For what it's worth, I had similar issues and eventually realised that "not enough of a problem" was a pattern of thinking that held me back. Even the DSM5 now

For what it's worth, I had similar issues and eventually realised that "not enough of a problem" was a pattern of thinking that held me back. Even the DSM5 now uses this language: "the symptoms interfere with, or reduce the quality of, social, academic, or occupational functioning" – hardly a high bar I think I was unfairly biasing myself against action by needing problems to be bad enough before I would deal with them. Not just in terms of medication or treatment, but also accepting help from others. I think this is partly a pride/shame thing, but also another manifestation of ADHD: crises are far more stimulating than preventative maintenance. I now try to think of it more like "would this make things better for me? If so, why wouldn't I do it?" To that end, I found that medication helped me immensely with that feeling of helpless inconsistency. I don't always find it easy to get started, but I no longer feel like I'm waiting for the productivity fairy to visit.