Essie, sorry I missed a couple of your questions....
Yes, the meds do help get out of the fog, but not for a full 24 hours. I find that 8am-3pm are my most productive times. After 3pm I am back to spaz-state. That said - I'm not certain this med or dose is exactly what I need. My pysch is really cool about working through this slowly and with an open mind....she's confident we'll get it right with some tweaking.
The person you see for prescriptions will ask you a lot of questions. Based on your answers she can best decide which form of the meds are best for you...stimulants aren't a good option for people who are prone to addiction, anxiety, depression, violent temper, etc.. Then once they decide which might be best for you, I agree with Crystal - they'll likely prescribe the one they are most familiar with. You'll go from there with follow-up visits to discuss side effects, doses, changes of meds, a need for therpay, etc.
I work from home and I am sad to say that if I was better able to focus, I would be contributing to my family's finances so much more. (and that truth leads me to feel like a total failure....which in-turn makes it harder to focus and succeed.... which is a part of the disorder, as well.) When I worked in an office environment I was more productive because my job was very active....I had to be up looking for files and making sure doctors were fully informed on patients before walking into the exam room. At home - I end up doing laundry, cleaning, re-arranging, emailing, starting things I don't finish, etc.
Well, my GP was asking if I felt depressed and saw me for depression in the past. I said I think I get depressed b/c of the effects of what are ADD! It's like what you mentioned about not being productive and then feeling crappy about oneself, which creates a bad self image. It's a horrible and lonely cycle. I told her that I think I just never realized that I am depressed BECAUSE these things I do and think are a negative cycle and IT creates depression.
Also, my Dr. knows me but it's not like I see her more than once per year. She only has a snapshot of my life, so I think it wouldn't be appropriate for her to give and rx or dx. Luckily she agrees.
Well, I have really gained a lot from these discussions with all of you here and I really appreciate it. I look forward to the responses!