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Building Trust and Effective Communication in Chronic Pain Care with Michelle Makos

In part two of this enlightening conversation, Michelle Makos shares practical strategies for building trust and effective communication between patients and clinicians, emphasizing the importance of validating patients' experiences. Michelle discusses the innovative peer method that is helping transform pain care, reflecting on the complexities in the patient-provider relationship. She offers valuable insights into understanding patients' values and addresses the essential role of self-efficacy and motivation in managing chronic pain. Through her work with Moving Through Chronic Pain and the pain management commission in Oregon, Michelle is dedicated to improving care and education for both patients and providers. This episode is a must-watch for anyone dealing with or treating chronic pain.

00:00 Introduction and Recap of Part One
00:21 Building Trust and Effective Communication
03:14 Understanding Patient Values and Experiences
08:56 The Role of Peer Support in Chronic Pain Management
19:56 Functional Assessment and Validation
29:47 Conclusion and How to Get Connected

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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.*

Text Dr. Lenz any feedback or questions

Navigating Chronic Pain: Insights and Support with Michelle Marikos: Part 1

In this episode, we transition from clinical perspectives on fibromyalgia to the lived experiences of chronic pain sufferers. Special guest Michelle Marikos shares her profound journey through chronic pain, surgeries, and the challenging world of opioid treatment. Highlighting the importance of peer support and clear communication, Michelle discusses her work with the PEER method, which supports both patients and healthcare providers. Her story underlines the interconnectedness of chronic pain with family and community, advocating for empathy and effective communication in managing pain. This conversation offers vital insights for both patients and providers, emphasizing that while a cure may not be immediate, there are ways to live a meaningful life alongside chronic pain.

00:00 Introduction to Michelle's Journey
00:49 Meet Michelle Marikos
02:42 Michelle's Early Life and Injury
04:02 The Struggle with Chronic Pain
10:05 Discovering ADHD and Its Impact
15:03 The Role of Family in Chronic Pain
17:28 The PEER Method and Provider Training
19:35 Expectations and Misunderstandings in Chronic Pain
28:14 Reflections on Medical Training and Communication
31:31 Conclusion and Final Thoughts

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

Practical Strategies for Managing Chronic Pain in Children: Insights with Dr. William Frye

In this episode, Dr. William Frye delves into practical strategies for families and clinicians to help children manage chronic pain. Building on the challenges discussed in part one, he emphasizes the importance of non-pharmacological and multidisciplinary approaches, including sleep, nutrition, and healthy routines, alongside mental health. Dr. Frye highlights the significance of tracking headaches, establishing functional goals, and reducing catastrophizing thoughts through psychoeducation. Additionally, he shares success stories and offers hopeful perspectives for families navigating chronic pain management.

00:00 Introduction and Recap of Part One
00:21 Practical Strategies for Managing Chronic Pain
00:57 Non-Pharmacological Approaches
04:52 Importance of Sleep and Healthy Routines
07:02 Tracking and Understanding Headaches
11:49 Focus on Functionality Over Pain Reduction
17:03 Psychoeducation and Pain Catastrophizing
19:51 Success Stories and Final Thoughts

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

In this episode, we explore the complexities of pediatric chronic pain with Dr. William Frye, a pediatric psychologist at Johns Hopkins All Children's Hospital. Dr. Frye discusses the extended journeys families often undertake before reaching specialized care, the prevalence and challenges of polypharmacy, and the significant role non-pharmacological and multidisciplinary approaches play in managing pediatric chronic pain. The episode also delves into the importance of mental health, comprehensive patient assessment, and individualized treatment strategies. Dr. Frye emphasizes the need for holistic care, citing high rates of anxiety, depression, and even suicidal ideation among patients, and sheds light on the unique challenges neurodiverse individuals face. Stay tuned for part two, where practical strategies for managing chronic pain will be discussed.

00:00 Introduction to Dr. William Frye
01:27 Dr. Frye's Background and Journey into Pain Psychology
02:24 Overview of the Headache Study
03:33 Key Findings and Surprising Results
05:41 Challenges in the Healthcare Journey
08:05 Balancing Medication and Non-Medication Treatments
14:47 Mental Health's Role in Chronic Headaches
20:16 Unique Challenges for Neurodevelopmental Conditions
24:11 Benefits of Multidisciplinary Care
26:19 Conclusion and Preview of Part Two

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

Celebrating Four Years: Reflections, Fibromyalgia Insights, and Practical Tips

In this special fourth anniversary episode of the podcast, we reflect on four years of sharing expert interviews, insights, and listener stories. Join us as we celebrate this milestone with a scenic walk around Fowler Lake in Oconomowoc, Wisconsin, discussing the importance of movement and environment for those living with chronic pain. The episode delves into the science and personal stories behind fibromyalgia, chronic fatigue, and other invisible illnesses, exploring common misconceptions and frequently asked questions. We also provide practical tips for managing fibromyalgia and chronic pain, discuss the overlaps with ADHD and autism, and highlight the journey of understanding these complex conditions. Whether you're listening or watching on YouTube, this episode offers a blend of personal reflection, medical education, and encouragement from our growing community.

00:00 Welcome to Our Fourth Anniversary Celebration!
00:22 Reflecting on Our Journey and Future Plans
00:34 Practical Tips for Managing Chronic Pain
01:00 The Importance of Movement and Environment
01:11 Understanding Fibromyalgia and Invisible Illnesses
01:20 Personal Stories and Medical Insights
09:42 Exploring Nociplastic Pain Syndromes
25:04 The Role of Environment in Managing Fibromyalgia
27:58 Conclusion and Gratitude

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

Navigating ADHD in a Complex World: A Deep Dive with Dr. Emily Wood

In the final episode of a three-part series, Dr. Emily Wood, a pediatric and adult psychiatrist with a focus on neurodivergent individuals, discusses pressing issues in ADHD care. Topics include the potential over-diagnosis and over-prescription of ADHD, the impact of stimulant shortages, and the repercussions of outdated policies and stigma. Dr. Wood highlights how modern societal pressures may amplify ADHD symptoms and advocates for medications as vital support rather than a last resort. The conversation spans the implications of legislation, stimulant classification, and the broader societal impact of untreated ADHD. The episode provides crucial insights for individuals with ADHD, their families, and healthcare professionals. Dr. Wood also shares her experiences and the importance of adapting treatment to meet current needs, emphasizing the significance of recognizing neurodiversity and providing comprehensive care.

00:00 Introduction and Episode Overview
01:10 Are We Overdiagnosing ADHD?
01:27 The Impact of Modern Life on ADHD
02:36 Medication and Safety Concerns
04:15 Stimulant Shortages and Policy Issues
09:25 Reclassifying Stimulants: Pros and Cons
15:16 Personal Stories and Broader Implications
17:56 Final Thoughts and Future Directions
23:57 Connecting with Dr. Emily Wood
26:19 Conclusion

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

In part two of a three-part series, Dr. Emily Wood, a certified psychiatrist at SpectrumPsych, delves into the complexities of ADHD, autism, and their intersections with chronic pain syndromes. The episode covers the science behind stimulant medications, how they impact the brain, and their efficacy in treating core ADHD symptoms, improving emotional regulation, relationships, and long-term health outcomes. Dr. Wood also shares a compelling case study of a late-diagnosed autistic adult with ADHD. The conversation addresses public misconceptions about addiction, over-prescribing, and the erroneous links between vaccines and autism, while discussing the challenges posed by medication shortages.

00:00 Introduction and Episode Overview
01:33 Understanding Stimulant Medications for ADHD
06:14 Real-Life Impact of Proper Diagnosis and Treatment
11:16 Addressing Myths and Misconceptions
15:09 Genetics and Multifactorial Nature of Autism
19:25 Concerns About Stimulant Addiction
27:07 Comprehensive Treatment and Patient Stories
33:11 Conclusion

Click here for the YouTube channel

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.*

Text Dr. Lenz any feedback or questions

In the first of a three-part interview, Dr. Emily Wood, a board-certified psychiatrist and PhD neuroscientist, discusses the complex links between neurodevelopmental conditions such as ADHD and autism, and chronic pain syndromes like fibromyalgia and chronic fatigue syndrome. Dr. Wood, who heads Spectrum Psych LA, sheds light on why these conditions are often overlooked in high-masking individuals and women and explains the sensory processing differences that contribute to chronic pain. The conversation touches on the shortcomings in traditional psychiatric training and the importance of reevaluating medical education to better serve neurodivergent individuals. Dr. Wood also shares insights from her unique training path and discusses the broader implications of misdiagnosis and lack of understanding in the medical community.

00:00 Introduction to Dr. Emily Wood and Her Unique Expertise
01:11 Exploring Overlooked Neurodevelopmental Conditions in Women
01:55 The Intersection of Neurodevelopmental Disorders and Chronic Pain
02:52 Dr. Wood's Journey and Insights into Psychiatry
06:27 Challenges in Medical Training and Diagnosis
15:54 Implications of Misdiagnosis and the Importance of Listening
26:11 Concluding Thoughts

Click here for the YouTube channel

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.*