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Elizabeth Climis joined Momma on July 13, 2020 for a live Q&A via Twitch and YouTube to talk about Productivity Management w/ Mental Illness
About Elizabeth
Elizabeth is a Marriage and Family Therapist living and working in Mass.. She has a BA in Psychology and an MA in Marriage and Family therapy and has been doing in-home family therapy through non-profit agencies for the past 7 years. Elizabeth’s work is primarily with children ages 3-21 who are experiencing a wide range of mental illnesses. She also received training in TFCBT (Trauma Focused Cognitive Behavioral Therapy) and works to help her clients and their families process their trauma in a safe and healthy way. Elizabeth is also a gamer who got started early with boardgames and discovered a whole new genre of gaming in college, first joining the Dungeons and Dragons club then getting into video games. She loves all things nerdy and works to bring these passions into her work as a clinician, using video games, Dungeons and Dragons, and boardgames to teach social skills, communication skills, and to practice managing emotions.
Episode Summary
Listen to this if you've ever felt like a failure because productivity tips designed for neurotypical brains don't work for yours.
Managing productivity when you're dealing with ADHD or depression feels impossible some days. Elizabeth Climis came back to Even Tacos Fall Apart to talk about why our brains work against us and what we can actually do about it.
Elizabeth is a marriage and family therapist who's been doing in-home family work for eight years. She's also someone who got diagnosed with ADHD as an adult. That combination of professional expertise and personal experience makes her perspective valuable in ways that go beyond textbook answers.
The conversation started with a truth bomb: time blindness is real and it's brutal. When you have ADHD your brain simply doesn't register time passing the way neurotypical brains do. You look up from a task and three hours disappeared. Or you think five minutes passed but it's been thirty seconds. Elizabeth explained that this happens because ADHD brains struggle with executive function. We're not lazy or careless. Our brains genuinely can't hold onto time awareness while focusing on other things.
Depression adds its own layer of difficulty. When you're depressed everything feels heavy and meaningless. Productivity becomes about survival rather than achievement. Elizabeth pointed out that we need to stop treating productivity like a moral issue. Your worth isn't measured by your output.
Elizabeth talked about external systems being far more helpful since our internal ones are unreliable. Timers and alarms become essential tools. She mentioned using visual timers that show time as a shrinking pie chart because seeing time helps when you can't feel it passing. Breaking tasks into stupidly small steps matters too. Not "clean the kitchen" but "put three dishes in the dishwasher."
The concept of body doubling came up as a game changer for many people with ADHD. Having another person present even if they're doing their own thing creates accountability without pressure. It's why study groups work or why you suddenly clean when guests are coming over. Your brain needs that external anchor.
Elizabeth stressed that systems need to be stupid simple or they won't stick. Complicated planners and elaborate routines fail because they require the exact executive function you don't have. She uses her phone for everything. Reminders go in immediately or they're gone forever.
One powerful point she made: stop fighting what actually works for you just because it seems weird or childish. If fidget toys help you focus then use them. If you need to pace while on phone calls then pace. If Star Wars music helps you concentrate then blast that soundtrack. What matters is finding your specific combination of supports.
The conversation also covered medication honestly. Elizabeth noted that medication isn't cheating and it's not a cure-all. It's a tool that can help level the playing field. For some people it makes an enormous difference. For others it's one piece of a bigger puzzle that includes therapy and environmental changes and support systems.
She wrapped up by addressing the guilt spiral that happens when productivity tips don't work. When every strategy fails it feels personal. But the strategies aren't failing because you're doing them wrong. They're failing because they weren't designed for brains like yours. The answer isn't to try harder. It's to try different.
Managing productivity with mental illness means accepting that your brain works differently and building systems around that reality instead of fighting it. Some days you'll get stuff done. Some days survival is the accomplishment. Both are valid.