I agree that the over-emphasis on medication as the only treatment for ADHD can be damaging. On the other hand, the jump to "I don't need to change" overlooks a

I agree that the over-emphasis on medication as the only treatment for ADHD can be damaging. On the other hand, the jump to "I don't need to change" overlooks a very depressing reality: a lifetime of being told you're inadequate because you lack the focus to be reliable in school, work, or life is definitely impacting your psyche on a daily basis. The people I know who have ADHD and are doing fine were diagnosed at a very young age and were medicated or otherwise built strong coping skills. They don't have any of the emotional baggage. I think it's important to think of ADHD not just as an executive function disorder but as the lifetime of trauma that accrues when, like you said, society's expectations don't line up with what you're capable of delivering without additional support. The more we overlook the emotional/psychological aspect of ADHD, the more people are going to continue to suffer, and meds might help many people reach a place where they can work through those feelings, but it's just a tool.