As I recently learned, ADHD executive processing issues, rsd, and demand avoidance absolutely are a pathology and if you don't even know you have them it is like being hit by a truck when the requirements of your workplace (and your life) change under your feet.
There are situations in which I will use my accommodations in the future, but it has not been an everyday need for me.
Think of dyslexia. My dear friend is an all star aerospace engineer but he couldn't read his tests in college, so he used the extended test proctoring. In the workplace he needs to receive a report, then read it and meet after he has spent appropriate time on it. This is an accommodation. It is required.