When I started realizing I was having issues at work is when I started to really take actions...changed pdocs...got the correct DX and meds...

I'm still having trouble...this is the first time it really effected my work...

I think you can go long term...unfortunately it takes a lot of energy (as you said to just show up)

I've made a grid (I like check marks) to give me some structure at home and work...I record the number of hours that I'm at work actually on task...

It's starting to help.

Just remember you can be "high functioning" in spite of that fact everything feels like it is falling apart.