The ADHD Skills Lab podcast

Why ADHD Brains Excel at Starting Businesses (And Collapse at Scaling Them)

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With ADHD, a quick client callback runs long, you lose track of time, and the work you meant to do is still sitting there. Dr. Jessica McCarthy stopped taking those calls.

Dr. McCarthy is a licensed clinical psychologist and clinical neuropsychologist, and the founder and clinical director of Elements Psychological Services, a two-location assessment and therapy practice in New Jersey. She has ADHD and runs the practice around it.

She walks Skye through what she handed off, what she kept, and the one test she applies to every task. She also shares the automated billing mistake that told her whole practice she had changed her name before she was ready to say why.

What We Cover

  • Her test for any task: if it takes too much time, it gets handed off or it does not get done
  • Why call backs were one of the first things to go
  • Why digital records are harder on ADHD working memory than a stack of paper
  • What went wrong when an automated system ran exactly as designed
  • The part of her marketing she is still not willing to hand over

Connect With Dr. Jessica McCarthy

@dr.jessica.mccarthy

@elements_psych

Dr. McCarthy is a licensed clinical psychologist and neuropsychologist, specializing in neuropsychological and psychoeducational assessments and cognitive-behavioral therapy for children through adults. She focuses on neurodivergent populations, including ADHD, autism, and learning differences, and conducts medically-driven assessments for conditions like TBI, stroke, and dementia. Dr. McCarthy uses evidence-based behavior therapies such as ACT and CBT, and enjoys working with young adults and women of all ages navigating life transitions. Her approach emphasizes understanding the brain-behavior relationship and providing actionable recommendations for patients and families. She has worked in schools, medical settings, and private practice, offering a wide range of specialty care. Dr. McCarthy is also a recognized speaker and media contributor on topics related to neuropsychology and mental health.

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