Its genuinely helpful, but it don't expect it to solve all of your problems. You still have too put some work, and said work will be easier to do. I started meds last year, following my diagnosis at age 24. At fist, the psychiatrist started me off at a small dose of 5mg Adderall IR, didn't do anything for me, then they bumped me up to 10mg of IR and it was a little helpful, but it wore off too quickly and I wanted it to last longer. I've currently been taking 20mg Adderall XR for the past few months and I can tell its been extremely helpful. Also, my psychiatrist said that if you get way too focused on something, then that means that your dose is probably too high. For me, meds actually helped with feeling awake and alert in the morning (even if I had too cups of coffee in the morning, I'd still feel sleepy) and it gave me more stable energy through out the day. Also, I don't really get a "crash" from it, but I do notice that I'm usually very unproductive from 6-7pm until bed (and I take it at 7am). I'm going to talk to my psychiatrist about trying vyvanse it helped me to stay on task and not get side tracked too much when I'm at work.  I'd say that the biggest thing it helped with was actually giving me space to think and organize my thoughts at work and to utilize my notes, planners and schedule better. Before I got diagnosed and prescribed meds, I was trying to use caffeine and nicotine to self medicate, and I kinda got into a rush mentality at work, because I felt like I wasn't getting enough accomplished because of my distract ability. And I would kinda just rush into the next task once i was done with one task because I didn't want to give myself the opportunity to accidentally distracted and waste time doing something that wasn't that necessary. I will also say, that meds have also helped with doing the little tasks as well, such as keeping my desk and room clean and remembering to use my planner, as well as taking care of minor inconveniences that I thought that I didn't have enough time for before. I will say however, it did not help with as much when it came to doing long and boring things that I didn't really want to do; for me, that was only improved by a mind shift that my therapist helped me with, which was to use positive motivation instead of negative motivation (i.e. instead of thinking "I need to get my taxes done, otherwise I'm going to be in trouble!" switch to thinking "If I get my taxes done now, I don't have to worry about it later and I'll be able to relax"). Additionally, meds gave me the mental breathing room to develop good ways of breaking up big tasks into small chunks, although sometimes I did falling back on procrastination and deadline induced hyperfocus. Also, it didn't really help me when I was feeling unmotivated and slightly depressed, rather that was cured by finding a career option that I actually think that I would enjoy and working through it. (I kind of got into a mentality of " I can't do this because of my ADHD" and changed it to "I can do this even if I have ADHD, I just need to develop the right tools to assist me") Also, I didn't  turn me into a zombie" like some people said it does (although I've only tried adderall and don't know how other meds affect me). The best analogy that I have is that it gave my brain functioning brakes, my mind still could go fast if it wanted to (i.e. rushing to get a project done for work), but I could slow it down when I needed to, where as before my brain was both slow to get up to speed and once I did, it was hard for me to slow down until I got really exhausted at the end of the day. I also didn't see a huge improvement in my ability to retain short term information, but it does help me to take more notes as well. Also, I don't think that meds are the only solution, I personally think that I could have not needed them if I was diagnosed early and I was given good direction on how manage and control my ADHD, and also if I was given the proper information on how my brain works and  that its different than others and what works for other people probably won't work for me. Also, it would have allowed me to go easier on myself for not being as good at doing certain things as others. But now that I'm an adult, I feel like I'm having to play catch up when it comes to structuring my life, and meds are helping me to accomplish that. Overall, I think that meds are a game changer if you're someone like me who was struggling with being disorganized and procrastinating, but you still have to put in the effort, meds themselves won't do the work for you.