Dopamine + Doubt: Untangling ADHD and OCD

Dopamine and Doubt is a podcast about the overlap between ADHD and OCD—and what happens when it’s hard to tell which one is driving the behavior.

Hosted by therapist Rachel Keefe, LCSW, the show explores ADHD and OCD symptoms including executive functioning difficulties, hyperfixation, reassurance seeking, intrusive thoughts, rumination, checking, avoidance, time blindness, and uncertainty.

Each short episode breaks down confusing or relatable experiences in plain language, with real-life examples and practical strategies. You’ll learn how ADHD and OCD can look similar, where they differ, and how to respond when your brain gets stuck trying to figure everything out.

Because the goal isn’t always to find the perfect answer. Sometimes, it’s learning to live with a little more uncertainty—and a little less doubt.

Podcasting since 2026 • 12 episodes

Dopamine + Doubt: Untangling ADHD and OCD

Latest Episodes

Using AI As An ADHD Accommodation Without Feeding OCD

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 o...

September 08, 2026 • Season 1 • Episode 12 • 7:34

ADHD Hyperfixation or OCD Reassurance Seeking Spiral: A Simple Framework

“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 ov...

September 01, 2026 • Season 1 • Episode 11 • 15:19

ADHD Hyperfixation or OCD Reassurance Seeking? How Can You Tell?

You can spend hours researching the same question for two totally different reasons and your brain will swear they’re the same. Sometimes it’s ADHD hyperfixation: energized, fascinated, locked in because the topic is rewarding. Other times it’s...

August 25, 2026 • Season 1 • Episode 10 • 13:02

The Checking Trap: When ADHD Accommodations Turn into OCD Compulsions

Checking can save you when you have ADHD, and it can also steal your life when OCD gets behind the wheel. Today I am breaking down a pattern I see constantly: the same outward behavior that supports executive function can also become a compulsi...

August 18, 2026 • Season 1 • Episode 9 • 11:02

ADHD Time Blindness: Why My Schedule Was....Optimistic

Your calendar says you have plenty of time. Your body says you’re already behind. If you’ve ever planned a full “before lunch” lineup and then looked up to realize you scrolled your phone, got gas, and somehow lost the whole morning, we’re talk...

August 11, 2026 • Season 1 • Episode 8 • 10:50

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