“ Sleeplessness, suddenly missing work, constantly forgetting to eat day after day, breakdowns, MIA in meetings, really poor code, and more. This has happened >

“ Sleeplessness, suddenly missing work, constantly forgetting to eat day after day, breakdowns, MIA in meetings, really poor code, and more. This has happened > 3 times in the past handful of years.” everything you’ve wrote here is typical ADHD. Being medicated for a chronic disorder is hard and while the medication is hard, It can signal the opposite - not addiction but someone who doesn’t want to take the medication to feel or act normal. I also don’t feel that it is over prescribed. In fact there is a huge lapse and stigma would being signaled out as neurodiverse. I would suggest to look into what is ADHD and typical symptoms and see how it overlays to a normal drug user non stimulant user. You’d find that it is 1:1 in what you described but does not correlate to drug user.