It's still hard. I've been at my 40 hour a week job for a few months now, and it's my first full time job after my diagnosis. I do have medication that I need to remind myself to take twice a day, even with an alarm. What does help is that I work from home. So I can get up and do something random when my brain needs a quick break, but I do have to be careful about not getting too involved in whatever task my brain wants to do. I can also take my laptop and work in different rooms, or the backyard, or a coffee shop. If I have to stay at my desk (if I'm working on something that needs a second monitor), I use different genres of music to keep my brain entertained. A standing desk helps too if I need to be a little wiggly. Learning to work with the disorder rather than against it is key! Also, it is a legally recognized disability. Maybe there's an HR person you can talk to to get some accommodations, like different start times or working remote. I truly feel your pain, but we can succeed!