I'm amazed at how long this thread discussion has continued. It speaks to the profundity of the issue of ADD and self-esteem. It's something that has impacted painfully upon my entire life, or at least since school age (50 years).Throughout childhood and adolescence, I felt that I was stupid and inept, despite evidence to the contrary whenever I was deeply interested in a subject.

I definitely experience a slow cognitive tempo, even more so since menopause. It's maddening. And I still procrastinate like crazy. There are so many things that I should be doing, in the home, in my life. I've become extremely avoidant about those tasks. I have trouble thinking through my problems, coming up with potential solutions, implementing a plan, taking even the smallest steps. I'm sure that I know how to do this. I just won't approach it. I keep telling myself to get a kitchen timer and tackle something for 10 or 15 minutes, but I don't do it. I feel my brain works extremely slowly. I take vyvanse 20 mg. I had been on 30 mg, but I felt too anxious. I think the 20 mg is too low, however. I get so frustrated with myself for wasting so much time every day.