Chaining dozens of coping methods together helps a little bit, including:
- strictly working with lists. When I do it and it's not on the list & checked off, it doesn't count as done. What's not on the list doesn't get done
- implementation intention: Since my brain refuses "must do now" situations, use a trigger like: "If it's not done by 8 p.m., work on it with a stopwatch for 15 minutes"
- for the list, turn everything into a module. Instead of "do the kitchen", have subitems like "collect all garbage", "sort by food / non-food", "clean surface 1/2/3/floor". For studying & work, a module is always 25 or 50 minutes of full focus, no distractions. When I have to get up to get water or pee, it counts as failed and is not checked off
Yay, life on hard mode.
Light alarm clock sure is a game changer. Isn't there something that is primarily an anti-depressant, but also works with panic disorder and ADHD? I just know that there are many where 2 of the 3 overlap. But sure, a stimulant would be bad for you.
I have strangely also been in states, over years, where caffeine induces panic. In hindsight, it might have been as simple as a magnesium deficit, but no doctor bothered to check.
I've even had benzo prescriptions over years, and cut it down to 0 with relatively high magnesium supplements. Not saying it is the same in your case, extremely unlikely even, just the general concept that something has been missed.