I'm not sure the metaphor feels productive, especially given that there are entire suites and collections of other, non-pathological terms covering the same eff

I'm not sure the metaphor feels productive, especially given that there are entire suites and collections of other, non-pathological terms covering the same effects that are likely more appropriate for a number of reasons. The behavior of someone you know with a given pathology may overlap with behavior or preferred perspectives you have witnessed here, but that's far from valid as a diagnosis and still manages to sound like a slight. I understand it's not your intention but to me this signals more homework to be done on your perceptions and their possible labels, for good reason.