ADHD Realities

About ADHD Realities

Welcome to ADHD Realities , the podcast where ADHD and sexuality collide in the most empowering, brain friendly way possible. Hosted by Clinical Sexologist, Certified Sex Therapist, and Psychotherapist Dr. Leann Borneman, this space is all about unmasking, unlearning, and unleashing your full neurodivergent self, in and out of the bedroom. We live in a world built for neurotypicals, and that narrative has been bringing you down for way too long. Here, we challenge those norms, call out the shame they create, and replace them with tools and truths that actually work for your beautifully wired brain. If you’ve ever felt like your ADHD made intimacy, communication, or self-worth harder, you’re not alone, and you’re definitely not broken. This podcast gives you the full lens, psychological, relational, and sexual, to finally understand your experiences through the ADHD perspective you should’ve had all along. It’s time to stop people pleasing, start permission giving, and take up space, authentically, awkwardly, and unapologetically.. DISCLAIMER: This podcast is for educational purposes only. It is not a substitute for therapy or professional support.

Publisher

Dr. Leann Borneman

Category

education · health & fitness

Language

en

Explicit

Yes

First episode

19 Apr 2025

Latest episode

7 Apr 2026

Latest episodes

39 episodes in the feed.

1. 

   7 Apr 2026

   The Science of GLP-1s: Food Noise, PCOS, Desire, and Why Your ADHD Brain May Respond Differently"

   If you’ve ever been told you’re just lazy, that you lack willpower, or that GLP-1s are some dangerous experimental drug — this episode is going to piss you off in the best way. Dr. B sits down with obesity medicine specialist and lipidologist Dr. Spencer Nadolsky to cut through the noise and get into the actual science of GLP-1 medications — what they are, how they work in the ADHD brain specifically, and why ADHDers may be experiencing them differently than anyone’s talking about. They go deep on food noise (and why it’s not just ”being hungry”), the dopamine-reward connection, sexual desire changes, anhedonia, PCOS, binge eating, loose skin, and the very personal reality of what it’s like to be an ADHDer on a GLP-1. Oh, and Dr. B drops her own 84-pound journey — including the moment she cried in a parking lot over a pistachio cookie. In this episode: What GLP-1s actually are and where they came from (yes, including the lizard) Food noise vs. hunger vs. cravings — they are not the same thing Why the ADHD reward pathway means GLP-1s may hit differently for us The real conversation about anhedonia, flatness, and sexual desire changes PCOS, insulin resistance, and the ADHD overlap nobody’s screening for Binge eating disorder and ADHD — the research, the shame, and the relief Bio: Dr. Spencer Nadolsky brings over a decade of expertise in obesity medicine, with board certifications in obesity medicine and lipidology. Since becoming a doctor, he has helped 1000s of patients lose weight and improve their quality of life through innovative healthcare delivery platforms. Dr. Spencer also has fun, educational social media content where you can laugh and learn at the same time. Find Dr. Nadolsky: Instagram: @drnadolsky | Clinic: joinvineyard.com | Podcast: Docs Who Lift ADHD is not a monolith and neither is your relationship with food, your body, or medication. This is educational content based on research and clinical experience, not therapy, not a diagnosis, not one-size-fits-all. Your experience is layered and specific to you. If you’re struggling, work with a qualified professional.

2. 

   24 Mar 2026

   Are You Actually Addicted to Porn Or Just Ashamed of It?

   Everyone has an opinion about porn. Almost nobody is looking at the actual research. In this episode I am doing what I do in my human sexuality classroom on day one — separating what we actually know from what we have simply been told, repeatedly and loudly, until it started to sound like fact and those are not the same thing. We are talking about why ”porn addiction” does not exist as a clinical diagnosis and what that means. We are talking about the research that was rejected, the diagnostic manual that said not yet, and the finding that should have completely changed this conversation — but didn’t, because it doesn’t sell anything. We are talking about dopamine mythology, the desensitization narrative, what the violence research actually shows, and why the NoFap movement is a belief system with a marketing strategy, not a clinical intervention. And we are talking about ADHD because your brain is being caught in a narrative that was never built with you in mind — one that takes a nervous system doing exactly what it’s supposed to do and calls it broken...again. I have spent more hours than I want to admit reading this research. Pulling primary sources. Analyzing methodology. Looking at every claim through both a researcher’s lens and a clinician’s lens. What I found is that a significant portion of what is being handed to you as settled neuroscience is ideology wearing a lab coat. You deserved to know that. So here it is. Every study and article referenced in this episode is linked below. The supplies are there. Go read them. Critical thinking means doing your own work — I’m just here to show you where to start. This is educational content based on research and clinical experience — not therapy, not a diagnosis, not one-size-fits-all. Your experience is layered and specific to you. If you’re struggling, work with a qualified professional. Reference Links: https://pmc.ncbi.nlm.nih.gov/articles/PMC5775124/ https://www.sciencedirect.com/science/article/pii/S027273582600019X https://www.psychiatryonline.org/doi/10.1176/appi.books.9781615379279.lg01 https://pubmed.ncbi.nlm.nih.gov/33038740/ https://pubmed.ncbi.nlm.nih.gov/29412013/ https://journals.sagepub.com/doi/abs/10.1177/2167702620922966 https://akjournals.com/view/journals/2006/14/1/article-p131.xml https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1277583/full https://www.sciencedirect.com/science/article/pii/S2405844023020418 https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1240222/full https://link.springer.com/article/10.1007/s11930-023-00380-z https://publichealth.jmir.org/2021/10/e32542 https://pmc.ncbi.nlm.nih.gov/articles/PMC9295218/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10374865 https://pubmed.ncbi.nlm.nih.gov/33774451/ https://pubmed.ncbi.nlm.nih.gov/26185674/ https://www.researchgate.net/publication/364356755_RebootNoFap_Participants_Erectile_Concerns_Predicted_by_Anxiety_and_Not_MediatedModerated_by_Pornography_Viewing https://pubmed.ncbi.nlm.nih.gov/26095441/ https://cdn2.psychologytoday.com/assets/Ley-PornAddictionReview.pdf https://pmc.ncbi.nlm.nih.gov/articles/PMC5039517/ https://pubmed.ncbi.nlm.nih.gov/26606725/ https://pubmed.ncbi.nlm.nih.gov/26372200/ https://pubmed.ncbi.nlm.nih.gov/32661813/ https://link.springer.com/article/10.1007/s10508-025-03199-y https://pubmed.ncbi.nlm.nih.gov/32691692/ https://pubmed.ncbi.nlm.nih.gov/37309642/ https://www.semanticscholar.org/paper/The-association-between-pornography-use-and-sexual-Loutzenhiser-Arrighi/58de0d7a9d2f485ed03e810544bd9b45e0c0b3df https://www.researchgate.net/publication/343108786_Pornography_and_Sexual_Aggression_Can_Meta-Analysis_Find_a_Link https://journals.sagepub.com/doi/10.1177/08862605241299442

3. 

   10 Mar 2026

   Sex Work, Shame, and Why People Are So Bad at Critical Thinking

   This episode goes everywhere — but somehow still lands exactly where it needs to. I sat down with Elle Stanger, AASECT certified sex educator and longtime sex worker, to talk about the massive cultural confusion surrounding sex work, sex trafficking, criminalization, and morality. What unfolds is a chaotic, honest, ADHD-style conversation about: why society constantly conflates sex work with trafficking how criminalization increases harm the role of religion, shame, and social narratives why people struggle to hold two truths at once ADHD brains, stimulation, and unconventional career paths how autonomy and variety can make certain environments more accessible for neurodivergent people We also talk about masking, strip club economics, freelance life, trauma narratives, media portrayals, and why nuance is so hard for people to tolerate. No script, no clean outline....Just a real conversation about sex, power, stigma, and ADHD brains trying to make sense of the world.

Who has been a guest on ADHD Realities

Names identified in recent episode analyses. Showing up to five guests.

• Caitlin V
• Dr Erika Miley
• Dr Eric Sprankle
• Dr Leann Borneman
• Dr Gilly Kahn

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

YouTube views

8,201

Score snapshot 15 Sept 2025

Apple Podcasts (US)

5.0 / 5

9 ratings

Spotify

5.0 / 5

4 ratings

Podcast Authority Score: 41 / 100

A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.

Quality

41

Social presence

0

YouTube

68

Engagement

32

Contact ADHD Realities

Guest appearances

Does not typically book guests

Based on episode analysis; this does not confirm that the show is currently accepting guests.

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