Tiddler – I know exactly what you mean! I made a decision like that and it was a breakthrough for me. You have to look it in the “it’s all relative” way of thinking. Or… the lesser of evils? I’ve been deliberately working like what Scattrd describes for years, and getting a better quality of work from it. (However, I have suffered from multiple stress related ailments as well)
Also, I think that learning to work with your ADD traits and not against them is like – going with the flow. Why swim against the current when you can go with it?
I think that by letting go of how other people say you should do things or what is “the responsible” way of doing things and just doing what works – it’s a positive mindset – one that honors you and nurtures you! You are your own fairy godmother! (That might be stolen from Fly lady LOL)
I also think that when I finally was able to get on medication that worked, it was that same attitude of positivity, independent thinking and figuring out what works for ME, not someone else that has made me able to make better use of the medication experience! I already had a toolbelt in which to hang the new tools. metaphorically speaking…
Keep working smarter 
-munch
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