M.G.
M.,
You have three great professions: nanny, CNA and medical assistant! Even with these hard economic times, people still need nannies, doctors still need medical assistants, and hospitals and doctors still need CNA's. Are you looking at monster.com, careerbuilder.com, dallasmorningnews.com, and sittercity.com (and other nanny websites) every day?
About your ADHD, have you tried Concerta? I don't know anything about it, but I know it is another ADHD drug. Best of luck to you!