Ep 210 Chronic Fatigue Syndrome: Understanding the Overlap with ADHD. Dr. Joel Young Part 2

Jul 9, 2025

Dr. Joel Young, a physician specializing in mental health, dives deep into the intricate connections between Chronic Fatigue Syndrome (CFS) and ADHD. He highlights the overlapping symptoms such as non-restorative sleep and fatigue, emphasizing the struggles patients encounter during diagnoses. Young discusses the sociocultural implications, the importance of systematic approaches in treatment, and the challenges faced by those with overlapping conditions like autism. Practical advice for managing these intertwined disorders is also shared, aiming to empower both patients and healthcare providers.

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INSIGHT

CFS as Major Public Health Issue

Chronic Fatigue Syndrome (CFS) is a significant public health issue causing disability and stress on families and society.
CFS does not fit well into rheumatology, infectious disease, or psychiatry, showing the need for better classification and care.

INSIGHT

Non-Restorative Sleep Defines Fatigue

Fatigue in CFS is mostly due to non-restorative sleep rather than exertional fatigue.
Treating insomnia alone often doesn't improve daytime fatigue, showing these symptoms have different mechanisms.

ADVICE

Screen RLS and PLMD in ADHD

Screen for restless leg syndrome (RLS) and periodic limb movement disorder (PLMD) in patients with ADHD and fatigue.
Asking about leg discomfort and urge to move helps identify these dopamine-related disorders for better treatment.

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Text Dr. Lenz any feedback or questions

This episode delves into the intersections of ADHD, Chronic Fatigue Syndrome (CFS), and Fibromyalgia (FM), drawing on clinical observations and research findings. It explores how ADHD traits can overlap with symptoms of CFS and FM, particularly focusing on non-restorative sleep and exertional fatigue. The discussion highlights the struggles patients face, the importance of a systematic diagnostic approach, and the need for better education and understanding among healthcare providers. The episode also touches on co-occurring conditions like restless leg syndrome and the treatment. Practical advice is shared for both patients and clinicians on recognizing and managing these interconnected disorders.

00:00 Introduction and Initial Observations
00:37 The Impact of ADHD on Chronic Pain
01:23 Public Health Implications of Chronic Fatigue Syndrome
02:46 Challenges in Diagnosing Chronic Fatigue Syndrome
04:06 Understanding Fatigue and Its Different Forms
06:54 Restless Leg Syndrome and ADHD
09:10 The Role of Exercise in Managing ADHD and Fatigue
18:49 The Overlap Between ADHD and Autism
25:14 Conclusion and Final Thoughts

International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

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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.*

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