

You assume is was organized or focused in school or college as opposed to just generally curious enough to know tons of information while also being able to focus on lectures (because most were in topics I was interested in, especially in college) without taking lots of notes that made me pretty good at tests.
The reality? I got diagnosed and on meds and looking to therapy to close the gap. It turns out my grades were driven by good test taking and an ability to churn out a BS ridden paper that should have taken weeks in a day or two of pure panic. I have never needed to take a test at work to get my job done, and have grown weary of the panic fueled rushes to get things done by deadlines.
This is one of the benefits of being on non-stimulant meds, the hoops to jump through are way less (I still had to fight insurance for a prior auth, which took nearly a month). I use an online Psychiatrist (Talkiatry) and have been really happy with my doctor. I also only need to see him as often as we think is medically necessary since atamoxetine can be refilled. It’s been shown in trials to be as effective as methylphenidate and works well for me so far.
The diagnostic piece though is indeed hard, but I can sort of understand that. It’s a pathway to drugs with a high probability of abuse, and no sure fire way to diagnose. So from a liability and care viewpoint I get why psychologists do due diligence in evaluating people (especially adults) for ADHD. It still sucks if you need help, but in theory you only have to deal with that process once to get a diagnosis. Also, as many people have pointed out, many PCPs are willing to fill scripts for controlled substances if needed, especially once you are on a stable dose that you know works. Like many things, the start up is the hardest and it gets easier once you hit steady state.