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Another situation that is sort of like the inverse of your ADHD meds is intoxication, often drunkenness. It is common for the law to distinguish between voluntary intoxication (I went to the bar and got drunk) and involuntary intoxication (I was at a party and someone spiked my nonalcoholic drink without my knowledge). With some edge-case exceptions, you're considered responsible for wrongdoing if you voluntarily became intoxicated, but not responsible if it was involuntary.

By a parallel construction, even if unmedicated ADHD causes a loss of agency, you might be considered responsible if your meds were available and you chose not to take them. (I think the Kanye situation is related--he's pretty severely bipolar, but unmedicated by choice, as the meds negatively affect his creativity. In my opinion, he gets to take the good with the bad in terms of being "publicly creative.")

In my case my meds stop working if I take them more than two days in a row, so I have to take off days during which I am less of a person and need more supervision.

I'm lucky enough to have people who look after me in those times.

I imagine someone without my resources in my situation would just be fucked. And would not be contributing nearly as many data science dashboards to the economy.