A really good point. I don't think that in principle the two are mutually exclusive (GTD & medications). Perhaps the medications can allow or support the possibility to implement GTD, which may then allow reduction or elimination of the medications? From what I've seen on the various GTD forums, it is not uncommon to take a year or two to implement GTD to where it is an actual part of one's life, and can therefore offer real support. Anxiety or ADD can certainly get in the way of getting through that long transition ... and I can cetainly imagine help being appropritate!