How to use your Clinical Decision Engines From knowing the protocol to actually running it.

If you’ve read an ADHD strategy, understood it completely, and still couldn’t execute it when it mattered — this page is for you.

This is built for you if:

• You know what you’re supposed to do and still freeze when it’s time to do it

• You’ve tried strategies that worked once and then stopped without explanation

• The moment pressure arrives, the protocol you rehearsed goes blank

• You need something that adapts to your specific situation in real time, not a static checklist

What a Clinical Decision Engine actually is

It’s an AI prompt. Specifically, it’s the prompt I reach for when one of my own protocols isn’t moving — when I know the steps but something between my brain and the task is creating friction I can’t identify on my own.

Here’s what makes it different from a standard AI prompt: it doesn’t just tell you what to do. It asks about your situation first — what you’re stuck on, what’s happened so far, what’s already failed — and then produces a sequence built around exactly where your resistance is coming from.

One subscriber used the Task Initiation Engine on a morning she’d already lost two hours to. She wrote back: “It felt like talking to a clinician who already knew how I think.”

I ran every one of these against my own ADHD before it went into the library.

How to use them

You don’t need to be technical. If you can copy, paste, and answer a few questions, you can run one of these.

1. Pick the Engine that matches where you’re stuck. Task initiation. Context switching. Emotional flooding. Relationship friction. Choose the one that names what’s happening right now.

2. Paste it into Claude or ChatGPT and fill in what it asks for. Each Engine has bracketed prompts — your situation, what you’ve already tried, what the stakes are. The more specific you are, the more precise the output.

3. Follow the sequence it gives you. The Engine flags where you’re most likely to stall and gives you a modified approach for that exact point. If the first pass doesn’t move you, tell it what happened. It adjusts.

How these are different from the Clinical Consult prompts

The Friday Clinical Consult prompts are built for quick, daily use — one question, a fast answer, something you can act on in two minutes.

The Clinical Decision Engines are for harder moments. The task you’ve been avoiding for two weeks. The conversation you keep deferring. The morning that’s already collapsed and you need to recover it before noon.

These are the prompts I reach for when it actually matters.

Not a member yet?

The full Engine library is inside the ADHD Command Center. $10 a month, cancel anytime. Every Engine I’ve built is in there the moment you subscribe — plus whatever goes in next week.

[Subscribe and get instant access →]

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Understanding your ADHD and being able to act on it are two different problems. I know because I lived the gap between them for most of my career — a family physician who spent over a decade undiagnosed, building workarounds for a brain I didn’t have a name for yet. When I finally got my diagnosis, the understanding came fast. The execution took longer. What closed that gap wasn’t motivation or discipline. It was clinical infrastructure. Systems built around how the ADHD brain actually works at the moment performance is required.

That’s what’s inside here — built from the same frameworks I use with my ADHD patients in British Columbia. One subscriber called them “the first thing that actually worked on a Tuesday at 2pm when I was completely stuck.” I test everything against my own brain before it goes in front of yours.

If any of this is you, keep reading:

• You’ve been diagnosed but knowing what ADHD is hasn’t fixed how it feels in the moment

• You start mornings with a plan and lose it before 9am

• You go blank the moment a task actually matters

• Strategies work for two weeks and then collapse for no clear reason

• Your relationships absorb the friction your brain produces

• You’re high-functioning on paper and exhausted by the maintenance

Here’s what you have access to and how to use it.

The Protocol Database

Step-by-step guides for the specific moments ADHD breaks down — task initiation failure, emotional flooding, time blindness, relationship friction. Not general advice. Timed interventions with a clear sequence and a fallback when the first move doesn’t land.

One subscriber used the Task Initiation Protocol on a morning she’d been frozen for three hours. She wrote back: “First time an intervention matched what was actually happening in my body.”

Start here if you’re not sure where to begin. Every protocol works as a standalone.

The Clinical Decision Engines

Copy a prompt. Paste it into Claude or ChatGPT. Get a clinically-grounded action sequence in under two minutes.

I spend days refining each one before it goes in here. Every paid member who’s written back about these has reported using one within 24 hours of first reading it. These are the most-used resource in the membership — and the one I hear about most in reply emails.

The Article Archive

Every deep-dive I've written, in one searchable place. Use it as a reference library, not assigned reading. Search for the thing that's happening right now and read that one.

The Checklist Collection

Single-page quick-reference cards for the moments when you don't need an explanation — you need the next physical action. Print one, save it to your phone, or keep one open in a tab. The goal is that when your brain is at its lowest, the right behavior is one step away.

Get instant access to everything above 👇

Click below and you’ll land directly inside the Command Center. All four databases are open, organized, and searchable. It’s $10 a month, cancel anytime — takes about ten seconds to get in.

[Subscribe and get instant access →]

On how this gets updated:

New protocols, decision engines, articles, and checklists go in every week — usually right after a clinical session. If there’s a specific situation you’d like me to address, reply to any of my emails. That’s how protocols get built.

That’s it. One click, and you’re in immediately — plus whatever goes in next week.

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