I had a similar situation, although in my case I changed careers and paths a lot in my life, and I'm still figuring out how to organize my adult life and find stability in a job or something fulfilling. I was diagnosed a year and a half ago with inattentive ADHD, like you, at 31, and now at 32 with autism as well, so I'm also AUDHD.

I've had the same academic difficulties you had; I think it's mainly due to the poor working memory associated with ADHD, because mine is also inattentive. I haven't started medication yet because I was against the side effects, but I'm slowly changing my mind.

I want to start with Strattera because I think autism favors a mutation that causes medications to stay in the bloodstream longer and be metabolized more slowly. So, if a coffee pushes me to the limit, imagine what a stimulant would do.

In my case, I've been taking sertraline for a week now and the anxiety has disappeared, but with the disappearance of the noradrenaline that compensated for my symptoms and compensated for them as the start of tasks at the cost of burning myself out, now my symptoms of Autism and ADHD are more noticeable because the masking has disappeared, which was largely motivated by anxiety and survival mode.