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Leading ADHD & Hypermobility Expert: '3 Ways ADHD Affects Collagen In Women!' | Nick Potter

Nick has also been at the forefront of research into the link between hypermobility, pain sensitivity, and ADHD. His clinic, Backbone, brings together clinical expertise across pain, breathing, stress, and neurodiversity to offer holistic, science-led care. Nick Potter has been in clinical practice for over 30 years and is currently based at King Edward VII’s Hospital in London. Chapters: 00:00 Trailer 01:46 Nick’s mission 05:51 How to test if you’re hyper-mobile 07:46 How common is hyper-mobility amongst ADHDers 13:54 How to describe ADHD to an alien 16:07 Tiimo advert 19:38 What problems can hyper-mobility cause? 29:12 How ADHD affects the body 38:09 Is the medical community recognising hyper-mobility 39:12 Can hyper-mobility shorten life span 43:22 Nick’s ADHD item 49:23 The ADHD agony aunt section 52:19 3 rules to live by Nick is the author of the widely acclaimed book The Meaning of Pain, now translated into six languages. The book was praised by Sir Elton John as: "The man who taught me how to breathe." Visit Nick's website 👉 https://www.backscience.co.uk/guests/nick-potter Find Nick on Instagram 👉 https://www.instagram.com/backboneclinic/?hl=en Get 30% off an annual Tiimo subscription 👉 https://www.tiimoapp.com/offers/adhdchatter Buy Alex's book entitled 'Now It All Makes Sense' 👉 https://www.amazon.co.uk/Now-All-Makes-Sense-Diagnosis/dp/1399817817 Producer: Timon Woodward Recorded by: Hamlin Studios Trailer Editor: Ryan Faber DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

Alex Partridgehost
Aug 4, 202557mWatch on YouTube ↗

CHAPTERS

  1. Trailer: ADHD’s physical footprint & the collagen connection

    A teaser frames the episode’s central idea: ADHD isn’t just cognitive—there’s a strong body–brain component. Nick Potter is introduced as a clinician focusing on how ADHD traits intersect with hypermobility and pain.

  2. Nick Potter’s mission: awareness, education, and joining up medical silos

    Nick explains how noticing hypermobility patterns in primary care led to a broader mission: improve recognition and practical understanding. He argues medicine is slow to change and that patients suffer when specialties stay isolated.

  3. Self-checking hypermobility: the Beighton score (and why skin matters)

    Nick outlines the Beighton score as a simple, accessible screening tool and distinguishes it from related scoring approaches. He also introduces extensible skin as a potentially important (but harder to validate) marker tied to sensory feedback.

  4. How common is hypermobility in ADHD—especially in women?

    The conversation moves from screening to prevalence. Nick shares emerging data suggesting higher rates of hypermobility among ADHD populations, with a striking skew toward women in some samples.

  5. Why hypermobility can amplify ADHD traits: proprioception, prediction error, and fear

    Nick gives a detailed model: collagen differences alter the quality of proprioceptive input, creating a mismatch between what the eyes see and what the body senses. That “prediction error” increases vigilance, fidgeting, energy use, and anxiety—especially when movement feels clumsy or shame-inducing in childhood.

  6. Describing ADHD to an alien: dysregulation, pattern recognition, and strengths

    Nick reframes ADHD as difficulty finding balance and regulating states rather than lacking ability. He highlights strengths like rapid pattern recognition, using examples from trading floors and medicine to show how ADHD traits can be adaptive in high-signal environments.

  7. Sponsor break: Tiimo planning support

    A brief interlude promotes Tiimo as a planning and reminder tool, positioning it as helpful for ADHD forgetfulness and decision paralysis. The episode then returns to ADHD–hypermobility links.

  8. What hypermobility can cause: pain, fatigue, sensitivity, and movement avoidance

    Nick outlines downstream impacts of excessive joint movement: earlier fatigue, neck/back pain, clumsiness, and a tendency to avoid activity—ironically worsening symptoms. He also connects chronic pain to emotional circuitry and explains why validation and narrative matter in recovery.

  9. ADHD affects the body: energy budget, burnout, and environmental overload

    Nick introduces the idea of a fixed daily brain energy ‘packet’ and argues ADHD burns it faster due to higher sampling demands. He discusses why open-plan offices can be punishing and suggests lifestyle adjustments—especially around morning energy use.

  10. POTS, dizziness, and practical hacks: salt, hydration, compression, cold exposure

    Nick explains POTS as a common comorbidity for some hypermobile people: blood vessel laxity delays compensation when standing, causing dizziness and heat intolerance. He shares practical strategies, including a memorable “duvet dancing” routine to raise heart rate before standing.

  11. Is medicine catching up—and why patients still feel dismissed?

    Nick acknowledges improving recognition of hypermobility but argues practical support and explanation lag behind. He critiques short appointments and reductionist, siloed care that misses intersectional cases like hypermobility + ADHD + dysautonomia + chronic pain.

  12. Lifespan and risk: hypermobility vs ADHD, and the real danger of distraction

    Nick downplays hypermobility as a direct lifespan limiter except in rare severe connective-tissue disorders, but notes indirect risks through disability or disuse. For ADHD, he emphasizes attention-related risk in driving and modern in-car screens, while also acknowledging hyperfocus can make some ADHD drivers exceptionally aware.

  13. ADHD item: golf balls, visual scanning, and ‘Where’s Wally’ attention strengths

    Nick reveals golf balls as his ADHD object, illustrating heightened visual sampling and anomaly detection. He expands into how this can translate into real-world strengths—spotting patterns, reading environments, and guiding career choices toward signal-rich work.

  14. Agony aunt: injuries + impulsivity + hypermobility—how to reduce ‘disaster’ risk

    A listener worries that ADHD impulsivity combined with hypermobility makes injuries inevitable. Nick reframes it as manageable with preparation, training, and motor-pattern building—especially when starting new sports or activities.

  15. Three rules to live by: sleep, purpose, forgiveness—plus Nick’s nutrition/gut take

    The episode closes with advice from the previous guest and Nick’s responses. Nick emphasizes kindness and consistency in eating, skepticism about oversimplified microbiome narratives, and the importance of purpose balanced with maturity and regulation.

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