I realise there are others that likely have much more severe manifestations of the symptoms than me, but I don't think it's quite as black and white as you're making out. Surely the line you describe as "full-blown clinical ADHD" is somewhat arbitrary, when the symptoms exist on a spectrum?

I didn't attempt to get myself diagnosed, but yes, it was a significant impairment towards my life, and yes, there still is quite a negative impairment. If I wanted to get routine tasks done with any kind of consistency, I may well have to look into medication.

But instead, I structured my life around a very diverse range of stimulating past-times, and set myself up with very few obligations (e.g. no employer). This leaves a lifestyle of jumping between stimulating and challenging activities, which allows me to be a lot more productive, and achieve much more, than I ever did when I was in formal education or working a repetitive office job.

> In my direct and social experiences, however, those with clinical ADHD diagnoses are assisted with such suggestions, but very rarely do they improve things to the point that there is no longer a significant impairment to that person's life.

How far did they take the suggestions? Did they quit their job and start their own startup? While I agree that medication is probably the best solution for certain types of lifestyle, I do think adjusting one's environment is an underrated and underexplored solution, that could do with more research.