It seems to me at least that it comes through in general executive (dys-)function.

I often can't pay attention to what I want to, even if it is incredibly important, and I care a ton about it. Decision making is awful, except under very specific circumstances: everything on fire at work and you need a solution yesterday? Done. I've got the solution and handed out roles, fires out. I need to eat something and there's a fridge full of food? I will stand there with the door open till it spoils.

I have a very important thing at work that needs to be done and should only take an hour or two? This documentation I've been thinking about writing for three years that noone else asked for has finally found its time in the sun!

Gotta make a phone call for literally anything? Huh, my battery's completely drained because I watched 736 YouTube shorts in a row that I couldn't enjoy because of the pit in my stomach about a friendly 30 second call to the pharmacy.