In this episode of the ICU Podcast, we’re diving into the concept of pacing—a vital self-management strategy for people living with vestibular disorders. When dizziness, vertigo, brain fog, and fatigue are part of your daily reality, even routine activities can become overwhelming. We’ll explore how pacing helps individuals with vestibular dysfunction conserve energy, manage sensory overload, and create a more predictable rhythm in an often unpredictable life. Pacing isn’t about giving up—it’s about planning ahead, listening to your body, and protecting your vestibular system from being overstimulated. We’re joined by a patient who has learned to pace their days to avoid symptom flare-ups, and a healthcare professional who supports patients in integrating pacing into their treatment and rehabilitation plans.

Guests:

Tracey Franklin had just started a new job while recovering from a viral flu when she began experiencing fatigue, dizziness, and brain fog. A few months later, she went on sick leave, followed by disability. In 2018, she retired medically from her 30-year career as a publishing professional. Over the next six months, Tracey saw multiple doctors and underwent various tests and was diagnosed with Vestibular Migraine and Persistent Postural Perceptual Dizziness (PPPD). Along with ongoing VeDA support groups, vestibular rehab, cognitive behavioral therapy, and medical treatments, she manages these invisible disorders by getting adequate rest and pacing her commitments and activities. She hopes to build a bridge between the vestibular and medical communities, so others are diagnosed sooner. Tracey loves ice cream, writing, the beach, and snow. She lives with her husband of 21 years and their cat. She believes it’s her faith in God that continues to bless her with managing her conditions and having fewer symptomatic days.

Steph Fowler is a Licensed Clinical Professional Counselor and Certified Alcohol and Drug Counselor (LCPC, CADC). She is also a chronically ill, disabled, and neurodivergent therapist, writer, consultant, and coach who has lived with Long COVID since early 2020. After her health, work, and life were dramatically changed by this condition, she shifted her business and rebranded as Misfit Mental Health. She now focuses on supporting people in the chronic illness, disability, and COVID Conscious communities - as well as their loved ones and care providers. Earlier this year, Steph was featured in TIME Magazine, sharing her personal and professional insights on navigating healthcare and medical gaslighting. When she's not depathologizing non-conformity, she enjoys taking care of her houseplants, building LEGOs, spending time with her partner and their cat Ziggy, and all things macabre. Check out Steph's pacing workshop and other resources here: https://linktr.ee/misfit.mental.health.