Working under pressure isn't a viable therapy, IMO. In my experience, it is a path to burn out and diminishing returns.
> Got any support for that?
Anecdotally, ~25 years of eating them, but there is plenty of evidence that prolonged use of amphetamine causes structural neuronal changes, even at therapeutic doses.
Here is one article: https://pubmed.ncbi.nlm.nih.gov/38665308/
> you look at the papers about externalising motivation/triggers
What papers? What do they say?
Also, fear (an external motivator) is a great way to release catecholamines for positive outcomes in ADHD, but it is also a great way to increase general stress, which has many other outcomes (free cortisol changes, etc).
