I am not a specialist, but I didn't know I had ADHD for more than 10 yrs and had to fight all the symptoms by myself. What helped me was to pick the symptom that drove me nuts the most, sit quietly by myself, and concentrate on finding the thoughts and behaviors that may encourage it. But not the ones that came first to mind, I looked for whatever was behind them, deeper and deeper, till I got to the bottom of the chain. I often discovered fears and insecurities that magnified the problem, and finding ways to beat these (or any other obstacle I spotted) has improved my ADHD significantly. I still need my dopamine fix, but luckily my favorite source is playing games, so I have created several "mini-games" to play in my head whenever I feel deprived (I'm still addicted to PC games, but it helps).

I still have problems with my memory and organization, but can focus on reality most of the time. And although I feel like an acrobat on a rope, I can live a much more normal life. And it's becoming easier as time passes. The hardest part was when I had to face my weaknesses and win, after that I could see clearly what I wanted and what I could do.