I take an amphetamine pro-drug (Vyvanse) and I'm incredibly reluctant to recommend it any time someone expresses trouble with motivation/focus. But it did chan

I take an amphetamine pro-drug (Vyvanse) and I'm incredibly reluctant to recommend it any time someone expresses trouble with motivation/focus. But it did change my life at that critical I-don't-know-how-I'll-make-it-through-university moment. Especially when everyone around me offered stellar advice like "try harder" and "don't buy in to the Big Pharma ADD/ADHD-conspiracy". It turns out that I'm also reluctant to just offer "exercise more!" or "work on yourself -- it's your behavior!". It's frustrating and anxiety-inducing enough to struggle with motivation. If the only solution is to put pressure on such people by suggesting it's all in their head, then what do we do if that pressure doesn't actually fix anything? Do we count down to the catastrophe so that we can chime in one last time with "See? Look what you did."? Exercising and taking a sabbatical are good advice, but sabbaticals are out of the question for most people (especially a kid in highschool), and exercise is only that -- good advice. At some point we have to admit that the results of no-improvement will out-trouble our concerns/stigma over last resorts like medication.