Dr. Tiffany announces her new book, Running on Empty, and explains how she uses wearable sleep data (HRV, oxygenation, interruptions) alongside trauma-informed psychotherapy to understand and treat autoimmune fatigue, chronic fatigue, and fibromyalgia, including her personal journey putting lupus into remission. The episode summarizes the book’s chapters: listening to your body, nervous system and ACEs, decoding ring data, sleep for healing, lifestyle and supplements, staying on track, and building a personalized plan, plus upcoming read-along sessions and downloadable tracking guides. Running On Empty by Dr. Tiffany Brown-Bush Transcript: 00:00:00.514 --> 00:00:06.319 Welcome to episode 43 of Integrative Mental Health Therapy with Dr. Tiffany. 00:00:06.824 --> 00:00:12.600 And I am excited to be here talking to you about how I wrote a book. 00:00:13.717 --> 00:00:20.934 Running on Empty, What Sleep Data Reveals About Autoimmune Fatigue and How to Recover is on Amazon. 00:00:21.375 --> 00:00:26.697 And as of today, as you're able to listen to this podcast, it is available not 00:00:26.697 --> 00:00:32.817 only as a Kindle, but it is available as a paperback, which I'm super excited 00:00:32.817 --> 00:00:35.806 about because it is an appropriate book for paperback. 00:00:36.276 --> 00:00:41.367 And it is going to be available over the next few months. 00:00:41.367 --> 00:00:44.777 It's going to take me a second as an Audible as well. 00:00:44.777 --> 00:00:52.177 So I am very, very excited about the fact that this book is now available to 00:00:52.177 --> 00:00:56.557 my clients, to the world, to my family. 00:00:56.957 --> 00:01:00.790 I'm also really pleased that I was able to get all of this out of my head. 00:01:01.241 --> 00:01:06.597 Many of you who use wearable technology with me and my practice and the work 00:01:06.597 --> 00:01:12.806 that we do know that I have strong feelings about utilizing HRV sleep data, 00:01:13.374 --> 00:01:20.347 you know, oxygenation, sleep interruptions, just overall sleep quality when 00:01:20.347 --> 00:01:22.967 it comes to applying the Dr. 00:01:22.967 --> 00:01:27.134 Grambush method. So looking at brain-body-mind relationships, 00:01:27.878 --> 00:01:33.527 Because, you know, that three-leg stool has transitioned to a four-leg stool over the past two years. 00:01:34.049 --> 00:01:40.935 And you know that I take seriously monitoring, you know, what's affecting your HRV. 00:01:41.683 --> 00:01:47.835 Where is it? What is the backdrop of, you know, your overnight heart rate? 00:01:48.287 --> 00:01:51.955 As you're telling me about how your stress management is, as you're talking 00:01:51.955 --> 00:01:55.309 to me about your autoimmune symptoms, as you're talking to me about 00:01:55.669 --> 00:01:59.994 feeling foggy and fatigued and all of those things and trying to heal, 00:02:00.342 --> 00:02:04.376 we have always talked about what those numbers look like. 00:02:04.806 --> 00:02:09.605 And so my last episode was a couple months ago, I think almost three months 00:02:09.605 --> 00:02:17.278 ago, as I was in the editing phase of the book and really kind of mired in just 00:02:17.528 --> 00:02:19.612 edit over edit after edit. 00:02:20.155 --> 00:02:25.185 It was a lot. And then trying to run the practice and take care of my health 00:02:25.185 --> 00:02:28.605 and drop into joy in my own personal life. 00:02:28.605 --> 00:02:35.315 So I've been juggling blogging, trying to keep the podcast going, and then focusing on. 00:02:35.315 --> 00:02:44.019 It has been an extremely busy year in the practice, unusually so throughout the year to be busy. 00:02:44.379 --> 00:02:52.275 And then I have participated in my own three-day psychological intensive, working on my own parts. 00:02:52.615 --> 00:02:57.715 I flew to Nashville to do that and worked with three amazing therapists for 00:02:57.715 --> 00:02:59.901 24 hours to do my own work. 00:03:00.324 --> 00:03:05.183 And then in a method that I have been training in over the last past year as well. 00:03:05.710 --> 00:03:08.992 And then I had that puppy I told you all about. 00:03:08.992 --> 00:03:14.062 And the puppy, she is still very much, you know, trying to run our lives. 00:03:14.062 --> 00:03:18.522 And so that was a busy piece of things that has been very joyful. 00:03:18.522 --> 00:03:20.970 I absolutely adore her. She's bald rotten. 00:03:21.475 --> 00:03:26.801 And then, gosh, it's just trying to, oh, play a lot of tennis. 00:03:28.059 --> 00:03:34.622 So it has just been kind of a full experience here as I was completing the book. 00:03:34.622 --> 00:03:42.362 And so Running on Empty is available now on Amazon, and I'm just very excited 00:03:42.362 --> 00:03:44.430 to share this book with you. 00:03:44.842 --> 00:03:48.622 You know, I was blogging. I've kept the blogs going. That has been something 00:03:48.622 --> 00:03:50.313 that I've really leaned into. 00:03:50.702 --> 00:03:57.072 And a lot of what's in the blogs around personalities and then relationships 00:03:57.072 --> 00:03:59.583 and health is included in the book. 00:03:59.949 --> 00:04:05.835 Adverse Childhood Experiences, those scores and what they mean included in the book, 00:04:06.922 --> 00:04:11.971 as well as a lot of this intersection of, 00:04:13.742 --> 00:04:17.764 how your stress levels are, your trauma experiences have been, 00:04:18.088 --> 00:04:24.222 your inner critic, your inner people pleaser, how those parts intersect with your 00:04:24.582 --> 00:04:29.222 overall health and autoimmune disorders and chronic fatigue. 00:04:29.222 --> 00:04:31.938 Vegan fibromyalgia that is in the book. 00:04:32.692 --> 00:04:37.842 So I'm excited to share all of that with you. I'm sitting here with a copy of 00:04:37.842 --> 00:04:43.455 the book in front of me and I will be talking in the upcoming podcast about the book. 00:04:44.455 --> 00:04:49.174 There are nine chapters. The first chapter is listening to your body. 00:04:49.534 --> 00:04:53.698 So many of the women that I've worked with over the years aren't listening to 00:04:53.698 --> 00:04:56.668 their bodies until their body, and I was one of them. 00:04:56.668 --> 00:05:02.166 I mean, this book is part memoir. It's my journey with lupus and putting lupus in remission and 00:05:02.526 --> 00:05:08.830 how I used my Oura Ring data to do just that, to absolutely go from someone 00:05:09.120 --> 00:05:13.772 who was having lupus flares and really afraid that, you know, 00:05:14.099 --> 00:05:17.528 I was not going to be okay to someone. 00:05:17.528 --> 00:05:21.019 I talk in the book about, you know, considering going out on disability, 00:05:21.396 --> 00:05:25.828 while many of you were actually working with me, and then going from that to 00:05:25.828 --> 00:05:30.359 finding a way, utilizing my sleep data to getting to a healthier me. 00:05:30.643 --> 00:05:36.554 So how do you listen to your body and how can this data do that? 00:05:36.857 --> 00:05:41.338 So it's nine chapters plus an intro chapter that kind of lays the foundation 00:05:41.338 --> 00:05:42.970 of what the book's going to be about. 00:05:43.208 --> 00:05:46.499 Chapter two is your nervous system trauma and ACE scores. 00:05:46.958 --> 00:05:49.968 Everything that I've been writing about, blog me about Dr. 00:05:49.968 --> 00:05:52.968 Gabor Mate's work, Bessel van der Kolk's work. 00:05:52.968 --> 00:05:57.428 I'm just obsessed with that intersection of. 00:05:57.988 --> 00:06:02.718 All of the systems working together and you don't get to think that the autoimmune 00:06:02.718 --> 00:06:07.578 disorder and the chronic fatigue and the fibromyalgia doesn't have something 00:06:07.578 --> 00:06:10.548 to do with your past and doesn't have something to do with the way that you 00:06:10.548 --> 00:06:11.618 interact with the world. 00:06:11.618 --> 00:06:17.714 I'm obsessed with those connections and how everything is interrelated and how 00:06:18.027 --> 00:06:24.069 so many women especially do not understand that there is a connection amongst all those things. 00:06:24.533 --> 00:06:30.808 How to decode your ring data. I'm always so surprised by how when I ask a patient 00:06:30.808 --> 00:06:34.328 or client to show me their data, just hold your phone up to the, 00:06:34.808 --> 00:06:40.149 you know, camera, or if we're in office, give me your phone and talk to me about what's going on, how... 00:06:40.856 --> 00:06:46.719 The connections that I see are not obvious to my clients and to the women in 00:06:46.719 --> 00:06:50.339 my practice. And some of the women I work with have the luxury of seeing me 00:06:50.339 --> 00:06:54.755 90 minutes every week, sometimes a couple of times a week. 00:06:55.120 --> 00:07:01.169 But there are a lot of people who cannot afford time-wise, resource-wise to 00:07:01.169 --> 00:07:07.639 see me at that frequency and are not getting the benefit of my expertise when 00:07:07.639 --> 00:07:09.960 it comes to how to decode their wing data. 00:07:10.618 --> 00:07:15.802 If I see someone once a month, you know, which is the furthest I'd like to go 00:07:15.802 --> 00:07:21.841 out between visits at this point, just because of the way that my brain works and the practice works. 00:07:22.201 --> 00:07:28.272 But let's say I see someone once a month, that appointment, that may be 75 minutes 00:07:28.272 --> 00:07:32.932 if I'm lucky, is not going to be focused on the ring data. It's probably going 00:07:32.932 --> 00:07:35.117 to be focused on addressing something else. 00:07:35.424 --> 00:07:42.408 So I partly put all this in the book to help women have me when I'm not around. 00:07:42.675 --> 00:07:48.242 I would not be surprised if at some point my, you know, programmer husband doesn't 00:07:48.242 --> 00:07:50.322 take this information and make it an app. 00:07:50.662 --> 00:07:54.582 I