World expert Dr Russell Barkley seems to say that it’s a chemical issue in your brain, and that meds are by far the most effective treatment we have. And that ADHD affects all aspects of your life, so if the meds do work for you, you would probably benefit from being medicated at all times.
Some don’t like the meds, or they don’t work, but he advocates for taking your time to try many different drugs, in their many different forms, at various dosages… because once you find what works for you, it’ll make all the difference in the world.
Personally, generic vyvanse (lisdexamphetamine) has been a godsend. The onset is so smooth, I don’t realize it’s working until I’m working, and then I’m like… oh shit, I’m making progress on my job search, sweet!