My experience has been that it is difficult to get treatment from primary care because they are hesitant to prescribe stimulants. The amount of times a doctor has treated me as drug seeking, a risk to go sell stimulants on the street, or prescribed me a stern talking that I lack life skills and need to buy a planner is frankly insulting.

I do go out to get fresh air, use my phone for 1-2 hours a day including work Slacks, exercise, meditate etc. Nothing helps like a well dosed stimulant and the drug shortages do not help.