What if the way your brain works isn't broken — it's just misunderstood?
In this episode, Karena sits down with Dr. Steven Storage, child, adolescent, and adult psychiatrist at Amen Clinics, to pull back the curtain on ADHD, dopamine, brain inflammation, and why the habits you think are harmless might be quietly working against you. From social media's grip on your focus to why perimenopause can suddenly feel like ADHD, this conversation will change how you think about your own mind.
What happens to your focus, your mood, and your sense of self when your brain isn't getting what it needs — and how do you even know?
Dr. Storage breaks down the neuroscience in a way that's impossible to unhear, from why one bad night of sleep costs you 30% of your executive function to how your social media habit may be draining the same brain chemical you need to feel motivated. This is the brain health conversation that has been missing from the wellness space.
(00:38) The Four Pillars of Brain Health
● Sleep, exercise, nutrition, and avoiding toxins — the foundation for a functioning brain
● 20 minutes of higher-intensity cardio every other day shown to be as powerful as antidepressant medication for the brain
● What the brain is actually doing while you sleep
● Food is fuel or garbage — why refined sugar and processed foods are inflammatory for the brain
(07:07) Social Media, Dopamine & the Addiction Loop
● Social media is engineered to produce a dopamine spike, and the crash after is real
● Doom scrolling depletes the same chemical needed for focus, motivation, and productivity
● Why students who decompress with video games before homework are setting themselves up to struggle
(11:59) ADHD Explained — Genetics, Perimenopause & What's Really Happening
● ADHD is one of the most genetic conditions in psychiatry
● ADHD as a supply-demand issue: blood flow to the prefrontal cortex vs. the demands placed on it
● Why perimenopause triggers ADHD-like symptoms
● The difference between brain fog from perimenopause and preexisting ADHD — and why one makes the other worse
(21:04) ADHD as a Superpower — And Why Medication Isn't the Enemy
● Why traits coded as ADHD likely survived evolution
● Creativity, hyper-focus, intuition, outside-the-box thinking — the real strengths of an ADHD brain
● The mismatch between ADHD wiring and traditional classrooms: why Dr. Storage doesn't view ADHD as a disorder
● Stimulants vs. non-stimulants — what Adderall actually does to the prefrontal cortex
● The goal isn't to eliminate the superpower — it's to modulate the brain so you can access focus when you need it without losing creativity
(32:35) Brain Development, Early Diagnosis & Rewiring Negative Thoughts
● The prefrontal cortex isn't fully developed until mid-to-late 20s — so how do you know when to treat?
● New MRI data: kids treated for ADHD before age 12 showed accelerated prefrontal cortex development
● Dr. Storage's three-step method for negative thought patterns
● Why meditation builds metacognitive awareness and helps thoughts pass like luggage on a conveyor belt
Guest Resources
● Follow Dr. Steven Storage on Instagram
● Follow Dr. Steven Storage on TikTok
If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources:
Connect with The Big Silence Community
● Order: The Big Silence Memoir audiobook
● Shop The Big Silence Self Love Collection
● Donate to The Big Silence Foundation
● The Big Silence Resource Guide
● Find exclusive offers from our supporters
Show Resources:
Have a message for Karena? She'd love to hear from you and share your comment or question on air!
Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawn





