prokopetz:

It’s probably not surprising that folks with executive dysfunction often have little difficulty getting stuff done when there’s someone around to tell us what to do and supervise us doing it. What’s perhaps more surprising is that it’s not necessarily due to fear of punishment: having a supervisor is effective even if the supervisor in question has no ability to actually compel obedience. Basically, “following direct orders” seems to be a totally separate executive pathway from “self-motivating”, and having trouble with the one doesn’t necessarily mean having trouble with the other.

Which, of course, is why you can end up with situations where your own self-care is garbage, but caring for your pet is totally fine: the benefit of having a supervisor ordering you around can be realised even if the party giving the orders is a cat.