Several things all clicked into place within 30 days of each other. Here they are:

1. Correct cocktail of medication. Antidepressant focusing on norepinephrine/noradrenaline activation to help with executive function. Vyvanse instead of Adderall for my ADHD. Vitamin D. Magnesium Glycinate. Fish oil.
2. Bought a home. Live by myself. Now I have a world of constants of my own creation. I keep it clean, it serves me, I couldn't do it without having this constant that lives or dies exclusively on my actions. I can build systems that work for me here now.
3. Began working from home. I also love this job, finally. This was huge.
4. Began seeing the external version of myself line up with who I am internally. Love of self is still hard but we're making progress.
5. Finally started mostly competing projects that give me reasons to wake up in the morning. Not always, but it's progress.

These all happened very quickly and all at the same time. Things just "clicked" and I went from slightly leaning towards executive dysfunction to slightly leaning towards executive function. Then I kept the snowball rolling and accumulating and now it gets easier with each passing day. I can explain more, I hope this helps.