Both my T and I have ADD. The medication doesn't work nearly as well if you're tired, so that definitely came into play. I would say just be patient and know it's a temporary thing. It's not something she has any control over, so saying anything wouldn't have changed how things went.

Because it's bothering you, it would be totally fair to talk about why it bothered you, though, as long as you know it's not something that will change.