Medication + therapy is the magic combo. Adderall was the magic bullet for me but I was lucky, and I hate that it only works for a limited time each day. And even then, it just makes actually doing things not suck. The drive, time management, and understanding what motivates me all come from therapy

The best analogy I found was it's like wading through a river to get to the other side. Medicine gets you out of the river, but you need therapy to find the bridge and cross it.