At that point it becomes a prerequisite: you gotta be a great gamer, know your stuff, practice AND have ADHD. So much of it that you function normally on bucketloads of Adderall. You're the twitchy equivalent of a Kenyan long-distance runner with the toothpicks for legs, you've reached your final form ;)
It's horrible but it's also interesting. I've studied this stuff a bit. It doesn't bother me when you have categorical advantage but it gets more worrying when part of the 'qualification' is a dark history that leaves the hapless 'competer' human wreckage with nothing to live for but the will to win, forever unsatisfied unless they are crushing their opponents. Yet that's part of the formula, and a surprising amount of sports and entertainment is the wrangling of these freakish entities and trying to keep them from wrecking their teams, their bands, their lives etc.
You can't get away from this in any competitive sphere including life itself: when it comes down to the cult of the individual, it is ALWAYS possible to guarantee victory if you're okay with it being Pyrhhic. A sense of self-preservation or honoring the sport/context/environment is a handicap, and so you get Lance Armstrong every time, to a greater or lesser extent. That's what winning IS.
Interesting expressing these thoughts for the first time on a site where (a) there's huge respect for the cult of the winner and (b) there's also an entire subculture of shared cooperating, open source, and truly free software that is literally the opposite approach: trying to tear down all barriers to produce a context where anything is possible to anyone, without obstacle.