Dr. Wayne Martinsen, Medical Director and Psychiatrist at Dakota Family Services diagnoses psychiatric and behavioral health conditions, makes treatment recommendations, and provides medication management for clients of all ages. He is also the Clinical Clerkship Director for the University of North Dakota Department of Psychiatry and Behavioral Science. Dr. Martinsen received his doctorate degree from the University of North Dakota.
Dr. Martinsen provides telehealth and in-person services in our Minot and Fargo locations.
Featuring Dr. Wayne Martinsen, Psychiatrist, Dakota Family Services
Tim Unsinn:
Welcome to Mind Your Mind, a podcast presented by Dakota Family Services, an outpatient behavioral health clinic located in Minot, Bismarck, and Fargo, North Dakota. In this podcast, I will talk with our experts about understanding and nurturing our mental health and wellness. I'm your host, Tim Unsinn. Join me each episode as we explore the intricacies of our minds, decrease the stigma of mental illness, learn practical tips for managing our mental health and well-being, and recognize when it's time to ask for help. Join me now to Mind Your Mind
Tim Unsinn:
On this episode of Mind Your Mind, I'll be talking with Dr. Wayne Martinsen. Dr. Martinsen is the medical director and psychiatrist in Fargo and Minot. Dr. Martinsen diagnoses psychiatric and behavioral health conditions, makes treatment recommendations, and provides medication management for clients of all ages. Our topic is ADHD. And before we get into today's topic, I would love for you, Dr. Martinsen, to tell us why you do what you do.
Dr. Wayne Martinsen:
Well, we've talked about this before a little bit, Tim, but I am absolutely fascinated by mankind, by the human brain, by interacting with people. While I have some difficulty getting out of bed in the morning, sometimes like the rest of humanity, I don't have a problem going to work, and I do engage with people to try to figure out the puzzle of solving problems and then having an impact on people and helping them live the life that they want is just incredibly rewarding.
Tim Unsinn:
Great answer. Thanks again, for being with us on Mind Your Mind. Our topic is ADHD. So why does the U.S. Have such a high rate of ADHD?
Dr. Wayne Martinsen:
Well, if I can back up for a moment here and, and just define ADHD. Attention Deficit Hyperactivity Disorder is defined as problems in one, two or three areas of brain functioning. So it can be problems with attention and concentration. It can be problems with hyperactivity or being hyper verbal, or it can be problems with impulsivity. And you can have problems in one, two, or all three areas of brain functioning. It's a problem that is brain-based and it takes a little thoughtfulness, frankly, to diagnose it because if we're stressed because there's bad things happening in our life, we're not going to be real focused and real attentive. If we are anxious or worried about something happening in our life, we're also not going to be able to focus. If you think about a time when you're worried about a family member's health or, or something that's happening, it's not the time that you could even read your favorite magazine, right?
Dr. Wayne Martinsen:
So, and if you think about depression, one of the, one of the symptoms of depression is difficulty concentrating. So when you diagnose ADHD, you have to make sure that you've eliminated the other things that could be causing. The other thing that happens is that ADHD is a mismatch between our cognitive ability and our ability to focus. So let's say somebody has an average IQ, 100, they should be able to do okay academically, but they can't focus. It's like having a car with a good engine, but a bad transmission. You can't use that intelligence to be successful in school because the brain isn't staying focused well enough. Right? The other thing that we get caught up in, I think in psychiatry and as a society is looking at ADHD as a quote disorder unquote. And I think that's really the wrong way to look at it for the most part.
Dr. Wayne Martinsen:
I think it is on a bell-shaped curve. So things that are on a bell-shaped curve are human height, human weight, right? Hair, color, eye color. There's a lot of variation that's normal. What's happened in advanced countries is that we've created a culture that rewards people with a long attention span. So when I think about my own father who was born in 1922, he drops out of school in the eighth grade? He hasn't finished the eighth grade now in the thirties, that was not such a problem for him. He got jobs, he ran a farm, he ran a successful business. He took care of us and kept us in a middle class lifestyle. We've created a world since then. However, where if you dropped out of school in the eighth grade, it doesn't matter how hard you work. You're not going to get a job other than fast food or manual labor, right?
Dr. Wayne Martinsen:
So you're going to be locked out of a successful life because the world has become so much more complex that we have to at least finish high school, if not college or an advanced degree. And what happens is that that favors people, not only with at least an average cognitive ability, but with a longer attention span. So the people with an average IQ and a long attention span are going to be a lot more successful in the world that we've created. Then people with an average IQ and a short attention span. And so what we find is that if we can improve the attention span chemically, with medications to average, then we improve academic functioning. And if we think about that, Tim, we know that intuitively because most teenagers don't drink coffee, right? They may have a soda or something, but when they get into college and they have to cram for serious exams, we all start drinking coffee because we can mainline caffeine, which is a stimulant. And the biggest problem with caffeine, it's not a bad stimulant for ADHD. The problem is that it's not a really clean drug so that when you get the dose high enough to really focus, if you have a short attention span, you're getting jittery, you're peeing a lot. You're feeling headachy, your gut hurts, right? So, so we've come up with cleaner medications that have less side effects that really do the same thing. And so I think one of the things that happens culturally is we've just created a more and more complex culture where we reward with better jobs, better incomes the people with a long attention span. And so we have to find some way to bring the rest of, of people who are on this natural curve. This is not abnormal. It's not an illness in my mind, but they need to be successful. In the same way that if you have if you're really near-sighted, you probably can't safely drive a car, but I wear my glasses. I've worn them for now 55 years, I've worn glasses. And I never wake up in the morning, Tim, thinking that "Well, I've worn my glasses for more than five decades. Now, my eyes are going to be good." And attention is the same thing. It's a shortness, it's a problem focusing. And if medication or if coffee, or if meditation helps with that, then a that's what I, that's what I work with people to do.
Dr. Wayne Martinsen:
There are some other cultural factors that are unique to America. So when you look at ADHD, attention span is largely heritable. Okay. So if your mom had a short attention span, your dad had a short attention span. There's a really good chance that you're going to have a short attention span. And who is it that leaves their home country? Who is it that will, you know, especially in centuries past, who would cross an ocean where they might die? It was the people who were more impulsive. It was the people who would jump to an idea without thinking of all the risks. And again, you're looking at people who are more willing to take risks, who are likely to have ADHD. It's a more common genetic variant in immigrants. And so we selected out for people, the immigrants coming in were selected out for shorter attention, span, more impulsivity.
Tim Unsinn:
So we're a nation of ADHD.
Dr. Wayne Martinsen:
Yeah. And so, you know, it's like, I think there is some beyond just the bell-shaped curve thing. That's in every society. I think there's some selection bias for people who came to America.
Tim Unsinn:
With all those that came our parents, grandparents, why weren't they treated or get treated for ADHD?
Dr. Wayne Martinsen:
You know, I think it wasn't identified because it didn't matter that much. If school wasn't a fit for you, then you could just work. You could work on the farm, you could work in the blacksmith shop, you could get a job hauling something, or on a ship. You didn't need the years of education in order to be successful and support a family. And so it really wasn't conceived as a problem in a big way, psychiatrically until probably the forties or the fifties, we started to look at this as something that is an issue. And by the way, here are medications that seem to correct this. I think we became more aware of it as a society, as we created a world in which these people were less successful.
Tim Unsinn:
You're listening to Mind Your Mind. Our guest is Dr. Wayne Martinsen, and we are talking about ADHD. And I think you've kind of answered this next question. And that is why is there more ADHD diagnosed in the U.S. than other countries?
Dr. Wayne Martinsen:
And again, I think it goes back to that focus on academic success. There's also some uniqueness to American education. So, a lot of countries that we compare ourselves to, cause you see these surveys and they look at Americans they're way behind in math. They're way behind in science, they're way behind in history. But one of the differences between our education system and theirs is that in the mid teenage years, so about 14, 15 people who are not gifted or are not facile with learning history, math, science, art sort of directed into a more technical-based career. And so they don't, they don't pursue the same track through their senior year of high school like we do in America, in America, we say everybody has to graduate from the 12th grade and then you get to be a mechanic or you get to be a rocket scientist. But some of those brains that we're pushing to, to finish high school, these are not brains, they'd be much better suited for doing something with our hands, but, but that's not the way we've set up our world. So we've created academically kind of this different experience than than many countries.
Tim Unsinn:
Great answer. I just appreciate that perspective. Now we've talked about medications. You've talked about medications as a treatment for ADHD. Are there any other treatments for ADHD other than medications?
Dr. Wayne Martinsen:
Yes. So making sure that people get adequate sleep. That's huge in America because in the last 10 years, Americans sleep one hour less than they did 10 years ago. And we have not evolved as a species in 10 years, that would take hundreds of thousands of years. And so we are shortchanging our brains in terms of getting adequate sleep, which is going to affect attention. The other thing is that we give short shrift to movement, and as the demands of society become more complex intellectually, we have kids sitting longer and longer in the class period. We give them less movement breaks. Now I was lucky Tim, I was, I was one of those kids who was sort of a wallflower. I could sit there all day long. I found school fascinating, right? But there was a lot of kids that I was in school with, and you see it today, it's even more pronounced. We've cut back on movement time on what we used to call recess, right? Or noon hour. Nobody has an hour at noon anymore to play, to goof off, to, to run. And so, and when we do have an exercise period, it tends to be scripted, not necessarily with kind of the idea of life long movement and physical engagement. What, what is engaging? It's a script and this is what we're going to do. We're going to do some calisthenics. We're going to do these things. And frankly, a lot of kids don't like that. The other thing is that meditation. If people can do it meditation, which we talked about a bit earlier, it improves the functioning of the frontal lobe, which is where attention and impulse control live in the brain.
Tim Unsinn:
Very good information. Wow. ADHD. A lot to take in, which is great news because this is a podcast where you can fast forward, rewind, pause, and do it all over again. Dr. Martinsen, thank you so much for your time on Mind Your Mind. As we wrap up, I have one last question for you. And that is what do you do personally, to mind your mind?
Dr. Wayne Martinsen:
So I am in the process of getting board certified by the American College of Lifestyle Medicine. And, and I'm doing that, that not just because it is good medicine, you know, it looks at how do you take normal health and improve it? So allopathic medicine, the way we typically think of it, Tim is, and I'm an, allopath your family physician is an allopath your internal medicine doctors and allopath, right. So we look at what's normal functioning and then what's the disease state and and how do we return to normal function. In lifestyle medicine, you take a look at what's normal functioning, and then how do you improve beyond that? How do you take the human experience and make it better improve health? And so you do that by a whole food plant-based diet, which I believe in and practice. You do that with meditation, which I believe in and practice, you do that by protecting your sleep, which again, I practice. You do that by healthy relationships. You do that with at least 150 minutes of movement for adults, exercise each week, which I practice. So those are all a part of the lifestyle that I think adds to my ability to, as you put it, mind my mind.
Tim Unsinn:
Thank you so much again for your time. We appreciate you, your talents, your time and just your opportunity to make those around you better. Thank you.
Tim Unsinn:
Thank you for joining us for mind, your mind on podcast presented by Dakota Family Services. You can't have health without behavioral health. Remember to Mind Your Mind. For more information, links to additional resources, contact information, and much more go to Dakotafamilyservices.org.
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Did you know that depression occurs in about 15% of children? In this episode of Mind Your Mind, our host Tim Unsinn talks with Psychiatrist Dr. Wayne Martinsen about depression in kids and adolescents, including signs of depression to look out for and how to know when to reach out to a care provider. They also touch on how to know whether your child’s sadness is caused by depression or other external factors and what you can do to try and prevent depression in your child.;
It can be difficult knowing how to recognize and treat depression in children and adolescents. In this special community chat episode of Mind Your Mind, Psychologist Megan Spencer and Therapist April Morris discuss signs of depression to look out for, including both behavioral and physical signs that your child may be depressed. They also touch on the influence of environment, physical illnesses or diagnoses, and genetics on children’s mental health.;
Humans are hardwired for social connection, but it can be difficult knowing where to fit in as unique individuals. In this episode of Mind Your Mind, host Tim Unsinn and therapist Christy Wilkie talk about the importance of using your strengths, interests, and relationships to figure out where you belong. They also touch on signs that you might not be staying true to yourself, as well as how to handle feelings of being left out.;
While often perceived as only relating to those who’ve experienced warfare, Post-Traumatic Stress Disorder (PTSD) can affect anyone. In this special Community Chat episode of Mind Your Mind, Psychologist Dr. Hannah Baczynski and therapist Lucas Mitzel explain what trauma is, how it affects each person differently, and when to seek treatment for trauma-related symptoms. They also discuss different treatment options for PTSD, touching on the pros and cons of each.;
Though autism is one of the most commonly discussed mental health diagnoses in the community, it is often one of the most misunderstood. In this special Community Chat episode of Mind Your Mind, therapists Lucas Mitzel and Falan Johnson discuss what autism is, how it appears in children and adolescents, and how it may look different between individuals. They also touch on how autism can show up differently in boys than in girls and offer intervention tips for parents and caregivers.;
Autism is sometimes perceived as a disorder that only affects children and adolescents, but it is actually a lifelong diagnosis. In this special Community Chat episode of Mind Your Mind, psychologists Dr. Hannah Baczynski and Dr. Megan Spencer explore the symptoms and nuances of autism in adults, touching on the history of autism spectrum disorder, the research surrounding it, how autism commonly presents in adults, and more.;
Though spirituality is often associated with religion, it can mean much more than simply attending religious services or praying. In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinsen define spirituality and discuss its relevance in daily life, touching on ways people experience, express, and cultivate spirituality. They also talk about the link between spirituality, religion and meaning in life.;
Setting goals is easy. Working towards them is hard. In this episode of Mind Your Mind, host Tim Unsinn talks with Dakota Family Services therapist Christy Wilkie about how to set healthy, realistic goals, as well as the importance of managing your expectations and staying persistent. Whether you’re starting an exercise routine, writing a book, trying a new diet, or building your career, keep these tips in mind when setting your next big goal.;
Fear is powerful. It can cause us to avoid problems, people, and even opportunities in our life. But it can also be overcome. In this episode of Mind Your Mind, host Tim Unsinn speaks with Falan Johnson, a therapist at Dakota Family Services, about the function of fear and how to face it. Learn where fear comes from, how to identify it, and how to calm down and build confidence when you’re feeling afraid.;
In this episode of Mind Your Mind, our host Tim Unsinn talks with Dakota Family Services therapist Jessie Mertz about the “3 R’s”—Regulate, Relate, and Reason. They discuss what each term means, how they build upon each other, and how this approach can help you calm others who are experiencing distress.;
Schizophrenia is a chronic, complex mental health disorder that affects around 1% of people in the United States. In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinsen discuss the symptoms and implications of schizophrenia, touching on its many effects on individual and family life. Learn about how schizophrenia is treated, how it affects physical health, when it tends to develop, and how it is perceived between cultures.;
Although the stigma surrounding mental health is gradually disappearing, it can still be tricky knowing how to talk about it. In this episode of Mind Your Mind, host Tim Unsinn and psychologist Megan Spencer explore how to have a conversation with someone about their mental health, including signs that you should talk to them, how to start the conversation, and some possible reactions to expect from the other person.;
Are you feeling cooped up indoors? Join host Tim Unsinn and therapist Lucas Mitzel in this episode of Mind Your Mind as they discuss the importance of getting outside on your mental health. Learn about the benefits of green and blue spaces, activities you can do while outside, and how being outside can help improve symptoms of different mental health diagnoses.;
In this episode of Mind Your Mind, Tim Unsinn talks with psychologist Dr. Hannah Baczynski about the signs of burnout, how to prevent it, and how to know if your burnout is related to general life stressors or a mental health disorder. They also talk about the difference between fatigue and burnout, as well as how to support yourself and alleviate burnout when you’re experiencing it.;
Many of us know someone who has been diagnosed with a chronic illness, or have been diagnosed with one ourselves. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how chronic illness can impact daily living and mental health, as well as how to seek support if you have been diagnosed with a chronic illness.;
Although the term ‘bipolar’ is sometimes used as slang to describe someone who is moody or indecisive, true bipolar disorder is a complex and sometimes severe mental health disorder that affects the way a person thinks, feels, and behaves. In this episode of Mind Your Mind, host Tim Unsinn discusses bipolar disorder with nurse practitioner Amanda Daggett, touching on what the disorder is, what its symptoms look like, and how it can be treated.;
How much time do you spend each day looking at your phone? An hour or two? Multiple hours? In this episode of Mind Your Mind, host Tim Unsinn meets with therapist Christy Wilkie to discuss how social media use can impact our mental health, relationships, and behavior. Learn tips for monitoring your child’s internet use, as well as how to manage your own time spent on social media.;
While OCD is sometimes perceived as simply a desire to keep things neat and organized, it can actually have much more severe symptoms for those who experience it. In this episode of Mind Your Mind, host Tim Unsinn meets with psychologist Dr. Megan Spencer to talk about who Obsessive Compulsive Disorder affects, what its signs and symptoms are, and how to seek help if you or a loved one has been diagnosed with OCD.;
Bad habits can be easy to start but sometimes very difficult to stop. In this episode of Mind Your Mind, host Tim Unsinn and therapist Falan Johnson talk about breaking bad habits, including where habits come from, how to know if a habit is bad, and steps you can take to stop it.;
Are you looking for some help on your mental health journey? In this episode of Mind Your Mind, host Tim Unsinn and therapist Jessie Mertz talk about how to find a therapist, including what you should know when searching and what questions to ask when you meet a therapist for the first time. They also touch on what the letters after a therapist’s name mean, and how they apply to the type of services or treatment you might be looking for.;
Whether it’s from asking someone on a date or applying for a job, we all experience rejection at some point in our lives. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how to cope with rejection, including the common coping stages, the importance of acceptance, and how rejection can impact people differently.;
Like other personality disorders, borderline personality disorder is a commonly misunderstood and stigmatized mental illness. In this episode of Mind Your Mind, host Tim Unsinn talks with Lucas Mitzel, a therapist at Dakota Family Services, about what BPD is, how it affects someone’s behavior, and where to seek treatment if your child has been diagnosed with BPD.;
Do you think you might be suffering from an undiagnosed mental disorder? If so, a psychological assessment might be able to help. In this episode of Mind Your Mind, psychologist Dr. Hannah Baczynski and host Tim Unsinn talk about what to expect from a psychological assessment, including what an assessment might include, what information you might receive from the psychologist, and what you should communicate with your psychologist before and after receiving an assessment.;
In this episode of Mind Your Mind, host Tim Unsinn and Amanda Daggett explore the topic of using supplements for mental health. In addition to talking about some of the most commonly used supplements like melatonin and St. John’s Wort, they also discuss the benefits, the risks, and the research surrounding various supplements.;
Feeling like you’ve got the winter blues? If you’re noticing symptoms of depression with the change of seasons, it may be a sign that you’re suffering from Seasonal Affective Disorder, or SAD. In this special Community Chat episode of Mind Your Mind, therapists Christy Wilkie and Lucas Mitzel discuss the common symptoms of Seasonal Affective Disorder, how it can affect other mental health disorders, and some useful tips, tricks, and resources for managing symptoms of SAD.;
Join Christy and Lucas, therapists at Dakota Family Services, as they share practical tips for building confidence when trying new things. From managing self-doubt to building resilience, this episode will empower you to approach new experiences with a positive mindset.;
In this episode, Christy and Lucas explore why relationships can be so hard. Join them as they discuss the characteristics of both healthy and toxic relationships, talk about the difference between normal conflict and abuse, and help you discover your love languages so you and your partner can best express your love to each other.;
In this episode, Christy and Lucas explore anxiety. Join them as they discuss the signs and symptoms of an anxiety disorder, what you can do to decrease your anxiety, and how to best help loved ones struggling with anxiety.;
In this episode, Christy and Lucas explore depression. Join them as they discuss the signs and symptoms of Major Depressive Disorder, what you can do to help yourself feel better, and what you can do to help your loved ones. They will talk about coping strategies, therapy interventions, and ways to help you identify when your child might need extra help.;
Change is inevitable. Join Christy and Lucas as they explore big and small changes and how they impact you. Learn why change can be so hard, even good change, and discover ways to manage it effectively.;
In this episode of "Is It Just Me," Christy and Lucas discuss the very important topic of suicide. Listen to learn about risk factors, warning signs, and what you can do to help a loved one who is struggling. Remember, you are not alone. If you need immediate assistance, call 911. If you need to talk to someone, call the Suicide and Crisis Lifeline at 988.;
Join Lucas and Christy as they explore the power of spending time outdoors on mental and emotional well-being. Discover practical tips, personal anecdotes, and expert insights on the benefits of getting outside and reconnecting with nature.;
In this episode of "Is It Just Me?" Lucas and Christy discuss ADHD, shedding light on its prevalence and impact on daily life. Learn practical strategies for managing symptoms and understand why your friend or loved one with ADHD does the things they do.;
In this episode of "Is It Just Me?", join our hosts Christy and Lucas as they delve into the complex relationship between the internet and mental health. With the digital age bringing information and social connections to our fingertips, it also presents unique challenges and opportunities for our safety and psychological well-being.;
In this episode of "Is It Just Me?", Christy and Lucas discuss how common it is for people to see themselves differently from others. Using their own personal triumphs and challenges as examples, they outline the things that shape our self-esteem. Additionally, they share simple daily practices to help listeners recognize and celebrate their own personal victories. This episode is filled with tips and engaging stories aimed at encouraging listeners to undertake challenges that foster self-growth and personal confidence.;
In this episode of "Is It Just Me," Lucas and Christy talk about what it's like to begin therapy. Feeling apprehensive about starting therapy is normal, but surmountable. Together, Lucas and Christy unravel common myths about therapy and emphasize the role of therapy in disrupting negative life patterns and routines that are no longer serving you.;
In the latest episode of “Is It Just Me?” Christy and Lucas tackle the transition from leisurely summer days to structured school schedules with warmth and wisdom. This episode is a must-listen for parents seeking guidance and strategies to help navigate the shift with confidence. Learn how to handle changes in routine, the importance of communication, and strategies to help the entire family adjust to and embrace the new normal. Listening to this episode can be your first step toward making back-to-school a season of growth and positive change for all.;