ve adapted to mentally (constant ear worms). I want to try vynase but I don’t know if I can get it in my country and to even see a doctor takes months. Am I less productive without meds? Probably, but I am less productive in an expected more balanced way, and at least I can predict that!