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Same thing happens to me even with medication. I was lucky to bill 5 hours when I was at (mostly) full concentration. My hours were terrible last year at my new firm as a result (I also am going through a divorce so there is/was a lot of personal stuff that also made it hard to concentrate on top of normal ADHD stuff). In addition to no raise (not even COL), they more or less told me that they were going to reduce my salary proportionally if my hours didn’t improve ASAP. Since then I don’t feel bad for billing even if I’m getting distracted and it’s taking longer than anticipated. I feel like it probably evens out a bit when I get hyper focused and am able to bang things out quickly. The partner can cut my time or give a discount if he thinks it’s too long, but he has not said anything other than keep getting those hours up so idk. But I’m also pretty open about my ADHD with him because it has helped us figure out the best strategies to work together and stay atop of our caseload. Regular checkins with him help keep me accountable and more on top of things rather than just feeling overwhelmed and paralyzed by doing certain things.
Also if it makes you feel any better, one associate at my old firm would bill like every time he randomly thought about a case and I his hours were really high as a result. With ADHD, I’m constantly thinking about what I need to be doing on cases, but don’t bill for most of that unless I’m actually sitting down to work on something so taking a little longer on things while distracted I think also evens that out.
A judge told me to never cut your own hours. He said when he was an associate he didn’t care if the partners thought he was dumb or slow, but they could never say that he was lazy because of the hours he billed.