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Reb Eliezer, nope, not narcissim, because to somewhat quote John Kruse’ description of Trump, many people with ADHD, because of their distractibility, often jump quickly from one to another of their thoughts, fears, concerns and joys, and so, when they enter conversation with another person, they often feel intense pressure to articulate what they are thinking at the moment, because they know that their hold on any particular thought is tenuous, and as a result, they’re unable to step outside of this flow and remember some of the niceties of social discourse, which is why they are often perceived as self-absorbed, brusque, and inconsiderate because of the way they communicate.