The first paragraphs are framing mainly for my benefit. They're long which probably isn't ideal for a group of adult ADDers. The final paragraph contains my question.
I'm an adult recently diagnosed with ADD and struggling to come to terms with a lifetime of regretable behavior and coping mechanisms that have after 25 years put my marriage in jeopardy. Ironically, I'm successful in my professional life. I've been coached not to use the words selfish and not-empathetic to describe myself, or prior mis-behaviors. Rather, I'm to use "just not seeing it". The distinction being intent. If you consciously choose your interests over someone elses, or are aware that your actions will hurt someone else and do it anyway the behavior is intentional and thus selfish. Motivation matches perception. But if the intent isn't there and you would have behaved differently had you been aware, you are not selfish even though the result is the same. You're merely dense. Just not seeing it. Motivation does not match perception. The justice system in this country considers intent and awareness when doling out punishment so it's an established principle.
ADD is a disorder of attention and impulse. A lack of awareness (attention) that one's inconsiderate (impulsive) actions will hurt people we love. Stimulant medication improves awareness so that we are able to consider the consequences of our actions before we do anything.
It's been suggested to me by my intelligent, high-performing, somewhat critical neurotypical spouse that selfishness and other bad behavior are not always the result of ADD, but stem from not having a strong moral compass that would make decision-making easier (we're both atheists but she grew up with a set of well defined values that include honesty and selflessness which I struggle with). This premise, that one can be whomever one chooses to be, is repeated in writings on moral and ethical behavior but doesn't consider ADD. It's an appealing thought, but would require a formulistic approach to life. It goes counter to the free-thinking, free-wheeling, question-everything approach I followed prior to being diagnosed. It requires hard decisions which I struggle with. I worry about losing my sense of self. Not sure if this resonates with others.
The question: Has anyone on stimulant medication tried to reinvent themselves with this approach, defining important values, ethics and moral principals and mapping out how to adhere to them through thoughts and feelings, actions, or words? Has it worked for you? Do you worry about becoming someone you're not?