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"The accumulation of these malignant and reactive cells, that's what causes the lymph nodes to get big. That's why they grow. And that's why the classic presentation is persistent, painless, enlarged lymph nodes. So when we think of the pathophysiology of Hodgkin lymphoma, there are really two processes contributing to the presentation: One is the physical effects of enlarging lymph nodes or the involved organs. The second is the systemic inflammatory response generated by it and its surrounding immune environment," ONS member Victoria Krogg, DNP, APRN-CNP, AOCNP®, nurse practitioner at the Arthur G. James Cancer Hospital and Richard J. Solove Research Institute in Columbus, OH, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about an overview of Hodgkin lymphoma for oncology nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by October 2, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the pathophysiology and diagnosis of Hodgkin lymphoma. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 339: A Lesson on Labs: How to Monitor and Educate Patients With Cancer Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 208: How to Have Fertility Preservation Conversations With Your Patients Episode 184: Oncologic Emergencies 101: Tumor Lysis Syndrome ONS Voice articles: Diabetes May Increase Hematologic Cancer Risk and Mortality Have Meaningful Conversations With Pediatric, Adolescent, and Young Adult Patients and Their Families Non-Hodgkin Lymphoma Symptoms, Diagnosis, Treatment, and Survivorship Recommendations Clinical Journal of Oncology Nursing articles: Non-Hodgkin Lymphoma: Examining Mycosis Fungoides and Sézary Syndrome in the Context of Oncology Nursing The Unexpected Cancer Journey: Navigating Cancer as Adolescents and Young Adults Tumor Lysis Syndrome in Solid and Hematologic Malignancies: A Guide for Early Detection and Intervention ONS Huddle Cards: Fertility Preservation Oncogenic Viruses Tumor Lysis Syndrome ONS Symptom Management Resource: Fatigue Hematology, Cellular Therapy, and Stem Cell Transplantation Learning Library Blood Cancer United: Hodgkin Lymphoma Lymphoma Research Foundation: Hodgkin Lymphoma National Comprehensive Cancer Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Hodgkin lymphoma can be diagnosed at virtually any age but is more common in younger patients as well as older adults. It kind of skips middle-aged people, but it occurs in our geriatric population as well. There are different prognostic implications depending on the group of patients that are diagnosed with Hodgkin lymphoma. As far as risk factors ... Hodgkin lymphoma is not considered a hereditary disease. There's not a specific gene we know of today that can be passed down to children and put them at risk. But if there is a first-degree relative affected by a lymphoma, we do find that noteworthy. We do consider it a risk factor. But that risk factor isn't necessarily a hereditary component so much as it is having that same genetic susceptibility to Hodgkin's or perhaps sharing common environmental exposures." TS 5:46 "Sometimes the subtypes of Hodgkin lymphoma can vary in terms of presentation. It's certainly not textbook how someone can present. But generally, we worry about enlarged lymph nodes, especially if they are notably enlarged to the point where someone can even see them when they're standing a few feet away from that individual. ... We also worry about what we call B symptoms, related to B lymphocytes, such as unexplained and persistent fevers, drenching night sweats, unexplained weight loss, and new progressive fatigue. ... Interestingly, there is a phenomenon where sometimes people who have an underlying Hodgkin lymphoma will experience lymph node pain or tenderness when they drink alcohol. It's kind of a unique presenting symptom. But I also want to point out that you don't have to have all of these symptoms. A lot of patients are relatively asymptomatic, meaning without symptoms." TS 8:37 "It's always important to consider if there is any very obvious infectious or inflammatory correlate that could explain the enlarged lymph node. Something I've seen in my practice is someone gets a flu vaccine in their right arm and then a couple of days later they notice a lump in their right armpit. And yeah, it might be a flared lymph node, but they also had a vaccine in their arm recently, which would stimulate your lymph node, because the purpose of the vaccine is to have an effect on the immune system. So I always want to make sure—is there something really obvious that could explain these lymph nodes being abnormal? A recent tattoo, recent injury, or infection proximal to where that enlarged lymph node is? So, you have to think of all of that when you're thinking of the differential diagnoses that come to mind." TS 19:19 "Nurses can be monumentally helpful with the education role with any patients who may have lymphoma. It would be helpful if nurses guide patients on the diagnostic process, providing support, guidance and encouragement, and of course, advocating for patients. Also, when you think of Hodgkin lymphoma and you think of the younger patients that are diagnosed with it, there's some additional supportive care that we need to consider, and we may need to refer them for fertility preservation. That can be very daunting for our young patients, so it's helpful to have nursing support in those situations." TS 22:55 "People think of Hodgkin lymphoma as a very treatable disease—and it can be very curable for certain patient populations—but it's not a 100% success rate. We do still have fatalities, so it's a very serious thing. I try to always educate my patients about seeking out care if they notice new lumps or bumps on their bodies. We can observe enlarged lymph nodes most easily on the neck, under the armpit, and in the groin area. If someone were to notice a lump in that area, short-term observation—keeping an eye on it for two weeks is fine—but if it persists past that, they should definitely seek care to get it evaluated." TS 33:18
In Part 2 of our "Leading Adolescent Literacy" mini-series, literacy leaps across content areas. With content literacy, content area teachers (our content experts) employ the science of reading instructional routines to teach their curriculum. Marietta City Schools' Director of Structured Literacy Mary Hannah Gaddis returns to the podcast to unpack content literacy strategies that support students from class to class. When no teacher opts out of strengthening literacy, content literacy offers consistency, becoming a valuable ally and reliable vehicle through which students gain all knowledge.
Adolescent cannabis use disorder following recreational cannabis legalization in California, USA: A population-based interrupted time series study Addiction Adolescent past-year cannabis use trends have remained relatively flat nationally as legalization has spread, but less is known about clinical outcomes such as incident cannabis use disorder (CUD). Researchers evaluated incident CUD case trends among adolescents in California between 2014 and 2020 to assess recreational cannabis legalization (RCL) impact. Incidence of CUD was trending lower between 2014 and 2016 prior to RCL, but post-RCL there was an inflection in the annualized incidence rate , and it started to increase. Notably the increase in incidence trend started after RCL passage, even before implementation of the law. The increasing trend continued after RCL implementation and through 2020. The authors note these findings highlight the importance of monitoring CUD outcomes along with use prevalence to assess public health impacts of cannabis legalization. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
Teenage Stroke: When Recovery Feels Like Losing Yourself Benjamin Miller was 16 years old and playing football in Texas when a carotid artery dissection changed the course of his life on September 22, 2017. He didn’t know what a stroke was. He didn’t know that the word would come to define the years that followed not because of what it took from his body, but because of what it took from his sense of who he was. Teenage stroke recovery is not what most people picture. The standard narrative runs like this: young brain, high neuroplasticity, rapid recovery, inspirational outcome. And in some ways, that’s true. The motor and language systems that stroke damages can rebuild quickly in an adolescent brain. But there’s a part of recovery that neuroplasticity doesn’t touch, and that’s identity. Who Was Benjamin Before the Stroke? He was a football player. In Texas, that means something. It means a community, a future, a sense of place in the social architecture of a town. When the stroke took that away, it didn’t just end a sport. It ended a version of himself that he hadn’t finished becoming. “My soul was torn in half,” Benjamin said in this conversation with Bill Gasiamis. It’s one of those phrases that stops you not because it’s dramatic, but because it’s accurate. “My soul was torn in half.” — Benjamin Miller, EP422 The stroke forced him to grieve something most 16-year-olds don’t have language for: the future self they were building toward. When that future collapsed overnight, he was left with a present he didn’t recognise and a past that no longer pointed toward anything. Why Teenage Stroke Is Different Teenage stroke recovery carries a layer of complexity that adult stroke recovery doesn’t always share. Adolescence is the developmental period in which identity is actively constructed; it’s not a fixed thing waiting to be restored. When stroke interrupts that process mid-construction, the survivor isn’t returning to who they were. They’re trying to become someone they haven’t yet figured out how to be. Benjamin’s experience of turning to substance use during his recovery wasn’t a character failure. It was, as he articulates in this episode, an attempt to manage an identity fracture that nobody around him had the vocabulary to name. When the pain doesn’t have a name, people find their own ways to survive it. This is one reason teenage stroke recovery deserves its own conversation separate from paediatric stroke outcome data, and separate from the adult recovery narrative. The emotional, psychological, and social dimensions are specific to this life stage. You might also recognise elements of this in other episodes: the identity rupture that follows sudden stroke in a young person surfaces in Young Stroke Survivor Recovery and Identity Loss After Stroke. Benjamin’s story adds a dimension that’s less often named: what happens when the loss of identity happens before you’ve finished building one. When the Brain Heals Faster Than the Self Can Here’s something worth naming a phenomenon the clinical literature notes but rarely centres in recovery conversations. Adolescent neuroplasticity is real. Benjamin’s brain had the capacity to rebuild physical and linguistic function faster than an older adult’s would. But neuroplasticity is a structural property of the brain. It doesn’t extend to the psychological work of integrating a traumatic experience into a developing sense of self. The result is a gap, sometimes a wide one, between the physical recovery that others can see and the internal recovery that isn’t visible at all. Benjamin appeared to be “doing well” in many respects while internally carrying a fracture that hadn’t been addressed. This gap is one of the least-discussed aspects of teenage stroke recovery. If you’ve experienced it, or watched someone you love experience it, it may be the most important thing in this episode. The Road Back And What It Actually Looks Like Benjamin’s memoir, Ed and I, available on YouTube, traces this journey. What comes through clearly in his conversation with Bill is that the path forward required him to walk through the things he’d been managing around the grief, the identity loss, the fracture itself. Recovery, in his telling, doesn’t take you back to who you were. It takes you through who you are now. That reframe from restoration to transformation is one that many stroke survivors eventually arrive at. Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened documents ten tools for exactly that kind of recovery. For more episodes touching on identity and recovery: Emotional Recovery After Stroke Mistakes, Identity After Stroke — Cassie Jewell, Stroke With No Warning Signs — Tom Ballo, Losing Confidence After Stroke, and Stroke Brain Healing Neuroplasticity. Listen to EP422 This episode doesn’t pretend that recovery is a clean arc or that there’s a single turning point you can point to. What it offers instead is something more honest: the lived texture of finding yourself again when you’re not sure who you’re finding your way back to. Listen to EP422 of the Recovery After Stroke podcast wherever you listen. If a stroke or any trauma has made your world feel smaller, Bill’s new book Your World Doesn’t Have to Stay This Small is a practical guide to rebuilding your life, even when you’re not ready. Find it on Amazon at mybook.to/yourworld. If this show has helped you, you can support it at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Benjamin Miller on Identity, Substances, and Finding His Way Back “My soul was torn in half.” Benjamin Miller had a stroke at 16 and lost more than football here’s how he found his way back. Highlights: 00:00 Introduction – Teenage Stroke09:01 The Day of the Stroke11:56 The Loss of Identity17:12 Coping Mechanisms: Alcohol and Escapism22:37 COVID-19: A Blessing in Disguise28:57 The Journey of Healing Begins32:40 Facing Uncomfortable Emotions38:45 Spiritual Awakening Through Adversity42:34 The Power of Breath and Movement47:35 Building Community in Recovery55:39 Finding Belonging and Understanding59:12 Creating a Path for Self-Healing Transcript: Introduction – Teenage Stroke Benjamin Miller (00:00)when I was told that by my father that. It felt like my soul was torn in half, because like I always saw myself as a student athlete and the bigger part of that was the athlete. And now I lost half of my identity and. I just didn’t know how to as a. 17 year old now like how to move forward with life and I didn’t know who I was and the only thing I defined myself as was taken away from me So now I was just like in this weird place where I felt like I was drowning on a day-to-day basis. Bill Gasiamis (00:33)hello, everybody. Welcome back to Recovery After Stroke. I’m Bill Gasciamas. My guest today had a stroke at just 16 years old, a carotid artery dissection that ended his football career and cracked his sense of who he was, right at the age when most people are just beginning to figure that out. Before we get into it, if you’ve been finding value in this podcast, my new book is out now. It’s called Your World Doesn’t Have to Stay This Small. A practical guide to rebuilding your life after trauma even when you’re not ready. You can find it on Amazon by searching my name or you can click the link in the show notes. Now it’s on to the episode. Bill Gasiamis (01:14)Benjamin Miller, welcome to the podcast. Benjamin Miller (01:16)Sir, thank you for having me. Bill Gasiamis (01:19)Tell me what’s regular life like for you before the stroke? Benjamin Miller (01:26)Yeah, I mean, when I had my stroke, I was 16 years old and I was in my third year of high school. So it was really comprised of just school, going to school every day and then playing sports after school. Like through the school, would play American football. I played baseball earlier in my life. And then towards the end of my high school, I just continued to play American football because I had the goal of following in my two older brother’s footsteps. for playing football, American football, in college at that time. So I just saw myself as following their path and going to play college football. And that’s what I was chasing throughout high school. Bill Gasiamis (02:09)How long ago was that? The stroke? Benjamin Miller (02:12)It was 2017, the fall of 2017. So Bill Gasiamis (02:16)Okay. Benjamin Miller (02:16)coming up on nine years on the 22nd of September. Bill Gasiamis (02:23)I I expect that stroke is the last thing going through the mind of a sixteen year old and the family of a sixteen year old. So Benjamin Miller (02:34)Yeah. Bill Gasiamis (02:34)w do you have any recollection of what it was like on the day of the stroke? Was there some kind of sign, was there anything that gave you an inkling of something being wrong before everything happened? Benjamin Miller (02:53)maybe like right before, because just playing American football, you’re always hear about head trauma and just CTE and concussions. And that’s always the biggest worry for playing football. But it was during the game that Friday night, it was the second game of our football season. And it was in between the first quarter and second quarter. And I came over to the bench and like in between going back on the field, our coach like brings the offense or defensive units together and we like talk about any in-game adjustments and I came over and sat down on the bench and I just noticed my balance like start to tip like I was having to stare down at my feet in order to stop myself from falling over and Yeah, just from there like I like grew up in a Society like especially in football. It’s I don’t know if I surround football is the same but just no pain no gain so Bill Gasiamis (03:51)Mm-hmm. Benjamin Miller (03:51)you’re always pushing yourself to your limits and That was like a saying that I grew up in if you’re hurt you can walk off the field if you’re injured you can so unfortunately, I played until I go back on the field and The first or second play of the next series I help my teammates make a tackle. get back up to my feet and then I collapsed face first and at the ground. And from there, I, I’m able to like the trainers obviously come on the field and help me to the sideline and they’re running concussion tests, asked me, what’s your name? Where are you? What are you doing? And I’m answering every question. But even at that early stage, I mean, it was just like, that’s like when the initial carotid dissection happened. It was probably in the guy, my teammate I was playing next to actually, he went on to study pre-med and he saw my aphasia on my face and he’s told our other teammates that Ben is having a stroke, but who’s going to listen to a 17 year old kid? And like we had a team doctor on the sideline, the trainers, no one really knew what was wrong with me. They just thought it was a severe concussion. So that’s what it was treated as. So I spent probably 20 to 30 more minutes on the sideline. And before I was, yeah, it was just like a, just a failure on the part of the adults around me at that time. And yeah. Bill Gasiamis (05:28)Yeah, rough. The dissection that happened do you think it might have been from a collision during the game or what what’s the thinking behind the cause of the stroke? Benjamin Miller (05:42)Yeah, that’s something like a question that I’ve like both my parents and myself as I’ve always had, but it just never could be answered. Whether it was just from like one hit. saw a chiropractor for the first time at the beginning of that week, like the Monday before the injury. So maybe like a neck adjustment caused it or maybe like it could have been genetic. So like that’s what my parents’ biggest concern was, was having my two older brothers still playing college football at that time. That if it’s genetic, is there a chance that it can happen to our two other sons? But they Bill Gasiamis (06:19)Yeah. Benjamin Miller (06:20)just… Bill Gasiamis (06:21)Sorry, Ben, I was gonna say yeah, it I know what you mean about genetic in that sometimes people’s carotid arteries for no reason do dissect. and sometimes I’ve heard the connection with chiropractic, there’s been a few well, it’s very well documented people going for adjustments. The thing about the adjustment is it’s never known whether or not the person was feeling something in their neck because of a dissection. They went to the chiropractor, they had an adjustment, and then it caused the situation to get worse, or do you know what I mean? Like it may not have totally been linked, but I get that. I’ve met people who have had dissections who had no injury, had no adjustment, They just had a dissection. So that’s a thing. when you went to the chiropractor for the neck adjustment the week before, was it because you had an issue that you needed to deal with? Was there some kind of pain that you were experiencing? Benjamin Miller (07:29)Yeah, I mean, I was actually dealing with lower back pain. So one of my teammates recommended me to a chiropractic, but he adjusted my whole back all the way up to my neck. So it wasn’t like, I wasn’t going there for a neck adjustment, but he just happened to do one while I was in there. Bill Gasiamis (07:47)Yeah, which is pretty standard procedure for a chiropractor. If you go there, you get your neck adjusted. Okay. so then you’re sitting on the sideline for another twenty or thirty minutes, and then what happens? How do they finally decide something’s not right? The Day of the Stroke Benjamin Miller (08:06)Yeah, so just after that time period, the team doctor called my parents down to like in Texas, like we play in like massive stadiums even as kids. So he called my parents down to like the railing of the stands to the field and told my parents to bring our family car so they could take me to a local clinic. And as I’m walking out of the stadium, I Like there’s like a incline up to get out of the stadium because it’s kind of like a bowl shaped and I can’t walk up like a 15 degree incline. Like I started like tipping over to my right side. So then they have to bring a athletic cart. They sit me in the cart and there’s like a trainer sitting behind me, holding me upright so I don’t slump out the side of the cart. And it was probably like a 15 meter ride to my parents’ car. And my parents saw me from there and drove me straight to the emergency room at a bigger hospital. And from there I was, I would say in the emergency room prior for like two, three hours and they were running CT scans of my like base of my skull up. So they didn’t see the actual carotid. Bill Gasiamis (09:16)What Benjamin Miller (09:17)Yeah. So it was like with everything, how everything happened, like I’m so lucky to be here and be able to move and be able to speak and. But yeah. So then probably I probably got hurt around. 8 p.m. and it was around 12 a.m. where they finally called downtown to the bigger hospital in Houston, downtown Houston and a neurosurgeon on call that night said he’s having a he had a carotid artery dissection so then they life flighted me down and on the life flight down to Houston to downtown that’s when I lost consciousness in the helicopter so Bill Gasiamis (09:54)Mm. And then at some point you wake up in hospital, Benjamin Miller (10:00)Yeah, I woke up in the ICU probably, this happened Friday night, I would say maybe Monday morning. So I was unconscious for a couple days. Bill Gasiamis (10:11)Mm-hmm. And then after that, what are you dealing with? You wake up, you’re told you’ve had a dissection, a stroke, and then what are you dealing with physically? What’s not happening for your body? Benjamin Miller (10:28)lost all use of the right side of my body. So it was just immediately starting rehab, rehab. And Bill Gasiamis (10:36)Mm-hmm. Benjamin Miller (10:37)yeah, I mean, I was just going from like being on the verge of being a higher level athlete to my right side, going back to like, I was always describing it as like a newborn. Bill Gasiamis (10:49)Mm-hmm. Benjamin Miller (10:49)I didn’t know how as a 16 year old to really handle that. I mean, it took like In the beginning, it was easy because I was so focused. Like I believed I was going to play American football again. So I was just like so committed to the rehab and doing therapy multiple times a day and just really just with that goal of getting back on the field. So the really the early days are really driven by that want to get back on the football field. The Loss of Identity Bill Gasiamis (11:20)Was there a moment you had the realisation that it’s not going to happen and what was that like? Benjamin Miller (11:27)Yeah, probably in June of 2018, I had a follow up with my neurosurgeon and before we went in to go see him, because I was supposed to, I got hurt September of 2017. So about nine months later and my parents sat me down and told me, Ben, when we go see your neurosurgeon tomorrow, he’s going to tell you after retire. And that was, yeah, that was like a very, I didn’t know how to deal with that as a 17 year old. Like very soon after that I fell into alcohol use and then, yeah, just progressed from there. Bill Gasiamis (12:04)Got it. And by nine months later, were you up on your feet? Had you recovered the deficits or were they still there? Benjamin Miller (12:15)Yeah, I mean, I was lucky that I was 16. So my brain was still very plastic and I recovered like really I was in a wheelchair for the first day. Like September 23rd, I was in a wheelchair. I mean, like probably like just one day after. And then I was up and walking on day two and just like my strike pattern of the ground wasn’t correct. Like I would swing my leg and have drop foot as many stroke people patients suffer with. but I wasn’t gonna let the stroke, like the people around me seeing me as still struggling from the stroke. So even like the early days in the hospital, I just hide it from everyone. Anytime my parents or my friends or anybody, my brothers would ask, how am I doing? I just tell them, I’m okay, I’m fine. You don’t need to worry about me. Which then led to me needing to find a release in alcohol later on the line, so. Bill Gasiamis (13:10)The whole I’m fine, you don’t need to worry about me was so that you can convince yourself perhaps and them that you’re good to go, you’re ready to just slide back into life exactly the way that you were. Benjamin Miller (13:24)That’s definitely it. Bill Gasiamis (13:27)Yeah. But you clearly weren’t okay if you’re we’ll talk about the alcohol in a moment, but you’re clearly not okay. What are you experiencing psychologically or emotionally that you’re hiding from them? Like what’s actually happening in that moment? Benjamin Miller (13:44)Yeah, Maybe just. It was more so from the retirement from football. It felt like when I was told that by my father that. It felt like my soul was torn in half, because like I always saw myself as a student athlete and the bigger part of that was the athlete. And now I lost half of my identity and. I just didn’t know how to as a. 17 year old now like how to move forward with life and I didn’t know who I was and the only thing I defined myself as was taken away from me and along Bill Gasiamis (14:21)Mm. Benjamin Miller (14:22)with like missing a whole semester of school. It was just like I just stopped caring about school too. So now I was just like in this weird place where I felt like I was drowning on a day-to-day basis. Bill Gasiamis (14:36)Setback after setback. It’s not that you become unwell and then you wake up in the morning and you just can’t play football. It’s also you’ve missed school, so you’re gonna go back and probably repeat that. Your friends have moved on. They’re doing what you know, seventeen year olds do, playing football, going out, doing their studies, who knows what they’re doing. You’re You have to pick up the pieces and there’s a lot of pieces to pick up, right? There’s so much. The alcohol did it was it something that you did before this incident in in that had you as a sixteen year old had alcohol before? I know most kids would have at some point in America, in Australia, by the time they’re sixteen, they’ve had a drink. Had you had a drink before that? Benjamin Miller (15:29)I didn’t actually just with the role models that my brothers were, were very straight edge guys, like just focused on the goal of Bill Gasiamis (15:38)Mm-hmm. Benjamin Miller (15:39)college football. And so like I was very much the same way, but after just the injury, being around my friends and not having like those same like level of role models in the same house that I fell into the, just down the wrong path. I won’t. say it’s my friend’s fault because it was… Bill Gasiamis (15:59)Yeah. Benjamin Miller (16:00)yeah, but it was… Bill Gasiamis (16:03)Sounds like it’s still tough talking about it. Benjamin Miller (16:07)Yeah, at times. Like sometimes it’s easier, sometimes… Bill Gasiamis (16:12)Hmm. With the I’m not sure. I’ve never I’ve drank and I’ve drank a lot to be drunk and I’ve drank too much where I’m completely gone and I don’t drink since the stroke. What’s the what’s it helping you do when you have a drink? Is it helping you forget? Is it helping the emotional part of it? What is it kind of putting a cloud over or And kind of stopping from coming forward. Coping Mechanisms: Alcohol and Escapism Benjamin Miller (16:46)Yeah, it was just, I mean, I would drink to escape, to be honest. It was just like my way to stop feeling the stress of how much I have to recover, the stress of how do I get back? How do I show people that I’m fine, that the stroke didn’t affect me? And it was just like a couple hours out of the night where I could just not feel any of the stress of me trying to hide the… Just the emotional pain of not knowing who I was and not knowing how to move forward with my life without football, without sports, without like the level of a student I used to be because I was just very, I was a perfectionist growing up and had to make the best grades in class, had to be the best on the football field, had to be just the strongest in the weight room. So I just didn’t know how to move forward without. trying to show everyone I’m still this perfect version of myself and just as Ben, the not perfect kid, the one who’s still fighting from what Bill Gasiamis (17:51)Mm. Benjamin Miller (17:51)he’s been through, but he’s not perfect anymore, even though. Bill Gasiamis (17:55)You never were perfect, but you at least were more capable of pulling off the facade, you know, because you did have good grades, because you were an athlete, because you always worked on improving things. So the th the the time that you were drinking gave you a little bit of relief from all the things that were kind of happening. in your head that you needed to kind of quieten down. And then did that escalate? Did it go from a small amount to a larger amount and then and then kind of how bad did it get? Benjamin Miller (18:38)Yeah, I mean, over my senior year of high school, it did escalate to abuse. I go solely on the weekends, like Friday night, Saturday night. But then beginning university and the fall of 2019, it was five, six nights a week. I would be drinking till I would be most nights just blocking out. So I didn’t remember what happened the night before. And then even waking up in the morning, it was. That’s the only thing I could think about was just making it back, getting through class, making it back to the nights where I could drink till I wouldn’t feel anything. And that continued through the end of 2019 and into the beginning of 2020, I joined a fraternity. And that’s when I noticed myself like really start to spiral, started to get into, like tried cocaine a couple of times, like was still drinking every night. And like that’s why COVID was like a lifesaver for me. that I could go home and, you know, because like I was on a very bad path at school. Bill Gasiamis (19:45)So you’re already heavy drinker, then you join a fraternity. Benjamin Miller (19:50)you Bill Gasiamis (19:51)You’re the perfect candidate for being in an in a fraternity, right? And you Benjamin Miller (19:55)Yeah, it was a mess. Bill Gasiamis (19:57)can yeah, you can see why that would escalate it because already the culture is about drinking, about partying, about being loose or crazy or whatever. And it makes sense that it would escalate and get really bad and get worse and then you try other things. And then COVID happens. And then that gives it the opportunity to have a bit of a break in the cycle. Benjamin Miller (20:27)Mm-hmm. Bill Gasiamis (20:28)Your studies up until COVID, even though you were drinking heavily and probably parting too hard, were the studies being affected or were you still able to put out good work? Benjamin Miller (20:42)I won’t say good work, but just grades that were good enough. Like not failing classes, but not excelling. just like Bill Gasiamis (20:49)Mm-hmm. Benjamin Miller (20:50)B’s and C’s, maybe one or two A’s. just like for like the stand, like my perfection standards that I used to have, like just like kind of skating by. Bill Gasiamis (21:02)I l I love the sound B’s and C’s skating by. Dude, if I was getting B’s and C’s when I was at school, my God, that would be amazing. but I it gives me a good insight into like what the expectation of yourself is. I totally get it. Okay. So you’re skating by, you’re getting your grades. Does anyone n realize how bad things are? Like people in your periphery, your family going Ben, we’re concerned about you. We think we need to talk. Was it any of that stuff or were you hiding it? Benjamin Miller (21:36)I was very good at hiding it from everybody. really like, I didn’t let anybody at that point, like that early on in the journey, like anybody see what was going on underneath. Cause I didn’t understand it I didn’t have the ability to verbalize what I was going through emotionally, what I was going through mentally. So it’s like at that point I was even hidden from myself. I’d go that far. Bill Gasiamis (22:02)Wow. You had to saved yourself in thinking that everything is normal, perhaps. Benjamin Miller (22:07)Yeah, I just thought like the more time that goes by like Everything will be okay without me having to do anything especially like at that time COVID-19: A Blessing in Disguise Bill Gasiamis (22:17)Mm-hmm. And then COVID happens. Why is that a blessing in disguise? How did it change things for you? And then we’ll talk about what what you have to deal with after that. But at the ma in that moment COVID comes along and it changes something for the better. Benjamin Miller (22:37)Yeah, in March of 2020, I go back to Houston from I was at school in Chicago, Illinois. And from there, it’s just like just being at home with my both my brothers are back at home and in our old house. It was just nice the first time since like 2016 since my oldest brother left for school. That we’re all together again, and I could just get out of that environment that I knew I was spiraling and I still wasn’t in a better place at home. I’ll still. struggling with like I started using performance-answersing drugs at the beginning of that year too. Just to, I thought that if I big, like built my muscle and strong, like really strong, that my effects from the stroke would also heal. So I just spent like two, an hour to two hours every day in the gym just, yeah, just like over that period of time from March of 2022, December of 2020. just going to the gym every day and just trying to put on as much muscle as possible because I thought that would help me heal. And yeah, it didn’t. Bill Gasiamis (23:52)It didn’t Did you get bigger? Benjamin Miller (23:56)Yeah, I mean, I was I don’t know. And I would say I got up to like 100 kilos, like 220 Bill Gasiamis (24:02)Okay. Benjamin Miller (24:02)pounds. Bill Gasiamis (24:04)Yeah. So you got bigger you achieved that thing, so visually it may have looked like you were achieving something, but you didn’t feel better. So Benjamin Miller (24:15)So. Bill Gasiamis (24:16)what what did it feel like still? What does it feel like in your body when you’re gone back home, everyone’s together, you’re hitting the gym, you’re using performance enhancing drugs. What does that feel like? Does it feel like a letdown, a disappointment, or I’m not quite there yet? What what does it feel like? Benjamin Miller (24:37)I would say like, I’m not quite there yet. Like just always chasing a ever moving goal that like, as soon as it got closer, just like move further away. But I never like step back to like actually look at what I was chasing and realize that’s not what I’m supposed to be chasing. I need to be just turning around to my internal world and focus on healing myself from the inside out versus trying to do all this, put on another mask. do another substance, put another thing in my body, chase another goal, external goal, to try to heal versus turning around and looking inside. So that took many years. Bill Gasiamis (25:19)Hmm. I love that flip that you said healing from the inside out instead of putting on another mask. And that’s really profound to get to that stage where you when you realize that. and at the same time when you were hitting the gym, getting bigger, your right side, is that feeling different? Do you have deficits on that side still? Benjamin Miller (25:47)Yeah, I would say at that time, yes, I was still very tight through my whole right arm and right leg. Still, like anytime I went up a stair, I got hit my right foot on the top of the step. So it was like, and I just thought the more like just being a no pain, no gain mindset stuff, I’m in pain Bill Gasiamis (26:08)Mm-hmm. Benjamin Miller (26:08)and I’m going to be recovering. I’m going to be gaining. And yeah, it just was. And like the more muscle I put on the tighter it became because just the range of motion wasn’t right through my shoulder and through my hip. I was still swinging my leg, still shoulder hiked forward versus like pulling it back and letting gravity work, like working with gravity instead of fighting it. So that was. Bill Gasiamis (26:33)Yeah. Yeah. I know what you mean because when I’ve been to the gym after the stroke, it’s I I tend to kinda achieve one thing and then the muscles get so tight that I’ve got to go and have a massage and try and loosen them up and try and get them moving again. And then it’s like that one two day recovery after you do your arms, for example, and your chest takes four or five days and it’s like back at the gym already. And I still haven’t overcome or recovered from four days ago. And it’s really challenging and frustrating. It kind of makes it kind of makes it harder to go back to the gym. You’re all I’m always thinking about, I’m gonna go there and it’s I’m gonna just tighten everything up and I’m gonna put myself in that situation and it’s not gonna recover. And I’m gonna have to get massage again. And it’s just this whole loop of. It’s very it’s very helpful, but it’s also something that has to be managed completely differently than it used to when you go to the gym and you recovered for two days and then you’re back again. and before we move on to the kind of the next phase of the conversation, I also wanna kinda understand this perfectionism in you on the field, off the field field, at school. Where did that come from? What Do you have like a sense of how that started and why it was a thing that you adopted and ran with? Benjamin Miller (28:12)I would say that just watching my two older brothers grow up and seeing like in my like kid eyes, they were like the perfect human being, like the perfect role models. Like I just tried to be like them in every way. And I always thought that they were like so up here and like, didn’t know like, I was three years and two years younger than them. So they hit puberty before me. just at the time that my oldest brother, Alex left for school, I would still be like, at his like chest level, always like looking up to them. So they were just like gods in my head. And I always would ask myself, how do I measure up to them? And because they were perfect in my eyes. So was like, I to be above perfect to The Journey of Healing Begins Bill Gasiamis (28:57)Mm-hmm. Benjamin Miller (28:57)be recognized as like their brothers. I got, it’s like always the bar I was chasing and yeah. Bill Gasiamis (29:08)And now you know they weren’t perfect, they were just bigger and older than you by three years and two years. Yeah. so then you have this realization that the healing has to start from the inside, but that’s gotta Benjamin Miller (29:26)Mm-hmm. Bill Gasiamis (29:26)be is that a relief that you work that out? Is that what what am I gonna do now? How how do you gr grapple with that? Benjamin Miller (29:37)Yeah, I’d say like, I had the, I know if I hit rock bottom, but I had to go even lower before I came to that realization. So I mean, yeah, like 2021 was probably the one of the lower lowest points. So it’s a, so like going back to school in January of 2021, I got into stimulant use at the same time as the performance enhancing drugs at the same time as alcohol and then marijuana came into the picture too. So I was just using like a cocktail of drugs just to get through a day. And I ended up that winter quarter, I did make the Dean’s List at school. was like the top performer, but I remember just like looking at that email and like, I have like all the external achievement again. And I was even more, like I was lower. I got a lower place emotionally and mentally and like felt so empty inside that I knew that this isn’t what I’m supposed to be doing at this point in time. So I went on medical leave from school like pretty soon after that. And that’s where I would say where the healing process really began was in the summer of 2021. And yeah, I mean, it’s been, I thought it’d take like in the beginning, the healing process would be like six months, but it’s been around five years that it’s taken me to be honest. So four years of just. sliding down and I would say like I might have like and like the healing process too has been like trying to make it up and then still falling and going back up. So it’s never a straight line for Bill Gasiamis (31:19)Never linear. Benjamin Miller (31:20)me a long time to recognize that let’s focus on the trend. Bill Gasiamis (31:25)Never linear man, far out. you you still make it on the Dean’s list, that’s cool. But I I get like it even under duress, you know, you still make it on the Dean’s list. And then you have this realization and it’s like you hear that analogy, you know, things are gotta get worse before they get better. Benjamin Miller (31:48)Yeah. Bill Gasiamis (31:50)Dude, like how much worse can they get? Why should they get worse? Why can’t we just start improving from here? But is it’s for you the worst part? Was it about reconstructing from the beginning and then you therefore you have to get to the bottom because you can’t kind of reconstruct from b you know, above the bottom? Facing Uncomfortable Emotions Benjamin Miller (32:13)Hmm. Yeah, I mean, I would say in a way like I would say like the first over that summer of 2021, I just focused on like I was doing a lot like yoga almost every day, and that was the first time I started meditating in my life and working on like that’s really where my rehab started was just a lot of breath work, a lot of meditation, a lot of yoga, just to. begin to be able to sit with the emotions and the mental states that I couldn’t tolerate. And like at that early point in time, I still couldn’t tolerate it. still like so uncomfortable that I still had to go use marijuana just to get through the days. But it was just the beginning of that process of being able to tolerate what I had been running from through alcohol, through stimulants, through performance enhancing drugs for so long that like I was still inputting a substance into my body, but I could begin that process of sitting with it, even if it was for a minute. And those early days, two minutes, three minutes became 10, 15, 20, which then continued to expand longer. And the more just times I came back to sitting with those uncomfortable states. Bill Gasiamis (33:26)Yeah, wha what is it about being uncomfortable that people can’t handle? Do you think maybe you can tell me from your perspective? because you hear that, it’s almost ridiculous to hear somebody saying, I have a thought, it’s making me uncomfortable, I have to get that thought out. Yeah, I’ve b I’ve been there, so I’m not saying that Benjamin Miller (33:47)Thank you. Bill Gasiamis (33:49)people shouldn’t be doing that, but it almost does feel crazy, doesn’t it? Because it’s a feeling and a thought that makes you uncomfortable doesn’t necessarily put you in danger. But Benjamin Miller (34:01)Mm-hmm. Bill Gasiamis (34:02)we can’t do that. Like, do you have a any inkling as to why why philosophically that might be the case? Benjamin Miller (34:13)I mean, would just like our autonomic nervous system, a danger, like a physical danger versus a mental danger. can’t, our physical body can’t tell a difference. So they’re treated the same. And I would say like this. Yeah, so like just like uncomfortable, like state of mind or uncomfortable thought. just as humans, we prefer to be in a place of comfort, a place of safety. And so anytime something is uncomfortable, we tend to run in the opposite direction back towards what is known, what is comfortable, what is safe. And it’s like, that’s something I always like ask myself, like, how do I make my, what can I do today? That’s uncomfortable, but not like to the point that I lose myself and I just go off the deep end and where I’ve been. So just like a weird and like, feel like that place changes every day. It’s just like a balance that’s always, yeah. Bill Gasiamis (35:16)I get what you’re saying. So a a thing that is scary and dangerous, a physical thing, a bear, a tiger, you run. You can run away from that. If you’re lucky, you’ll outrun it, right? And then Benjamin Miller (35:30)Thank Bill Gasiamis (35:30)you’re safe. And then there’s no bear around and there’s no tiger around. So you’re good. You’re good to go. You can just move on with life. But when the body is confusing thoughts and feelings with the same type of Imminent danger, and you can’t run away from it, and it’s still there. You have to find a way to either escape it, which is short-lived because we’re harming ourselves to escape it, or you have to remind your body and yourself, your mind, that in fact you’re not in imminent danger. There’s nothing to run away from. This is An obstacle that I can tackle and overcome. Like it might just be on the path to, you know, that walk in the wilderness instead of a bear, it’s actually just a fallen log. A tree fowl, it’s an obstacle. I’ve just got to find a way around it, under it, over it, whatever. And if you’ve never used that muscle, then you don’t know how to do it. And then you get stuck behind something like a log that should not be as debilitating as it is. It should be something that you can find a way over. At 16, that’s understandable that, you know, most people haven’t dealt with real exponential life problems, you know, that just keep getting worse and worse. That changes your identity. They haven’t dealt with that. So they haven’t developed the skill. So could it just have been a case of you were a little premature? just from age an age perspective that y all you needed to worry about was playing football and and and studying and now you’ve got to deal with these existential issues, you know, that most people aren’t equipped to deal with at sixteen. Benjamin Miller (37:38)Yeah, mean, yeah, that’s like one thing in March of 2018. So about six months after my stroke, my mom took me to a neurosurgeon and he said, the good thing is that Ben is young and the bad thing is that Ben is young. And both of us didn’t really understand what he meant at that point in time, but just like the spiritual and existential journey that the stroke has taken me on. It’s that’s like been like both like the scariest and most comforting piece of the journey. Just because like I was never a spiritual person and not like in terms of religion, but just like believing in something higher, something bigger than me, some energy source that’s larger than us as human beings. And that’s been like the most like the biggest part of the journey, like the emotional side, the mental side, the physical side, we’re all. And like, I’m still on those journeys, but just like the spiritual side of it has been, yeah, just something I wasn’t expecting. Spiritual Awakening Through Adversity Bill Gasiamis (38:45)Yeah. It is kinda good that you discovered it early, but the path to discovering it is, man, so hard to have to go through what you went through to to have these learnings and understandings. and then to learn that if you tackle the thing that you’re most afraid of, you can actually conquer it. You can overcome it. Benjamin Miller (39:10)Mm-mm. Bill Gasiamis (39:11)And If you get good at doing that, you can overcome most things. And you can also recognise when it’s time to live in the pain and discomfort, the suffering, whatever it is, to live in it temporarily and then Benjamin Miller (39:27)Thank Bill Gasiamis (39:29)r find a way through. What other than yoga and meditation, what else was it that helped you go on this other journey, this recovery or growth journey. Benjamin Miller (39:45)I would say there were a couple things. I don’t know if you ever heard about internal family systems. It’s Bill Gasiamis (39:50)No, tell Benjamin Miller (39:54)a theory from Dr. Richard Schwartz. He wrote the book, No Bad Parts. And that was in 2022 after going on another medical leave from school when I first discovered that book. And it was just talking about the different parts of the mind, like, and how different we get stuck through our history at different points in our life. The Power of Breath and Movement And we have to like there are parts of our brain like different voices like speaking to each other and they are some are trying to protect us some are trying to move us forward some are trying to keep us where we are and it just like developing a conversation between those parts because there was a lot of traumas I suffered from the stroke and being in the hospital and then just like post stroke to just like trying to hide my spasticity. from everyone, not showing my parents, not showing my friends, not showing anybody I was struggling at all. And just starting to understand the different voices in my head and even the young perfectionist Ben could always be trying to push me to be beyond perfect and just beginning to have a conversation between those different voices in my head and allowing them to speak instead of just repressing emotions, repressing, repressing until they’re like. bubble up and I need to go get drunk or high or need to use something just to survive during the day. And the biggest other big piece for me was I started to practice Tai Chi in 2022 and that was as big of it physically was for me. It was just as big spiritually. Just that’s what I, when I first learned just like the… how to start being like water and going with what is today and not trying to force. Yeah, just like force myself to be able to do every single Tai Chi movement and, but yeah, and that’s like still a thing I struggle with is like this past month, I pushed myself too hard in the gym and now have tendonitis in my right ankle. So I haven’t been able to train for the past two weeks and it’s frustrating, but it’s just like, I can look at it as a frustration or just something to learn from. And I can recognize I wasn’t being like water over the past month. Instead of resting immediately, I just let the injury build and build and build day by day until now I can’t train. So yeah, but the Tai Chi, like the breathing, the Tai Chi breathing technique. So that was like another thing. It’s like yogic breathing. You inhale and expand your belly. Then when you exhale, you contract. But in Tai Chi, it was as you inhale, you contract. And as you exhale, expand. So that was like something I was never aware of. So like whenever I’m meditating now or just like trying to relax, I’ll do a yogic breathing. And whenever I’m like doing something active, working out on a walk or just like moving around, like I’ll be like Tai Chi breathing. So that’s something I got to work with stroke patients in 2023 than last year and earlier this year. And I got something like I always stress with them was learning how to breathe because like I feel like as we never actually learn how to breathe it’s just like something we do unconsciously from the time we’re born and just like going back to that most basic step of being a living being of learning how to breathe I was like Bill Gasiamis (43:24)I it sounds like it was real insightful. A lot of people breathe incorrectly as well, and they haven’t realized that shallow breathing, you know, or the opposite of shallow breathing and therefore it puts them into a different physiological state. You know, shallow breathing can create anxious experiences and then and then the opposite can create hyperventilation, those types of experiences. So it’s like you can alter how you feel, even if your goal is to not worry about the thinking, or even if your goal is not about what you’ve been suppressing, even if you just get rid of all of the things that we could possibly help us resolve or overcome or grow from or be like water, even if we get rid of all of that and you just change your breath. And jumped on a YouTube video and found somebody that was doing a calm meditation for whatever purpose. And even if you just did that and you had no other agenda other than to just experience a different breath right, you Benjamin Miller (44:39)Thank you. Bill Gasiamis (44:40)some people will have a profound experience from doing that, wouldn’t they? Benjamin Miller (44:45)Yeah, I 100 % agree. I just, I know to this like, yeah, I say that’s just like where it started was just like the recovery journey for me started with my breath work and relearning how to breathe and just like learning a bunch of different techniques of breathing and just like seeing what worked best at what times and it’s just like a trial and error type. Just as like life after a stroke is, feels like you’re just trying things out and see what sticks, see what doesn’t. And tomorrow’s a new day. We’ll see if this still works today. And then if it doesn’t, we’ll find something else that just. Bill Gasiamis (45:24)Yeah. Curiosity seems to be a massive Benjamin Miller (45:28)Mm. Bill Gasiamis (45:29)thing for you right now. Is we’ll try this, see what happens, try this, see what happens, see what sticks. If it doesn’t stick, well then we’ll just move on. Tai Chi, how did you stumble across that? Like what made you start trying it? Benjamin Miller (45:44)I was seeing an acupuncturist in Houston actually when I came home on a medical leave and he recommended me to his Sifu or teacher and his teacher had from chemotherapy because he had cancer but he would get like the toast plasticity and he like so I knew he understood like the first time I walked in to meet him we were at a coffee shop and he told me you look calm cool and collected but I can tell you’re a raging fire on the inside. I’m like, okay, he just walked past every mask, everything I tried to show to the public and he could see what, how I actually feel. So it was just like that instant connection. And from there he started to train me. Like I could go to his house and we train in a private session twice a week for like a year really. Like I still practice every day by myself, but he just was the first person that I didn’t have to wear like this fake face to. And I could like go in and like, it was like more like talk therapy. Like we’d be doing Tai Chi, but I could just like tell him I was really feeling that I was still struggling with marijuana at that time. This was around 2023. And that was like the biggest thing like in my substance recovery journey was what he told me. He’s like, I don’t care what you do outside of. this training, but the fact that you’re showing up here today shows me that you’re trying to move in the right direction. And I know that the fact that you’re still showing up, that you will be eventually moving in the right direction. Don’t worry about where you are today. Just focus on where you’re going and the trend of months, years, and especially in substance use. you get, I mean, in stroke too, you get so caught up in the day today. Bill Gasiamis (47:35)Yeah. Building Community in Recovery Benjamin Miller (47:35)How am I gonna survive today? And just to start looking more long-term was a very, it’s a very hard. Yeah, it’s so hard. Bill Gasiamis (47:46)I love I love the acknowledgement of right now you’re in Tai Chi. Everything’s fine. You’re doing great. It shows me that you’re moving forward. And people forget to do that to themselves as well. Like how far have I come? Six months ago, I wasn’t walk walking. Six months ago, I couldn’t speak the way I’m speaking now. Even if it’s not perfect, it has changed. There’s signs of improvement. And all that kind of thing. It’s kind of the same conversation that you had with your trainer who was just saying, Yeah, we’re here, we’re doing it. And that’s another rep that is going to benefit you down the track. If it doesn’t feel like it’s benefiting you now, that doesn’t matter. It matters that you’re here and that you’re putting the work in and you’re turning up and the whole lot matters. one of the interesting funny things that came up in my head about Tai Chi, it’s a martial art, right? And Benjamin Miller (48:50)Mm-hmm. Bill Gasiamis (48:52)and there was a meme on one of the socials where somebody was walking down the street and they were mugged and during the mugging they broke out into Tai Chi you know, to defend themselves or to stop the person stealing their bag. It was the epitome of you know like it’s probably not useful to stop the guy but calming Benjamin Miller (49:19)Yeah. Bill Gasiamis (49:21)and getting yourself grounded and being okay about it was just a real cool thing to sort of to sort of see in that in that moment in that in that time it is a it’s a it’s a it’s a martial art but for a different purpose. It’s not for defending yourself or taking somebody down. It’s the exact opposite of what you were doing on the field as well. Benjamin Miller (49:53)just felt like refinding yourself in like the chaos of everyday life. That’s like how I describe it. Like it just allows you to come back to like your center line and just, just be. like, it’s like thinking of the Tai Chi versus a robber. Like that’s why I continued like from Tai Chi. started to go, I lived in Thailand in 2024 for a couple of months and train Muay Thai. as like the next stage to go from like super slow to start speeding everything up. And I was lucky enough to go live in up in Northern Thailand and Chiang Mai and train Muay Thai for a couple of months and have been back. And yeah, I’m actually going, my mom and I are to Bhutan where my mom is from at the end of October. And then I’ll go spend a little bit of time in Thailand before I come back home. So. Yeah, life is… Bill Gasiamis (50:51)I I I think about people going in practicing getting in the ring, MMA, Muay Thai, all that kind of stuff. It’s like, dude, how can you do it? How can you get in the ring and know that you’re going to get hurt? Benjamin Miller (51:09)I don’t, I won’t fight. just like, sparring is like very like just tap sparring. So it gets like all timing and rhythm, but Bill Gasiamis (51:17)Yeah. Benjamin Miller (51:17)like I had to retire from contact sports. So it’s just like more of like a therapeutic, like Bill Gasiamis (51:22)Okay. Benjamin Miller (51:23)beating my body up and learning how to throw kicks with both my right leg and left leg, throwing Bill Gasiamis (51:27)Okay. Benjamin Miller (51:28)punches. So yeah, I’m not going to go fight. Bill Gasiamis (51:31)I okay, good. That’s fine. I mean, even if you did, that’s fine as well. But that’s immediately when I what I went to when you said Moi Toy, like I’ve seen those dudes, they’re mental and amazing athletes, but they hurt themselves. And I saw how can you put yourself in that kind of danger? Even though that’s what you’re training to do. It my mind doesn’t go there, you know, it can’t physically make me do that. Of course I’ve defended myself in fights before if I’ve needed to. not as a fifty year old, but I probably still could, but getting in the ring is a completely different thing. So you’re not getting in the ring. That’s cool. so you worked with stroke survivors. How did that come about? Why did that come about? Benjamin Miller (52:19)Yeah. I was, like a guinea pig, like early patient at a stroke clinic in the Netherlands. And I, my, one of my mentors who’s co-owner of this clinic, Linda Radezdad, she wrote two books now, Stroke Rebell, Bill Gasiamis (52:37)Yeah. Benjamin Miller (52:38)Stroke Rebell 2, and just had the ability to go there and attend the clinic. And while I was there, I mean, they treated me like family. It was the first time, this was in 2022, so about four and a half years since my stroke, the first time I ran in four and a half years. And they just wanted me to come back and volunteer at their clinic. Cause I opened another one in Cyprus and that they just did last year one in South Carolina in the U S and then earlier this year in Florida. So I got to go out to Cyprus in 2023, then South Carolina last year, then Florida at the beginning of this year. And they just, mean, they just always treated me like family. And I’ve been so grateful for her and her partner, our young Kipers. Both of them have treated me like their own son, invited me into their house. I stayed with them after Cyprus, going back where they live in Germany and got to go to the clinic with them every day for two weeks while I stayed with them. And yeah, I I don’t know what I’d Bill Gasiamis (53:45)Yeah. How amazing. Benjamin Miller (53:47)do, but. Bill Gasiamis (53:48)I’ve heard of Linda and her partner. I’ve heard of them for many years and I don’t really understand what they do. Linda had a stroke, is that right? Benjamin Miller (53:58)She had two strokes in 2017 and at the beginning of 2018 I want to Drunk. Bill Gasiamis (54:03)Uhhuh. Okay. And now they run is it retreats? Are these clinics full time? and d do they see only stroke survivors or do they see all sorts of people? Benjamin Miller (54:16)I know Arjan when he ran his chiropractic clinic in Zutphen, the Netherlands, it was like he would see people with TBIs and strokes and just anything brain related. But now I think they’re focused on strokes and they host like two week retreats multiple times a year. I don’t know their website, but Yeah, they do them in Cyprus and Sweden in the summer. And then now they’re starting in the U S so it’s. Yeah, I don’t know what their end goal is, like how like what’s next for them, but I know they’re retreat. Like at least when I went in 2022, it was like. The amount of attention I got for. 14 days straight was nothing I’d ever experienced in any hospital or any. outpatient or inpatient rehab. It was something that I’ll forever be grateful for them for. But Arjan Bill Gasiamis (55:16)What’s the Benjamin Miller (55:18)just wrote his book. I couldn’t tell you the name of it, but Arjan Kuyper’s. Yeah. Bill Gasiamis (55:25)Yeah, we’ll look it up. what did you gain from it, that first r retreat that you attended after fourteen days? W when you left, what did you feel like you left with? Finding Belonging and Understanding Benjamin Miller (55:39)I’d say the biggest thing was just like the mental and emotional piece that I didn’t feel alone for the first time in five years. I felt like I could walk into that clinic and just be Benjamin the stroke patient and not Ben this other guy that Ben this party kid and college Ben this wannabe bodybuilder. But I could just be the stroke patient who doesn’t know what he’s doing and just wants to recover further, but doesn’t know how to move forward. Yeah, that was like the biggest thing for me was just finding like a group of people for the first time in four and a half years. Bill Gasiamis (56:19)Yeah. I know that feeling of almost like belonging, but being understood and not needing to pretend and all that. That’s so good when you go into a room where people have been through what you’ve been through. It’s completely different because they get it and you don’t even have to talk. You just know that they get it and they know you. and it’s interesting that you said like what you got out of it was Like all emotional and kind of more more along the lines of things that are unspoken rather than I walked out better or I my muscle was better or this was better or that was better. That’s definitely a goal. That’s definitely something to work towards and always find a way to try and optimize. But you’re talking about I I left feeling better, thinking better, clearly more understood, more all these things. People don’t realize that the gravity of that experience and how profound li i it can change their life and put it on a different trajectory in a good way. Benjamin Miller (57:35)Yeah, I would say like even going back and volunteering, like helping work with stroke patients. It was the first time many of them would be around a group of people who they could just be themselves. could just like, they could struggle together. They could celebrate their wins, little wins together. Cause like, just like watching people walk for the first time. And I don’t know how like probably since their stroke and it was just, yeah. And like, they like just felt like, the level of community that they’d build and even though they’d known each other for one week, two weeks, so it was a really beautiful thing just to watch humans, like human beings in that way. Just like how I, I know how isolating at post stroke it can feel that no one understands like why me? And then just seeing people who feel the way that we felt and then finding that same level of community and home. Bill Gasiamis (58:31)Yeah, I know exactly what you mean. so it’s twenty twenty six, we’re near the end of twenty twenty six. How are you these days? How are you feeling? Benjamin Miller (58:42)Yeah, doing, I mean, been really well, to be honest. Had a great summer, great spring, just really on a upward trajectory right now. I wrote my memoir, Ed and I, available on YouTube and am working on self-publishing my workbook that I kind of built over these years called Self-Healing. Creating a Path for Self-Healing Just like a, I want it to be like a pocket size guide that can take anywhere. And just for anybody who just after for myself being through too many psychologists and psychiatrists to count on my hands and toes, that I just wanted to create a all inclusive guide to what helped me recover mentally and emotionally and be able to integrate. Like, I don’t think recovery is just like. You’re not recovered, you’re broken, then you’re healed. It’s just like a constant every day, check, check, check in, check in, check in, check in. Sometimes we start off the path, then we come back. We refine our center and it just, I don’t think it’s ever just a end journey. So just kind of created a workbook off that and I’m working on a website right now to have that. And we’d like to start public speaking, least around the United States right now. And I just see where we go. Bill Gasiamis (1:00:11)Yeah, man. It’s such a good place to find yourself. And I know the feeling of leaving the psychologists behind, you know, and the counselors behind and everyone behind and saying, Well, I don’t I think I’m good. I don’t need you now. I was probably seeing a counselor from the age of about twenty seven and still do, but there are lots of gaps in between sessions now where there previously wasn’t. There needed to be more regular sessions, sometimes weekly, and then every two weeks and then monthly. and then once or twice a year. But now I’m kind of back into the regular monthly. Benjamin Miller (1:01:00)you Bill Gasiamis (1:01:01)And it’s been like that for about a year. And it’s just because life has changed. Things are different and I’m reassessing and changing direction and all that type of thing. And I need somebody who’s got my back. Not not Benjamin Miller (1:01:20)Enough. Bill Gasiamis (1:01:21)that everyone around me doesn’t have my back. They do, all my family, my wife, everyone, they’re amazing. It’s just not their job to take go on the journey with me. Like they’re doing their own thing. It’s their own journey. So I I sort of seek out support. from an independent person to just be fully even though they’re getting paid to be fully on my journey with me to support me through that. And it’s so good to be able to go back to something like that, to reach out to somebody that has been left behind for a little bit. I’m gonna venture on my own, you know, I’m a big boy now. I’m gonna go and see what the world’s like. the world has thrown me a curveball. Okay. I’m gonna manage that, but also I’m gonna reach out and get
C'est l'été, le week-end, les vacances peut-être. Vous êtes sur la route, dans les embouteillages, à la plage, en balade, à la maison entre deux valises, ou simplement dans un moment un peu plus calme que d'habitude.Et si c'était justement le bon moment pour parler orientation avec votre ado ?Pas sous la forme d'un grand interrogatoire. Pas avec la question qui crispe tout le monde : « Alors, tu veux faire quoi plus tard ? » Pas avec un tableau Excel, trois classements d'écoles et une pression mal dissimulée.L'idée, c'est plutôt d'ouvrir une conversation. Une vraie. Simple, courte, concrète. Une activité à faire ensemble pour parler de lui, de ses envies, de ses forces, de ses doutes, de ce qui l'attire ou de ce qu'il ne veut surtout pas.Bref, parler orientation sans le faire fuir, sans le braquer, et sans transformer le moment en réunion de crise familiale.Dans cette série, nous vous proposons donc une activité par épisode, extraite du Cahier d'activités sur l'orientation AZIMUT, édition 2026.Dans cet épisode, nous vous proposons une activité autour d'une question simple : quelle est la phrase qui vous ressemble aujourd'hui ? En choisissant sa devise, votre ado met des mots sur ce qui le motive, l'inspire ou lui donne envie d'avancer.Cet exercice permet de faire émerger ses valeurs, ses sources d'énergie et les repères qui pourront l'aider dans ses futurs choix d'orientation.AZIMUT Parlons Orientation aide les parents à accompagner leur enfant dans ses choix d'orientation, du collège à Parcoursup.Sur azimut-orientation.com, vous trouverez :des articles pour comprendre les étapes de l'orientation ;des podcasts courts pour avancer sans se noyer dans les informations ;des guides pratiques à télécharger ;des webinaires et ateliers pour approfondir les sujets clés ;un calendrier de l'orientation pour ne pas rater les grandes échéances ;un annuaire de professionnels de l'orientation pour trouver un accompagnement adapté.Pour recevoir chaque semaine nos conseils, nos ressources et les actualités utiles pour accompagner votre enfant, abonnez-vous à la newsletter AZIMUT.Et si cet épisode vous a été utile, parlez d'AZIMUT autour de vous et laissez-nous une note sur votre plateforme d'écoute : cela aide d'autres familles à nous trouver.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Dans ce podcast, des personnes ayant vécu une dépendance ou une co-dépendance viennent partager leur expérience de l'addiction.Pour ce deuxième épisode de la saison, je vous présente Judy. Une histoire, qui nous rappelle qu'une addiction ne commence pas par hasard.Dès l'enfance, Judy est confronté à des violences de la part d'un proche et il est exposé à l'alcool très jeune puisqu'il connaît sa première ivresse à seulement 8 ans.L'alcool devient très vite une normalité. Adolescent, il décide de partir travailler et débute dans une écurie, où il prend soin des chevaux ouis il va enchainer les expériences en tant que barman à Paris. Il devient un véritable titi parisien.Judy est ce que l'on appelle un bon vivant. Toujours souriant, entouré d'amis, il aime partager, il aime faire la fête. Mais ce comportement cache cette souffrance liée aux violences qu'il n'a jamais pu raconter et qu'il tente d'apaiser avec l'alcool.Après des années de consommation, il ne supporte plus le regard qu'il porte sur lui-même. C'est lors de son 2ème sevrage qu'il fait une rencontre qui lui permet de trouver les mots pour parler des violences qu'il a subies.Avec Judy, on comprend combien il est essentiel de pouvoir mettre des mots sur ses traumatismes. Son témoignage nous rappelle aussi qu'il n'est jamais trop tard pour sortir d'une addiction. Même après de nombreuses années de consommation, la sobriété est possible.Aujourd'hui, Judy est toujours aussi joyeux. Il profite pleinement de sa vie sans alcool et nous donne un magnifique message : il est possible de retrouver le plaisir de vivre et de partager des moments de fête… sans avoir besoin d'alcool.Merci, Judy, pour ce témoignage aussi sincère que touchant.Judi a un compte Facebook au nom de Judi Serrault, sur lequel vous pourrez le contacter si vous en ressentez le besoin. Voici le lien direct : https://www.facebook.com/profile.php?id=61578754486045&locale=fr_FR Bonne écoute : )
Literacy development doesn't end when students learn to read, and supporting adolescent readers requires attention not only to skills, but also to identity, confidence, and dignity. In this episode of The Good Life EDU Podcast, Andrew Easton welcomes Dr. Naomi Watkins, Secondary English Language Arts Specialist for the Utah State Board of Education, for a conversation about what adolescent literacy truly requires. Drawing from her experiences as a middle school English teacher, literacy researcher, instructional coach, and statewide leader, Naomi explores why literacy development must continue well beyond the elementary years. She unpacks the differences among foundational literacy, content-area literacy, and disciplinary literacy, while illustrating how students need different kinds of support as texts, expectations, and learning contexts become more complex. The conversation also examines the deeply human side of literacy. For adolescents who have struggled with reading for years, those experiences can shape how they see themselves as learners. Naomi discusses the importance of preserving student dignity, building confidence through meaningful skill development, and providing intervention that is targeted, effective, and designed to help students move forward. Andrew and Naomi also consider the systems that make this work possible from strong Tier 1 instruction and specialized intervention to helping educators across content areas recognize the role language plays in learning. Ultimately, the conversation points to literacy as more than an academic skill. Reading, writing, speaking, listening, and story help young people make sense of themselves, others, and the world around them.
Is it a phase? Will they grow out of it? Is my young dog cursed for life with reactivity? The good news is that adolescence passes. The bad news is the lessons learned there do not. Learn the four most important things to do while your dog is a teenager do be sure they grow into a balanced adult. eileenanddogs.com/dogs-and-sound-welcome/ Sign up for courses and join the membership here: sarahstremming.com Join us on Patreon: www.patreon.com/cogdogradio Music by AlexGrohl from Pixabay
Jan spent years chasing a good time without much of a direction for his life. Acid, ecstasy, whippets and heavy drinking eventually became multiple DUIs and a growing realization that the life he was living wasn't sustainable. He moved around, tried to stop, started again, and eventually spent two years using meth before everything finally came crashing down.On June 20, 2016, Jan went to treatment in Canada. He has not used drugs or alcohol since.After getting sober, Jan moved to San Diego and began building the kind of life he never really had a roadmap for. Today, he works as a clinician and program manager at a treatment center, where he helps men work through addiction, find direction and start creating lives they actually want to live.In this conversation, Jan talks openly about what finally brought him to his knees, what changed once he stopped running, and the spiritual practices that have become an important part of his recovery. He also shares some of the ways he works with men in treatment and the lessons he has learned from watching people rebuild their lives from the ground up.Today's episode is brought to you by Sacred Journey Recovery in San Diego, CA. Sacred Journey is a mens only treatment center that blends modern clinical care with immersive outdoor therapy for men facing addiction. Each part of treatment is structured, supervised, and tied to a clear clinical goal, then reinforced through real-life application.Experiential & Outdoor Adventure Therapy:Climbing, hiking, jiu-jitsu, archery, yoga, and other structured challenges help men build confidence, discipline, and follow-through.Evidenced Based Counseling:CBT, ACT, DBT, and narrative therapy help men work through cravings, stress, trauma, and emotional regulation.Peer Support & Brotherhood:Men-only treatment creates a stronger environment for honesty, accountability, and real connection.Sacred Journey accepts most insurance and will work with you or your loved one.Call 760-214-9727 for a more information or a confidential assesment. Connect with Sacred Journey Treatment Center on InstagramDM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
Sports Specialization remains one of the most debated topics in Sports Medicine today. While the idea of having a youth athlete focus year-round on a single sport to maximize his/her potential in that particular sport sounds reasonable, it has not been shown to be an effective strategy at accomplishing its goal and may come at a cost of mental and physical injury to the athlete. Dr. Rachel Meyers, PT, DPT & Dr. Gregory Walker, MD from Children's Hospital Colorado join us to discuss their study further exploring the connection between Sports Specialization and mental health using a recently validated tool designed to identify a highly specialized athlete, the Wisconsin Sport Specialization Questionnaire (WISSQ).
LEXINGTON, Ky. (September 17, 2026) – When a child is diagnosed with cancer, families understandably want to know why. For some patients, part of the answer may be found in their genes. Researchers and clinicians know that about one in every 10 patients diagnosed with cancer may have a genetic finding that helps explain why they developed the disease. But identifying those patients based solely on family history or other clinical clues can leave some inherited cancer risks undetected. At UK Golisano Children's, Project Inherited Cancer Risk is working to change that. The project offers genetic testing to pediatric cancer patients to look for inherited genetic variants that may increase their risk for certain cancers. Identifying those variants can provide information that affects a patient's treatment and long-term surveillance while also carrying potentially important implications for parents, siblings and future generations. "Knowledge is power," said Dr. John D'Orazio, chief of the Division of Hematology and Oncology at UK Golisano Children's. "Just having one of these syndromes does not guarantee that you'll ever get cancer." Instead, D'Orazio says identifying an inherited cancer predisposition can allow a patient's care team to develop a personalized surveillance plan based on the cancers associated with a particular genetic variant, with the goal of identifying disease as early as possible. Project Inherited Cancer Risk grew from a need D'Orazio saw while caring for children whose family members had been identified with inherited cancer risks through genetic testing. As the program developed, the team recognized that relying on family history and other clinical signs alone could miss patients who carry cancer-related genetic variants. Every pediatric cancer patient at UK Golisano Children's is now offered testing through the project. Dr. Amanda Harrington, medical director of the Pediatric, Adolescent and Young Adult Inherited Cancer Predisposition Service, works with families after an inherited risk has been identified to help them understand what the finding means and develop an individualized approach to screening and surveillance. For families, she says, receiving that information can bring complicated emotions, including anxiety, but it can also give patients greater ability to make informed decisions about their health. "It doesn't mean I'm definitely going to get this and the future is still unknown, but I have the choice of whether or not I want to participate in screening upfront and how I want to take care of my own health," Harrington said. Genetic counselors are an important part of that process. James Collard, a genetic counselor in the DanceBlue Pediatric Hematology and Oncology Clinic, helps patients and families understand testing options and results, assess risk based on personal and family histories and process the emotional implications that can accompany genetic information. The program has also grown beyond UK. With support from philanthropic partners and the Kentucky Pediatric Cancer Research Trust Fund, Project Inherited Cancer Risk expanded to Norton Children's Hospital in Louisville, making testing available through the two institutions that primarily treat children with cancer in Kentucky. Following UK's entry into the Golisano Children's Alliance, D'Orazio and his colleagues have also begun working with other children's hospitals in the network, including participation in a multidisciplinary germline molecular tumor board that brings experts together to review inherited cancer predisposition cases. During Childhood Cancer Awareness Month, this episode of "Behind the Blue" explores how genetic testing is changing what clinicians and families can know about cancer risk — and how that knowledge can inform treatment, screening and care for patients and their relatives. D'Orazio, Harrington and Collard also discuss the emotional impact of living with an inherited cancer risk and the team's ongoing work to develop educational and psychosocial resources based on feedback directly from patients and families. 'Behind the Blue' is available via a variety of podcast providers, including Apple Podcasts, YouTube and Spotify. Subscribe to receive new episodes each week, featuring UK's latest medical breakthroughs, research, artists, writers and the most important news impacting the university. 'Behind the Blue' is a production of the University of Kentucky. Transcripts for most episodes are now embedded in the audio file and can be accessed in many podcast apps during playback. Transcripts for older episodes remain available on the show's blog page. To discover how the University of Kentucky is advancing our Commonwealth, click here. This interview has been edited for time and clarity.
Un chauffeur de bus détourne 4000 litres d'essence depuis 2021, un ado allemand vole un bus pour emmener sa copine au collège, et un maire du Beaujolais menace un serial déféqueur dans un abribus.
Ambitious New Ballet Opens In Chicago + Adolescent Salvation Review Gary Zidek On this edition of The Arts Section, host Gary Zidek previews an exciting ballet program making its Chicago premiere. The rarely presented LILIOM features a full orchestra and jazz band. Theater critic Jonathan Abarbanel joins Gary to review a new play titled ADOLESCENT SALVATION. Later in the show, Gary visits Lillstreet Art Center's new rooftop installation that celebrates the 19th amendment and civics in general. And Gary revisits his interview with music photographer Paul Natkin.
Season 9 launches with a timely three-part mini-series, Leading Adolescent Literacy. In Episode 1, explore how schools can support the statewide focus on improving literacy outcomes by better understanding the needs of students in grades 4–8. The Birth-5 and Grades K-3 cohorts are great starting points for building a strong foundation in literacy. But what happens when students enter the upper elementary and middle grades needing additional support to become proficient readers?We recruited motivating expert and Director of Structured Literacy Mary Hannah Gaddis, who “loves literacy all day long” at Marietta City Schools. Learn from Mary Hannah how to ignite a movement that enlists every educator in the building to solve basic literacy deficits for struggling adolescents who "deserve the right to read."
MONEY FM 89.3 - Prime Time with Howie Lim, Bernard Lim & Finance Presenter JP Ong
Cancer is often seen as a disease that comes with age. But in Singapore, more teenagers and young adults are now being diagnosed with cancer. So, what’s driving this trend, how worried should we really be, and should younger Singaporeans be thinking differently about cancer prevention and early detection? On The Agenda, Hongbin Jeong speaks to Dr Eileen Poon, Medical Lead, Adolescent and Young Adults Oncology (AYAO) Programme and Senior Consultant, Division of Medical Oncology, National Cancer Centre Singapore to find out more.See omnystudio.com/listener for privacy information.
Hello and welcome to conversations from the AandF podcast. In this episode I speak to Bethan Pell a PhD Student in Cardiff University's School of Social Sciences. Her Phd is focused on developing a theoretical understanding of Child and Adolescent to Parent Violence (CAPVA) in the context of Wales. I really enjoyed this conversation and saw the potential for the use of her model to help practitioners and parents who are living with Child to parent violence understand it and address it. You can read Bethan's research here and can contact Bethan here. As always if you've experience of adoption, fostering or special guardianship from any perspective personal or professional and would like share that on the podcast please get in touch through the Facebook page, BlueSky or email us at AandFpodcast@gmail.com
"It is a community to be seen and to be heard." Military-connected children make up a community of friends, advocates, caregivers, and leaders, and today we sit down with Seylah Stephens to hear what that looks like in her own life. Her honest, encouraging words are a reminder that no one has to go it alone, and that being recognized as you are may be one of the greatest gifts there is. Seylah shares her story of finding her place, first within her family, and then alongside other young people who understood her experience, and how that sense of belonging became the foundation for her own leadership. SHOW NOTES Biography for Seylah Stephens: Seylah tells us: "I am currently studying clinical psychology at University of California, San Diego. In my free time, I really enjoy being out in nature and practicing self care! Connecting with others is a huge part of my life, and hanging with my loved ones such as my family and friends keeps me grounded and motivated." Resources: Military Child Education Coalition Website David Nguyễn, Mr. International Student Self-Efficacy of Leadership: A Within-Group Analysis. 2015. Dugan, J. P., Garland, J. L., Jacoby, B., & Gasiorski, A. (2008). Understanding Commuter Student Self-Efficacy for Leadership: A Within-Group Analysis. NASPA Journal, 45(2), 282–310. https://doi.org/10.2202/1949-6605.1951 Oberle E. Social-emotional competence and early adolescents' peer acceptance in school: Examining the role of afternoon cortisol. PLoS One. 2018 Feb 20;13(2):e0192639. doi: 10.1371/journal.pone.0192639. PMID: 29462163; PMCID: PMC5819800. Parkhill, C.L. Deans, L.A. Chapin. Pre-leadership processes in leadership training for adolescents. Children and Youth Services Review, Volume 88, 2018, Pages 375-379. Shah EN, Szwedo DE and Allen JP (2024) Adolescent close friendships, self-perceived social acceptance, and peer-rated likeability as predictors of wellbeing in young adulthood. Front. Dev. Psychol. 2:1435727. doi: 10.3389/fdpys.2024.1435727 This episode is provided by generous funding from the USAA Foundation. Mixed and mastered by Concentus, Media, Inc., Temple, Texas, USA. Related MCEC Podcast Episodes: The Other Kind of Service - Caregiving Youth published 9.2.26 Military Kids as Caregivers published 4.29.25 S2S: Students Supporting Students published 5.25.25
Hello and welcome to conversations from the AandF podcast. In this episode I speak to Bethan Pell a PhD Student in Cardiff University's School of Social Sciences. Her Phd is focused on developing a theoretical understanding of Child and Adolescent to Parent Violence and Abuse (CAPVA) in the context of Wales. I really enjoyed this conversation and saw the potential for the use of her model to help practitioners and parents who are living with Child to parent violence understand it and address it. You can read Bethan's research here and can contact Bethan here. As always if you've experience of adoption, fostering or special guardianship from any perspective personal or professional and would like share that on the podcast please get in touch through the Facebook page, BlueSky or email us at AandFpodcast@gmail.com
durée : 01:02:19 - Le grand podcast de voyage - Une histoire de peur et de plaisir, deux notions indissociables pour le maître du roman policier, Franck Thilliez. - équipe : Christine Bernard, Alexandra Malka, Corinne Amar Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France
Chaque mercredi, Karina vous dévoile les meilleurs enfants sur les réseaux sociaux cette semaine.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
On today's episode, Tyler Huckabee (Sojourners) joins Josiah to discuss the history of youth groups in evangelical churches, their moral priorities, and how the adults that emerged from them reckon with their legacy. Follow Tyler on Twitter @TylerHuckabee and Bluesky @tylerhuckabee.bsky.socialFind more of Tyler's work: https://sojo.net/biography/tyler-huckabeeBecome a Fruitless Patron here: https://www.patreon.com/user?u=11922141Check out Fruitless on YouTubeFind more of Josiah's work: https://linktr.ee/josiahwsuttonFollow Josiah on Twitter @josiahwsuttonReferencesThumbnail is an illustration by Louise Zergaeng Pomeroy, pulled from article below."Reckoning With the Youth Groups That Raised Us," Tyler Huckabee in Sojourners, https://sojo.net/magazine/august-2026/reckoning-youth-groups-raised-usAudio creditsSentimental - Dan DarmawanYesterday - bloom.I Want To Know You - SonicfloodBass - NoCopyrightMusic'84 Sheepdog - As Cities Burn ★ Support this podcast on Patreon ★
In 2006, a landmark report titled Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer confirmed what young survivors had been saying for years. While survival rates for children and older adults had steadily improved, adolescents and young adults had experienced decades of stalled progress. They had become cancer's lost generation.This episode explores how young adult survivors transformed their shared isolation into one of the most influential grassroots movements in cancer advocacy. Diagnosed during the years typically devoted to education, careers, relationships, and starting families, patients between the ages of 15 and 39 confronted challenges that extended far beyond treatment. Fertility preservation, sexual health, employment, financial toxicity, insurance, and long-term quality of life were rarely discussed in oncology clinics, leaving many to navigate survivorship alone.The episode follows advocates including Tamika Felder, Lindsay Avner, Heidi Adams, Doug Ulman, and Dr. Archie Bleyer, whose research and advocacy fundamentally changed how medicine understands adolescent and young adult cancer. Through organizations including Planet Cancer, Fertile Hope, the Lance Armstrong Foundation, and later Stupid Cancer, survivors built online communities, educational resources, conferences, and national partnerships that challenged long-standing assumptions about cancer care. Their work helped establish fertility preservation as a standard discussion before treatment, expanded research dedicated to adolescent and young adult oncology, and elevated quality of life as a critical clinical outcome alongside survival.The movement also demonstrated the power of lived experience to reshape medicine. Survivors became researchers, educators, nonprofit founders, and policy advocates, insisting that cancer care account not only for years of life saved, but for the lives patients hoped to build afterward.What began as a search for peers evolved into a national movement that permanently transformed adolescent and young adult oncology. Today, dedicated research programs, clinical fellowships, survivorship resources, and patient advocacy organizations continue to build on the foundation these young cancer mavericks created.RELATED LINKSNational Cancer Institute | Adolescent and Young Adult (AYA) Cancer ProgramClosing the Gap: Research and Care Imperatives for Adolescents and Young Adults with CancerAmerican Society of Clinical Oncology | Fertility Preservation GuidelinesStupid CancerLivestrong FoundationJournal of Adolescent and Young Adult OncologyFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Welcome to The Mental Breakdown and Psychreg Podcast! Today, Dr. Berney and Dr. Marshall discuss concerns related to adolescents who turn common teenage challenges into mental health crises. You can now follow Dr. Marshall on twitter, as well! Dr. Berney and Dr. Marshall are happy to announce the release of their new parenting e-book, Handbook for Raising an Emotionally Healthy Child Part 2: Attention. You can get your copy from Amazon here. We hope that you will join us each morning so that we can help you make your day the best it can be! See you tomorrow. Visit Psychreg for blog posts covering a variety of topics within the fields of mental health and psychology. The Parenting Your ADHD Child course is now on YouTube! Check it out at the Paedeia YouTube Channel. The Handbook for Raising an Emotionally Health Child Part 1: Behavior Management is now available on kindle! Get your copy today! The Elimination Diet Manual is now available on kindle and nook! Get your copy today! Follow us on Twitter and Facebook and subscribe to our YouTube Channels, Paedeia and The Mental Breakdown. Please leave us a review on iTunes so that others might find our podcast and join in on the conversation!
What if the secret to raising happy, resilient kids fit inside a picture book about a boy who wishes he were a cat? Or a bird? Or pretty much anything but himself? That is at the heart of 'I'm Glad I'm Me', the new children's book from author James Nicholson — and the subject of our latest conversation. Host Leigh Hatcher sits down with James and clinical psychologist and resilience expert Lyn Worsley to unpack a story that sounds simple but lands hard: a little boy tries on one animal after another, chasing the feeling that someone else's life must be better, until he finally discovers he's glad to just be himself. It's a message for kids, sure. But in an age where social media is engineered to make everyone else look cooler, happier and more perfect than we feel, none of us are immune to the comparison trap. This one is for the grown-ups too. The post Winter Listening: Revisiting ‘I’m Glad I’m Me’ with James Nicholson, Lyn Worsley & Leigh Hatcher appeared first on The Resilience Centre.
Forty years ago, four martial-arts-trained rodents crashed the comics scene and helped kick off one of the strangest crazes of the 1980s. On this episode, creator Don Chin joins the Bandits to celebrate the 40th anniversary of Adolescent Radioactive Black Belt Hamsters, the 1986 series that began as a parody of Teenage Mutant Ninja Turtles and quickly took on a life of its own. Don looks back at creating Bruce, Chuck, Clint, and Jackie during the height of the black-and-white comics boom, the unexpected success of the series, and working with artists including Parsonavich and a young Sam Kieth. The conversation also explores the anything-goes world of independent comics in the '80s, the Hamsters' enduring cult following, and what it's like to see this gloriously offbeat creation being celebrated four decades later with new 40th-anniversary collections from Dynamite. You can follow Don on Instagram @donchin63. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Can behaviour be understood without understanding the violence that surrounds it?This episode of the Mind the Kids podcast features Susan Swingler, a researcher at the University of Oxford's Department of Social Policy and Intervention, who recently completed a PhD in social intervention and policy evaluation. Her research focuses on how young people respond to chronic stress and violence exposure in low- and middle-income country contexts, and how this shapes mental health and behavioural development through adolescence.Hosted by Mark Tebbs, the conversation explores a landmark near two-decade longitudinal study built on data from the Thula Sana birth cohort in Khayelitsha, South Africa, conducted with colleagues Qing Han, Alexis E. Cullen, Stefani du Toit, Sarah Skeen, Jane Barlow, and Mark Tomlinson.The discussion centres on adolescent conduct problems — persistent patterns of aggression and rule-breaking that place young people at higher risk of anti-social behaviour and poorer mental health. Susan explains why violence exposure between the ages of 12 and 14 is best understood in context rather than as an individual failing, and outlines how the study tracked adolescents from early into late adolescence using both self-report and caregiver-report measures across a community shaped by decades of structural disadvantage.Drawing on one of the longest-running adolescent cohort studies in a high-adversity setting, Susan shares the study's central finding: violence exposure in early adolescence predicted higher conduct problems both at the time and four years later in late adolescence, even after accounting for broader socioeconomic hardship — while the reverse pathway, from conduct problems to later violence exposure, was not statistically significant. The conversation also explores exploratory sex differences in these pathways, the extraordinary effort required to retain 70% of the original cohort across 20 years, and what genuinely contextually grounded violence prevention could look like using the WHO's INSPIRE framework.This conversation is essential listening for clinicians, researchers, educators, and policymakers interested in child and adolescent mental health, developmental psychopathology, and violence prevention in low-resource settings. It offers both rigorous longitudinal evidence and a clear message: adolescence is not too late for intervention, and understanding the context around a young person's behaviour is key to changing it.Read the JCPP paper 'Longitudinal associations between violence exposure and adolescent conduct problems in a high-adversity, South African setting'Susan Swingler, Qing Han, Alexis E. Cullen, Stefani du Toit, Sarah Skeen, Jane Barlow, Mark TomlinsonFirst published: 11 February 2026https://doi.org/10.1111/jcpp.70132Get a free CPD/CME certificate for listening to this podcast by registering for a FREE ACAMH Learn account at https://bit.ly/4fF4BBWVisit https://www.acamh.orgFacebook and LinkedIn search / ACAMHInstagram https://www.instagram.com/assoc.camhBluesky https://bsky.app/profile/acamh.bsky.socialX https://x.com/acamh
The TeacherCast Podcast – The TeacherCast Educational Network
Welcome to Digital Learning Today. In this episode, Jeff Bradbury explores the strategic systems that shape the future of education, focusing on Instructional Coaching, Artificial Intelligence, Professional Learning, and the latest Educational Technology Trends. In this podcast episode, Laura Stewart takes over the podcast and is joined by educator Jeanne Schopf, editor of the new book Reading is NOT Optional to talk about adolescent literacy. In this important episode, we will explore the current crisis around our older students literacy achievement and the urgency of addressing this crisis. Jeanne will share three big ideas around what we know works to intervene and get our adolescent readers on track toward academic success so that they can thrive. Laura will share key resources from 95 Percent Group to support teachers in designing instruction for this special population of learners. Become a High-Impact Leader: This episode is just the beginning. To get the complete blueprint for designing and implementing high-impact systems in your district, get your copy of my book, "Impact Standards." Strategic Vision for Digital Learning:Learn how to create a district-wide vision that aligns digital learning with your educational goals, transforming how standards-based instruction is designed and supported.Curriculum Design and Implementation:Discover practical strategies for integrating digital learning into existing curricula, creating vertical alignment of skills, and mapping digital learning across grade levels.Effective Instructional Coaching:Master the art of coaching people rather than technology, building relationships that drive success, and measuring impact through student engagement rather than just technology usage. Purchase your copy of “Impact Standards” on Amazon today! Key Takeaways: Urgency of adolescent literacyEvidence-based instructional practicesAssessment and progress monitoringSystem-level literacy interventionsProfessional learning for teachersMultisyllabic word decoding and morphologyOral language developmentMTSS implementation for secondary schoolsSupporting English language learners Chapters: 00:00 Introduction to the importance of adolescent literacy03:09 Why we know too much to ignore adolescent literacy05:12 The urgency of addressing unfinished learning in literacy07:12 What makes adolescent struggling readers unique11:19 Evidence-based instructional practices for secondary students12:47 The importance of assessment and progress monitoring15:38 System-level solutions and MTSS for literacy18:44 Integrating literacy strategies across content areas20:07 Professional learning for teachers on evidence-based practices23:52 Leadership and systemic change for literacy transformation Resources Mentioned in This Episode: Science of Reading 3.0 Book -https://www.95percentgroup.com95% Group Website -https://www.95percentgroup.comTeacherCast Podcast Series -https://teachercast.net/95percentgroup About our Guest: Laura Stewart Laura Stewart is the Chief Academic Officer at 95 Percent Group. She is a nationally recognized Science of Reading and Structured Literacy advocate who has dedicated her career to improving literacy achievement at leading education companies. Stewart has more than 25 years of academic leadership experience. Most recently, she served as the Chief Innovation Officer for The Reading League and Chief Academic Officer for professional development with the Highlights Education Group. Other key education roles include vice president of professional development for the Rowland Reading Foundation and Zaner-Bloser, school district administrator and adjunct professor. She is the author of several training guides and training workshops, as well as 12 children's books, and the co-author of The Everything Guide to Informational Text, K-2: Best Texts, Best Practices (Corwin Press, 2014). She serves on several advisory boards, including The Path Forward for Teacher Preparation and Licensure in Early Literacy. About the 95 Percent Group 95 Percent Group is an education company whose mission is to build on science to empower teachers—supplying the knowledge, resources, and support they need—to develop strong readers. Using an approach that is based in structured literacy, the company's One95 Literacy Ecosystem™ integrates professional learning and evidence-based literacy products into one cohesive system that supports consistent instructional routines across tiers and is proven and trusted to help students close skill gaps and read fluently. 95 Percent Group is also committed to advancing research, best practices, and thought leadership on the science of reading more broadly. For additional information on 95 Percent Group, visit: https://www.95percentgroup.com. Links of Interest Website:https://www.95percentgroup.comLinkedIn –https://www.linkedin.com/company/95-percent-group-inc-/Facebook –https://www.facebook.com/95percentgroupTwitter –https://twitter.com/95percentgroupInstagram –https://www.instagram.com/95percentgroupllc/ About our Guest: Jeanne Schopf Jeanne Schopf, M.Ed., NBCT, C-SLDI, is a literacy expert, motivational keynote speaker, and educational leader with more than 35 years of experience in pubic education. She is the editor and contributing author of Reading Isn't Optional: Fulfilling the Promise of Literacy for Secondary Students and has served as an elementary and middle school teacher, Literacy Coach, Reading Specialist, and Certified Dyslexia Interventionist (K–12). A Certified John Maxwell speaker, trainer, and coach, Jeanne provides research-based professional development grounded in MTSS and the Science of Reading. As the Founder of Pathways Towards Literacy, she partners with schools and leaders to implement evidence-based practices, build educator capacity, and create sustainable systems that ensure every student achieves literacy success. Let's Work Together Contact Me Today:https://www.teachercast.net/contact Follow on Social Media LinkedIn:https://www.teachercast.net/linkedinTwitter/X:https://www.teachercast.net/twitterBlueSky:https://bsky.app/profile/jeffreybradbury.bsky.socialYouTube:http://teachercast.net/youtube Subscribe to This Podcast Apple Podcasts:https://podcasts.apple.com/us/podcast/digital-learning-today/id546631310Spotify:https://open.spotify.com/show/0n6S0WcyzQ1rpKWJ8iZPLJ?si=a1227a7c5e0b48e4 Check Out Additional TeacherCast Programming Digital Learning Today:https://podcasts.apple.com/us/podcast/digital-learning-today/id546631310Ask the Tech Coach:https://podcasts.apple.com/us/podcast/ask-the-tech-coach/id1067586243The Jeff Bradbury Showhttps://podcasts.apple.com/us/podcast/the-jeff-bradbury-show/id519685828 Book Jeff for your Next Event Jeff Bradbury (ISTE “20 to Watch” Award Winner and ISTE Certified Educator) is available for keynote speaking, workshop facilitation, and live event broadcasting. With expertise in educational technology and professional development, Jeff brings engaging content and practical strategies to conferences and professional learning events. Visit Jeff's Website:https://jeffreybradbury.comContact Jeff Directly:https://jeffreybradbury.com/contact/ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ [gravityform id="2" title="true"]
In this episode, Elizabeth Zmuda, MD, FAAP, discusses the role of the pediatrician to promote effective approaches for child and adolescent nutrition in schools. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Elizabeth Kuhn, MD, MSHP, about capacity strain in U.S. children's hospitals. For resources go to aap.org/podcast.
E466 | Inner Voice: A Heartfelt Chat with Dr. Foojan Student mental health, teen mental health, college mental health, anxiety, depression, loneliness, wellbeing, and belonging are the focus of this Inner Voice conversation with Dr. Foojan and Joe Dorri, Founder and President of The Good Student, a 501(c)(3) nonprofit advancing student mental health. Joe studied psychology at USC, has published peer-reviewed research, presented at APA conventions, and created the Good Student Tool, a free, anonymous, science-backed assessment connecting students with mental health and wellbeing resources.
Learn which therapies actually work for adolescent boys struggling with depression, why residential treatment is sometimes recommended, and the critical role parents play in long-term recovery.Learn more at: https://missionprephealthcare.com/locations/california/rancho-palos-verdes-palos-verdes-dr/ Mission Prep City: San Juan Capistrano Address: 30310 Rancho Viejo Rd. Website: https://missionprephealthcare.com/
Ecoutez RTL Soir avec Antoine Cavaillé-Roux du 10 août 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Season 5, episode 2 of the Just Us podcast places an emphasis on the treatment of substance use disorder in adolescents and young adults. Psychiatrist Leeallie Carter and family medicine physician Blake Fagan discuss the interactions between human biology, adverse childhood experiences, and substance use during this developmental period. The nuances of and barriers to adolescent SUD treatment are discussed in detail. Listen in to learn more!Resources: Substance Use Disorder Treatment Resources for Youth, Young Adults, and Families: https://opa.hhs.gov/adolescent-health/substance-use-adolescence Resources to Address the Opioid Epidemic: https://www.aap.org/en/patient-care/substance-use-and-prevention/resources-to-address-the-opioid-epidemic/ Substance Use Disorder Treatment Resources for Youth, Young Adults, and Families: https://www.samhsa.gov/substance-use/treatment/youth-and-families We would love your feedback on our podcast! Please take our listener survey to provide your comments.Music credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 Licensehttp://creativecommons.org/licenses/by/4.0/ Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
Beyond the Physical-Comprehensive Sports Evaluation, Safety, and Athlete Wellbeing for NPs Sports physicals are far more than routine clearance exams — they are critical preventive health encounters that allow nurse practitioners (NPs) to identify medical, mental health and safety concerns before an athlete takes the field. In episode six of Updates in Adolescent health: Beyond the Physical-Comprehensive Sports Evaluation, Safety and Athlete Well-being for NPs, Jessica Peck and Ashley Hodges discuss best practices for preparticipation physicals, including cardiac screening, concussion management, injury prevention, nutrition and mental health assessment. They also explore the impact of early sport specialization, social media and performance pressures on young athletes, while providing practical strategies to help NPs promote safe participation and long-term athlete well-being.
Khuspus with Omkar Jadhav | A Marathi Podcast on Uncomfortable topics
भारती हॉस्पिटलबद्दल जाणून घेण्यासाठी या वेबसाईटला भेट द्या: www.bharatihospital.com अमुक तमुक ला subscribe करण्यासाठी click करा: https://youtube.com/@amuktamuk?si=LCVcdLVB9KMPVHrkबरेचदा आपल्याच अपेक्षांमुळे, कधी जवळच्या माणसांच्या शब्दांनी, तर कधी आपणच मनात चाललेल्या विचारांमुळे आपण सगळेच Hurt होतो. या भागात आपण “हर्ट” म्हणजेच दुखावणं/ वेदना होणं या भावनेबद्दल बोललो आहोत. “अपेक्षा सोडल्या तर कमी Hurt होतं?”, “तोच माणूस वारंवार दुखावतो का?”, “आपण का गप्प राहतो?”, “रिलेशनशिपमध्ये Hurt होण्याची भीती कुठून येते?”, “सोशल मीडियामुळे मनावर किती ताण वाढतो?” Hurt होणं या भावनेशी कसं deal करायचं? अशा अनेक प्रश्नांची उत्तरं डॉ. भूषण शुक्ल (Adolescent & Child Psychiatrist) आपल्याला सोप्पी करून सांगतायतMany times, we get hurt because of our own expectations, sometimes by the words of people close to us, and sometimes by the stories we keep running in our own minds. In this episode, we have an honest conversation about the emotion of “hurt” why it pains us, where it comes from, and how it shapes our relationships. We explore questions like: Does letting go really reduce the pain? Why does the same person hurt us repeatedly? Why do we choose to remain silent? Where does the fear of getting hurt in a relationship begin? And how much pressure does social media add to our emotional space? Dr. Bhushan Shukla (Adolescent & Child Psychiatrist) simplifies these complex questions and helps us understand how to deal with the feeling of being hurt.Disclaimer: व्हिडिओमध्ये किंवा आमच्या कोणत्याही चॅनेलवर पॅनलिस्ट/अतिथी/होस्टद्वारे सांगण्यात आलेली कोणतीही माहिती केवळ general information साठी आहे. पॉडकास्ट दरम्यान किंवा त्यासंबंधात व्यक्त केलेली कोणतीही मते निर्माते/कंपनी/चॅनल किंवा त्यांच्या कोणत्याही कर्मचाऱ्यांची मते/अभिव्यक्ती/विचार दर्शवत नाहीत.अतिथींनी केलेली विधाने सद्भावनेने आणि चांगल्या हेतूने केलेली आहेत ती विश्वास ठेवण्याजोगी आहेत किंवा ती सत्य आणि वस्तुस्थितीनुसार सत्य मानण्याचे कारण आहे. चॅनलने सादर केलेला सध्याचा व्हिडिओ केवळ माहिती आणि मनोरंजनाच्या उद्देशाने आहे आणि चॅनल त्याची अचूकता आणि वैधता यासाठी कोणतीही जबाबदारी घेत नाही.अतिथींनी किंवा पॉडकास्ट दरम्यान व्यक्त केलेली कोणतीही माहिती किंवा विचार व्यक्ती/कास्ट/समुदाय/वंश/धर्म यांच्या भावना दुखावण्याचा किंवा कोणत्याही संस्था/राजकीय पक्ष/राजकारणी/नेत्याचा, जिवंत किंवा मृत यांचा अपमान करण्याचा हेतू नाही.. Guest: Dr.Bhooshan Shukla(Adolescent & Child Psychiatrist)Host: Omkar Jadhav.Creative Producer: Shardul Kadam.Editor: Rohit Landge. Edit Assistant: Rameshwar Garkal, Priyanka Thosar. Content Manager: Sohan Mane.Social Media Manager: Sonali Gokhale.Legal Advisor: Savani Vaze.Business Development Executive: Sai Kher.About The Host Omkar Jadhav.Co-founder – Amuk Tamuk Podcast NetworkPodcast Host | Writer | Director | Actor | YouTube & Podcast ConsultantWith 8+ years in digital content, former Content & Programming Head at BhaDiPa & Vishay Khol.Directed 100+ sketches, 3 web series & non-fiction shows including Aai & Me, Jhoom, 9 to 5, Oddvata.Creative Producer – BErojgaar | Asst. Director – The Kerala StoryHost of Khuspus – a podcast on taboo and uncomfortable topics.Visiting Faculty – Ranade Institute, Pune University.Connect with us: Twitter: https://twitter.com/amuk_tamukInstagram: https://www.instagram.com/amuktamuk/Facebook: https://www.facebook.com/amuktamukpodcastsSpotify: Khuspus #AmukTamuk #marathipodcasts 00:00 - Introduction 03:14 - Defining Hurt 05:49 - अपेक्षा भंग 08:58 - How to identify if you're emotionally hurt 14:46 - Taking Responsibility for Our Feelings 24:00 - Why do some people seem more sensitive than others? 31:43 - What happens when we ignore or bottle up our pain? 35:11 - Practical advice on what to do when you feel hurt 40:15 - Victim Mentality 43:00 - Emotional Healing 48:19 - How to say sorry correctly? 51:42 - Conclusion
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. In this episode, we are joined by Brad Goldberg, MD (Children's Hospital Los Angeles), Erika Cheung, RN (Children's Hospital Los Angeles), and Pooja Nawathe, MD (Cedars-Sinai)—leaders from the LA County Special Pathogens Program. Together, we discuss how emergency clinicians can recognize, isolate, and respond to patients with emerging infectious diseases using the practical Identify, Isolate, Inform (III) framework. From travel screening and PPE to isolation protocols and communication with public health, this episode is packed with practical pearls to help your team prepare before the next outbreak arrives.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play Send us Fan Mail
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-496 Overview: Adolescents who use cannabis—especially at a younger age or higher frequency—face substantially elevated risks of mood and psychiatric disorders. Listen in to hear practical, evidence-based strategies for screening teens for substance use, counseling patients and families, and recognizing the significant risks associated with adolescent cannabis use. Episode resource links: Young-Wolff KC, Cortez CA, Alexeeff SE, et al. Adolescent Cannabis Use and Risk of Psychotic, Bipolar, Depressive, and Anxiety Disorders. JAMA Health Forum. 2026;7(2):e256839. doi:10.1001/jamahealthforum.2025.6839 American Academy of Pediatrics - Substance Use and Prevention Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-496 Overview: Adolescents who use cannabis—especially at a younger age or higher frequency—face substantially elevated risks of mood and psychiatric disorders. Listen in to hear practical, evidence-based strategies for screening teens for substance use, counseling patients and families, and recognizing the significant risks associated with adolescent cannabis use. Episode resource links: Young-Wolff KC, Cortez CA, Alexeeff SE, et al. Adolescent Cannabis Use and Risk of Psychotic, Bipolar, Depressive, and Anxiety Disorders. JAMA Health Forum. 2026;7(2):e256839. doi:10.1001/jamahealthforum.2025.6839 American Academy of Pediatrics - Substance Use and Prevention Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
Why does the analyst write? And further why might the analyst write different kinds of pieces such as clinical writing, scientific papers, narratives, or poetry? There are always the considerations of the impact on our patients, their confidentiality and privacy (theirs and ours) but the desire to write and the writing process as well as its products are interesting to explore analytically. In this episode, Jennifer Davids discusses how she relates to her writing process which she links to the process of thinking, gestated as ideas and words and delivered through a process she calls writing through, a form of working through. For her, the process is not without struggle, searching to express herself in a second language that fits the images and sensory-rich world of her mind. And there are anxieties associated with the process of gestating an idea, “Do I have something to say?”, “Can I produce something worthwhile?”, of publishing her work including the anxieties associated with clinical writing and related themes of confidentiality and privacy. Her process is thoughtful, creative, courageous and inservice of the larger group of analyst readers who might be in dialogue with her. Jennifer Davids, Fellow British Psychoanalytical Society (BPaS), FIPA, born in South Africa, is a chartered clinical psychologist and a Child, Adolescent and Adult Psychoanalyst, who trained full time in child and adolescent psychoanalysis during the mid to late 1980's at the Anna Freud Centre, and then in adult psychoanalysis at the British Psychoanalytical Society. She is a supervising analyst for child and adolescent psychoanalysis and psychotherapy. After qualifying in 1989 in child and adolescent analysis, Jennifer Davids worked, as a clinical and teaching staff member, at the AFC (Anna Freud Centre, formerly the Hampstead clinic) for 20 years, as well as working in the National Health service as a Consultant Psychotherapist leading a mental health team. She has taught on the faculty of the BPaS, the Tavistock Clinic, IPCAPA, University College and Birkbeck College London, as well as at the Maudsley hospital. She is on the Harlem Family Institute faculty. She teaches internationally, including facilitating an IPA Thinking Lab, and has published and presented widely, including IPA webinars on the body image, abuse and money. Her written publications include pieces on topics as wide ranging as: inter alia, sexual transference and countertransference, adoption, race, publishing in the digital era, and changes in human relating in the AI- and cyber-universe. Davids was an editorial board member of the British Journal of Psychotherapy. She continues to be a consultant to the IPA in Health committee of which she was a member from 2018 to 2025 and she is a board trustee of the International Play Association (England). She lives, draws, writes, and works in full-time private practice in London, UK. You can download a copy of the paper here. This podcast series is produced by the International Psychoanalytical Association as part of the activities of the IPA Outreach Subcommittee. Chair: Gaetano Pellegrini Podcast Coordinator: Florencia Biotti Editing and Post-Production: Massimiliano Guerrieri Cover Image: Fountain pen writing (literacy). Photo by Petar Milošević, licensed under Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0), via Wikimedia Commons
Studies show that rates of certain cancers, including breast cancer, are rising in adolescents and young adults, meaning people between the ages of 15 and 39. While the increase is likely due to a combination of factors, some explanations include obesity, more sedentary lifestyles, chest radiation, alcohol consumption, and genetics. Rebecca Johnson, MD, medical director of the Adolescent and Young Adult Oncology Program at Mary Bridge Children's Hospital, and colleagues published a paper suggesting yet another piece of this puzzle: increasing cannabis use among young people. Listen to the episode to hear Dr. Johnson explain: why she thought cannabis might be linked to cancer the reasons why cannabis could increase the risk of being diagnosed with cancer her advice to young people about cannabis and cancer
When is your dog's age the reason for their behavior? This week, Tara and Laura break down the different behaviors and challenges you may see from your dog at the different life stages. They explain how many behaviors can be overlooked as “puppy behavior” when their dog is already past the puppy stage in life. Understanding your dog and what behavior is acceptable helps you to set proper boundaries and expectations for your dog's life.Sponsored by K9 WorkingmindThis episode was edited and mastered by The WillaWoman. Our song "Working Minds" was also created by The WillaWoman.Hear more of her work here: https://tinyurl.com/TheWillaWoman
In this final episode of our four-part adolescent literacy miniseries, Susan Lamber, Ed.D., is joined by Kymyona Burk, Ed.D., a senior policy fellow for literacy at ExcelinEd and former Mississippi state literacy director and secondary English teacher. Together, Susan and Kymyona connect what we know from early literacy to the urgent needs of middle school reading, including the policies, professional development, and practices it will take to reach the adolescent readers who need us most. They also explore what comprehensive adolescent literacy policy must include, what other states' legislative momentum for secondary literacy can teach us, and why literacy belongs in every content-area classroom.Show notes:Check out our Science of Reading resources for grades 6–8.Read the Educator Preparation Program Literacy Policy Playbook.Learn more about the Advancing Adolescent Literacy Model Policy.Listen to Kymyona Burk's episode from Season 5.Learn more about Kymyona Burk.Connect with Kymyona Burk on LinkedIn.Get ready for Season 3 of the Amplify podcast Beyond My Years.Join our community Facebook group.Connect with Susan Lambert. Quotes:There's a literacy crisis in middle and high school, too." —Kymyona Burk"We've been ver proactive with early literacy, but more reactive, I believe, in adolescent literacy." —Kymyona Burk"Think more about what the students need in response to data instead of pacing." —Kymyona BurkTimestamps*:0:00 Introduction: Adolescent literacy policy, with Kymyona Burk, Ed.D. 5:00 "I knew how to teach English, but I did not know how to teach reading."7:00 Comparing and contrasting early literacy and adolescent literacy policy12:00 What good adolescent literacy policy looks like15:00 The case for universal screeners in middle school18:00 The Virginia Literacy Act and other states building momentum24:00 Professional development for middle and high school educators28:00 Advice for secondary educators33:00 "Think more about what students need in response to data instead of pacing"35:00 Educator preparation programs: the next frontier39:00 Closing thoughts*Timestamps are approximate
Anime is often viewed as harmless entertainment, but some content can include explicit sexual themes that influence adolescent development and mental health. In this episode, we explore with our guest Jermaine Wall, LCSW-S, owner of Crescent Counseling why social workers and mental health professionals should consider digital media use as part of assessment and treatment planning. Listen now and join the conversation wherever your normally listen to podcasts, or on our website: https://www.socialworkers.org/news/nasw-social-work-talks-podcast We also discuss the complex intersection of anime, sexual content, identity development, and clinical practice through a research-informed, clinically grounded perspective. Learn why digital media should be part of comprehensive psychosocial assessments, how anime and other online content can shape adolescent behavior and development, and what social workers, therapists, counselors, psychologists, and other mental health professionals should consider when assessing risk and developing treatment plans.
How do mental health challenges such as anxiety and depression influence language and communication?Guest: Kary Mirasola, MS, CCC-SLPEarn 0.10 ASHA CEUs for this episode with Speech Therapy PDWatch on YoutubeIn this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, is joined by Kary Mirasola, MS, CCC-SLP, for a thoughtful discussion about the connection between adolescent language development and mental health. As mental health concerns continue to affect students across school and clinical settings, this conversation considers the role speech-language pathologists can play as part of an interprofessional team. Michelle and Kary also discuss how emotional well-being may affect assessment findings, goal development, and intervention planning, and offer strategies to help SLPs better understand and support the whole student.About the Guest: Kary Mirasola, MS, CCC-SLP, is a speech-language pathologist with more than 20 years of experience working in a pediatric hospital setting. Throughout her career, she has specialized in working with adolescents and has had the opportunity to work closely on interdisciplinary teams alongside psychologists, occupational and physical therapists, pediatricians, and advanced practice nurses, supporting school-age children and adolescents with complex communication, learning, and mental health needs.Show Notes:Contact Kary on her website: Woven Language + LearningLove Money: National Alliance on Mental IllnessMentioned in this episode:Register for the Back-2-School Conference
In this third episode of our four-part adolescent literacy miniseries, Susan Lambert, Ed.D., speaks with Jeanne Schopf, interventionist, national literacy consultant, and editor of the new book Reading Isn't Optional: Fulfilling the Promise of Literacy for Secondary Students. Susan and Jeanne discuss why belief systems about at-risk readers are often the biggest barrier to change, and why that's true at every level of a school system. They also explore how scheduling, data, and coaching serve as system-level levers that principals and teachers can use to transform secondary literacy outcomes—and why leadership remains the single most powerful lever of all.Show notes:Our Summer Learning Academy is underway! Reserve your spot now to join Susan Lambert for the next session and dive deeper into the latest reading comprehension research.Check out our Science of Reading resources for grades 6–8.Read Jeanne's book Reading Isn't Optional: Fulfilling the Promise of Literacy for Secondary Students.Check out Improving Adolescent Literacy: Effective Classroom and Intervention Practices.Read Providing Reading Interventions for Students in Grades 4–9.Listen to "Focused Implementation: Doing less to do more," with Doug Reeves, Ph.D.Get ready for Season 3 of the Amplify podcast Beyond My Years.Read Susan's NEW Science of Reading Substack.Join our community Faceook group.Connect with Susan Lambert. Quotes:"Everything rises and falls on leadership." —Jeanne Schopf"I had to learn that people don't care how much you know until they know how much you care." —Jeanne Schopf"If we really, truly want to change kids' lives and graduate readers, it's going to take all hands on deck. Everybody has to have a voice." —Jeanne Schopf"Success is a team sport." —Jeanne SchopfTimestamps*:0:00 Introduction What adolescent readers really need, with Jeanne Schopf3:00 Jeanne's journey from whole language to structured literacy7:00 Discovering structured literacy10:00 "We fall to the level of our systems"15:00 "Everything rises and falls on leadership."20:00 Belief systems and their impact on instruction and expectations22:00 Building intervention time into the secondary schedule26:00 What a good data meeting looks like30:00 Reading Isn't Optional as a call for action34:00 Inside the book: from belief to transformation42:00 Oral language and scaffolding grade-level text46:00 "You were never taught to read and it's not your fault"47:00 Closing thoughts*Timestamps are approximate
Have you ever wondered if your gymnast is actually eating enough to support everything her body is being asked to do?Maybe she is training hard, dealing with injuries, struggling with fatigue, or trying to keep up as her body grows and changes.And maybe from the outside, everything looks mostly fine.But here is the problem: underfueling in gymnastics is often much more common than most parents realize.In this episode, Christina shares five of the biggest lessons she has learned in 11 years as a pediatric and adolescent sports dietitian, including the last six years working exclusively with gymnasts.And one thing has become very clear:Gymnast nutrition is not just about eating “healthy.”It is about eating enough, at the right times, in a way that supports growth, puberty, bone health, recovery, training, performance, and long-term health.Because underfueling does not only happen to level 9s, 10s, and elites.It can start much earlier.Christina explains why younger gymnasts, including level 4, 5, and 6 athletes, can already be underfueled, injured, struggling with growth, or not getting enough nutrition to keep up with the demands of the sport.And when those issues are not addressed early, they often become bigger as training hours increase, puberty begins, and performance expectations grow.In this episode, we cover:❗ Why underfueling is more common in gymnasts than many parents realize❗ Why younger gymnasts can be underfueled too❗ Why early nutrition support matters❗ Why gymnast nutrition needs are often downplayed❗ Why gymnasts need enough fuel for training, growth, puberty, and recovery❗ Why carbohydrates are so important for gymnastics❗ Why fatigue, burnout, mental blocks, and inconsistency may require a deeper look❗ Why HTMA testing can offer insight into mineral depletion and stress patterns❗ Why “healthy eating” sometimes has to take a back seat to adequate fueling❗ Why puberty, body diversity, and genetics matter in gymnastics❗ Why fueling for performance should always come before aestheticsChristina also shares why adequate fueling is a safety concern.Your gymnast's body cannot recover, repair, grow, adapt, or perform well if it does not have enough energy and nutrients to do so.And for many gymnasts, waiting until she is older, higher-level, motivated, or already injured means waiting too long.The goal is not to force a perfect diet.The goal is to build a fueling foundation that helps your gymnast stay healthy, train consistently, recover better, and keep doing gymnastics for as long as she wants to.Because your gymnast should get to decide when she is done with the sport.Not her injuries.Not burnout.And not underfueling.Links & ResourcesThe Balanced Gymnast® Program (Level 5–10)Connect with Christina on Instagram @the.gymnast.nutritionist christinaandersonrdn.comHTMA Episode / BlogOCD Blog
Welcome to the latest Midlife Minute. Today, we're discussing how oral contraceptives and Depo Provera can impact women's bone health over time.Stay tuned as I walk you through the research, prescribing trends, and ways women can support their bone health. IN THIS EPISODE, YOU WILL LEARN: How peak bone mass in adolescence affects bone health later in life How oral contraceptives can interfere with the bone development of young women The lack of informed conversations about the bone health risks associated with long-term contraceptive use Why Depo Provera may have a stronger impact on bone density than oral contraceptives The importance of nutrition and strength training for supporting bone health How hormonal contraceptives can affect the gut microbiome and immune system What you need to consider regarding your bone density and long-term health if you've been using oral contraceptives or Depo for many years Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Resources: Depot medroxyprogesterone acetate, oral contraceptives and bone mineral density in a cohort of adolescent girls doi:10.1016/j.jadohealth.2004.07.005 Oral Contraceptive Use and Bone Density Change in Adolescent and Young Adult Women: A Prospective Study of Age, Hormone Dose, and Discontinuation doi:10.1210/jc.2010-3027 Adolescent use of combined hormonal contraception and peak bone mineral density accrual: A meta-analysis of international prospective controlled studies doi:10.1111/cen.13932 No need to specialize: reproductive health is for all adolescents doi:10.1016/j.jpag.2006.01.055 Injectable Hormone Contraception and Bone Density: Results from a Prospective Study doi:10.1097/00001648-200209000-00015 Hormonal contraception and the development of autoimmunity: A review of the literature doi:10.1080/00243639.2017.1360065 Oral contraceptives, reproductive factors and risk of inflammatory bowel disease doi:10.1136/gutjnl-2012-302362 Combined oral contraceptive use and the risk of systemic lupus erythematosus doi:10.1002/art.24398 Oral Contraceptives and Multiple Sclerosis/Clinically Isolated Syndrome Susceptibility doi:10.1371/journal.pone.0149094 The Experience of Surviving a High-Risk Pregnancy doi:10.1080/23293691.2016.1166104 Effects of 0.9 mg Recombinant Human Thyrotropin on Thyroid Size and Function in Normal Subjects: A Randomized, Double-Blind, Cross-Over Trial doi:10.1210/jc.2004-0914
This episode describes how to respond when a teen, adolescent or young adult says they want to hurt themselves or kill themselves.It's horrifying when someone as young as 12-20 years old says they want to take their own life. When a teen or young adult confesses thoughts of hurting themselves or even hints at a plan, panic often kicks in...but what you do next can mean the difference between life and tragedy. In this episode, Dr. Kibby describes how you can transform fear into effective, life-saving support. If you're a parent, clinician, educator, or anyone caring for at-risk youth, this episode will change your perspective on how to handle these terrifying moments with compassion, clarity, and confidence. In this honest conversation, you'll discover why traditional reactions often do more harm than good and how shifting from control to understanding can unlock trust and safety. Dr. Kibby shares insights from her nearly lifelong work with mental health crises as well as adolescent and family Dialectical Behavior Therapy expert Dr. Marcus Rodriguez. Drawing from what she learned from Dr. Rodriguez, she emphasizes the importance of treating the whole family and system instead of isolated individuals. You'll learn why vague answers from teens are actually a sign of trust-building, not apathy or indifference, and how impulsivity heightens the risk of dangerous behaviors that require immediate, delicate intervention. We break down practical, step-by-step frameworks for assessing suicidality, from asking direct questions about plans and access to means, to understanding the importance of safety measures like environment restriction and involving the support system. You'll hear specific scripts designed to validate pain without validating harmful coping strategies, and how to balance genuine empathy with concrete safety protocols. The core message: you're not just stopping a moment of crisis- you're working with the teen, their family, and their community, to understand their pain and help them find hope. Interpersonal triggers like breakups, bullying, and social rejection are particularly devastating for teens, and how they differ from adult experiences. Dr. Kibby describes how you can meet teens where they are, by respecting their vague answers, impulsive actions, and emotional intensity, and why working systemically is essential for lasting safety. Remember: Asking directly about suicide does not plant the idea; it saves lives. Whether you're facing an immediate crisis or working to prevent one, this episode is your essential guide to understanding and intervening with care, respect, and hope.Trigger warning: Sensitive topics discussed include self-harm, suicidal ideation, and family trauma.If you're involved with teens or young adults, or if you simply want to learn how to support someone in their darkest hour, this episode is a must-listen. Resources:Parents, partners and other loved ones of people struggling with self harm and suicide, check out KulaMind. Book a free call with Dr. Kibby to learn how she can help.Adolescents, teens and families in California in crisis should learn about Dr. Rodriguez's Dialectical Behavior Therapy program at Youth and Family Institute
In this episode, Eva Catenaccio, MD, FAAP, discusses gender pay equity in pediatrics. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Lauren Chernick, MD, FAAP, about minor consent laws, adolescent knowledge and STI testing. For resources go to aap.org/podcast.
In the second episode of a special four-part Science of Reading: The Podcast adolescent literacy miniseries, Susan Lambert, Ed.D., speaks with Julie Burtscher Brown, Ed.D. a PreK–12 literacy facilitator. Julie talks about how she and her colleagues built a whole-school literacy initiative from the ground up, and what three years of data about it then revealed. Together, she and Susan also discuss why a few targeted, evidence-based practices (not sweeping overhauls) were what actually moved the needle for Julie's students; how content-area teachers can begin supporting literacy without reinventing their lessons; and what real, measurable change can look like at the secondary level when a whole school commits to the same practices. Show notes:Our Summer Learning Academy is back! Reserve your spot now to join Susan Lambert to dive deeper into the latest reading comprehension research.Check out our Science of Reading resources for grades 6-8.Connect with Julie Burtscher Brown on LinkedIn.Learn more about the Project for Adolescent Literacy.Explore Structured Literacy Interventions with Secondary Students.Review the IES 2022 Practice GuideWatch: Anita Archer: Secondary Reading—Implementing High-Leverage Practices.Get ready for Season 3 of the Amplify podcast Beyond My Years.Join our community Facebook group.Connect with Susan Lambert. Quotes:"Adolescent literacy is enormous and multifaceted. There's specialized instruction that needs to happen." —Julie Burtscher Brown"If you think of the word 'intervene' as a verb, it means to take action to prevent a predictable outcome." —Julie Burtscher Brown"Real, meaningful change can happen." —Julie Burtscher Brown"We reframed the word 'intervention' as an action, not a place." —Julie Burtscher BrownTimestamps*:01:00 Introduction: Actually moving the needle for adolescent readers, with Julie Burtscher Brown, Ed.D.09:00 A structured literacy program at Vermont's Woodstock Union High school and Middle School11:00 Grouping students by readiness17:00 Moving toward a whole-school literacy initiative23:00 High-leverage practices #1 and #2: Reading accurately and fluently30:00 High-leverage practices #3 and #4: Building word and world knowledge and accessing complex texts39:00 Building teacher leadership44:00 "Adolescent literacy is enormous and multifaceted. There's specialized instruction that needs to happen."46:00 Closing thoughts: what three years of whole-school effort produced*Timestamps are approximate