ADHD and Fibromyalgia


Shared Threads Between ADHD and Fibromyalgia

1. Nervous System Sensitivity


Both ADHD and Fibromyalgia involve a heightened sensitivity in the nervous system.

  • ADHD: the brain processes stimuli differently—often too much, too fast
  • Fibromyalgia: the body amplifies pain signals (called central sensitization)

In both, the system isn’t broken—it’s over-responsive.


2. Neurotransmitter Imbalances


Both conditions are linked to irregular levels of key brain chemicals:

  • Dopamine ? motivation, focus, reward
  • Serotonin ? mood, pain regulation
  • Norepinephrine ? alertness, stress response

This overlap explains why people may experience both focus challenges and chronic pain or fatigue.


3. Brain Fog & Cognitive Strain


Many describe:

  • Forgetfulness
  • Difficulty concentrating
  • Mental fatigue

In ADHD it’s often called distractibility; in fibromyalgia, it’s commonly known as “fibro fog.”
But the lived experience can feel very similar—like trying to think through mist.


4. Sleep Disturbances

Sleep is often disrupted in both:

  • ADHD: difficulty settling the mind
  • Fibromyalgia: non-restorative sleep (you sleep, but don’t feel rested)

This creates a loop ? poor sleep ? worse symptoms ? more poor sleep


5. Emotional Regulation & Stress Sensitivity

Both conditions can heighten emotional responses:

  • ADHD ? emotional impulsivity, overwhelm
  • Fibromyalgia ? stress can trigger pain flares

The body and mind are deeply connected here—stress is not just emotional, it becomes physical.


6. Co-occurrence (They Often Show Up Together)

There’s growing awareness that people with ADHD are more likely to also experience fibromyalgia (and vice versa).

Why? Likely due to shared underlying patterns:

  • Nervous system dysregulation
  • Trauma or chronic stress history
  • Genetic predispositions

A Gentle Way to See It

Rather than viewing either condition as a “fault,” many now see them as different ways of processing the world—with heightened awareness, sensitivity, and responsiveness.

That sensitivity can be exhausting…
but it can also carry deep intuition, empathy, and perception when supported well.


Support Approaches That Often Help Both

  • Nervous system regulation (breathing, gentle movement, meditation)
  • Consistent sleep rhythms
  • Anti-inflammatory nutrition
  • Mind-body practices (like EFT, yoga, somatic work)
  • Structured but flexible routines

The Role of Trauma & Life Experience

Many people with ADHD and Fibromyalgia share a history of prolonged stress or emotional strain.

Not always dramatic trauma—but:

  • long-term pressure
  • feeling unseen or misunderstood
  • constantly adapting to fit in

Over time, the body learns to stay “on alert.”
That alertness can later show up as:

  • racing thoughts (ADHD)
  • amplified pain signals (fibromyalgia)

The body remembers… even when the mind has moved on.


The “Push–Crash” Cycle

This is a big one—and often misunderstood.

Many people experience:

  • bursts of energy, creativity, or hyper focus
  • followed by deep fatigue or pain flares

This isn’t inconsistency—it’s a nervous system rhythm.

The challenge is learning:

  • when to ride the wave
  • and when to gently step back before the crash

That awareness becomes a form of self-leadership.


Sensory Overload Isn’t Just Mental

With ADHD, sensory overload is often talked about in terms of noise or distraction.
With fibromyalgia, it can show up as:

  • light sensitivity
  • sound sensitivity
  • touch sensitivity (even clothing can feel uncomfortable)

It’s the same root:
the system is taking in more than it can comfortably process.


The Diagnosis Gap (Especially for Women)

Many women are:

  • diagnosed late with ADHD
  • or never diagnosed at all

Instead, they may first receive labels like:

  • anxiety
  • depression
  • chronic fatigue
  • fibromyalgia

Only later does the fuller picture emerge.

This can lead to years of:

  • self-doubt
  • pushing harder to “cope”
  • feeling something is off but not knowing what

The Body Isn’t Fighting You

This is perhaps the most important shift.

Instead of seeing symptoms as something to fight…
you can begin to see them as messages:

  • Pain ? “something needs tending”
  • Fatigue ? “you’ve gone beyond your reserves”
  • Distraction ? “your mind needs a different rhythm”

When listened to, the body often softens.


Regulation Over Control

Traditional approaches often focus on “managing” or “fixing.”

But what tends to help both conditions most is:

  • calming the nervous system
  • creating safety in the body
  • allowing rhythms instead of forcing structure

Simple things can be powerful:

  • slow breathing
  • gentle movement (not pushing)
  • reducing overstimulation
  • giving yourself permission to pause

A Perspective That May Resonate With You

There is often a deep, intuitive, perceptive nature in people with these experiences.

They:

  • feel more
  • notice more
  • sense more

Without support, it overwhelms.
With support, it becomes:

  • insight
  • empathy
  • creative intelligence
  • wisdom in action

A Closing Reflection

What if this isn’t something to “overcome”…
but something to understand, support, and work with?

Not less of you…
but a gentler, more aligned way of being you.


Sara Troy

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ReAlign with Kassandra Hamilton MH26-04.


Mental Health Awareness with Sara Troy and her guest Kassandra Hamilton, on air from January 27th

I do this work because I know what it’s like to look successful on the outside while feeling disconnected, exhausted, and unsure on the inside. After navigating burnout, grief, identity-loss, and the pressure to hold everything together, I realized that real change doesn’t come from pushing harder. Instead, it comes from listening inward and restoring safety, clarity, and self-trust in the body and nervous system. Today, I support high-achieving women who are tired of living on autopilot to reconnect with their energy, boundaries, and purpose, so they can build lives that feel as good internally as they appear externally. My message is simple but powerful: alignment is something you remember, not something you earn.



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Kassandra Hamilton (known as Kazz) is an alignment coach, speaker, author, and local singer-songwriter whose work is grounded in her background in global and community health and her lived experience of burnout and reinvention. Through years working within health systems, she witnessed how burnout, over-functioning, and disconnection are often treated as individual problems rather than systemic and nervous-system realities; a perspective she shared in her recent TED-style talk. That insight became the foundation for her Inside Out Framework™, which supports sustainable wellbeing by addressing regulation, boundaries, and self-trust before performance, productivity, or purpose.

Today, Kassandra works with high-achieving women who appear capable and successful on the outside but feel depleted or misaligned on the inside. Through the Inside Out Framework™, she helps clients restore energy, reconnect with their bodies, and make aligned choices that honour both their humanity and their leadership. Her work spans private coaching, group programs, speaking engagements, and experiential healing.

Alongside her coaching practice, Kassandra is a practicing healer offering Ayurvedic head massage, bio-energy healing, and sound healing, and works weekly at Triple Moon in downtown Nanaimo. She is also a volunteer with restorative justice programs for youth, supporting accountability, repair, and reconnection. Outside of her professional work, she is a storyteller and musician who writes and performs original music, hikes with her dog, and loves learning about new cultures through travel.

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MH25-50. Reconnection with Colleen Franklin


Mental Health Awareness with Sara Troy and her guest Colleen Franklin (RCC), on air from December 16th

I became a counsellor because I wanted to help people understand themselves and their struggles in a way that opens the door to healing, growth, and joy again. So many people move through life feeling disconnected from who they really are, and I’m passionate about helping them reconnect with themselves and find a steadier, more hopeful way forward. My work focuses on supporting people who are carrying trauma, burnout, and overwhelm—people who often feel lost in the noise of life and need a space to breathe and realign. I want my clients to feel seen, heard, and valued for the incredible worth they bring into the world. I deeply believe people have a strength within them they don’t always recognize. They have already survived and overcome so much, and yet they continue to show up, strive, and fight for something better. They deserve the support that honours that resiliency and helps them move toward the life they want.  



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I’m a Registered Clinical Counsellor based in Nanaimo, BC, and the founder of Sandstone Counselling. My path into this work grew from a lifelong curiosity about how people make sense of their emotions and navigate the harder seasons of life. Over time, I’ve built a practice grounded in compassion, clarity, and a deep belief that people deserve to feel reconnected to themselves and feel joy in their life. Today, I support adults working through trauma, burnout, overwhelm, grief, and life transitions, as well as first responders. Outside of my counselling work, I’m a mom, a nature lover, and someone who values calm, connection, and authenticity. Whether I’m in session or out in the community, my goal is to create spaces where people feel supported, understood, and empowered to move forward in a way that feels true to them.  

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Every show we create is supported by generous contributions. If this episode inspired you, please consider helping us continue the work—with a one-time gift or an ongoing subscription. Your support truly makes a difference. Thank you. Also, please support Our Forgotten Seniors anthology and help to bring this book to awareness.


MH25-49. Michelle Von Ruden’s Light-Switch Moments


Mental Health Awareness with Sara Troy and her guest Michelle Von Ruden, on air from December 9th

I’ve been shaped by the moments when life shut off my light without warning—the phone call, the car accident, the losses, the setbacks, the seasons that forced me to slow down, reevaluate, and rebuild from the inside out. Those light-switch moments didn’t just interrupt my life; they revealed who I was and who I was becoming. They taught me that resilience isn’t about pushing harder—it’s about rising differently. Today, I help ambitious women and leaders move through their own light-switch moments: the overwhelm, the transitions, the unexpected shifts that leave them feeling stuck or disconnected from who they want to be. My message is this: you may not control when the light goes out, but you can choose how you turn it back on. And when you do, you don’t just return—you rise stronger, clearer, and more aligned with the life you’re meant to lead.



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Michelle Von Ruden is a leadership speaker and growth coach who equip women and organizations to navigate disruption with resilience and alignment. Drawing from her own light-switch moments, she gives audiences clear frameworks to regain focus, rebuild momentum, and lead with greater purpose and confidence. She helps people rise differently—and rise stronger.

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MH25-49. Jaime Taylor/ Struggles with Mental Health


Mental Health Awareness with Sara Troy and her guest Jamie Taylor, on air from December 9th

 I have struggled with mental health my whole life. I know what it feels like to feel that there is no other way out but ending your life. I know what it feels like to lie in bed with your whole body aching because you are so sad and lost. I know what it feels like to be embarrassed, hide behind humour, hide behind a smile and then go home and cry. I know what it feels like to feel alone. If it wasn’t for the love I had for my mom and my sister at the time, I don’t know if I would still be here. Then I had children, so my why to keep going grew bigger.



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I can see and feel peoples sadness. When someone hurts, I hurt. A stranger, a friend, a family member, it doesn’t matter. I have always been this way. I know how it feels to be in that place, and I know what it feels like to work your way out of it. Just wait, one more day…..If I can help one person in recognizing, their worth, it’s worth it to me.



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All of our shows/interviews are done by donation; if you enjoyed this show, please support us here with either a one-time donation or subscribe and support. Thank you. Please support Our Forgotten Seniors anthology and help to bring this book to awareness.