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Dopamine + Doubt: Untangling ADHD and OCD
Rachel Keefe, LCSW
Using AI As An ADHD Accommodation Without Feeding OCD
SEP 8, 20267 MIN
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Description
AI can feel like magic for an ADHD brain and like gasoline for OCD. I’m Rachel, a licensed clinical social worker who lives and works at the intersection of ADHD and OCD, and I’ve noticed the same tool can either support real-life functioning or quietly turn into reassurance seeking. The difference isn’t whether you use AI. The difference is the job you’re asking AI to do.
• how AI can be an ADHD accommodation through scaffolding and structure
• breaking big tasks into smaller steps to support executive function
• using AI for time estimation to reduce time blindness and unrealistic scheduling
• lowering decision fatigue with meal planning and prioritizing
• when AI supports OCD recovery by reducing compulsive rewriting and checking
• the difference between drafting help and seeking certainty about tone or outcomes
• using “read once and send” as response prevention practice
• a practical test: values-based action versus escaping uncertainty
If this resonates, subscribe so you don’t miss future episodes, share it with someone who’s navigating ADHD or OCD, and leave a review to help more listeners find the show. What’s one way you’ve noticed AI helps you move forward, or pulls you into checking?
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