For me, this only leads to sleepless nights.
Could be the ADHD. Over the day I have the meds, but they are bad for sleeping, so I can't use them at night.
The meds calm my thoughts, so I don't have too much competing ones over the course of a day.
On the other hand, there specific kinds of thoughts that don't prevent sleeping. When I think about loved ones for example, I sleep better.
But without meds, I can't control that. When I have unfinished business, it will override everything else.