Burnout? Dissociation? Derealisation? Any experience

I’m just wondering if anyone experienced dissociation/derealisation. I don’t know if it’s burnout.

I’ll disclaim, I am in contact with my Dr/ADHD team, but I just wanted to see if anyone else has experienced things.

I don’t feel real, it’s like I’m on autopilot. I’m not fully present in my life. I feel like I’m just surviving each day, not living. I feel disconnected from myself, from reality, and I’m exhausted all the time.

I’m not suicidal, but I can’t keep living like this, I just don’t understand how I make it through a day.

I am medicated, on elvanse, which has helped massively on the anxiety, the anxious feelings, the anxiety thoughts, it’s given me more of a boost in life, but I’m still feeling detached. The best way to describe it, is like being a video game character, it’s like the choices I make are made for me.

Just wondering if anyone’s experienced this and if so has there been anything to help?