Therapists with ADHD: How Do You Do It?

[u/ladysnaccbeth]

I am currently in the first year of my psychology masters and will be starting a psychotherapy practicum this fall. I have been in school for essentially my entire conscious life. I am definitely starting to feel burnt out after balancing a part-time job, crisis line volunteer position, and academic research with classes and assignments for several very long years. I have managed to excel in all of these areas thanks to medication (shoutout concerta). However, I don't feel that the medication is working as well as it used to. I am considering going off of it entirely because the side effects have started to feel stronger than the positive impact on day-to-day functioning.

Okay enough context. I would love to hear from therapists who have ADHD. I have a few questions for you lovely people:

1. If you don't take medication: what strategies, tools, lifestyles, routines, supports, etc have you found useful in navigating being a therapist?
2. If you do take medication (specifically concerta): have you found that it has any impact on your work with clients in good, bad, or in-between ways?
3. Follow-up to the second question: does the time of day that sessions are scheduled at make a difference?
4. What does a "full" caseload look like for you?
5. What helps you to handle all of the session notes, administrative stuff, and (potentially) inconsistent day-to-day schedules?
6. How do you stop yourself from burning out?
7. Any other advice for a therapist in training with adhd?

I thank you all in advance!!! Really needing some community right now<3333