Podcasts about Abcde

In this episode of The Grow Your Wealthy Mindset, we explore the 6th activity from The How of Happiness by Sonja Lyubomirsky, Developing Strategies for Coping. Whether you're facing burnout, personal loss, or the everyday emotional weight of your work, learning to cope effectively can be life-changing. This episode reviews different types of coping strategies, from problem-solving to emotional processing, and dive into practical tools like expressive writing, thought disputation, and finding meaning in painful experiences.What You'll Learn in This Episode:·        The two primary types of coping: problem-focused and emotion-focused—and when each is most useful·        How expressive writing can help you process trauma and distress·        A three-step approach to finding personal growth and deeper meaning after loss·        The ABCDE thought disputation technique to challenge negative beliefs and reduce anxiety·        The thought model CTFAR by Brooke Castillo of The Life Coach School ·        The Work by Byron Katie·        How working with a coach can help reframe your thoughts Please subscribe and leave a review on your favorite Podcasting platform. Get 12 Financial Mistakes that Keep Physicians from Building Wealth at https://www.growyourwealthymindset.com/12financialmistakes If you want to start your path to financial freedom, start with the Financial Freedom Workbook. Download your free copy today at https://www.GrowYourWealthyMindset.com/fiworkbook Dr. Elisa Chiang is a physician and money coach who helps other doctors reach their financial goals by mastering their money mindset through personalized 1:1 coaching . You can learn more about Elisa at her website or follow her on social media. Website: https://ww.GrowYourWealthyMindset.com Instagram https://www.instagram.com/GrowYourWealthyMindset Facebook https://www.facebook.com/ElisaChiang https://www.facebook.com/GrowYourWealthyMindset YouTube: https://www.youtube.com/c/WealthyMindsetMD Linked In: www.linkedin.com/in/ElisaChiang Disclaimer: The content provided in the Grow Your Wealthy Mind...

Donnez-moi votre feedback par SMS (mobile uniquement)!Vous est-il déjà arrivé de ruminer une expérience négative passée ? C'est assez épuisant, car vous revivez l'événement, vous ressentez à nouveau les émotions négatives et vous vous sentez mal par la suite. Par exemple, vous pouvez revivre une réunion difficile avec votre patron. Les mots que vous avez échangés se déroulent comme un film dans votre tête. Vous imaginez alors un scénario après l'autre sur ce que vous auriez dû dire pour sortir vainqueur. Au bout du compte, vous vous sentez vraiment en colère et vous avez du mal à travailler de manière productive. C'est pourquoi vous êtes encore plus stressé.e!Martin Seligman, fondateur de la psychologie positive, qui nous parle d'apprendre l'optimisme pour mieux gérer les conséquences de ces situations. Basé sur la psychologie cognitive et comportementale de Beck & Ellis.Optimisme? Doctrine philosophique qui soutient que tout ce qui existe est le mieux possible.(optimus = meilleur)Je ne suis pas un optimiste du résultat, mais je suis un optimiste du processus.Donc comment apprendre l'optimisme?Exemple: je suis un mauvais manager et je n'arriverai jamais à progresser (pessimiste)Méthode ABCDE de Seligman:Adversité/Activation: Quelles observations puis-je faire dans les situations dans lesquelles je me trouve mauvais manager?Belief (croyance): comment est-ce que je me sens? Quel dialogue intérieur est-ce que j'entends dans cette situation? Qu'est-ce qui m'amène à penser cela? Pourquoi est-ce grave?Conséquence: comment est-ce que je me sens alors dans ces situations? Est-ce que cela m'aide? Quelles sont les conséquences de ma croyance? (preuve pragmatique)Dispute: est-ce que mon raisonnement est logique? Est-ce qu'il s'appuie sur des faits avérés? Lesquels? Puis-je voir la situation autrement, sans avoir complètement tort? (preuve logique et preuve scientifique)Energie: quelle autre croyance me permettrait de mieux agir dans ces situations? Quelles actions puis-je prendre pour mieux me sentir dans ces situations? Quelles paroles puis-je me dire ou quelles images puis-je invoquer pour court-circuiter les pensées négatives qui m'habiteraient dans ces situations?Du coup, le pire n'est jamais certain et le pessimisme n'a pas lieu d'être: nous passerons toujours au travers de situations difficiles et nous arriverons toujours de l'autre côté mais si quelques fois nous pensons être bloqués dans le tunnel. La question n'est pas de savoir si nous allons sortir, mais comment.Source: https://worldofwork.io/2019/06/abcde-coaching-model/ Accès gratuit à toutes nos ressources: www.coapta.ch/campusAccès aux archives du podcast: www.coapta.ch/podcast© COAPTA SàrlTous les épisodes disponibles sur www.coapta.ch/podcast ou sur votre plateforme préférée (Spotify, Apple Podcasts, Google Podcasts); cherchez "Leadershift" ou "Vincent Musolino" Faites partie de notre communauté sur le Discord officiel COAPTA!

In this episode of Feel Better, Feel Great, Dr. Andrea McSwain explores the deeper layers of skin cancer, toxic burden, and the powerful connection between your internal health and skin. Learn how to identify the three main types of skin cancer—basal cell, squamous cell, and melanoma—while discovering how detox pathways, inflammation, oxidative stress, and conventional skincare products contribute to skin damage. Packed with holistic prevention strategies like clean beauty swaps, anti-inflammatory nutrition, natural sun protection, and daily detox support, this episode empowers you to protect your skin from the inside out. Tune in to decode your body's signals, reduce your toxic load, and embrace radiant, resilient skin. #skincancerawareness #HolisticSkincare #DetoxYourSkin #FunctionalMedicine #NaturalHealth #OxidativeStress #ToxicBurden #CleanBeauty #AntiInflammatoryLifestyle

Hey Friends!  To join the membership click here:  JOIN THE MEMBERSHIP Feeling frozen by clutter? Like no matter where you start, it's just too much? This episode will help you take your power back — one tiny, doable square foot at a time. Amber walks you through her ABCDE Method, zoomed in to just one square foot of space, so you can stop spinning in overwhelm and start moving forward with calm, clarity, and confidence. You'll learn how to: Reset your nervous system so you can declutter from a place of safety and abundance Use the ABCDE method in micro-moments that lead to real momentum Amount Breathe Choose Do it Messy Eliminate Break through the mental blocks that keep you stuck

Hey Friends!  To join the membership click here:  JOIN THE MEMBERSHIP Feeling frozen by clutter? Like no matter where you start, it's just too much? This episode will help you take your power back — one tiny, doable square foot at a time. Amber walks you through her ABCDE Method, zoomed in to just one square foot of space, so you can stop spinning in overwhelm and start moving forward with calm, clarity, and confidence. You'll learn how to: Reset your nervous system so you can declutter from a place of safety and abundance Use the ABCDE method in micro-moments that lead to real momentum Amount Breathe Choose Do it Messy Eliminate Break through the mental blocks that keep you stuck

Hey Friends!  HERE is the link to sign up for this weekend's free community decluttering session.  Can't wait to help you make progress in your space.  Today we're turning your decluttering session into a full-body, full-mind experience. You'll learn how to move with purpose, boost dopamine, regulate your nervous system, and build decision-making strength—all while clearing space in your home. We'll walk through my ABCDE method and reframe decluttering as something that strengthens you, inside and out.

Hey Friends!  HERE is the link to sign up for this weekend's free community decluttering session.  Can't wait to help you make progress in your space.  Today we're turning your decluttering session into a full-body, full-mind experience. You'll learn how to move with purpose, boost dopamine, regulate your nervous system, and build decision-making strength—all while clearing space in your home. We'll walk through my ABCDE method and reframe decluttering as something that strengthens you, inside and out.

布道十年的加密 OG，今天怕被人叫「区块链叛徒」。关停 ABCDE 后，杜均准备给行业最后 4 年，他说，再看不到改变的希望，就退圈 【主播】 刘锋，BODL Ventures 合伙人，前链闻总编辑 熊浩珺Jack，律动 BlockBeats 副主编，《Web3 无名说》主播 【嘉宾】 杜均，投资机构 Vernal 创始人；区块链基金 ABCDE 联合创始人 【你将听到】 01:39 去年 11 月份按下投资的暂停键 03:18 三年前创立 ABCDE 的初衷和今日的遗憾 05:24 区块链基金业绩真相：曾在火币投资过 50 多支基金，仅八支 DPI 超过 1 08:54 ABCDE 最后的 DPI 大概为 2 10:01 总有投资经理光想着挣快钱! 11:50 第二期基金的 LP 即将打钱的当天戏剧性被喊停 12:47 币圈的「巴菲特」迷思：能否只持有不退出？ 15:54 币圈孵化器如何跳出「发币工厂」的恶名 17:05 迷思之二：没有交易所，币圈这些项目能否存在？ 18:07 「我的心中目前没有清晰的投资蓝图」 20:15 再无执念让世界更好了解区块链，更想利用好先进的技术让自己不掉队 21:30 「我对 crypto 一时的暂停」 21:55 创立的新机构 Vernal 一期已确定资金 5000 万美元，意向资金 2 亿美元 22:22 还在投资 crypto+AI 的项目，只是一种妥协 24:50 「赛博菩萨」的真心话 （这里提到的「老胡」指的是另一位热衷捐赠的火币联合创始人胡东海，他以个人名义捐助过多个公共物品项目，还是区块链公共物品捐赠基金 GCC 的主要支持者） 26:30 二级市场买币投资的逻辑：这是「庄家」吗？ 27:34 加密货币投资缺乏价值观，需要通过买币建立话语权来树立价值观 31:05 币圈的「巴菲特」迷思之二：长期投资会成韭菜吗？ 31:48 「我不拍被嘲笑为韭菜」 34:46 投资还是得挣钱，不挣钱无法成为别人的榜样 36:50 币圈投资「to Vitalik」和「to 币安」之死 39:10 「我给自己一个周期的时间，如果币圈不改变只能去选择更有价值的地方，不能让自己的青春喂了狗」 【后期】 AMEI 【BGM】 Mumbai - Ooyy 【在这里找到我们】 收听渠道：Apple Podcast｜Spotify｜YouTube｜小宇宙 联系我们：podcast@sv101.net

In Folge 73 sprechen wir über den Zero Point Survey. Das heisst wie kann ich mich optimal auf einen angekündigten Schockraum vorbereiten. Warum es sinnvoll ist das STEP UP noch vor dem ABCDE zu bedenken und wofür diese Buchstaben stehen hört ihr in dieser Folge. Viel Spass beim Hören und wie immer freuen wir uns über Feedback, wenn ihr eure Erfahrungen mit uns teilt und Anregungen.

Welcome to Monday Night Live Welcome to another insightful episode of and now a leading expert on mnday Night Live! I'm Derek Arden, and this week, I'm joined by the fantastic Michael Dodd – a seasoned journalist, foreign correspondent, Media communication and interview techniques. Michael's career kicked off in Sydney with the Australian Broadcasting Corporation (ABC), where he was trained in the art of asking “blowtorch on the belly” questions – tough, persistent inquiries designed to put real pressure on political figures. This phrase, coined by an Australian politician, became the backbone of Michael's journalistic style, pushing for truth and accountability. In our conversation, Michael shares his journey from covering politics in Canberra to witnessing the historic revolutions of Eastern Europe, including the fall of the Berlin Wall and the Velvet Revolution in Prague. He tells a captivating story of interviewing Václav Havel, the Czech dissident-playwright who would later become president. Havel's masterful response to a tough question about his political ambitions became a defining moment in Michael's career and illustrates how great communicators can turn pointed questions into opportunities for impactful messaging. As we shift to modern-day media dynamics, Michael offers a behind-the-scenes look at how journalists operate during high-stakes press conferences, like those with Prime Ministers or Presidents. He explains how competitive journalists, from Sky News to the BBC, often don't coordinate their questions but instead aim to deliver the sharpest queries for their respective audiences and editors. We also dive into Michael's transition from journalism to media training. He now teaches business leaders, politicians, and even sports coaches how to respond to difficult questions with confidence and clarity. His approach is rooted in integrity – always advocating for honest and effective communication rather than evasiveness. Michael introduces us to his golden formula, the ABCDE method, for crafting powerful responses to tough questions: A: Answer the question (or acknowledge it if you can't fully respond).B: Bridge – smoothly transition to your key message.C: Content – deliver your core message clearly and concisely.D: Dangle – set up your example or supporting evidence.E: Example – share a compelling story or data point to reinforce your message.Throughout the session, Michael emphasizes the importance of preparation and truth, especially in an age where disinformation can easily sway public opinion. We touch on the rise of false narratives, citing figures like Donald Trump and Elon Musk, and the challenges this poses for credible journalism. Michael underlines the critical role journalists play in combating misinformation and holding power to account – a responsibility that's never been more vital. We also discuss how these media dynamics affect leaders in business and sports. Michael shares anecdotes from his media training with rugby league teams and how captains and managers can apply the ABCDE formula to defuse criticism and refocus on positive actions, even under pressure from hostile media or frustrated fans. From dissecting press conference tactics to reflecting on the wider implications of truth and integrity in public discourse, Michael brings a wealth of wisdom, wit, and practical advice to this conversation. For those interested in learning more about Michael's approach, he mentions his book, Great Answers to Tough Questions at Work, which dives deeper into his ABCDE strategy and how to stay composed and effective when the heat is on. If you're a business leader, media professional, or just someone keen to sharpen your communication skills, you won't want to miss this masterclass.

On this episode, I speak with Sylvie DiGiusto, the world's first 3D immersive keynote speaker, whose innovative presentation approach reshapes how we engage with audiences. Sylvie brings a wealth of experience from her 20-year corporate journey in retail and tourism, where she honed her skills in leadership development, building one of the most prominent leadership academies in Europe. Our conversation delved into her signature framework, "The Power of Choice," which empowers leaders to make intentional decisions that significantly impact their teams and customers. Sylvie articulates her passion for fusing customer-centric leadership with effective communication. She reveals how the realization that many candidates exhibit a discrepancy between their perceived and actual performance influenced her career path. This realization led her to examine the nuances of first impressions and unconscious biases, which profoundly affect how individuals and organizations are perceived. Together, we explore how these biases play a role in the customer experience and how leaders can bridge the gap between perception and reality. Our discussion also touched on the critical nature of first impressions in customer relationships and team dynamics. Sylvie illustrates this with vivid scenarios, demonstrating how instant judgments shape our interactions and the narratives we believe. She also introduces her ABCDE framework, which includes Appearance, Behavior, Communication, Digital Presence, and Environment, offering a comprehensive guide for individuals looking to refine how they present themselves in the business world. Throughout our conversation, it became evident that Sylvie's commitment to bridging the gap between leadership and customer-centricity presents a new paradigm for enhancing organizational culture and driving long-term success.   Sylvie's Contact Information: Website: https://sylviedigiusto.com LinkedIn: @sylviedigiusto Social Media: @sylviedigiusto   Tacey's Contact Information: Website: taceyatkinson.com LinkedIn: TaceyAtkinson   Thank you for tuning in, and I look forward to having more valuable conversations together in the future. Remember: Customer-Centric Cultures Create Magical Customer Experiences. Now Go, Create the Magic!

This week Bobbi Conner talks with Dr. Graciela De Jesus about possible signs of melanoma skin cancer.

Entdecke das ABCDE-Modell von Albert Ellis!

The ABCDE's of Chuck's January picks at Film Seizure are right in the middle with his third pick. Michael Mann and Tom Cruise return along with Jamie Foxx in 2004's Collateral. Episodes release on Wednesday at www.filmseizure.com "Beyond My Years" by Matt LaBarber LaBarber The Album Available at https://mattlabarber.bandcamp.com/album/labarber-the-album Copyright 2020 Like what we do? Buy us a coffee! www.ko-fi.com/filmseizure Follow us on Facebook: www.facebook.com/filmseizure/ Follow us on BlueSky: https://bsky.app/profile/filmseizure.bsky.social Follow us on Mastodon: https://universeodon.com/@filmseizure Follow us on Instagram: www.instagram.com/filmseizure/ You can now find us on YouTube as well! The Film Seizure Channel can be found here: https://www.youtube.com/c/FilmSeizure

When plans unravel, resilience and adaptability become your greatest assets in building a thriving business. With over 20 years of experience, May Yeo Silvers exemplifies this as she shares actionable strategies for overcoming setbacks, staying grounded, and realigning goals to achieve both financial success and time freedom.   In the final part of her three-part series on strategic planning for 2025, May focuses on what to do when things don't go as planned. She highlights the importance of setting intentional, detailed goals—covering financial targets and time management—to create a balanced foundation for both work and personal life.   How do you stay committed to your goals when progress feels slow or uncertain? May introduces the ABCDE framework from Martin Seligman's book “Learned Optimism” to help entrepreneurs manage setbacks and maintain focus. This practical approach offers tools to shift negative beliefs, refine strategies, and stay on course.   Through personal stories and hard-earned insights, May explores the balance between ambition and well-being, showing how entrepreneurship is as much about mindset as it is about strategy. Can you truly define success without considering both financial freedom and time freedom? This episode challenges you to think differently, adapt boldly, and embrace the realities of the entrepreneurial journey.   Quotes  • “Do not be stuck in the ‘I want to make it perfect' zone. If you work only in your head, nobody knows whether it's perfect except you. But you are not the buyer. Your buyer will determine whether what you're putting out there is going to attract people to pay for what you are selling. You are not the one buying; you are the one selling. So, you can't use yourself as a gauge to decide whether it's good enough to be on the market. You will only know once you put it out there, collect data, and gather feedback.” (08:22 | May Yeo Silvers)  • “You cannot tell yourself that you expect this outcome in the first month, second month, or third month. You have a goal but you cannot be so rigid that when the outcome or the result is not what you expected, you get discouraged. It can go both ways: the outcome could be better than what you expect, or it can be less than what you expect. Do not attach any meaning to the outcome. It's just an outcome.” (15:44 | May Yeo Silvers)  • “Time is the most expensive resource that we cannot get back.” (48:15 | May Yeo Silvers)   • “Whose happiness is most important? Your happiness. And your happiness is created by you, not given to you by these people. You need to remember that. Your happiness and your fulfillment is created by you, not to be given to you by all these people.” (56:10 | May Yeo Silvers)    Links If you have invested time and money in learning the "what to" and "how to" for your events business, BUT you still feel like "something" is missing to catapult your business, perhaps having a supportive community of EVENTrepreneurs where you can bounce off ideas, seek advice from and get emotional support to cheer you on your EVENTrepreneur journey is the missing link.   Inside our Unstoppable EVENTrepreneur Live Support Community, we have Eventrepreneurs at different stages of their business and we share business strategies, event experiences etc so you don't make costly mistakes and learn from those who have been there and done that. Hear from these EVENTrepreneurs the ups and downs of being a business owner so you don't feel so lonely on this journey! Click on this link to learn more about the EVENTrepreneur LIVE SUPPORT Community.   Connect with May at: may@events4anyone.com  Website: www.mayyeosilvers.com LinkedIn: https://www.linkedin.com/in/mayyeosilvers/ Facebook: www.facebook.com/mayyeosilvers IG: www.instagram.com/mayyeosilvers TikTok: https://www.tiktok.com/@mayyeosilversofficial FB private group: https://www.facebook.com/groups/events4anyone     Podcast production and show notes provided by HiveCast.fm

Wes Schaefer, author, speaker, and sales expert, joins the podcast to discuss his ABCDE sales framework. From attracting prospects to delighting and endearing customers, Wes shares strategies to adapt to evolving buyer behaviors and thrive in today's market. Discover how authenticity and exceptional service can set you apart and create lasting customer relationships. Don't miss this insightful conversation packed with actionable tips!

The Baby name game just keeps getting more and more wild! Abcde who? This week we are sharing the baby names we adore and dislike. We also react to baby names that you all love and hate. As well as talk about instances people were unbelievably RUDE about the names you chose for your own children. --- Support this podcast: https://podcasters.spotify.com/pod/show/bluntandblonde/support

Are you ready to supercharge your productivity and eliminate procrastination once and for all? In Episode 268 of the Moonshots Podcast, hosts Mike and Mark discuss Brian Tracy's timeless wisdom and best-selling book Eat That Frog!, guiding you through practical and proven techniques to master your time and achieve your goals.Brian Tracy's philosophy revolves around tackling your most important and daunting tasks first—what he calls “eating the frog.” This approach builds momentum early in your day and creates a sense of accomplishment that powers you through to even greater success. This episode is packed with actionable insights and strategies you can apply today.

This Podcast Is Episode 594, And It's About Crafting Your "To-Don't" List As A Construction Business Owner Your to-do list is often long and constantly growing longer when you're an entrepreneur. There are a lot of things you need to do, and it can feel like they're all urgent. In such cases, it's easy to push essential tasks to the side and focus on less vital activities, but that often means you miss deadlines, make mistakes, or always feel like you're trying to catch up.   Here are some ways to determine the most productive order to complete your tasks.   1. Know all of your tasks   It isn't enough to have a running list of tasks in your head; you need to write them out so you can see them at a glance. Take the time to list all your tasks, and break down large tasks into smaller steps.   Write a list of the activities you must do for the week—or even the next two weeks—on Monday morning. Include information such as how urgent they are, how long they'll take to complete, and their deadlines.   Now you know what you'll need to complete and when.   2. Determine what tasks are vital   There are many methods for determining which tasks are the most vital. We'll go into the Eisenhower Decision Matrix and the ABCDE Method.   In the Eisenhower Decision Matrix, you classify each task into one of four quadrants. These quadrants are based on whether the task is important, urgent, or neither. Tasks that are important and urgent should be done first, followed by those that are either important but not urgent or urgent but not important, and finally, those that are neither important nor urgent. If possible, delegate tasks that aren't both important and urgent to someone else.   Another method is the ABCDE method, in which you assign each task on your list a letter from A through E based on its level of importance. Tasks with a level of A or B are the most important, while D and E are unnecessary. Anything from C down can likely be rescheduled or delegated to someone else.   3. Schedule your tasks   Now that you know which tasks are the most important, schedule your to-do list in that order. Write yourself a daily list that puts the most critical functions at the start of your day. Don't overschedule yourself, though. After all, there's a good chance that a new, essential, and urgent activity will arise during your week, and you'll need the space in your calendar to address it.   Give yourself deadlines in the day to get the work done based on a reasonable assessment of how long the activity should take you. You can also chunk your work, setting aside specific, uninterrupted periods to do focused work and then scheduling breaks around that. Ensure you turn off distractions and let your colleagues know you aren't available during those times.   As a construction business owner, consider outsourcing various operations to improve efficiency and focus on core business functions. Some tasks that can be written down under your "To-Don't List" and outsourced include:   1. Accounting and Bookkeeping: Hiring a professional accounting firm can help manage your finances, provide accurate financial statements, and ensure compliance with tax regulations.   2. Project Management: Outsourcing services can help streamline construction projects, ensuring they are completed on time and within budget.   3. Marketing and Advertising: Working with a marketing agency can help promote your construction business, generate leads, and enhance your online presence.   4. IT Support: Tech services can ensure your technology infrastructure is well-maintained and secure, allowing you to focus on your construction projects.   5. Legal Services: Hiring a legal firm specializing in construction law can help protect your business and navigate complex legal matters.   6. Human Resources: They can assist with recruitment, payroll, benefits administration, and compliance with employment laws.   As a short reminder that you can ponder on:    To-Don't List for Construction Business Owners   Don't ignore safety protocols and regulations Don't neglect regular equipment maintenance Don't overlook obtaining the necessary permits and licenses Don't avoid clear and detailed contracts for projects Don't skip regular communication with clients and employees Don't disregard the importance of staying updated on industry trends and technology Don't underestimate the importance of accurate and timely financial record-keeping Don't hesitate to seek professional advice when needed   Outsourcing bookkeeping and accounting can offer significant benefits to construction contractors.   Here's why it's essential to consider adding these tasks to the to-don't list:   1. Expertise and Compliance: Navigating the complexities of construction accounting requires specialized knowledge. From job costing to progress billing, having professionals who understand the industry's intricacies is invaluable. Outsourcing ensures access to experts who comply with industry-specific regulations and standards.   2. Time and Focus: Managing bookkeeping and accounting in-house demands time and attention that could be better directed toward core business activities. By outsourcing these tasks, contractors can refocus on project management, client relationships, and business growth, ultimately increasing productivity and efficiency.   3. Cost-Effectiveness: While some might perceive outsourcing as an added cost, it can be a cost-saving measure in the long run. By avoiding hiring and training in-house accounting staff and investing in accounting software and infrastructure, contractors can achieve significant cost savings by outsourcing.   4. Scalability and Flexibility: As construction businesses fluctuate with project demands and seasonal variations, the scalability and flexibility offered by outsourcing are invaluable. Whether managing peak periods or adjusting to business contractions, outsourced accounting services can adapt to the contractor's needs.   5. Reduced Errors and Risk Mitigation: Bookkeeping and accounting errors can have costly implications for construction contractors. Outsourcing to professionals reduces the risk of mistakes, ensures accurate financial records, and mitigates potential risks associated with economic mismanagement.   In conclusion   As construction contractors like you craft your to-do lists, you should also consider the tasks that belong on the to-don't list. Outsourcing bookkeeping and accounting offers a strategic advantage, providing access to specialized expertise, freeing up time and focus, and delivering cost-effectiveness, scalability, and risk mitigation. By recognizing the value of outsourcing in these critical areas, you can position your business for tremendous success and growth.   Remember, these "to-don'ts" are as important as the "to-dos" for a successful construction company.   About The Author: Sharie DeHart, QPA is the co-founder of Business Consulting And Accounting in Lynnwood, Washington. She is the leading expert in managing outsourced construction bookkeeping and accounting services companies and cash management accounting for small construction companies across the USA. She encourages Contractors and Construction Company Owners to stay current on their tax obligations and offers insights on how to manage the remaining cash flow to operate and grow their construction company sales and profits so they can put more money in the bank. Call 1-800-361-1770 or sharie@fasteasyaccounting.com

Eye contact can be tricky. Too little and you look disinterested – too much and you look creepy. This episode begins with a few of the finer points of proper eye contact. http://www.spring.org.uk/2013/07/how-eye-contact-works.php It's clear from research that keeping a secret is difficult to do. We often feel compelled to share secrets even if we promised not to. So why is that? According to my guest, keeping a secret causes stress and has been linked to diseases like ulcers and cancer. By telling secrets we unburden ourselves and relieve that stress. But revealing secrets can have huge negative repercussions to relationships and social status. Here to look at the science of secrets, why we tell them and who we tell them to, is Andrew Gold. He is an investigative journalist, podcaster and filmmaker who has made documentaries for the BBC and HBO. He hosts a podcast called On the Edge with Andrew Gold (https://www.youtube.com/playlist?list=PLwU7HOfuSL5KD5s9hGoPuyVzN_VwG4Yi_) and he is author of the book, The Psychology of Secrets: My Adventures with Murderers, Cults and Influencers (https://amzn.to/3MiwXoS) Why do we have both upper and lower case letters? Why are letters in the order they are in (ABCDE etc.) There is a dot above a lower case i and j – what's that for? And why do we capitalize the pronoun “I”? Other languages don't. There are so many fascinating stories about how English came to be. And here to tell several of them is linguist Paul Anthony Jones. He has a popular YouTube channel where he talks about language and he is author of the book Why Is This a Question?: Everything about the origins and oddities of language you never thought to ask (https://amzn.to/3Z0Nrtm). While people discuss and debate whether humans are naturally monogamous, there are some animals on earth who truly are – or close to it. Listen as I reveal which animals love their mate for their entire life. https://www.treehugger.com/animals-that-mate-for-life-4869332 Learn more about your ad choices. Visit megaphone.fm/adchoices

Jason Li is Co-Founder of Solayer. Backed by Polychain Capital, Hack VC, Binance Labs, Big Brain Holdings, ABCDE and others, Solayer is the restaking protocol on Solana, securing both endogenous AVS (dApps) through stake-weighted quality of service and exogenous AVS via Solana-based POS primitives. In this episode, Jason unpacks why (re)staking is one of the strongest narratives in crypto today, it's importance to the development of crypto, and how Solayer is leveraging the economic principles of staking with its unique innovative network bandwidth optimization approach, and how it can extend security beyond Solana.

Tina and Leah take on some TikTok misconceptions, including influencers' anti-sunscreen rants, head-on (wearing a wide-brimmed hat, of course).  The sun is good. The sun is bad. The sun will give you cancer, no wait, it will protect you from cancers. As is often the case, the truth is somewhere in the middle. Tune in for a factual discussion about sun exposure, tanning, and the difference between UVA and UVB rays on your skin. We talk sunscreens, sun blockers, and why there is so much darn skin cancer down under! (Not THAT down under! We mean Australia/New Zealand). Some links that you may like:Who's Spicoli?List of the recalled Sunscreens Bain De Soleil CommercialSPF and Sun Protection explained (Skin Cancer Foundation)Eating tomatoes - evidence of protection from sun damage (mice)The ABCDE of identifying melanomaFive sunburns in childhood increases risk, and more infoSkin Cancer rates across by country (Scientific American)Our prior episode on Vitamin DSunscreen Chemicals and Marine Life (National Oceanic and Atmospheric Association)Guide to the Safer Sunscreens (Environmental Working Group) Support the Show.Our website:https://www.thecancerpod.com Email us: thecancerpod@gmail.comJoin our growing community! We are @TheCancerPod on: Instagram Twitter Facebook LinkedIn THANK YOU for listening!

Are you feeling that you are trapped by your own thoughts? In this episode, Jocelin will share a powerful tool from Rational Emotive Behavior Therapy (REBT) called the ABCDE model that can help you break free.We'll uncover how this model helps you understand the impact of your beliefs on your emotions and actions. And how you can transform these beliefs into effective new ones that empower you to move forward.Sign up to receive our Weekly Mindset and Performance Hacks: www.mindeq.eu/weeklyhacks If you have any questions or topics you'd like us to cover send us an email at info@mindeq.eu Follow us on Instagram: https://www.instagram.com/jocelinlillienau/

In the second hour, we welcome back to the show, Dr. Kristin Lyerly! We're discussing the two year anniversary of the overturning of Roe v. Wade and what has happened since the Dobbs Decisions. We hear from someone who thinks everything is great and from a husband who nearly lost his wife. Then it's time for another edition of Public Cervix Announcement and Dr. Lyerly is sticking around to talk about age spots, melanoma and seeing a doctor right away if you have any questions. Finally we wish happy birthday to Culver's...and invite them to bring us yummy treats. As always, thank you for listening, texting and calling, we couldn't do this without you! Don't forget to download the free Civic Media app and take us wherever you are in the world! Matenaer On Air is a part of the Civic Media radio network and airs Monday through Friday from 10 am - noon across the state. Subscribe to the podcast to be sure not to miss out on a single episode! You can also rate us on your podcast distribution center of choice, they go a long way! To learn more about the show and all of the programming across the Civic Media network, head over to https://civicmedia.us/shows to see the entire broadcast line up. Follow the show on Facebook, X and YouTube to keep up with Jane and the show! Guest: Kristin Lyerly

In this week's conversation, Misty, Shawna, and Nick explore an organization called Eyes on Cancer. This company offers skin cancer education and certification to help clients with early detection if they see anything abnormal and explain the importance of having a doctor take a look. So grab your paresols and sunscreen and come with us on this relatable conversation of the ABCDE's of Eyes On Cancer!!

We know it is easier said than done. In Part Two, Willa talks about emotions after a brain injury from her experience as a neuropsychologist and assistant professor at UTSouthwestern.  Many survivors have a negative outlook for their future, but Willa asks them to focus on what they can control, utilizing coping skills: including writing a journal, conditioning the brain for deep sleep, and exercising daily. It is important to not feel that they must be brave for others.  Willa will explain the ABCDE approach that she uses for counseling and other sources to receive help, such as professional associations, life courses, conferences, and even chatgroups on Facebook.Support the Show.New episodes drop every Thursday everywhere you listen to podcasts. - Give us some feedback, tell us what bindwaves has meant for you by emailing us at bindwaves@thebind.org- Leave us a rating or review on Apple Podcasts or Spotify- Follow bindwaves on Instagram, Facebook, and YouTube!- Share episodes with your friends!- Make a monthly or one time donation- Learn more about the Brain Injury Network at www.thebind.org

Good morning and welcome to Living Well with Robin Stoloff, empowering you to live a healthier life. As we kick off the unofficial start of summer this Memorial Day weekend, Robin shares the benefits of spending more time outdoors, from boosting mental health to getting essential Vitamin D. Learn how to make the most of the warmer weather to enhance your physical and mental well-being. This episode also dives into the idea of a digital detox. If you feel overly dependent on technology, Robin provides four simple steps to reduce screen time and reclaim your life. Discover how to create device-free zones, schedule internet time-outs, and more. Dr. Desiree D'Angelo joins the show to discuss how to identify concerning moles and skin spots using the ABCDE method. Learn the importance of regular dermatologist check-ups and the various treatments available for skin cancer. Hydration is another key topic as Robin explains the numerous benefits of drinking water, especially as the weather heats up. From curbing appetite to keeping the digestive system running smoothly, staying hydrated is crucial for overall health. Robin also highlights an upcoming yoga workshop focused on Ayurveda yoga, hosted by NutriMed Metabolic and Lifestyle Center. Discover the transformative health benefits of yoga and how to register for this enlightening event. As we enjoy more time outdoors, protecting our skin from harmful UV rays is essential. Learn simple precautions to prevent sunburn and reduce the risk of skin cancer, including the importance of using sunscreen and wearing protective clothing. Finally, Karen Callahan, owner of Atlantic County Family Spine, offers tips on maintaining a healthy back for golfers. Discover how chiropractic care can improve your game and prevent injuries, ensuring you can enjoy your favorite sport all summer long. Thank you for joining us on Living Well with Robin Stoloff on Light 96.9. Stay safe, enjoy your Memorial Day weekend, and keep living well!

We know it is easier said than done. In Part Two, Willa talks about emotions after a brain injury from her experience as a neuropsychologist and assistant professor at UTSouthwestern.  Many survivors have a negative outlook for their future, but Willa asks them to focus on what they can control, utilizing coping skills: including writing a journal, conditioning the brain for deep sleep, and exercising daily. It is important to not feel that they must be brave for others.  Willa will explain the ABCDE approach that she uses for counseling and other sources to receive help, such as professional associations, life courses, conferences, and even chatgroups on Facebook.Support the Show.New episodes drop every Thursday everywhere you listen to podcasts. - Give us some feedback, tell us what bindwaves has meant for you by emailing us at bindwaves@thebind.org- Leave us a rating or review on Apple Podcasts or Spotify- Follow bindwaves on Instagram, Facebook, and YouTube!- Share episodes with your friends!- Make a monthly or one time donation- Learn more about the Brain Injury Network at www.thebind.org

This week Bobbi Conner talks with Dr. Andrea Abbott about the ABCDE skin rule, to help identify potential signs of melanoma and other skin cancers.

节目概要：BMAN的自我介绍ABCDE 建立时的初心，想要做一个怎样的基金？ 这一轮似乎很多基金能够接触到的项目还不如一些创始人和天使，在这样的一个市场环境下，你们是怎么定位自己的策略的，怎么打出你们的区分度？你们在这一年多品牌建设卓有成效，尤其是你们在开发者中的声望，在这块你们做了哪些工作？你们现在觉得自己比较有优势的赛道有哪些？这两年投出了什么经典案例？有什么方向是你们会避免、觉得自己不擅长的？基建可能是你比较擅长的领域，但是你也喜欢消费应用类的东西。很明显现在二级市场对应用类产品溢价并不多，你觉得这个会是一个长期现象么？这个周期，你会觉得出来的创新的东西不如18、19年那轮熊市多么？是行业发展到了这个阶段的必然瓶颈么？对于比较容易同质化 / 大宗商品化（commoditized）的项目，比如各种rollup和DA，你们的态度？怎么看各种模块化和全局区块链未来发展的趋势？这个市场里，二级市场的价格发现周期可以特别的长，二级市场也有很多机会。现在越来越多的基金会做混合策略，为什么主要做一级市场投资呢？香港 vs 新加坡，从开发者、生态圈、投资人的角度，说说你的感受？ Website：https://www.abcde.com/Twitter（X）：@ABCDELabs 如果喜欢本作品，欢迎打赏ETH/SOL/BTC：ETH: 0x83Fe9765a57C9bA36700b983Af33FD3c9920Ef20SOL: AaCeeEX5xBH6QchuRaUj3CEHED8vv5bUizxUpMsr1KytBTC: 3ACPRhHVbh3cu8zqtqSPpzNnNULbZwaNqG 重要声明：Mable Jiang或嘉宾在播客中的观点仅代表他们的个人看法。此播客仅用于提供信息，不作为投资参考。Mable Jiang有时可能会在此节目中讨论的某项目中持有头寸。 Important Disclaimers: All opinions expressed by Mable Jiang, or other podcast guests, are solely their opinion. This podcast is for informational purposes only and should not be construed as investment advice. Mable Jiang may hold positions in some of the projects discussed on this show.

Welcome to another episode of the Dermhealth.Co Podcast, where we shine a light on the truths about skin health and debunk myths surrounding health, beauty, skin and anything in between. May is Skin Cancer Awareness Month, and in this episode, we're tackling one of Australia's most significant health challenges—skin cancer. Australia reports one of the highest incidences of skin cancer globally, with rates surpassing those in Canada, the US, and the UK, with melanoma alone being responsible for more young Australian deaths than any other single cancer. These statistics underline the critical importance of awareness, prevention, and early detection. In this enlightening episode, I'm thrilled to welcome Jane Homberger, skin cancer advocate and CEO of Skin Smart Australia. With her extensive expertise, Jane dives into the essentials of skin cancer prevention, from understanding the ABCDEs of moles to the life-saving practice of annual mole mapping. Jane's dedication to the cause and her pioneering work with Skin Smart Australia offer invaluable insights and practical tools to empower our listeners to take charge of their skin health. We'll explore the different types of skin cancer, spotlight the alarming prevalence in Australia, and discuss groundbreaking research and awareness initiatives.  Jane will share her inspiring journey into skin cancer medicine and outline simple yet effective strategies everyone can adopt to monitor their skin and spot potential warning signs early. Key Takeaways from Jane: Understand Your ABCDE: Learn what asymmetry, border irregularities, colour variation, diameter, and evolution signify in moles and why they matter. Melanoma Awareness: Discover why melanomas might develop from moles you've had all your life and how to stay vigilant. The Importance of Mole Mapping: Hear why mole mapping should be integral to your annual health check-up. Our aim with this episode is more than just to inform; it inspires action and stimulates a conversation about proactive skin health practices. Whether you've been diligent about skin cancer prevention or are just beginning to understand its importance, this episode is a must-listen. Tune in to deepen your understanding of skin cancer and learn how you can join the fight against Australia's most common cancer. Together, we can make a difference. Remember, prevention starts with awareness. Learn more about Jane and Skin Smart Australia at: Website: http://skinsmartaustralia.com.au/ Instagram: https://www.instagram.com/skinsmartaus/ Facebook: https://www.facebook.com/Skin-Smart-Australia-636936793069203/ This episode is a special re-run of a conversation we had back in 2019, which remains incredibly relevant today. Be sure to subscribe to the podcast and follow us on Instagram @dermhealth.co and @digitalhealth.co for more informative content on skin health and technology. ----------------------------------- Are you still using DIY website building platforms (ahem, Squarespace and Wix) with generic templates that lack strategy and industry features? If the answer is yes, then it's time for you to switch to Australia's first Website Builder for the Beauty and Aesthetic Industry. Enter Aesthetic-Ally.  Want to join the FREE WORKSHOP? https://aesthetically.online/ ----------------------------------- This episode of "DermHealth.co" is proudly powered by Digital Health Co, your trusted partner in the medical aesthetics and beauty industry! Struggling to juggle it all and ready to embrace your visionary potential? We get you! Our "Freebies Library," packed with expertly crafted resources, empowers you to take charge. Supercharge your online presence with website tips, local SEO, and the confidence to shine as a business in an ever-evolving market. Unlock Access Today! No more overwhelm! Head over to ⁠⁠⁠www.digitalhealthco.com.au⁠⁠⁠, powered by Digital Health Co, and grab our handpicked tools. You'll shine online and break free from the therapist-employee role. Empower your beauty biz, attract clients, and let your inner visionary soar. We've got your back, Aussie beautypreneurs! Book a virtual coffee with the team at Digital Health Co

Skin - it's known as our largest ‘organ' and most of us have had some kind of skin issue. This is my 101. Enjoy!Guttate psoriasis: https://www.healthline.com/health/psoriasis-guttatePitiryiasis rosea: https://www.aad.org/public/diseases/a-z/pityriasis-rosea-symptomsScarlet fever: https://www.medicalnewstoday.com/articles/176242Slapped cheek syndrome: https://www.nhs.uk/conditions/slapped-cheek-syndrome/Omega 3 and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7892455/Probiotics and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386980/Acne: https://www.webmd.com/skin-problems-and-treatments/acne/ss/slideshow-acne-dictionaryPCOS: https://www.healthline.com/health/polycystic-ovary-diseaseRosacea: https://www.rosacea.org/patients/all-about-rosaceaNon IgE cows milk protein allergy: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/Dermatitis herpetiformis: https://www.coeliac.org.uk/information-and-support/coeliac-disease/dermatitis-herpetiformis/Elimination diets: https://www.healthline.com/nutrition/elimination-dietAtopy: https://www.healthline.com/health/atopyDemodex: https://www.healthline.com/health/demodex-folliculorumMI allergy: https://www.webmd.com/beauty/what-to-know-about-methylchloroisothiazolinone-allergiesContact dermatitis: https://www.healthline.com/health/contact-dermatitisMelanoma and ABCDE: https://www.melanomauk.org.uk/the-abcde-ruleSunlight and cancer: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571149/ Hosted on Acast. See acast.com/privacy for more information.

Have you ever felt held back by doubt or criticism? How many times have you let others define your capabilities?  #ThinkTHIS: I can because… Tune in to this transformative episode as Dr. Josh Axe reveals the power of overcoming limiting beliefs and unlocking your true potential.  You'll learn: The shocking influence of external opinions on our self-perception How to spot limiting beliefs and replace them with un-limited beliefs How to redefine who you are by becoming aware of your beliefs Strategies like the ABCDE model and schema therapy to dissect, dispute, and overcome limiting beliefs Biblical parallels behind the transformative power of grace and redemption Are you ready to break free from limiting beliefs and unleash your potential? Tune in to Dr. Josh Axe's insights, and discover the tools to identify, dispute, and replace limiting beliefs with empowering ones. Don't let doubts hold you back; you have the power to rewrite your narrative. Join us in this episode and walk away with a renewed mindset, armed with strategies to overcome anything that stands between you and your dreams. Your future self will thank you! ------ Order my NEW BOOK: Think This, Not That https://joshaxe.com/. ------ Want more of The Dr. Josh Axe Show? Subscribe to the YouTube channel. Follow Dr. Josh Axe Instagram Twitter Facebook Tik-Tok Follow Leaders Instagram Twitter Facebook Email Newsletter ------  Links:  https://hbr.org/2023/06/how-to-overcome-self-limiting-beliefs  https://www.schematherapysociety.org/Limited-Reparenting https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392899/ https://magazine.wharton.upenn.edu/digital/the-impact-of-limiting-beliefs/ https://positivepsychology.com/false-beliefs/

Mastering Prioritization: Unveiling the Secrets of Productivity". In this insightful episode, we'll explore the art of setting priorities to transform your productivity and focus. Join us as we delve into the Eisenhower Matrix, a strategic tool that helps distinguish between urgent and important tasks. We'll also unravel the simplicity of the 3-3-3 method, guiding you to prioritize three daily, weekly, and monthly goals. You'll also learn about time blocking, a technique that allocates specific hours to tasks, ensuring dedicated focus and efficiency. Lastly, we'll dissect the ABCDE method, a hierarchy-based approach to categorizing tasks by significance and deadlines. Whether you're a seasoned professional or a budding entrepreneur, these methodologies will empower you to take control of your time and achieve your aspirations precisely. Tune in to elevate your prioritization skills and pave the way for a more organized, purposeful life.ي هذه الحلقة البصيرة، نغوص في فن تحديد الأولويات لتحويل إنتاجيتك وتركيزك. انضم إلينا ونحن نستكشف مصفوفة أيزنهاور، أداة استراتيجية تساعد على التمييز بين المهام العاجلة والمهمة. كما نكشف عن بساطة طريقة 3-3-3، التي توجهك لتحديد ثلاثة أهداف يومية وأسبوعية وشهرية. اغمر في عالم تقسيم الوقت، تقنية تخصص ساعات محددة للمهام، مما يضمن التركيز المخصص والكفاءة. وأخيرًا، نحلل طريقة ABCDE، نهج يعتمد على التسلسل الهرمي لتصنيف المهام حسب أهميتها ومواعيدها النهائية. سواء كنت محترفًا متمرسًا أو رائد أعمال ناشئ، فإن هذه المنهجيات ستمكنك من السيطرة على وقتك وتحقيق طموحاتك بدقة. استمع لترفع من مهارات تحديد الأولويات وتمهد الطريق لحياة أكثر تنظيمًا وهدفًا. Support the showSupport the Podcast on:https://www.paypal.com/paypalme/okuwatly?locale.x=en_UShttps://www.buymeacoffee.com/MaBa3refSubscribe to Maba3ref Newsletter:https://maba3refbranching.beehiiv.com/Connect with Maba3ref Podcast:https://www.instagram.com/maba3refbyomarConnect on TIKTOK:https://www.tiktok.com/@okuwatly

生活在紫外线强烈的澳大利亚，定期皮肤癌筛查十分重要。我们应该多久进行一次皮肤癌筛查？我们可以如何进行简易的居家自我皮肤癌检查呢？点击收听专家解析。

Creating a winning day plan is possible in just five minutes! In this podcast, Jennifer explains 4 steps on how to do it. It starts with the right mindset and then organizing your tasks. Business owners, tend to forget important stuff and that is themselves, so don't forget self-care to ensure your dream can come true. If you need additional help with organizing your day, check out the webinar and Best Plan Ever.com. Notes:

Feeling overwhelmed trying to deliver excellent customer experiences? Struggling with unhappy customers and negative feedback? Stacy Sherman and Sylvie Di Giusto tackle these challenges head-on. They discuss practical strategies for forging strong emotional connections and making impactful first impressions. Learn about understanding customer emotions and biases and how the ABCDE model can enhance every interaction. This show also offers insights on active listening to utilize customer feedback effectively, and draws intriguing parallels between leadership and parenting in the realm of customer experience. Take notes, as there are a lot of gems shared. More info:

Download for FREE today -  special Mnemonics Cheatsheet - so you can be SURE that you have that Must Know information down:  bit.ly/nursing-memory   Outline ABCDE A-Asymmetry- is the mole irregular in shape? B-Border- is the border irregular, notched, or poorly defined? C-Color- does the color vary (for example, between shades of brown, red, white, blue, or black)? D-Diameter- is the diameter more than 6 mm? E-Elevation or Evolution – is it raised or has it changed in the last 6 months Description Evaluation of irregular moles that could possibly be cancerous

Do you ever feel like you are more sensitive to rejection, teasing, criticism, or your own perception that you have failed or fallen short? Or maybe you know someone who seems to be particularly hard on themselves and reactive to others? Everyone experiences some reaction to rejection, but individuals with RSD find themselves more likely to perceive harsh rejection and criticism where there might be none and can sometimes feel like they live in a chronic state of rejection. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive deep into the complexities of rejection sensitivity dysphoria (RSD) and its impact on neurodivergent individuals and the people around them. Top 3 reasons to listen to the entire episode: Understand the impact of RSD and how it can lead to chronic pain, affect relationships, and cause avoidance behaviors in professional and personal settings. Hear about some ways that RSD can impact relationship dynamics and major life changes and decisions. Learn about treatments and strategies to help with RSD, as well as ways to adapt therapeutic modalities to be more effective with neurodivergent individuals. Rejection sensitivity dysphoria can be difficult to navigate both internally and externally and can have a profound impact on the way you experience the world, but there are ways to address it that can help with reducing the intensity around feelings of rejection and finding ways to improve relationships through collaborative communication around RSD. Resources plus Exclusive Coupon Code Dr. Neff's Rejection Sensitive Dysphoria Workbook Bundle (Clinical Use): https://neurodivergentinsights.com/neurodivergentstore/p/rejection-sensitive-dysphoria-clinical  Dr. Neff's Rejection Sensitive Dysphoria Workbook Bundle (Personal Use): https://neurodivergentinsights.com/neurodivergentstore/p/rejection-sensitive-dysphoria-bundle Use Code: “DivergentConversationsListener” To get 20% off anything in the shop, including the RSD bundle.  Dr. Neff's free blog posts on RSD: https://neurodivergentinsights.com/blog/category/Rejection+Sensitive+Dysphoria  The EFT attachment infinity loop can be downloaded here: https://neurodivergentinsights.com/couples-resources   A Thanks to Our Sponsor, Tula Consulting! ✨ Tula Consulting: We would love to thank Tula Consulting for sponsoring this episode. Workplace communication can be messy. Considering the lens of neurodiversity can be helpful for understanding this. Maybe you found yourself frustratedly typing "per my last email" in an office communication, perplexed about how a colleague or client doesn't seem to understand your very clearly written email. Consider this. Visual information processing isn't everyone's strength. Perhaps a quick call could make a world of difference. Or how about including a video or voice message with your email? And this technology exists! Simple steps like these can make your work environment more accessible and bring out the best in everyone. Tula Consulting is on a mission to help organizations build more neuro-inclusive products and work environments. Tula does this by bringing curious minds to solve curious problems. Find out more by visiting tulaneurodiversity.org.   Transcript PATRICK CASALE: Hey, so we are about to do an episode on RSD today, which I think we are going to turn into a two-part episode. One, because there's so much to cover. Too, because Megan just wrote a 170-page workbook on the subject. Three, because I am unbelievably jet lagged and haven't slept in days. And Megan is not feeling well and is sick. So, we're going to do what we can today to kind of jump into the introduction to this topic. But a lot of you submitted questions to our Instagram, a lot of you submitted questions in general, and we want to cover all of them. We just may not get there today. But this is certainly a topic that we are going to circle back to. So, because Megan just wrote a 170-page workbook, I'm going to turn it over to you to kind of set the stage. MEGAN NEFF: Yeah, well, one problem is when you've been swimming in the literature it's hard to know where to start the conversation. So, yeah, how do I synthesize RSD? Well, RSD stands for rejection sensitive dysphoria. Yeah, I guess I'll go over the history of it briefly. So, it was coined by Dr. William Dotson, who if you don't know who that is, like, I recommend Googling him. He's got a lot of really awesome articles up. He's got a lot of webinars that are free through ADDitude Magazine. And he's, like, done a lot in really emphasizing kind of the emotion regulation struggle that often happens with ADHD. But yeah, he's the one that coined RSD. Although, you could actually go back to the '60s and there was a psychiatrist before him, Dr. Paul Wender, who was describing symptoms that now we realize are RSD, who's using the language of atypical depression. But looking back, we actually see, like, okay, that was undiagnosed or often undiagnosed ADHD. And it was RSD and emotion regulation struggles that he was describing. So, there have been breadcrumbs of this in the literature since the 1960s. But it was really in the last 20 years or so that it's become an actual term. It's not a diagnosis. It's not something you'd be diagnosed with. It comes out of the ADHD literature, so there's some debate, like, is this a specifically ADHD thing? And there's several people that say, yes, this is like a distinctive ADHD thing. So, that's the kind of, I guess, clinical definition of RSD. Oh, I guess what it is. So, the question that Dr. Dotson would ask his… and he's a psychiatrist, he's not a psychologist, he's a psychiatrist. But what he'd ask his people when they come in is this question, "For your entire life, have you always been much more sensitive than people you know to rejection, teasing, criticism, or your own perception that you failed or have fallen short?" And he said, 99% of ADHDers would have this like, yes. And not just, yes, but like, "Oh, my gosh, I feel like you know something about me that I've been so embarrassed to tell the people in my life." And then about a third of ADHDers said, "This is the hardest part of ADHD to live with." So, it's pretty significant when we think about kind of the clinical picture of ADHD. Okay, I'll take a breather there. So, that's, I guess, the clinical definition, is it's a really intense, physical, emotional response to the perception of rejection. Or even, like, I guess self-rejection in the sense of like, I didn't live up to my own standards or bar, yes. PATRICK CASALE: And this is very different than other forms of rejection. And I think that's important. Like, you went over that in your... was it Misdiagnosis Monday that you created the diagram for recently? MEGAN NEFF: Yeah, so I created a Venn diagram comparing, like, what is normative rejection sensitivity and then what is RSD? And that's actually typically where I start the conversation. Earlier I was like, "Oh, I don't know where to start the conversation. I usually start with like the evolutionary history." Rejection sensitivity is like a human experience and thank goodness it is. So, if we look at it from an evolutionary lens, the idea that belonging to a group literally meant survival for most of human history. You know, we're pack creatures, and we're not the biggest or strongest species, but it's our ability to think together, to be together, to problem solve together that has meant humans have survived. So, the thinking goes, and this is, you know, any evolutionary psychology is going to be an oversimplification, but kind of the thinking goes, so our anatomy hasn't caught up, right? So, if we perceive rejection, we can experience that as a threat to belonging, therefore a threat to survival on a very kind of automatic level because it's like it's baked into our DNA. And so we haven't caught up to the fact that we don't actually have to belong to the group to survive in modern life. But our body chemistry or our nervous system hasn't caught up to that. So, I like to frame, like, rejection sensitivity through that lens of, yeah, this makes sense as a human experience and it's a spectrum. Some people have really intense. So, like, if you have RSD, you're going to have a really intense rejection sensitivity, whereas other people have more mild rejection sensitivity. But yeah, that is what I did on the Venn diagram and the articles. I walk through, like, this is what normative rejection sensitivity looks like and this is what RSD looks like because RSD is above and beyond that normative sensitivity to rejection. PATRICK CASALE: Yeah, thanks for setting the stage like that because I think it's important to delineate between the two. Like, it's absolutely a process of human experience to feel hurt when they feel rejected, or to feel vulnerable, or to feel insecure, or to feel unsafe. But this takes this to a whole new level, right? Because the symptomology, the struggles that come with RSD can really intensify very quickly and be unbelievably debilitating. MEGAN NEFF: Absolutely, absolutely. Yes, debilitating. And like, yeah, I think that captures it. And that is part of, like, that's one of the ways I distinguish between, like, RSD versus normative of how much is influencing the person's decisions or daily life. And if, like, a fear of rejection, a fear of putting ourselves out there is significantly influencing our decision, that has a lot of control over our day-to-day. And typically, it's not a great thing for our well-being when fear is controlling. There's a lot of avoidance that can often happen for people when they have RSD. Like, avoidance of social situations, or putting themselves out there for like a job promotion. So, there can be career implications, romantic implications. Like, I can't even imagine asking someone out on a date, right? What if I'm rejected? So, yeah, it can be really debilitating. PATRICK CASALE: I see it show up a lot in the coaching that I do because of the entrepreneurial side of my business with a lot of my ADHD coaching clients, where it's really hard to even put themselves out there on social media, it's really hard to create content, it's really hard to put their own spin on something because God forbid someone comes in and critiques it or says something that really sends them down that shame spiral. MEGAN NEFF: So, I actually just had a really interesting consultation around this. And right now I'm working with a psychoanalyst because I'm wanting to… this is a little bit of a divergent trail, I'm wanting to… So, as a psychologist, when I work one-on-one with people, I have a relational framework for the work I do. And I've realized having a framework is really helpful. So, I'm wanting to figure out how to adapt that relational framework to what I do as a public psychologist. So, I've been consulting with… a lot of people consult with like business coaches, I'm consulting with a psychoanalyst to figure out how do I bring a relational framework to the work I'm doing? PATRICK CASALE: That's right. MEGAN NEFF: But part of what came up was this, I've realized in writing this workbook that RSD is probably the number one block when it comes to, especially, social media because social media is just such a vicious space right now. It can be, I shouldn't make global statements, it can be. And one thing I was talking about was how as an autistic person, my ideas, and my emotions are not separate. So, as an autistic ADHDer, right? Like, and I see that a lot with autistic people, our ideas, and our emotions, our ideas, our values, and our personhood are so integrated. So, when I put my ideas out there, I'm putting a lot of myself out there, and then you layer on top of that RSD, damn, that's hard. PATRICK CASALE: It is. That's such a great way to kind of just put that out there too. And I know that you've been on the receiving end as I have too, your audience is significantly bigger, so you probably receive more of it, but I've been on the receiving end of text messages with you where someone said something nasty, or really like offensive, or just inappropriate, and how debilitating… why do I keep using that word? How painful that [CROSSTALK 00:10:1]1- MEGAN NEFF: ...today. PATRICK CASALE: I don't know, I feel like my brain is moving at like MEGAN NEFF: Yeah, we're both struggling. PATRICK CASALE: [CROSSTALK 00:10:19] but how painful that experience has been for you and how it makes you kind of retreat inward, and then a void. MEGAN NEFF: It does. So, I just recently switched things up. And it's actually been so good for my mental health. Like, the way I joke about is that I've emotionally broken up with social media because what I was noticing, I noticed a few things and it's so helpful to have the RSD lens. Like, probably for the first six months, when I was growing, it was really exciting. I'd open the app, I'd be excited to see like how many like, you know, because I had these little posts that would just go viral. And it'd be exciting to see that. And then it shifted to where I'd open the app and I would dread like, "Oh, no, did it go viral?" Or like my stomach would drop every time I open the app. Or every time I open a DM or the comments, like, half the time I literally kind of open the comments because I would feel so stuck of like, what am I going to see? 99% of the comments are really incredible things to read. But of course, those aren't the ones that stick to my brain. It's the 1% of it. Again, I want to tease apart, some of the comments that are critiques have been really, really good learning experiences for me. And then some of them are just like rude, and unkind, and come with a lot of hostility. And I do value the ones that are hard to take in but those have been good learning experiences for me. Yeah, I got to a point where I would feel physically sick opening the app. So, what I've done is I've turned comments off. I have an auto DM. And I will go days without opening the app. So, I will open it on Monday and Wednesday when I post. And you know how you can see on your phone how much time you've spent, like I spend like five minutes a week on Instagram. And it's amazing. And I feel like I've so much of my nervous system back, I have so much my mental real estate back. And I'm reinvesting that. I've launched my more community-oriented membership. And I'm reinvesting that energy in people who are really committed to showing up and engaging authentically. And I cannot explain what a difference that has made for my mental health. PATRICK CASALE: I'm really happy that you've done that for yourself because I know the amount of energy it takes. I also know how impactful it becomes. And it becomes a situation where you have… I, typically, in these moments will shut down, I will avoid, I'll turn everything off, I have to disconnect from everything. And then you're right, there's like this fearfulness of even opening the app back up. There's this like overwhelming dread sensation of like having to look at anything where you may perceive it in any sort of way that feels critical or… and not in a bad way because criticism is not always a bad thing, like you mentioned. But there are just people who like to just say stupid shit just to say stupid shit. And you have free rein to do that on the internet. So, it becomes really hard for people who are in online practices who are therapists who will have to network virtually, who have to show up online because that can really intensify very quickly and all of a sudden that leads to that shutdown or the disconnection. MEGAN NEFF: Yeah, yeah. No, I love how you're connecting it to entrepreneurship because I think there's a lot of, particularly, ADHD entrepreneurs and RSD is very ADHD thing. And like, that double-edged sword of, yeah, like, you have to put yourself out there to be an entrepreneur. And oh, my goodness, if you put yourself out there, you're going to face criticism. You just are. Like, you can't please everyone. And something I like that's a mantra I remind myself, but when you have RSD you have to. PATRICK CASALE: Yeah, you're right. And that's why I keep bringing up the entrepreneurial side is because so many ADHDers that I know are entrepreneurs and it makes sense. Like, it works with the way the brain functions, and the creativity, and the spontaneity, and all the innovation. And like, it's also really challenging because it is about showing up. And you mentioned something before that's sticking in my mind about like, the inner connection of like the inner woven thought, feeling, experience for autistic people. And I get that very much and so much of ourselves when we put ourselves out there in that way, is like this is an extension of how I'm feeling and how I'm moving through the world. So, for it to be picked apart at times of like, "Oh, well, this isn't that character, this doesn't sound right, or like, I don't like the way this came across." All of a sudden it becomes this, like, sensation or this experience of my personhood, like, my sense of self is being under attack right now. And that makes me want to, like, bury my head and hide. MEGAN NEFF: Yeah, absolutely, absolutely. And then, again, I guess, to bring it back to the AuDHD experience, like, another thing I see and I experience as an autistic person is like the fear of putting something out there and it being factually wrong. Like, I think that's one of my biggest fears. And I see that with a lot of autistic people. Like, what if I write something, and then in five years new research comes out, and like that language, and that, like, I've been talking to my spouse a lot about… my business has just become a huge source of stress if I'm working way too many hours, and I'm chronically sick. So, something has to change. And one of the things I was realizing and talking with my spouse, the reason I'm so stressed is I'm frantically because I have this membership that I've historically published a workbook a month that also means I've got like 20 workbooks, and I'm like, what is wrong in that, that I now want to go back and update? Because the idea of like, anything being out in the world that has my name on it, that might be factually wrong, from an autistic lens is also, like, very unfathomable. PATRICK CASALE: And I imagine how unmanageable that becomes too, that it's like, "Oh, I have a 170-page workbook. Now I have to go back and add or edit and revise." And like, very time consuming, obviously. But, you know, Luke is obviously a God sent too, so… MEGAN NEFF: Yes, that's what he is [INDISCERNINBLE 00:16:44] one. But yeah, so I think, especially, the autistic ADHD experience, it gets complicated because there's a lot of different layers that we can feel rejected or criticized. So, this, I think, is a really important part of RSD. And I think this becomes an important part of learning how to work with RSD when our brain is hyper-vigilantly scanning for signs of rejection, what it means is that, like, the wiring around that is going to become like, and the neural pathways are going to become really forged around, like, perceiving rejection, which means we're going to perceive it when it's not actually there. And this is where I think partnerships and friendships really suffer. Like, let's say two ADHDers, right? So, like, someone forgets to call or someone forgets, like, because working memory, it can be a struggle, and the person with RSD that might trigger, like, that person doesn't care about me, and it could trigger so many narratives, when it's really like, oh, something came up and they forgot. And I think that is part of what causes so much pain around RSD is it's like someone is perceiving it chronically when they're not actually being rejected. PATRICK CASALE: That's what I come across the most too when people are asking questions around RSD is like, well, if I'm moving through the world where I'm constantly feeling this pain of rejection or experiencing it this way, how do I then move through the world? Because it's so hard to maintain friendships, working relationships, professional relationships, etc. when I'm experiencing RSD so intensely in all of these situations. MEGAN NEFF: Yeah, yeah, yeah, yeah. I mean, for a lot of people it's like, okay, it's easier just not to put myself out there. It's easier not to be in a relationship. It's easier to make my world small. And that's a really sad solution. PATRICK CASALE: It is because there's so many feelings of isolation, and loneliness, and disconnection as there is for a lot of neurodivergent people, so intentionally shrinking your world to protect yourself from potential harm, it's really, really hard. MEGAN NEFF: Yeah, yeah, yeah, yeah. We haven't even talked about that aspect of RSD of, and this is why, like, you also hear autistic people talk about RSD. I'm really curious, we haven't seen a study on this but I'd be curious if we did a study that controlled for the ADHD because we know so many autistic people have ADHD, like purely autistic people, would they still have RSD? I'd love to see a study on that. But the neurodivergent experience of just perpetual miss-attunement, like we have had more rejection. So, that's another complicating factor, right? We're more likely to perceive it, but partly that's because we are more likely to have experienced social victimization and rejection. And then it becomes this kind of vicious feedback loop of if we show up anticipating rejection, we might have developed psychological defenses and ways of being in the world that actually make it more likely for us to be rejected. And, yeah, it's vicious. PATRICK CASALE: We've talked before about, like, how we always lay out the pain points because so much of the experience is pain points, honestly. But if we're saying this, right? And then we take a step back from the clinical lens for people to say, okay, this is my experience, this is my world, this is every day, this is how I move through relationships, this is how I perceive conversation and feedback. What do we do? MEGAN NEFF: Yeah, no, I mean, there are things we can do. And I'm going to kind of put it in two buckets, psychopharmacological. Okay, big words and brain fog don't mix well today. And then kind of psychological treatments or therapeutic, like, more traditional type treatments. And again, this comes from Dr. Dotson's work, but he has talked about, so there's a class of medications, I'm going to actually look it up so I make sure I'm using the right words, that it's a non-stimulant medication, that it's a class of medications that's sometimes used for a for ADHD. So, alpha agonist is the class, and clonidine and guanfacine are the two medications within that class. Okay, this is really technical, but both have about a 30% response rate. So, a response rate when we're talking about medication is kind of significant reduction of symptoms when the person is on it. So, 30% isn't great. But these two medications are different enough that if you try one, and it doesn't work, and you try the other, there's about a 55 to 60% response rate that one of these will work for you. That's actually a pretty good response rate when it comes to medication. And Dr. Dotson, and again, he is a psychiatrist, but like, he will talk about how he's worked with people who have maybe been like, psychoanalysts for 10 years. RSD wasn't touched, they go on medication, and it's like they ask a girl out for the first time or they apply for that job. Like, it provides emotional armor that they needed. A, to just get out of that avoidance suit, but B, to actually be able to engage like the talk therapy tools. We often need some sort of armor or just regulation to be able to engage the tools that are useful. So, I think that's a really helpful frame just to realize, like, there are medications out there that might be helpful for some people. PATRICK CASALE: That is definitely helpful. And then, you know, on the other bucket, the psychological framework and toolkit that we're talking about, what are strategies that you think are useful? MEGAN NEFF: So, yeah, like a lot of kind of the traditional emotion regulation strategies, but then like, a little bit more targeted. First of all, I think, learning about the rejection sensitivity lens, I say this a lot, and sometimes it gets big reactions, but like, we have to learn to not always trust our minds. Like, our minds are not always helpful. Sometimes, like- PATRICK CASALE: Totally. MEGAN NEFF: Yeah, our minds love attention. And so sometimes it'll spew the most mean, negative, alarming things at us to get our attention. And this is one area where I think learning to not trust our minds becomes really important, realizing, okay, I am prone to have like a rejection goggles on or rejection lens on, which means I'm going to see it when, like, maybe my partner isn't actually trying to reject me, or maybe my boss is genuinely giving me… like, is intending good for me in this constructive feedback. So, I think one really getting clarity on that lens so that we can identify when that's on so that we can unhook from it a little bit more. I would say that's the first step. Other steps like emotion regulation strategies. So, again, if we put this back into the perspective of a threat response, our nervous system, our stress state, our fight, flight, freeze, fawn wherever we go in our nervous system is going to be activated when we're perceiving rejection. So, I'm a big fan of like nervous system mapping, which I think that comes from polyvagal theory. I don't love all of polyvagal theory, but I like this idea of nervous system mapping of like, let me map where I am in my stress response, and then figure out what tools you need. So, if you're someone who goes, like hyperarousal, you would need downregulation strategies to kind of help cool the body off. So, emotion regulation strategies. And then, also, things like knowing your rejection triggers, knowing your, like, what I call raw, but what I didn't come up with the term, but raw spots. Like, what are those raw spots or those areas in our life where maybe we have some attachment wounds, or some relational wounds so when they get bumped they pull a big reaction from us, getting a lot of clarity about, like, what are your rough spots? Why? What's the history of those? What happens to you when those get activated? So, also, like a ton of insight, right? Insight into your relational patterns, into your psyche. I'll stop there, that was a bit. There's, I'm sure more. PATRICK CASALE: Those are good to start out with so that people can implement this stuff and start, you know, doing their own research or incorporating these into their day-to-day because I think it's important to be proactive, too, because I think you're mentioning so many important tips right now and the raw spot suggestion, great suggestion, right? Because if you know what creates these triggers for you, then you can work on, you know, preventing, or at least putting into practice something that will help regulate when you're going into events like that or moments like that. I actually don't like at all, and I just want to be clear about this, CBT but REBT, rational emotive behavioral therapy, when you do like the ABCDE model of like activating event, behavioral challenge, challenging belief disputation, because what we're talking about is like, my wife's not picking up the phone, she must not love me anymore. And we're jumping to these conclusions, we're catastrophizing a lot, and I like that you said, don't always trust your brain because there are always, and I don't want to use blanket statements either, there are often alternative explanations for behavior. MEGAN NEFF: Yeah, yeah. Wait, so are you saying you don't typically like CBT but you do like that CBT exercise? PATRICK CASALE: Yeah, I like that exercise because it allows you to say like, what's the activating event? Okay, she doesn't pick up the phone. My immediate reaction is she doesn't love me anymore, right? Like, and then you've kind of processed it through that lens of like, but what are the other scenarios here for not picking up the phone? MEGAN NEFF: Yeah, I'm glad you say that because I'm with you. And that, like, I tend to not default to CBT, especially, for neurodivergent or anyone who's had a marginalized experience in the world because I think it can be really invalidating. But then there's these tools from CBT that I really like. And I'm like, well, if you put it in context, this can actually be really helpful. And I don't want us to, like, throw the baby out with the bathwater. So, I'll talk about that too, like putting your thoughts through a reality filter. And there's certain questions you can ask to be like, okay, is this thought helpful to me right now? Is it like, yeah, are there cognitive distortions that are, like, influencing this? Kind of that detective work of like, let me become a detective of my own mind, and my own experience, and my own thoughts, which even just the act of stepping outside of the experience into that observing detective, ideally, non-evaluative, non-judgmental mode is therapeutic, no matter where you land on the reality filter of the thought. PATRICK CASALE: Absolutely, yeah. And I'll just piggyback on my statement of saying I'm not a fan of CBT. I know how harmful it is for marginalized communities and for neurodivergent folks in… oh, we could have a whole episode on therapeutic modalities that don't work well for neurodivergent human beings. But if you put it through that lens, and I like that you use that word, you can start becoming that detective, you can start, like, taking that step back because it's really helpful when it feels like almost everything is creating this intensification of experiences that leaves you feeling like you're not able to participate in your life because you just feel like you can't put yourself out there or you can't, you know, speak your mind, or you feel like you just can't show up the way you want to show up. And I think that's really challenging for a lot of ND folks, too, is like, if I can't show up authentically, that really feels uncomfortable and that feels really painful, too. MEGAN NEFF: Yeah, I mean, that then ties into like masking and RSD which that can be its own, like complex conversation. But yeah, if masking helps reduce RSD you could see how like, okay, I'm going to say this, but then I'm going to unpack it, masking becomes a form of self-care. And I don't mean that masking is actually self-care, but like, in that option of like, I'm either going to, like, spiral, like, the fear of I'm going to spiral with RSD because I'm going to show up authentically and you know, the fear, it's not going to be perceived, or I'm going to mask, I could see how for someone masking feels like the less energy cost of the two. And again, that's assuming that masking is like a choice, which it often is not. But it's just that is an interesting, like, yeah, the masking RSD dynamic. PATRICK CASALE: Yeah, absolutely. So, I think we could take this in a variety of ways. And I think we could talk about, like, partnership and RSD, I think we could talk about so many different avenues. I also don't know how your energy is and I want to check on that. MEGAN NEFF: No, I actually feel like I've talked a lot about like content creation in RSD, which is not going to be, like, the majority of people listening to this. So, I'd love to spend some energy to generalize it more to, yeah, relationships, workplace, things like that. PATRICK CASALE: Yeah. MEGAN NEFF: Absolutely. PATRICK CASALE: So, let's talk relationships. Whether it's, you know, different neurotypes, same neurotype, one person is experiencing RSD, one person's not, that can be really challenging because conflict can arise in relationships, and often does. And it can feel really, really painful to feel like you are being critiqued, or you feel really vulnerable, or you're, you know, feeling like you're spiraling often in conversations with your partner. And I imagine then the other partner would then feel that challenge too of like, I don't even know what I can say. MEGAN NEFF: Yes, yeah. I mean, I think it's painful for both people involved, right? Because if one person feels like they're walking on eggshells, right? That's kind of the famous metaphor, that is not healthy for a relationship if there's not the capacity to talk openly about what is happening, and if hard conversations spiral into, like, emotion dysregulation and conflict. So, that is a really painful scenario for both partners involved. Yeah, absolutely. With relationships, I'd be curious to kind of like overlay attachment style and RSD. And attachment theory is one that like it gets critiqued for being oversimplified, but I find it a really helpful lens, even with it being, if people know like, okay, this is probably an oversimplification, I still find it really helpful and to someone who has RSD and also, anxiously attached, like, there's going to be some big emotions when they perceive like an attachment injury or where they perceive they're being criticized. And again, kind of, I'm mapping, I guess, is my word today, but mapping out what are the attachment styles. There's a really great exercise from EFT therapy. It's infinity loop. I have a link on my website, I could link it in our show notes. But it's essentially you map out, like, what happens in the aftermath of an attachment injury. Like, what story does each partner start telling? What did they start doing, right? So, some partners will retreat, some will go to work because it's like, we have to fix this. But then that activates another story, like a secondary story. So, you can map out like, okay, what happens to us in an attachment injury. I think exercises like that become really helpful because then you can understand and name the chaos without a map of like, what is happening here? It's really confusing. PATRICK CASALE: Yeah, yeah, absolutely. And I'm glad you mentioned that because I think recognizing the attachment style and the pattern and then being able to, again, step back when you're not activated and look at it, and say, okay, now I get a sense of like, what's happening in these moments because what you don't want to do, like you said, it's not a healthy partnership if you're walking on eggshells if you feel like you can't have communication, and it's very different experiences on either side, so each partner is experiencing this painfully but very differently, too. MEGAN NEFF: Absolutely, absolutely, yeah. Like, I think ideally the RSD could almost be externalized and be talked about as like a thing in the relationship, right? Like, okay, we just hit an RSD wall, or like, we just triggered the RSD. I love externalizing both and like individual techniques, I do it all the time. Like with, oh, my mind is doing this thing, right. That's it. I'm externalizing it. I'm making it less connected to me. I'm saving the relationships when we can externalize it and it's like, let's collaboratively solve the struggle we're experiencing around this RSD trigger versus you versus me. That really changes the conversation. PATRICK CASALE: It feels much more like teamwork at that point in time. And going back to your detective analogy before, like, you're both putting on that detective hat of like, how can we solve this together? Instead of you're injuring me versus I'm experiencing our relationship this way. MEGAN NEFF: Yeah, yeah, exactly, exactly. Yeah, yeah, that makes such a big difference when partners can do that, like stand side by side, look at the dynamic together versus… I see that a lot, so much like accusations, and kind of like, I mean, our narcissism episode just came out. Like, you are a narcissist, or you're gaslighting me. Like these huge words get thrown out, or can get thrown out when we're looking at the other person as the problem versus looking at the dynamic, or the issue, or the like the process, content versus process. Like, that's a communication thing of when we're locked in the content, which we typically are during in RSD trigger. That means we're locked in like, the thing we're talking about. Process is kind of like bird's eye view, like what is actually happening here relationally? You can get unhooked from the content enough to have some process conversation, some process reflection, that is so helpful in relationships. PATRICK CASALE: Absolutely, 100%. And I think that's also a good transition point into professional relationships. Like, because those things happen in the workplace, too. And it can happen with your co-workers, it can happen from a employee/employer standpoint, and the implications can be pretty huge, like you said, not trying to go for that promotion that you wanted, not talking out in staff meetings because you're going to feel rejected for how you come across. There are so many ways that this can show up in the workplace, too. MEGAN NEFF: Absolutely, absolutely. And I think it's going to depend like, so I talked about, well, Dotson talks about three ways people can respond to RSD, I've added a fourth one. And I have like a little matrix up of like the different ways people can typically respond to RSD. So, workplace stress is going to depend on like, what is your kind of default response? So, like, perfectionism is a really common response to RSD. Like, if I just never make a mistake, then I'm fine. No one's ever going to perceive any of this, right? It's totally illogical, except it's not because we're going to make mistakes. People pleasing, so kind of, like, I put that in under the fawn mode. Like, perpetual people pleasing, like reading, like, what does this person want from me? And a lot of people that are RSD become really good at like, kind of taking in a person, figuring out exactly who they want the person to be. I think that ties back into masking and other things. And then avoidance. So, just like, I'm going to avoid putting myself out there. I think that's the one we've talked about the most in this episode. And then the one I added is the like projector or someone who gets like fight mode when they're perceiving rejection. So, yeah, workplace, if you're a perfectionist people pleaser, with RSD in the workplace, you're going to burn out really fast. PATRICK CASALE: Yeah, yeah. It's going to look like workaholism, right? And you're going to be potentially putting in extra hours that are unnecessary, you're going to be taking on additional tasks that you don't really have the capacity for or don't want to do. And you're going to be one of those employees potentially that goes above and beyond for everything. And then ultimately, it's like, fuck, I can't do this job anymore. This is not manageable for me. This is not sustainable. MEGAN NEFF: Yeah, yeah. And like I think you and I were probably both in that category. And I think that then resentment can come in. So, I would say it's like a more low-simmer chronic RSD response, right? Because there's this illusion of I can, yeah, evade rejection if I just work harder. But then the resentment that builds up, the burnout that that builds up. Absolutely, yeah. PATRICK CASALE: Yeah, absolutely. And then it leads to either termination or leads to quitting a job that you may have been able to navigate or find some accommodation for and it can be really challenging. I think that if we're looking at the whole person, this is so impactful interpersonally, in relationships, in employment places, employment places, places of employment, [INDISCERNIBLE 00:39:39] but it's so impactful. So, knowing the triggers, like you said, implementing some of these soothing strategies for your nervous system, being able to have these conversations, being able to externalize. I think there are a lot of good strategies that you're naming and mentioning right now. MEGAN NEFF: Yeah, yeah. And then also for the avoiders, right? Like getting out of the avoidance loop, which essentially, a lot of anxiety-based treatments are all about targeting avoidance because avoidance feeds anxiety. So, I would add that tool for the avoiders, and especially, with the workplace. Like, avoiders are probably going to be underemployed, they're not going to be going up for that promotion, they're not going to be putting themselves out there. And so really targeting avoidance, using exposure. Gosh, it's going to be a whole other episode. Actually, I feel some guilt about this because I think I used to be one of the voices that said this, and I'm now seeing it on social media a lot. Like, exposure therapy doesn't work for autistic people. Exposure therapy doesn't work for sensory habituation. But that doesn't mean it doesn't work for PTSD triggers, for anxiety. So, we have to get out of this, I think it's a dangerous mindset to say exposure therapy doesn't work for autistic people. When you're in an anxious-driven avoidance loop, you absolutely have to do exposure. Like, it can be natural, it should be led by you. So, for that person exposure and addressing the anxiety would be a really important part of the toolkit. PATRICK CASALE: Glad you name that. I think that's a really good tip and also good framework for the recognition that in some instances certain techniques and strategies are useful, like we said before, despite not being useful as like a blanket statement or across the board. MEGAN NEFF: Yeah, I'm starting to become more gentle in my language use. Like, I think I used to be like, "This kind of therapy is bad." Like, I used to say, like, "CBT is bad for autistic people." I'm now more around like things need to be adapted, right? So, you need to adapt exposure therapy when you do it for an autistic person, 1,000%. If you're using CBT, you should adapt it and consider the marginalized experiences. So, I'm kind of like, yeah, I'm changing my narrative a little bit and how I talk about it. I'm softening it to talk more about adapting and less about what's good and what's bad. PATRICK CASALE: I think it's also important to like, differentiate between taking one simple tool, or technique, or strategy from something, opposed to saying like, okay, CBT as a whole, we don't like it. But this one technique really is useful if we adapt it in a neurodivergent affirmative way. And I think that you could do that with a lot of different therapeutic interventions and modalities. MEGAN NEFF: Absolutely, absolutely. Yeah, yeah, yeah. PATRICK CASALE: Usually, three yeahs in a row from you is like, all right, let's transition out. So, is that where we're at? MEGAN NEFF: I mean, I don't know how long we've been recording. You're right. Like, you said this before we started recording because we were both feeling really lousy. And I was like, "I don't know if this will be a good episode." You were like, "Usually when we start talking it like works." I feel like I could talk longer. But I also feel like I could be done. I don't know, what do you feel? PATRICK CASALE: I feel the same way. I think we've been recording now for about 45 minutes so- MEGAN NEFF: Okay, good length. PATRICK CASALE: Good length of time. And I think it's a good foundational episode to then build off of for different perspectives. I think we can also have people on here to talk about their own RSD experiences, and how it shows up, and how they work through it, or try to manage, and support themselves. So, I think we can go a lot of directions with this. MEGAN NEFF: Yeah. And I mean, I love, we should definitely do a like answer questions follow up because I think people have a lot of questions around this topic. And so we could do that. PATRICK CASALE: Yeah, will say I didn't think about even asking for questions for the episode until like 10 minutes before we started recording. We got like six questions immediately. So, I think that with another day or two, we could compile all that and we can address that the next time we record. MEGAN NEFF: Let's do that. PATRICK CASALE: Cool. Well, for those of you who don't know, Megan, and I haven't recorded in like three and a half weeks because I've been gone and I just appreciate being able to fall back into this even though we feel crappy, like connected in that way. So, just want to thank you for that. What was I going to say? MEGAN NEFF: I think episodes are out every Friday on all major platforms, Spotify, Apple… PATRICK CASALE: What Megan just said, new episodes are out every single Friday. If you have topic requests, if you have questions you want answered, please email our Gmail address that's attached to our Instagram, which is divergentconversationspodcast@gmail.com. We do read those. We don't always respond because we just don't always have the capacity or the spoons to do so. And new episodes are out every single Friday on all major platforms and YouTube. And Megan has a 170-page workbook on RSD that you can purchase from her website at neurodivergentinsights.com. And that will be linked in the show notes as well. Cool. All right, goodbye.

Contributor: Meghan Hurley MD Educational Pearls: What is ATLS? Advanced Trauma Life Support (ATLS) is a systematic and comprehensive approach to the evaluation and management of trauma patients It was developed by the American College of Surgeons (ACS) The key components include the Primary Survey ("ABCDE"), the Secondary Survey, Definitive Care, and Special Considerations What are the issues with ATLS? ATLS relies on many algorithms and rules-of-thumb, which might be helpful for individuals with basic skills and training but might actually present obstacles for those with higher levels of training. Dr. Hurley cites several examples. Example 1: ABC approach to trauma patients ABC stands for Airway, Breathing, and Circulation but focusing on the airway first is not always the best decision. Immediate attention may need to be applied to massive hemorrhage. Intubating a patient that is hemodynamically unstable may cause cardiac arrest. A more helpful phrase might be “Resuscitate before you intubate.” Example 2: C-spine precautions Cervical collars may impede the likelihood of first-pass success when intubating. The risk of complications from a failed airway may often outweigh the risk of causing a spinal cord injury. Example 3:Cutting clothes off. The E of ABCDE stands for exposure which means fully undressing the patient to look for missing injuries. This often involves cutting their clothes off. This practice might be too broadly applied and leave low-risk trauma patients without any clothes to wear when discharged home. Example 4: Digital rectal exam A rectal exam can be a useful tool in the evaluation of patients with abdominal or pelvic injuries. It can help screen for rectal bleeding, pelvic fractures, and neurological function However, the rectal exam is not a sensitive test. A retrospective study from the Indian Journal of Surgery found that a rectal exam missed 100% of urethra injuries, 92% of spinal cord injuries, 93% of small bowel injuries, 100% of colon injuries, and 67% of rectal injuries in trauma patients. Example 6: Pushing on pelvis for pelvic injuries Pushing on the pelvis to check for instability can cause further damage to an unstable pelvis. Imaging the pelvis is far more important than pressing on it if a pelvic fracture is suspected.  Example 7: FAST exam A FAST exam, which stands for "Focused Assessment with Sonography for Trauma," is a rapid ultrasound examination used to assess trauma patients for signs of internal bleeding or organ damage in the abdomen and chest. These can be very useful as an initial test to tell a trauma surgeon where to start looking for internal bleeding in an unstable blunt traumatic injury If a patient is stable and likely going to get a CT scan whether the FAST is positive or negative then the test is unnecessary References ATLS Subcommittee; American College of Surgeons' Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS®): the ninth edition. J Trauma Acute Care Surg. 2013 May;74(5):1363-6. doi: 10.1097/TA.0b013e31828b82f5. PMID: 23609291. Bloom BA, Gibbons RC. Focused Assessment With Sonography for Trauma. 2023 Jul 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29261902. Brown R. Oxygenate and Resuscitate Before You Intubate. Common pitfalls to avoid when managing the crashing airway. EMS World. 2016 Jan;45(1):48-50, 52, 54-5. PMID: 26852546. Chrimes N, Marshall SD. Attempt XYZ: airway management at the opposite end of the alphabet. Anaesthesia. 2018 Dec;73(12):1464-1468. doi: 10.1111/anae.14361. Epub 2018 Jul 11. PMID: 29998563. Docimo S Jr, Diggs L, Crankshaw L, Lee Y, Vinces F. No Evidence Supporting the Routine Use of Digital Rectal Examinations in Trauma Patients. Indian J Surg. 2015 Aug;77(4):265-9. doi: 10.1007/s12262-015-1283-y. Epub 2015 May 19. PMID: 26702232; PMCID: PMC4688269. Groeneveld A, McKenzie ML, Williams D. Logrolling: establishing consistent practice. Orthop Nurs. 2001 Mar-Apr;20(2):45-9. doi: 10.1097/00006416-200103000-00011. PMID: 12024634. Morgenstern, J. The FAST exam: overused and overrated?, First10EM, August 30, 2021. Rodrigues IFDC. To log-roll or not to log-roll - That is the question! A review of the use of the log-roll for patients with pelvic fractures. Int J Orthop Trauma Nurs. 2017 Nov;27:36-40. doi: 10.1016/j.ijotn.2017.05.001. Epub 2017 May 10. PMID: 28797555. Sapsford W. Should the 'C' in 'ABCDE' be altered to reflect the trend towards hypotensive resuscitation? Scand J Surg. 2008;97(1):4-11; discussion 12-3. doi: 10.1177/145749690809700102. PMID: 18450202. Sundstrøm T, Asbjørnsen H, Habiba S, Sunde GA, Wester K. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014 Mar 15;31(6):531-40. doi: 10.1089/neu.2013.3094. Epub 2013 Nov 6. PMID: 23962031; PMCID: PMC3949434. Summarized by Jeffrey Olson MS2 | Edited by Meg Joyce & Jorge Chalit, OMSII  

A core belief is what you live your life on. What's yours?

What if there was an approach to ease anxiety, not just by understanding the mental process but also by experiencing it as a physical sensation? That's what we explore today, with our inspiration drawn from the incredible insights found in the book Anxiety Rx by Dr. Russell Kennedy. I take you on a journey through the ABCDE's of healing this cycle: Awareness and Acceptance, Body and Breath, Compassion and Connection, Discipline, and Ego. These aren't just words, they are active components in fostering healing and understanding anxiety as more than just a state of worry.We delve into each aspect of healing, highlighting the importance of conscious awareness and acceptance, grounding in our bodies, fostering compassion and connection, exercising discipline to stay present, and understanding the role our ego plays in our fears. This is not a quick-fix solution, but a transformative journey towards understanding and managing your anxiety, one step at a time. So, tune in today, let's embrace this quest toward mental wellness and authenticity together. Remember, you're not alone in your fight against anxiety, I'm right here with you!I hope you enjoyed this episode and if you want to listen to more, please subscribe to be notified of new episodes. I'd love to hear from you; I'm @nicolereneejensen over at IG. You can also learn more about me here: https://linktr.ee/nicolereneejensen. Don't forget to check my website for more details: http://nicolereneejensen.com/

Don't miss this powerful and heartfelt episode, featuring the incredible Miss Robin Harris. Driven by her passion to empower and motivate teachers within the school system, Robin shares invaluable insights on making a lasting impact on students' lives through effective strategies that surpass standard expectations, promoting constant improvement and excellence. Robin discusses finding her energy and drive in the early childhood world, the unwavering motivation that enables her to be a guiding light to others, and details about her Level Up program, two schools, and her fun alter ego. Tune in for one of Kris's favorite episodes!   Key Takeaways: [5:28] Robin talks about the Future Leaders Learning Academy, right outside of Houston in Spring, Texas. They have a capacity of 68; the Harris Academic Club has a capacity of 150. [7:03] How they got into offering homeschooling, and the benefits that students receive including a lot of personalized attention. [9:53] How Robin's aunt and uncle helped her realize that she could be something more and make a big difference in the world. [12:15] Kris shares the story of Mrs. Irish, the teacher who made the biggest impact in her life. [15:55] Empowered teachers are the number one leverage point and the most important thing in education for children to fully thrive. [17:20] Robin has an alter ego?! OMG! [20:00] Robin talks about her interactive workbook, Success Looks Good On You. [21:37] Unique selling points or differentiation of Robin's schools, and how the word of mouth and results do the promoting and selling on their own. [25:29] Robin helps teachers bring their energy and passion back for teaching, and big things happen. [29:32] How the open concept teaching works, and why both the future leaders and parents love it. [32:08] What strategy does Robin employ for the youngsters? [33:25] Robin talks about her Level Up curriculum. [43:01] What are Robin's plans for 2023 and beyond, including the brilliant ABCDE awards?   Quotes: “From the moment I walked into the classroom, I knew that was my field.” — Robin [6:22] “I wanted to show the world that I was different.” — Robin [11:20 ] “Right now, the schools are promoting me.” — Robin [8:25] “When you do well, by families and children, your parents will love you so much that they will sing your praises to the world.” — Robin [27:40] “If you produce excellence, you have the power to change a student's life. Multiple students' lives.” — Robin [35:32] “That's the thing about a great leader, you always want to continue to grow and to develop.” — Robin [43:42] “When you give excellence, you will always get excellence from your students, your staff, and teachers.” — Robin   Sponsored By: ChildCare Education Institute (CCEI) Use the code CCSC5 to claim a free course!   Mentioned in This Episode: Kris Murray The Child Care Success Company The Child Care Success Academy The Child Care Success Summit Grow Your Center Childcare Education Institute: use code CDARenewal22 to get $100 off your renewal Level Up: 1-888-700-1017 Miss O.M.G. Blast from the Past

Brian Tracy offers a simple method for setting priorities. Episode 1841: How to Set Priorities Using the ABCDE Method by Brian Tracy on Productivity & Time Management Practice Brian Tracy's goal is to help you achieve your personal and business goals faster and easier than you ever imagined. BrianTracy has consulted for more than 1,000 companies and addressed more than 5,000,000 people in 5,000 talks and seminars throughout the US, Canada and 70 other countries worldwide. As a Keynote speaker and seminar leader, he addresses more than 250,000 people each year. He has studied, researched, written and spoken for 30 years in the fields of economics, history, business, philosophy and psychology. He is the top selling author of over 70 books that have been translated into dozens of languages. The original post is located here: https://www.briantracy.com/blog/time-management/the-abcde-list-technique-for-setting-priorities/ Visit Me Online at OLDPodcast.com Interested in advertising on the show? Visit https://www.advertisecast.com/OptimalRelationshipsDailyMarriageParenting Learn more about your ad choices. Visit megaphone.fm/adchoices

John talks with Sylvie di Giusto — a renowned personal branding expert, former human resources professional, leadership development specialist, keynote speaker, and author of “The Image of Leadership: How Leaders Package Themselves to Stand Out for the Right Reasons” and “Discover Your Fair Advantage: Leverage Your Unique Selling Points and Human Potential for Work, Business and Life,” trusted advisor to corporations and organizations, wife, and mom. Listen to this episode to learn more: [00:00] - Sylvie's intro [03:51] - Sylvie's journey from Europe to the United States [07:11] - Sylvie's fascination with leadership perception [12:55] - Sylvie's definition of emotional intelligence and the ABCDE model [16:43] - The concept of relational intelligence [17:12] - The idea behind her book “The Image of Leadership” [20:43] - Sylvie's perception of a leader [23:28] - Three common terms associated with leadership [25:56] - Importance of care and self-care for leaders [28:13] - The power of active listening and building relationships [32:19] - An overview of her book “Discover Your Fair Advantage” [34:20] - How to get a free signed copy of Sylvie's books [36:02] - The importance of personal branding [37:03] - Personal branding vs. professional branding NOTABLE QUOTES: “The real art and craft is to adjust, adjust on the occasion, and the environment as a leader, which doesn't mean that you can't stay true to yourself.” “As a leader, if you don't take care of yourself first, people do not believe that you have the capability to take care of them too.”  “Active listening is the most important part of communication. It's actually not speaking; it is active listening.” “Leadership is all about trust, care, and excellence. It varies from industry to industry, but these three aspects are common.” “The most beautiful thing as an author is when you feel like your work is making a real difference and impacting people's lives.” “If you think the grass is greener somewhere else, that just means you need to put a little bit more a little more work in on the grass that you have. And you can make it greener.” “Successful leaders usually imprint from the very first moment on trust.” USEFUL RESOURCES: https://sylviedigiusto.com https://www.instagram.com/sylviedigiusto/?hl=en https://www.linkedin.com/in/sylviedigiusto/ https://www.facebook.com/sylviedigiusto https://twitter.com/sylviedigiusto/ https://www.youtube.com/c/sylviedigiusto https://tinyurl.com/DiscoverYourFairAdvantageBook https://tinyurl.com/TheImageOfLeadershipBook CONNECT WITH JOHN Website - https://thejohnhulen.com     Instagram - https://www.instagram.com/johnhulen     Facebook - https://www.facebook.com/johnhulen     Twitter - https://www.twitter.com/johnhulen     LinkedIn - https://www.linkedin.com/in/johnhulen     YouTube - https://www.youtube.com/channel/UCLX_NchE8lisC4NL2GciIWA     EPISODE CREDITS Intro and Outro music provided by Jeff Scheetz - https://jeffscheetz.com/ 

Buckle up, PGY-1's! Intern year is starting whether you're ready or not. Don't fret, BTK has your back to make sure you dominate the first year of residency.  You've been a doctor for about 3.5 seconds, and suddenly that bright eyed, bushy-tailed medical student on service is looking to you for advice? Don't fret, in this episode we'll give you some tips for how to handle it. Hosts: Shanaz Hossain, Nina Clark Tips for new interns: REMEMBER HOW INTERNS DO AND DO NOT TEACH - Nobody, not even the med students, expect you to be an expert in everything or give a fully-planned formal lecture - You WILL however spend a ton of time working with students on your team – and via modeling and teachable moments, you can help them learn how it's done! MODELING - Remember how hard everything has been in the few days since you started residency? Think about all the information you've picked up, tips and tricks you're developing for efficiency, and best practices you're learning in the care of your patients. ALL of these are things you can pass on to students. - Presentations, case prep, answering questions from senior members of the team are ALL excellent opportunities to teach (and show students how you learn yourself, so they can do it independently). TEACHABLE MOMENTS - Find small topics that you know or are getting to know well – things like looking at a CXR, CT scan, etc. - Once you're getting more comfortable caring for specific disease processes, think about high yield lessons for students: - Acute trauma evaluation and management (ABCDE's), appendicitis, diverticulitis, benign biliary disease all make great 5 minute chalk talks that you can have in your back pocket IN THE OR - Watch students practice skills, and try to give some feedback and tips that you use (you learned knot tying and suturing more recently than ANYONE else in the OR and probably have some tips that you're still using to improve) - If you're not sure where or why the student is struggling with a particular skill (like tying a knot), model doing it yourself in slow motion while watching them do it – often the side by side comparison can help you identify where they're going astray BE THE RESIDENT YOU WISH YOU HAD - Refer to EVERYONE with respect - Model being a kind, conscientious, and curious physician - Try to find universal lessons and crossover topics that non-surgeons need to know - A great student makes their interns look even better – be explicit about how they can be successful, then advocate for them to have opportunities to show everything they're learning! Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our new how-to video series on suture and knot-tying skills – https://behindtheknife.org/video-playlists/btk-suture-practice-kit-knot-tying-simulator-how-to-videos/

Robert McQueen shares the inside scoop on Flathub's ambitious plans to create a universal app store for all distros—and we ask the hard questions. Special Guest: Robert McQueen.