I’ve been on lithium for 16 years. For the past two years my hands quiver and my body noticeably shakes. My tremor was subtle at first, but now it can be impossible to hide. This episode is about how a drug that is helping my mood stay stable also makes my body feel out of control.

Lithium is now believed to be the best—even the gold standard of medication—for bipolar disorder, and it has been a good drug for me, keeping depression and mania at bay. Tremor is a known side effect, and my hands shake fast like hummingbirds.

Today, public interactions can make my entire body shake, which is unlike my younger self. This episode is about identity and grief, and how a body can quietly announce mental illness to the world. Sometimes the dark side of a medication isn’t headline-worthy. Sometimes it’s private, daily, and challenges who we believe ourselves to be.

Music composed and performed by guitarist, JD Cullum

Edited by Brandon Moran

Sponsored by Soar With Tapping

In Part 2, Tracy Otsuka digs into ADHD with candor and science, pulling apart the “disorder” narrative and replacing it with a focus on strengths, interests and purpose.

We also walk the tightrope between ADHD and bipolar disorder where misdiagnoses often happen in college. Racing thoughts, impulsivity, and sleepless nights can mimic hypomania, but context matters: dorm food, lost structure, no movement, and constant stress create a similar picture of poor mental health. Tracy asks why isn’t a full biopsychosocial lens—sleep, exercise, nutrition, social connection, purpose—considered when diagnosing young women struggling with their mental health?

If your mornings start with negative self-talk like “Who doesn’t like me?” or “Who did I upset?” you’re not alone—and you’re not stuck—you may be experiencing rejection sensitive dysphoria. We talk through neuroplasticity, and the questions and old stories we tell ourselves and the power of “slow dopamine.” Tracy shares how mindfulness and a healthy daily routine solves 75% of the ADHD equation and how removing friction turns workouts into medication-grade focus without side effects and, again, neuroplasticity is the key.

The final takeaway is a compass you can use for the new year: follow your internal rudder. Positive emotion signals alignment; negative emotion signals a course correction. You’re the best expert on you. If this conversation resonated, tap follow, share it with a friend who needs a lift, and leave a review so others can find us. Your story might be the evidence someone else needs to hear.

Music composed and performed by guitarist, JD Cullum

Edited by Brandon Moran

Sponsored by Soar With Tapping

What if your productivity no longer defines you? That question anchors a candid conversation with Tracy Otsuka—host of the ADHD for Smart Ass Women podcast and author of the best-selling book ADHD for Smart Ass Women: How to Fall in Love with Your Neurodivergent Brain.

We talk about how midlife hormones collide with ADHD traits and force us to reshape identity. As estrogen fluctuates through perimenopause and menopause, dopamine signaling gets shakier, and the classic ADHD pain points—working memory, sequencing, and emotional regulation—can suddenly intensify. Tracy explains why even high-achieving women can feel their confidence slip, how a “brain of interest” thrives only in the right environment, and why she reframes ADHD as an identity issue rather than a productivity flaw.

Tracy also shares the personal story that changed everything: her son’s diagnosis, the schools that missed his brilliance, and the decision to build spaces where curiosity is an asset, not a problem. From bold career pivots to building an approach that maps values, strengths, and passions into a clear purpose “sweet spot,” she shows how alignment restores executive function and self-trust. Along the way, we challenge disorder-first narratives, hold space for the seriousness of suicide risk and depression, and return to hope as a skill—tested through small actions, anchored by purpose, and protected by boundaries.

If you’re navigating midlife, exploring ADHD traits, or simply craving a more truthful way to measure your days, this conversation offers both science and strategy. If it resonates, share it with someone who needs to hear it, and subscribe to support more honest, hopeful stories.

Music composed and performed by guitarist, JD Cullum

Edited by Brandon Moran

Sponsored by Soar With Tapping