I’ll echo what many people have said here - for me it comes down to environment. My brain still craves the novelty of “something else that’s more fun”.

When I’m on meds, I have to create an environment that is also curated. I tried using them in the office and it’s a real problem. In the context of the office there are so many additional things that it’s difficult to focus and I end up going into deeper rabbit holes than off meds.

Adderall helps me stay in a task, but doesn’t do much to help get me into the right task.