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Sounds like ADHD to me. Are you seeing a specialist in Autism/ADHD or a generalist? I saw a psychiatrist who specialized in ADHD, which made it a lot easier because she knew what to look for and also was really ready to listen to me and help me.
She also was much more understanding about appointments because of it.
Part of the problem is that sufficient wealth seems to destroy people’s understanding of consequence. They don’t experience them very often, and so reach a point where they can simply pursue whatever their feelings tell them to do and the world magically restructures itself to allow them to do so.
Combine this with how the incentives of the social system result in the people who are most likely to pursue a selfish course being the most financially successful- you get a recipe for short-sighted, ignorant and self-important nonsense.