I just had a kid and had another in the way. I told my wife about it and we agreed I should get some therapy.
My therapist deemed I have ADHD inattentive or what used to be ADD. I talked to my Dr and got on Vyvanse, I also went to gym and lost 50 lbs. I don't do therapy any more. I don't know if talking and thinking about things helped but I somehow learned to cope.
But the meds do help me stay in a more focused and alert frame of mind.
I don't feel broken anymore. I still get off topic and focus on the wrong things sometimes but I can be productive when I really want to be and get a ton more shit done.
I'm also convinced I'm on spectrum but therapist didn't really want to go there or test for it. Not sure if that would have changed anything.