What if the thing you've written off as a personality flaw your entire life is actually ADHD? And what if the way ADHD gets diagnosed, treated, and talked about has never really accounted for who you are?
This week, Val and Em sit down with Dr. Chanel Thomas, founder, CEO, and clinical director of Blue Sage Wellness — a multi-state psychiatric group practice built specifically to serve communities that mainstream mental health has historically failed. They get into late ADHD diagnosis, medication stigma, what it actually means to practice psychiatry from an anti-oppressive lens, and why "high-functioning" often just means nobody can see how hard you're working to hold it together.
This episode covers:
(00:00) Tea & Crumpets — Val on Dungeon Crawler Carl; Chanel on One Piece (1,200 episodes and counting); Em becomes a Lego adult
(05:00) Step Into My Office — 47 productivity apps and still barely functioning: is it ADHD, burnout, or something else?
(09:00) The DSM — high-functioning on the outside, treading water on the inside
(13:00) What ADHD actually looks like in adults who've spent their lives masking
(20:00) Late diagnosis, grief, and what it felt like when Chanel took medication for the first time
(23:00) Medication stigma, the "will I lose my personality" fear, and what collaborative care looks like
(28:00) Practicing psychiatry from a decolonized, anti-oppressive lens
(32:00) "...but for REAL"
(33:00) Now That's What I Call— OKAYY! — "Served" by XLOV
(34:00) Dumpster Fire Phoenix + Rapid Fire Q&A
...but for REAL: ADHD doesn't just look like the hyperactive white kid bouncing off the walls. It presents differently in Black and brown, queer, and trans folks — often internalized, masked, and shaped by survival. If that's been your experience, your presentation is just as valid.
Resources + Stuff Mentioned in This Episode:
Blue Sage Wellness — Dr. Chanel's multi-state psychiatric group practice
Dr. Chanel Thomas is a doctorally prepared, dual board-certified nurse practitioner (FNP/PMHNP) and the founder, CEO, and clinical director of Blue Sage Wellness PLLC, a multi-state psychiatric group practice serving Tennessee, Kentucky, and New York. She built Blue Sage from the ground up with a clear mission: to provide culturally affirming, high-quality psychiatric care to communities historically failed by mainstream mental health systems, including communities of color, the LGBTQ+ community, and neurodivergent individuals.
But Dr. Thomas doesn't stop at the clinical chair. She is also the founder of Aligned & Abundant, a clinician empowerment and conference platform, and the Flourish Collective, a practice incubator and coaching program designed to help licensed clinicians build sustainable, values-aligned practices. She brings a decolonized lens to psychopharmacology, a neurodivergent-affirming approach to care, and a signature style that weaves anime, gaming, and geek culture into clinical work in ways that are as effective as they are unexpected.
Whether she's in the clinical space, on a conference stage, or building the next chapter of her legacy, Dr. Thomas shows up the same way every time: fully, unapologetically, and with purpose.
DISCLAIMER: But For Real Podcast is not a substitute for individualized mental health treatment or healthcare. This podcast is solely for entertainment and educational purposes. If you are in crisis, please utilize crisis support services, such as the Crisis Text Line (Text START to 741741 in the US) or the 988 Suicide & Crisis Lifeline: (Call 988 in the US), or visit www.findahelpline.com for international resources.
