Dr Miranda Robinson

30/09/2026

01/09/2026

What a whirlwind of a year! Thank you to all my beautiful colleagues patients and referrers out there! We couldn’t have done it without you!
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31/08/2026

Testosterone can be used in addition to other hormones in the perimenopause. The AMS has been very active in researching the safety and efficacy of testosterone and so far the the recommended use is for sexual dysfunction and libido issues.
This is mainly because we don’t have the data to support its long term use for other purposes.
This is not to say that it may not have applications outside this for example in neurodivergent women and or those with hypermobility.
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At this time the studies just aren’t there in sufficient numbers. But small studies and lab based studies have indicated a role in inflammation reduction.
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Observational cohort studies in trans masc patients have shown an improvement in hypermobility symptoms.
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Because using testosterone may have a role in hEDS patients it’s important to use it safely and that means at least initially monitoring testosterone levels.
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20/08/2026

Just trying to make my consulting space as friendly and safe as possible! Come take a walk through with me.

04/08/2026

Iron plays an important role in stabilising mast cells and in turn chronic inflammation reduces iron absorption and can increase insensible loss through the gut (increased bleeding, gastritis and ulceration etc) and through menstrual loss.
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Patients with ADHD and long COVID need their dopamine production to be working at its best and ferritin is a co-factor in the tyrosine to dopamine pathway.
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In patients with sleep disorders such as restless legs and narcolepsy the aim is for a ferritin of 70 and over.
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Recent studies indicate patients tend to feel best with a ferritin on average of 56
This suggests then that many patients are being undertreated for iron deficiency.
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Remember that ferritin rises in inflammatory conditions such as MCAS or even suspected metabolic disorder. Full iron studies are best ordered if in doubt.
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23/07/2026

I am proud to presenting a poster at the Australasian ADHD Professionals Association conference this year 🥰

26/05/2026

Today is National Sorry Day. A day of acknowledgment since 1998 for the trauma and grief experienced by the stolen generations of indigenous Australians.
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The stolen generations were the children forcibly removed from their families, communities and culture by government and church from the late 1800’s until the 1970’s
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The lasting and devastating effects of trauma on the human nervous system can have an effect for multiple generations. This has not only a psychological impact but also a physical effect on health.
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I see the long term effects of trauma everyday in my work yet there seems to be no end to the infliction of trauma. People of colour and women wear this wound much more frequently
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Credit to my gorgeous daughter for the artwork
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19/05/2026

As an AuDHDer myself I take a different approach to care than many medical practitioners. My approach doesn’t suit everyone as I often share experiences from my own life as part of the consultation but for many neurodivergent patients it is a refreshing and affirming experience.
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Neuroaffirming requires the de-pathologising of the ND experience without delegitimising the difficulties
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It requires a shedding of one’s ego and internalised ableism that can sometimes accompany normal doctor patient relationships.
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It takes the patient on as a genuine partner in their health journey
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I have learned just as much from my patients as they have (hopefully) learned from me
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I have worked hard to create a safe sensory space but am fully aware that it is not perfect.
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Let me know what you appreciate in your own medical experiences. What has worked for you? What has made you feel unsafe?
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12/05/2026

Yesterday 12/5/26 marked the international awareness day for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).
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This annual observance is held on the birthday of Florence Nightingale, a founder of modern nursing.
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Why? Like so many empaths: She was believed to have had an ME/CFS-like illness for the last 50 years of her life and often worked while confined to bed.
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A condition characterised by post-exertional malaise is often associated with underlying chronic inflammation and pain.
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The move to go back to the use of ME acknowledges this inflammatory process rather than implying that this is just about being tired all the time
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Many neurodivergent people are at risk of MECFS especially in a (health care) system that has increasingly less time to acknowledge and appreciate the whole person and the associated health conditions that can go alongside ND
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