You may think this is coming from left field, but have you ever considered talking to a therapist/psychiatrist about this? This sounds a lot like ADHD to me. I

You may think this is coming from left field, but have you ever considered talking to a therapist/psychiatrist about this? This sounds a lot like ADHD to me. I'm 24 and was just recently diagnosed. Like you, I'd spent years of my life needing to the minimum and yet excelling at nearly everything I've done. Still, something wasn't quite right, and things began to get worse. You sound very much like me pre-diagnosis (and, unfortunately, post-diagnosis, too). I'm currently taking Adderall which has allowed me to focus and get certain unpleasant things done, but I'm suffering from a real lack of skills in organization. My advice is to talk to someone about this. And if you'd like, you can feel free to email me (josh at goals dot com). I'd be happy to answer any questions you might have and talk more about my own experiences. After all, the only reason why I'm on HN is because of my ADHD: I founded Goals to help me build a tool for myself.