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The suggestion is that I could get away with this in school, it got somewhat harder at Uni and that the workforce was "a piece of piss" right up until someone wants me to pay attention to detail or manage a long-term project. The trouble is that as a manager I am now required to do both those things on a regular basis.
The trouble I'd had before in other positions usually involved me doing the job in a half arsed fashion and never writing up the reports or finalising the accounts. Usually people were forgiving because my half arsed attempts worked out well, in fact I've proven that me in "half arse" mode is often better that my colleagues at full tilt (did I mention the genius bit).
So whereto now for this nutjob? Well the psychologist reports to the psychiatrist who reports to my GP and then we decide if I can 'burn new neuropathways' using just the power of my own (genius level) brain or if we figure that as I have ADHD I'll never get off my arse and sort it out myself so I should be dosed to the eyeballs with Dexedrine, Adderall and Ritalin.