What happens frequently is that my brain takes multiple discrete tasks and attempts to simulate each one's steps to completion simultaneously. I suddenly find myself at the front door paralyzed for five minutes, "Should I grab the trash since I'm going to go check the mail? I have to walk the dog, I can't carry all this trash while holding the dog. Where will I put the dog when I get the mail. Ok, put the leash on the dog, grab the trash... Crap, there's so much trash! Ok, just take the office trash out..."
ADHD medicine stopped working after a month. What has helped a lot is N-acetylcysteine. In fact, it's been several months and I'm comfortable saying that it has changed my life. The trainwreck thought loops give way to singular chains of focus.