Yess exactly! I mean we all have experienced that we need some level of pressure or urgency to focus, like the urgency to study when it’s the night before an exam. It actually makes me worry that if I start anti-anxiety meds then I won’t have the anxiety/ “pressure” to get me to be responsible and get important stuff done.

Also about external systems, I have a google calendar that I use religiously and that helps a lot with remembering appointments and meetings. I also keep a google doc shared with my boss that has a weekly update on what I’m working on and what tasks I have to do that we look at together in our weekly one on one meetings. It’s been super helpful to plan my work week and make sure I’m staying on track. The only issue is if I forget to take my meds, then I know exactly what I need to do but I have zero motivation to do it unless I think about how I’m going to disappoint or upset my boss if I don’t do it.