Well, I'm autistic and have ADHD bad enough that my body will not even respond to my attempts to move sometimes. There are a million reasons for me to be unhappy with it, feel trapped and isolated inside my own head, want to escape/avoid reality, and choose to do so through fantasy. But it doesn't change the fact that I honestly identify this way now, no matter how I got here. I think explaining it away as some syndrome or illness is a bit minimizing. My identity is important to me.