The Importance of a Good Clinical Relationship

Cheryl writes that she has finds it increasingly difficult to keep up with the pace of work environment. She's wondering if this is an ADHD symptom, or could it be she takes concern in the morning? Is it wearing off? What do you think about a 49-year-old with a demanding job who finds herself just wiped out at the end of the day? I can't tell from this various due question which are the possibilities it is, but I think I bet the right data would figure out which of the answers to go to.