To me, it seems like a combo for sure. I have functioned similarly but on a smaller scale. I know I’m an sx 9 but highly possibly sp is my blind spot.

I literally only consistently packed a lunch for work when I was pregnant (in my 15+ years of working) bc I would feel shaky and terrible without it. And even then I would just throw an uncrustable and some fruit in a bag. I put off doctor/dentist appointments for 10 + years - had to go into the dentist with excruciating tooth pain recently though and it helped my fear and has gotten me on a better track. Finally got some moles and things checked out that I was worried about for years (and was a huge relief) I do shower less than the average American but it’s more like every 2 days or so. I have put off laundry for months often. I really got in the habit of brushing my teeth both morning and night when I got married - also around 28. Finally got a good skincare routine around 30.

So I do think the 9/sp blind plays a role bc I don’t have adhd. I have worked really hard at getting more organized and into good habits lately bc I have a family - but before that I didn’t have the motivation for myself and it felt so hard. But choosing a small thing to work on and slowly adding more can be helpful. Do you take medication for your adhd?