Comment by TheCapeGreek

At some point you become exhausted of self-managing in an environment that is not suited to how your mind works.

IME with the meds, the biggest benefit is not focus during its effective period, but the fact that I can still live my life properly afterwards. As in, I haven't had to spend all my day's willpower to stay on task with work, so I have more mental energy for the rest of my life.