That was my experience with ADHD. In retrospect, I clearly struggled with it my entire life, with it starting to cause problems around middle school age. I started getting treatment a couple years ago and it was like someone flipped a light switch. Wait, this is what it's like for everyone else? They can just decide to start doing a necessary thing before it becomes a crisis?!

In before "of course things are easier when you're taking stimulants!", which is another dumb thing I hear too often. I feel basically nothing from taking Adderall, and not in the least stimulated or more alert or more awake or anything. I can just concentrate on boring things afterward.

>in the US I think because of our hyper individualist culture.

Calvinism.

There's been a number of papers written about how pervasive Calvinistic ideas are in the medical community. This tracks with the New England area of the US pumped out the most doctors while medicine was 'growing up', and protestant christianity was the most common form there. When you view the creation of the US medical system with that view many of our screwed up systems make sense. A lack of willpower is a failure of man to be in touch with god, and not a problem a doctor should solve.