James Bach, RI, PC: I think the technique James described is basically a way of dealing with mild ADD without guilt. People with more severe ADD won't have as much luck with the technique or other forms of behavioral modification, and should probably look for medical treatment. (At that point behavioral modification could help you reduce the required dosages or whatnot.) That's where I am at the moment, anyway. Really, consider the possibility that the desired level of productivity is just out of your reach without medication. I know it's a complicated subject.