I feel you. As many here I failed to recognize burnout early enough to prevent total exhaustion. My experience (not a doc) is medication won’t help and ADHD see

I feel you. As many here I failed to recognize burnout early enough to prevent total exhaustion. My experience (not a doc) is medication won’t help and ADHD seems to be a stereotypical American fixation almost like tomato sauce for us Italians. Call it for what it is and don’t blame yourself. The cure for burnout is change. Distance yourself from the source of discomfort, lay bricks or bag groceries for at least three months and it will go away. I am saying this because you said you cannot afford a vacation (not slouching on the couch, rather travel). Not sure my experience will help, but that’s my 2 cents.