I am not completely opposed to medication, for I am already medicated for ADHD, which like most substances, has diminishing returns the longer one uses it. Treatment has never really worked great for me, and I do not have hopes for anything else psychiatry has to offer at this point. I tried some kind of SNRI prior to ADHD treatment, and I swore I would never touch anything S*RI ever again.

If anything, I think I would benefit from a change in environments. A new job, new hobbies, etc.. It's just so difficult trying to do anything to better myself. I've tried exercising, hell there is a gym walking distance from me, and I cannot seem to maintain any kind of routine.

Needing validation is probably spot on. I think a lot of it stems from growing up with untreated ADHD. I wasn't diagnosed until I was 22 to put things into perspective. My whole life I have had to second-guess everything I did because I learned I could not trust myself to do things correctly. That and the treatment from others basically eroded all sense of self-esteem I ever had.