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.

Contributors

Host

Rachel Keefe

Rachel Keefe, LCSW, is a therapist and the host of Dopamine and Doubt, a podcast exploring the overlap between ADHD and OCD. She brings both clinical experience and a genuine curiosity about the ways these conditions can look surprisingly similar—and why understanding the difference matters.

Rachel’s approach is practical, compassionate, and grounded in the idea that we don’t always need to find the perfect explanation or answer. Sometimes, the work is learning to tolerate uncertainty while finding strategies that actually work for the brain we have.