One of the most detrimental approaches to evaluation and management of ADHD, especially in adults, is to have a fixed disease model that can only be addressed by fixed treatment principles. ADHD is best seen on a spectrum of neurodevelopmental conditions that can be addressed via micro adjustments in patterns of thoughts and behavior. Instead of seeing it as a fixed disease that requires a medication a to correct the problem, it is best seen as a series of patterns of thoughts and behavior that are no longer useful in daily management of life tasks. Be part of the solution and develop observation skills to stand outside and observe yourself. Look inward with a sense of curiosity and hopefulness, and make appropriate adjustments relative to neuropsychiatric tendencies that have been developed. On a practical sense it will be moment to moment observation of one’s choices when in default mode, and a willingness to change established habits. Interestingly this has a lot of parallels to the correction of body posture movement problems and other physical maladies.  In both situations, individuals have been able to improve using the power of observation and challenging established styles and norms. The treatment of course is individualized and needs to take into account the variability between persons and the best approach to address each limitation. Avoiding fixed expectations and quick relief are key.