The prefrontal cortex regulates "Prospective Memory" and "Temporal Discounting." Temporal Discounting is how the brain values immediate vs. future events. In ADHD, the discount curve is incredibly steep. The brain heavily prioritizes the immediate present (the relief of making someone smile by saying "yes") and aggressively discounts future consequences (the late-night panic attack 3 days from now). The future event mathematically feels like it "doesn't matter" until the exact moment it arrives.
Simultaneously, Rejection Sensitive Dysphoria (RSD) causes an extreme amygdala response to perceived social disappointment. When asked for a favor, the thought of saying 'No' triggers a literal threat-response in the emotional regulation center. To the ADHD nervous system, disappointing an authority figure or friend feels like a physical injury.
By saying 'Yes,' you instantly relieve the amygdala's fear of rejection. The brain rewards this action with a minor dopamine hit (the high of 'helping'). The prefrontal cortex, which should be analyzing your calendar and calculating capacity, is completely overridden by this intense emotional and chemical transaction.
