Burning Money

OT for Financial Chaos: ADHD, Autism, & Money Management

November 14, 20254 min read

If you are a neurodivergent adult or part of a neurodivergent family, you know the financial stress that comes from missing deadlines, overspending, or constantly replacing lost items. It feels like a permanent, invisible drain on your bank account.

The reason these problems persist isn't a lack of effort. From an Occupational Therapy perspective, chronic financial chaos is a symptom of a constantly taxed nervous system and a lack of external structure. The brain's control system struggles to manage the multi-step tasks that keep finances predictable.

We must stop fighting the symptoms and start addressing the why—how your unique nervous system wiring leads to financial instability.

  • The ADHD Brain: The challenge often stems from a nervous system that needs meaning or interest to engage its attention. If a task is boring (like reviewing a bill), the brain struggles to allocate the necessary energy to begin.

  • The Autistic Brain: The challenges stem from two main areas. Firstly, the monotropic focus means the brain can be easily overwhelmed by too many options or fine details (like reading dense legal terms), leading to cognitive shutdown. Secondly, difficulty is compounded by social anxiety when trying to resolve issues—tasks such as calling customer service to cancel a service or dispute a charge can require such immense emotional energy that the financial problem (and the cost) is simply avoided.

Here are the three ways neurodivergence creates financial strain, and how we use OT strategies to stop the bleeding and create stability in your financial world.

1. The Cost of Not Getting Started

The first hidden cost is the money you lose because the effort required to simply initiate a necessary task feels overwhelming. This isn't laziness; it's the result of a different brain wiring. It's a massive barrier to action.

  • Administrative Overload: You know you should call an organization for a better rate or submit a simple form for reimbursement, but the required steps feel heavy and uncertain. That mental effort costs you money every month in lost savings.

  • Missed Deadlines: Forgetting to submit receipts for an expense report, or putting off important applications because collecting the necessary files feels too difficult to start.

The OT Solution: We introduce external supports and regulation strategies to artificially lower that "getting started" barrier. We use rhythmic or pressure-based input to calm the nervous system, which frees up the brain's control system to handle the unpleasant task for short bursts.

2. Over-Spending During Hyperfocus

Money often flows out when the nervous system is trying to either find stimulation or escape it. These spending cycles are a form of self-regulation gone wrong.

  • Impulse Purchases for Regulation: Purchasing an item (which is often unnecessary!) to provide an immediate hit of excitement or comfort. This is your body searching for a fast source of dopamine or sensory input when you feel restless or stressed.

  • Over-Spending During Hyperfocus: Spending a large, unbudgeted amount of money on a new hobby, tool, or resource during a period of intense focus. While the interest is genuine, the lack of cognitive filtering at the time leads to financial imbalance later.

The OT Solution: Impulse spending is often a sign of dysregulation. We work on proactively identifying the early signs of stress before it becomes overwhelm (restlessness, tension) and implementing a pre-planned sensory strategy (like deep pressure or stepping outside into nature) that achieves the same regulated feeling without the financial cost.

3. The Cost of Disorganization

Money is frequently lost simply because the physical and digital environment doesn't support the brain's ability to locate or track items.

  • Replacing Lost Items: Buying another pair of glasses, a third label maker, or another set of tools because the originals are inaccessible or lost in clutter. Your environment makes locating things you need too high-effort.

  • Food & Subscription Waste: Food spoiling because it's forgotten in the fridge, or paying for multiple online services you don't use because tracking subscriptions requires too much mental effort.

The OT Solution: We use Environmental Modification to build a reliable system. Lasting change comes from arranging your physical space to support the brain's control system. This means creating clear, visible homes for all critical items and setting up automatic digital systems and simple intuitive budgeting systems so that the environment promotes and encourages success, even when attention lags.

By addressing the root cause—the nervous system—we can stabilize your daily life and allow your executive function to come back online, saving you time, energy, and money, and allowing you to finally build your life in a secure and fulfilling way.


Are you seeking to better support your ADHD or Autistic clients? Hoping to find more daily ease as a neurodivergent adult? Or guiding a neurodivergent child as they navigate their world? However you connect with neurodiversity, a path to understanding and a life that truly fits is possible. We're here to walk alongside you.

To explore how Occupational Therapy can help you find your unique flow and strategies tailored to your needs, we warmly invite you to join our free Open Office Hours and get to know us! Our twice-a-week virtual sessions are a relaxed space to ask questions, share insights, and connect with a supportive community.



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