I see that you have problems. Me too, and I'm not sure, it's something PTSD-caused, and may have a lot of issues related to this - ADHD, BPD, or... For example, I don't procrastinate at all. And some types of ADHD procrastinate.
I think the healthcare system at all is not enough for complicated things.
You have Ritalin, and I would like also to use some medications if we have them here. It's great that you have such an option. And the diagnostic as I read is so complicated that I realized if it is somewhere, I can not afford it.
My bad voices before also disturbed me, but those were toxic voices of my family that I repeated. And I am getting rid of them (ADHD causes over-clinging to the problems). I think I must use everything that helps me. Many people can't go witouth medical support nowadays and it's normal I think. We live in a mad world.
I use caffeine for being somehow effective. I can't work without it.