ADHD Focus with David Pomeroy, MD

ADHD affects relationships, more often in a negative way over time. Actually, that may be the primary negative impact of ADHD on the lives of persons who  have it and their partners.

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Join Relationship Coach Phil Boissiere, an Adult ADHD Specialist in the San Francisco area, and myself as we explore the uses of Cognitive Behavioral Therapy in meeting the challenges of the impact of ADHD on relationships.

They discuss how ADHD impacts relationships through emotional dysregulation, executive dysfunction, and communication barriers. They emphasize that ADHD symptoms are often mislabeled as personality flaws, causing resentment. Using Cognitive Behavioral Therapy (CBT), they suggest managing the “thought-feeling-behavior” cycle to improve responses to triggers.

The experts advocate for a combination of medication to address biochemical imbalances and CBT to build practical skills like time management and mindful communication.

Ultimately, they highlight that accepting the challenges and working together to learn proactive strategies can transform negative cycles into constructive connections between partners.

There is hope! Listen and learn!

Contact Phil Boissiere: https://cognitivetherapysf.com/

Check out our video chat here!

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What might explain the increase in the diagnosis of ADHD over the past 30 years, especially in the last 10 years? Overdiagnosis or Underdiagnosis – is ADHD increasingly diagnosed inaccurately, is it just a “fad” diagnosis? Or is ADHD mis-diagnosed as another condition or missed entirely as the explanation for symptoms a person has, symptoms which reflect difficulty dealing with whatever is happening in that person’s life at that given time? Each of these possibilities has consequences, the more significant impact is upon a person’s life trajectory when the diagnosis of ADHD is missed.

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Helping me explore these important questions is my guest Mark Stein PhD, a Professor of Psychiatry and Pediatrics at the University of Washington and the founder of the ADHD Clinic at Seattle Children’s Hospital. He also has a private practice for diagnosis and treatment of adolescents and adults with ADHD in Seattle. Mark brings the expertise of a clinician with 40 years of clinical and research experience in the field of ADHD to the show; years during which the knowledge about ADHD has increased exponentially, knowledge of what it is and also what it is not. Listen, and learn!

Check out our video chat here!

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“I just can’t get motivated”.  “I know I need to (fill in the blank ___) BUT I DON’T WANNA!”.  “My motivation goes away in the afternoon, doc. Do I need a higher dose of medication?”.

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What is motivation anyway? Why do we avoid, put off, get all wound up over tasks which are no big deal? And how can we find some? 

Join me and my guest Dr. Tamara Rosier as we work through those questions. Tamara is an ADHD coach, founder of the ADD Center of Central Michigan, and the author of two superb books on ADHD (Your Brain’s Not Broken and You, Me, and Our ADHD Family), among her many roles in life. She explains her methods of unpacking motivation problems and offers a re-frame on how to get going, how to create motivation on our very own. 

She tells us that people with ADHD struggle with motivation because they have erroneous expectations of consistent motivation and don’t have on-demand motivation like non-ADHD individuals. She outlined three key areas where motivation problems arise: 

Motivation is based upon emotion, which raises all kinds of complications for those of us with ADHD. 

Our discussion also explored how women with ADHD face additional challenges due to societal expectations around cleanliness and over-functioning in families, leading to shame and judgment. The “window of tolerance” is her concept for the optimal state between hyperarousal and hypoarousal, where people can think clearly about their personal situation, uncover the barriers to getting started, and learn how to use the time they are “in the time window” of tolerance, a time not disturbed by scrambling overactivity nor by mental exhaustion, to find motivation. Tamara shared practical strategies including using music, physical movement, and the shock effect of cold water (no, not poured over one’s head) to shift out of hypoarousal states. We concluded our discussion exposing some of the harmful beliefs about motivation, including the false belief that motivation requires high energy levels and that “I can’t” statements freeze us into inaction.

Listen, and learn! 

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Gaming/Internet addiction. Excessive screen use. How can you tell the difference? What do you do if you or someone you live with appears to have  a problem with it? What are ways to prevent problem use and to promote healthy use? We cannot escape from the presence of screens – laptops, tablets, phones – in our lives. It is possible to find the balance of using screen devices for productive/creative uses, entertainment purposes, and social interactions, in your life and the lives of those in your family. My guest Jeremy Edge is a certified gaming disorder counselor, his counseling practice is Escapingthe.com . Join Jeremy  and I as we answer these questions * and others in our discussion of distinguishing between healthy and unhealthy screen use, and spotting when use has become a true addiction disorder. It is a risk we all face, there are ways to reduce the chances of it becoming a habit which interferes with a person’s ability to participate in real life instead of escaping into cyberspace in any of its manifestations.

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Here’s a look at our video chat:

Resources mentioned in this show include the book How to Raise a Healthy Gamer by Dr. Alok Kanojia (aka Dr. K) and the online courses for parents “Powered Up Parents”. Use these to learn more about how gaming and screen use affects individuals and how to deal with it in a positive way. Jeremy offers other information and resources on his website www.escapingthe.com .

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Burnout. Too much friction in one’s life, just can’t keep fighting the battles – work harder, do everything just right (someone else’s way), finally at the point of not wanting to do…anything. 

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For anyone else. For yourself. How do you break out of that? How can you reconnect to your purpose in being alive (or find it)?  Join my guest Dr. Fred Moss and I as we wrestle with the issues of being one’s authentic self, coping with burnout and turning it around, finding human connection and reducing friction in our lives. It is a wide-ranging free-form show! 

Here’s a look at our video chat:

Dr, Fred calls himself a Recovering Psychiatrist, he is the author of two books, a group leader, a speaker and a healer. His latest book Welcome to Humanity explores these issues from within his own life; the book is “A Psychiatrist’s Memoir and Case Against the Mental Health System”, published in July 2026 (hot off the presses!). You can also find him online at whoisdrfred/podcast.  Join us! Listen and learn! 

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Would you recognize the early warning signs of burnout in yourself?  Do you know what burnout feels like? Are you feeling overwhelmed, trying harder but feeling further and further behind? Stop, step back, and take a look. That’s what this episode is all about, unpacking how to recognize burnout  and developing your personal burnout prevention plan. Join me and my guest Pippa Simou, a coaching psychologist in the UK, as we walk you through how to create your very own.

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Here’s a look at our video chat:

We each have our own flavor of ADHD, and each person’s prevention plan is going to look different as well. Starting with 10 domains of life, of being alive as a human being, we talk about what they are, how to look at your life through these lenses, and how to use that to live without struggling through each day, , aware of how to replenish your energy over the day, and living as a human being, not a human doing. Join us! Listen, and learn!

Pippa Simou has earned the status of Chartered Coaching Psychologist through the British psychological society. She has a growing reputation as a go-to source for women and girls about all things ADHD (though her work extends to all genders as well) She is passionate about raising awareness of the nature of ADHD and its impact on individuals in their personal lives, in education, family life, relationships, and in the workplace.

Her coaching practice is The ADD-vantage, at https://www.theADD-advantage.co.uk 

Pippa’s Burnout Prevention Plan can be found right here!

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Do you find Artificial Intelligence (ai) baffling, mysterious, useful, fantastic, or dangerous…or any combination of those? It is a great tool for persons with ADHD to simplify, organize, brainstorm, revise emails and articles, create custom ToDo lists, meal planning, organize thoughts hanging around in your mind (kinda. As if any ADHD mind can be organized …and much more well beyond my understanding. My guest Tara McGillicuddy and I talk through many of the ways ai can help make your ADHD life smoother and less stressful. Really. It’s not hard. Listen, and learn!

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Tara McGillicuddy is founder and co-host of the longest-running podcast about ADHD, ADHD Support Talk Radio https://adhdsupporttalk.com, she is also an ADHD Coach; you can find her at https://taramcgillicuddy.com

Check out our video chat here!

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If there were some fairly simple changes to your environment and to your habits which you could make to get more energy, better focus, and reduce the exhaustion of overwhelm, would you want to know about them? You are in the right place! Join my guest Brooke Erickson, RD and I as she explains how our exposure to light and darkness controls our human circadian rhythm, the air traffic controller of our brain and body functions. Our modern lifestyles keep this rhythm off-balance; the result is high cortisol levels, lower dopamine production, poor sleep, altered body metabolism, and using sugar to get the dopamine hits that sustain brain activity but in unhealthy ways.  Listen (or watch) as we explore how to get our circadian rhythms back on track. (Hint: Change the timing, wavelengths and brightness of light exposure over the day and into the evening.) Listen, and Learn ! 

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Brooke Erickson is a functional holistic nutritionist whose clinical practice focuses on helping people relieve stress, gain energy and focus, by getting at the root causes of the dysfunctional patterns into which they have fallen. Find her on ThriveWithBrooke.com and on Instagram at Thrive_With_Brooke.

Here’s a look at our video chat:

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Anxiety, the tightness in your chest, shoulders rising up toward your ears, dry mouth, sweaty palms, heart pounding…sound / feel familiar? Anxiety goes hand-in-hand with ADHD, the flip into fight/flight/freeze when you feel overwhelmed, when you tell yourself you are not measuring up (again), when you worry you will fail again. Negative self-talk and fear of what will happen triggers cortisol, the stress response hormone which gears your brain up for action. Cortisol also cuts off the pathways to the think-things-through parts of your brain, the executive function part. Constant stress keeps cortisol levels high, interfering with thought processing, memory, attention and keeping hypervigilance going. That is exhausting !

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What if you could drop your anxiety levels in half within 5 minutes? What if you had the tools to do that with you all the time? Tapping is an Emotional Freedom Technique. EFT changes brain chemistry, changes self-perception, opening up more possibilities than fight/flight/freeze reactions. My guest in this episode is Theresa Lear Levine, a Master EFT Practitioner who has lived the overwhelmed anxious life and transformed that into a lower stress confident approach to life. We discuss how EFT works and how to use it, when to use it, and even demonstrate the process! Theresa has many resources available for us to learn more about EFT, many are free and can get you started.

Join us as we discuss how EFT can reduce your anxiety, the universal sidekick to ADHD of all types. Listen and learn!

Here’s a look at our video chat:

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Are you thinking of moving to another country, for a job, for school, retirement, or just because? It’s not like moving to another city or another State! Impulsivity of ADHD is not a good idea here, we have to think carefully about doing so, there are challenges for neurodivergent folks which are not there for others. It can work out, to be sure, it could be a wonderful experience. Or not. Here are great tips and some cautions about such a move from an experienced diplomat and world traveler.

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Join my guest Tamarind Murrietta and I as we explore all the details of moving to a new country. Tamarind, who has nearly 20 years of overseas experience and has worked in the U.S. Foreign Service, joins me to discuss the complex layers involved in such transitions, including developing new systems, navigating different cultures, and handling bureaucracy while managing ADHD symptoms. She highlights the additional challenges faced by neurodivergent individuals when uprooting themselves from familiar environments and establishing new routines in foreign countries.

She can coach you through the process in her business, LiveabroadwithADHD.com (website); also on social media under the same name.  Join us for a fascinating look into what can be a fantastic adventure! Listen and learn! 

Here’s a look at our video chat:

https://youtu.be/6TTikLcd0JQ

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