This question overlaps autism and ADHD, so won't apply to everyone...
My gf and I (both F) are both autistic, she also has ADHD. We're trying to cultivate a Dom/sub relationship that goes outside of the bedroom (I'm the dom). That usually (and for us) involves certain tasks and protocols to reinforce and enjoy a d/s dynamic.
The problem is that a lot of typical d/s tasks rely heavily on executive functioning - which just creates stress in our case. Things like "do a task following my instructions,and receive a reward (or punishment if not).
Although we both like the power exchange, the over functioning obviously backfires. We've had some success with "non-timed" tasks like "do this in the next few days" - but that can then lose the vibe / mood.
Anyone have good ideas in this area? I'm sure we're not the first couple to have this challenge!