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Dopamine + Doubt: Untangling ADHD and OCD
Rachel Keefe, LCSW
ADHD Hyperfixation or OCD Reassurance Seeking Spiral: A Simple Framework
SEP 1, 202615 MIN
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Description
“One more article. One more Reddit thread. One more Google search.” If you’ve ever looked up and realized you’ve been researching the same question for way too long, you’re not alone and you’re not broken. I am talking about the ADHD and OCD overlap where hyperfocus and reassurance seeking can look almost identical, even though the “why” underneath is completely different.
I share the framework I use when stuck in that blurry space. First, we work with ADHD hyperfocus by building “exit ramps” instead of hard stops: movement breaks, body check-ins, alarms, transition cues, and simple boundaries like app blockers or scheduled hobby time. The goal isn’t to kill your focus or curiosity. It’s to protect the strength of hyperfocus while reducing the cost, so your body doesn’t end up running on empty.
Then we zoom in on the pivot point: “Am I still learning, or am I trying to feel certain?” I break down information seeking versus OCD reassurance seeking, why the “are you sure?” loop never feels finished, and how to tell when a question is answerable versus fundamentally uncertain. If you’re already in the spiral, I walk through practical OCD tools rooted in response prevention: naming the urge, using uncertainty statements like “maybe, maybe not,” delaying the compulsion for five to ten minutes, and reorienting toward what matters to you.
If you’ve been trying to out-research anxiety, this conversation gives you a kinder and more effective next step. Subscribe for more ADHD and OCD strategies, share this with a friend who gets stuck in loops, and leave a review with the question you want us to tackle next.
* **Episode Resource**: Download the original Information Seekers vs. Reassurance Seekers PDF developed by the Anxiety Disorders Center at the St. Louis Behavioral Medicine Institute
https://iocdf.org/wp-content/uploads/2016/04/18-Information-seekers-vs-reassurance-seekers.pdf
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