They never tested me, but the advice was to not "combine drugs". They also asked questions to make sure I was not addicted to anything. ADHDers have a higher % of substance abuse, so there's that.
In my opinion it's always better to test treatments in the "cleanest" state possible, so you know better how the medicine works. ADHD medications also take some testing to understand what's "best". I ended up naturally avoiding coffee too (I didn't need it anymore)
The way the posed the testing though, it seems either a requirement from insurance or the specific clinic or the country you are in.
They are talking about NSFW images in the fediverse. How does that correlate with AI-generated NSFW images?