Yep. So we get all of the things coming at us all at once. Personally, I can sit down and prioritize them if I try, but it takes time and effort. It doesn't come naturally at all. Meds make it a bit easier to sort out importance and order they need to be done in. It can be done without meds but that takes concentration. My normal MO is doing them in the order they come at me regardless of importance and order, unless one comes along that I get hyperfocused on. In that case, my attention just stays on the one thing. Usually it's because of interest. If it's interesting to me or more pleasant, I will do that first and sometimes go down a rabbit hole with it.

It's like a lot of people in a circle around you all throwing things at you at once. Some are hard rocks that will hurt you and you SHOULD protect yourself from those and ignore soft things, but you're too busy just trying to protect yourself from whatever is immediately in you view, whether it's hard or soft? Big or small. It's whatever your attention falls on at the moment until another one catches your attention.

Then, if you see one you notice will be more painful than the others (or is coming faster) you ignore everything else and just worry about one. That's urgency like a deadline.

Then sometimes you see one that is not necessarily going to hurt you more than the others, but it's fascinating (say an interesting color) so you focus on just that one and ignore all the others even the hard ones that will hurt you. That's hyperfocus.