The meme is a poignant exaggeration. It’s pointing out that many ADHD folk are blocked from access to any therapy because they perform well professionally. Using professional performance as the primary metric often leaves people with untreated difficult conditions on their personal life.

For example, someone might be the best car mechanic you can find but their own car is a neglected POS. Someone might accel as a surgeon but their home is a stye.

These lead to issues with social life and result in burnout.