Episodios

  • Ep 212 Navigating ADHD in Relationships: Insights from Dr. Tamara Rosier Part 2
    Jul 23 2025

    Text Dr. Lenz any feedback or questions

    In this episode, Dr. Tamara Rosier, author of 'You, Me, and Our ADHD Family,' shares valuable insights on managing life with ADHD. She discusses emotional regulation, self-awareness, and strategic support, highlighting the pitfalls of following every emotion. She also explores the complexities of romantic relationships involving ADHD, focusing on the importance of personal growth and setting boundaries. The episode concludes with a discussion on the benefits of ADHD coaching, emphasizing its forward-focused and practical problem-solving approach. Listeners are left with a message of hope and the importance of becoming a safe person for others.

    00:00 Introduction
    00:29 The Scorpion and the Skunk Analogy
    01:21 Emotional Errors and Big Emotions
    06:02 Navigating Romantic Relationships with ADHD
    07:52 Misguided Empathy in Relationships
    09:15 Advice for Those in Challenging Relationships
    19:04 ADHD Coaching and Therapy
    25:43 Conclusion and Key Takeaways

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    30 m
  • Ep 211 ADHD and Relationships with Dr. Tamara Rosier Part 1
    Jul 16 2025

    Text Dr. Lenz any feedback or questions

    In this podcast episode, Dr. Tamara Rosier, a renowned ADHD coach and author, discusses her experiences and insights on managing ADHD within families. She highlights the importance of understanding ADHD symptoms as neurological challenges rather than character flaws. Dr. Rosier shares personal anecdotes illustrating the impact of ADHD on her upbringing and family dynamics, emphasizing the need for compassion and understanding. She introduces the 'window of tolerance' concept to help manage emotional regulation, discusses the significance of building healthy familial relationships despite executive function challenges, and underscores the transformative role of medication in widening the window of tolerance. This episode provides valuable strategies for fostering better relationships in ADHD-affected families.

    Checkout the first of a 3 part interview I did with her 2 years ago.

    00:00 Introduction to Dr. Tamara Rosier
    01:31 Personal Stories and Family Dynamics
    03:44 Challenges and Compassion in ADHD Families
    06:16 Parenting with ADHD: Real-Life Examples
    10:48 The Window of Tolerance Explained
    25:21 Medication and Managing ADHD
    25:53 Conclusion and Key Takeaways

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    31 m
  • Ep 210 Chronic Fatigue Syndrome: Understanding the Overlap with ADHD. Dr. Joel Young Part 2
    Jul 9 2025

    Text Dr. Lenz any feedback or questions

    This episode delves into the intersections of ADHD, Chronic Fatigue Syndrome (CFS), and Fibromyalgia (FM), drawing on clinical observations and research findings. It explores how ADHD traits can overlap with symptoms of CFS and FM, particularly focusing on non-restorative sleep and exertional fatigue. The discussion highlights the struggles patients face, the importance of a systematic diagnostic approach, and the need for better education and understanding among healthcare providers. The episode also touches on co-occurring conditions like restless leg syndrome and the treatment. Practical advice is shared for both patients and clinicians on recognizing and managing these interconnected disorders.

    00:00 Introduction and Initial Observations
    00:37 The Impact of ADHD on Chronic Pain
    01:23 Public Health Implications of Chronic Fatigue Syndrome
    02:46 Challenges in Diagnosing Chronic Fatigue Syndrome
    04:06 Understanding Fatigue and Its Different Forms
    06:54 Restless Leg Syndrome and ADHD
    09:10 The Role of Exercise in Managing ADHD and Fatigue
    18:49 The Overlap Between ADHD and Autism
    25:14 Conclusion and Final Thoughts

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    31 m
  • Ep 209 Chronic Fatigue Syndrome: new research and Clinical Insights with Dr. Joel Young Part 1
    Jul 2 2025

    Text Dr. Lenz any feedback or questions

    In this episode, Dr. Michael, a pediatrician and author of 'Conquering Your Fibromyalgia,' discusses the connections between ADHD, chronic fatigue syndrome, and fibromyalgia with Dr. Joel Young, a psychiatrist and head of the Rochester Center for Behavioral Medicine. The conversation delves into their shared experiences and research on treating these overlapping conditions, highlighting findings from clinical trials on LDX (Vyvanse) and Sorial (Armodafinil) as treatments for chronic fatigue syndrome. They explore the prevalence of ADHD in patients with chronic fatigue and discuss the limitations of traditional neuropsychological testing in diagnosing ADHD. Dr. Young shares insights on the effectiveness of targeted interventions and presents his clinic's innovative diagnostic tool, Mind Metrics, which aids in identifying psychiatric disorders in patients.

    00:00 Introduction and Background
    01:17 Guest Introduction: Dr. Joel Young
    02:02 Dr. Young's Journey and ADHD Focus
    04:03 Exploring ADHD and Chronic Fatigue Syndrome
    07:00 Clinical Trials and Findings
    09:47 Patient Experiences and Qualitative Insights
    10:11 Ongoing Research and Future Directions
    17:05 Challenges in Diagnosing Chronic Fatigue Syndrome
    24:16 Discussion on Neuropsychological Testing

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    32 m
  • Ep 208 Exploring CFS: NIH Study Sheds Light on Neurological and Immune Dynamics Part 3
    Jun 25 2025

    Text Dr. Lenz any feedback or questions

    This detailed podcast episode delves into the findings of a study on Chronic Fatigue Syndrome (CFS) using functional MRI and immune system analysis. The speaker explains the technology behind functional MRI and what it revealed about brain activity, specifically in the parietal temporal junction, which showed hypoactivity in CFS patients. The discussion extends to immune abnormalities, highlighting immune cell exhaustion, and hypothesizing links to persistent infections. The episode emphasizes the need for interdisciplinary, evidence-based approaches to treating these 'invisible' illnesses and calls for more integrated, patient-centric research. Other discussed topics include the limitations of current medical specialization and the need for generalist knowledge, the role of gut microbiome, and potential lessons from oncology on immune checkpoints.

    00:00 Introduction to Functional MRI
    01:48 Understanding Functional MRI Findings
    04:08 Immune System Insights
    04:54 Cancer Research and Immune Exhaustion
    09:01 Genetic Susceptibility and Long COVID
    10:33 Holistic Approach to Medicine
    13:34 Challenges in Treating CFS and Fibromyalgia
    15:38 Future Directions in Research
    22:40 Gut Microbiome and Immune Response
    25:41 Neurodivergence and Immune System
    29:25 Conclusion and Final Thoughts

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    34 m
  • Ep 207 NIH CFS Study: Advancements in Chronic Fatigue Syndrome Research Part 2
    Jun 18 2025

    Text Dr. Lenz any feedback or questions

    In this episode, we delve into the ongoing research and new findings related to Chronic Fatigue Syndrome (CFS). The discussion covers the development of standardized diagnostic criteria known as the Hingston Criteria, as well as the discovery of biological abnormalities in CFS patients. Key areas of focus include the autonomic nervous system, heart rate variability, and muscle strength. The episode also touches on the concept of 'effort preference' and the complex interplay between sympathetic and parasympathetic nervous system activity in chronic conditions like CFS and fibromyalgia. Additionally, the episode previews upcoming discussions on findings from functional MRIs of the brain in CFS patients.

    00:00 Introduction and Importance of Defining the Disease
    00:15 The Hingston Criteria: A New Standard for Clinical Trials
    00:59 Biological Evidence and Clinical Trials
    02:13 Autonomic Dysfunction in Chronic Fatigue Syndrome
    04:14 Sympathetic and Parasympathetic Systems Explained
    08:24 Chronic Stress and Its Impact on Health
    10:21 Comparing Functional Somatic Syndromes and Stress-Related Syndromes
    20:59 Muscle Strength and Cognitive Effort in CFS
    22:28 Understanding EMG and Its Diagnostic Value
    26:57 Effort Preference and Its Clinical Implications
    28:42 Conclusion and Next Week's Preview

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Joy Lenz

    Fibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





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    45 m
  • Ep 206 The Science behind Chronic Fatigue Syndrome with Dr Nath Part 1
    Jun 11 2025

    Text Dr. Lenz any feedback or questions

    In this episode, we kick off a series on chronic fatigue syndrome (ME/CFS), often overlapping with fibromyalgia. The discussion features Dr. Avindrah Nath, a leading expert on neurologic infections and intramural clinical director at the NIH. Dr. Nath provides insights from his extensive research on ME/CFS, which includes a comprehensive study involving metabolic, neurologic, and cognitive tests. Delving into the relationships between post-viral syndromes, chronic fatigue, and fibromyalgia, Dr. Nath explains the intensive process of selecting pure patient samples for accurate study results and debunks common misconceptions. The episode also covers the criteria for diagnosing ME/CFS and fibromyalgia, highlighted by personal accounts from those living with these conditions, and explores the controversial topic of whether they represent the same or different illnesses.

    00:00 Introduction to Chronic Fatigue Syndrome and Fibromyalgia
    02:18 Meet Dr. Avira Nath: Journey into Chronic Fatigue Syndrome
    04:38 The NIH Study: Unveiling Chronic Fatigue Syndrome
    07:14 In-Depth Testing and Patient Selection
    09:44 Diagnostic Criteria: Chronic Fatigue Syndrome vs. Fibromyalgia
    13:24 Symptom Comparison and Overlaps
    25:34 Patient Experiences and Definitions of Fatigue
    29:00 Conclusion and Next Steps

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





    ...
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    32 m
  • Ep 205 What If the Problem Isn’t What You Think? with Heather Deangelis Part 2
    Jun 4 2025

    Text Dr. Lenz any feedback or questions

    In this episode, Heather addresses the misconceptions surrounding ADHD, particularly the notion that intelligent and successful individuals can't have ADHD. She emphasizes that ADHD can often be the underlying cause of various misdiagnosed conditions like depression, anxiety, and eating disorders. Heather discusses her evolved therapeutic approach, which involves providing more active coaching and grounding clients to prevent them from feeling like they're spinning without direction. She highlights the importance of self-trust, proactive self-care, and healthier dopamine sources for managing ADHD. The conversation also touches on the role of psychoeducation in relationships, the impact of chronic pain, and the benefits of finding the right type of therapy for ADHD. Heather concludes by encouraging listeners to examine and challenge the stories they tell themselves and to seek therapists who truly understand the ADHD brain.

    00:00 Addressing Misconceptions About ADHD
    01:35 The Role of a Therapist in ADHD Treatment
    02:48 Navigating Therapy for ADHD
    06:00 The Impact of ADHD on Relationships
    09:06 Understanding Dopamine and ADHD
    14:03 Personal Journey and Coping Strategies
    19:01 Final Thoughts and Encouragement

    International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

    Support the show

    When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.


    Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*





    ...
    Más Menos
    29 m