Podcasts about adolescents

Dr Alex Ezeh, Global Health expert and contributor to the Lancet Commission on Adolescent Health and Wellbeing, joins John Maytham to unpack urgent warnings from the latest report. With over one billion adolescents projected to face serious health risks by 2030, Dr. Ezeh outlines the global crises affecting young people — rising obesity, worsening mental health, climate stress, and a digitally saturated world. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30pm. CapeTalk fans call in, to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Contributor: Aaron Lessen, MD Educational Pearls: How do we take care of kids in severe pain? There are many non-pharmacologic options for pain (i.e. ice, elevation) as well as more conventional medication options (i.e. acetaminophen, NSAIDS) but in severe pain stronger medications might be indicated. These stronger medications include options such as IV morphine, a subdissociative dose of ketamine, as well as intranasal fentanyl. Intranasal fentanyl has many advantages: Studies have shown it might be more effective early on in controlling pain, as in the first 15-20 minutes after administration, and then becomes equivalent to other pain control options Total adverse effects were also lower with IN fentanyl, including low rates of nausea and vomiting To administer, use the IV formulation with an atomizer and spray into the nose; therefore, you do not need an IV line Dose is 1-2 micrograms per kilogram, can be redosed once at 10 minutes.  Don't forget about gabapentinoids for neuropathic pain, muscle relaxants for muscle spasms, and nerve blocks when appropriate. (Disclaimer: muscle relaxers have not been well studied in children) References Alsabri M, Hafez AH, Singer E, Elhady MM, Waqar M, Gill P. Efficacy and Safety of Intranasal Fentanyl in Pediatric Emergencies: A Systematic Review and Meta-analysis. Pediatr Emerg Care. 2024 Oct 1;40(10):748-752. doi: 10.1097/PEC.0000000000003187. Epub 2024 Apr 11. PMID: 38713846. Bailey B, Trottier ED. Managing Pediatric Pain in the Emergency Department. Paediatr Drugs. 2016 Aug;18(4):287-301. doi: 10.1007/s40272-016-0181-5. PMID: 27260499. Hadland SE, Agarwal R, Raman SR, Smith MJ, Bryl A, Michel J, Kelley-Quon LI, Raval MV, Renny MH, Larson-Steckler B, Wexelblatt S, Wilder RT, Flinn SK. Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient Settings: Clinical Practice Guideline. Pediatrics. 2024 Sep 30:e2024068752. doi: 10.1542/peds.2024-068752. Epub ahead of print. PMID: 39344439. Summarized by Jeffrey Olson, MS4 | Edited by Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Have you ever considered that victims of human trafficking might be walking into your clinic, hidden in plain sight, longing for someone to notice their silent signals? In this episode of Pediatric Meltdown, host Dr. Lia Gaggino sits down with Dr. Dena Nazer , a leading child abuse pediatrician, to dispel widespread myths and expose the heartbreaking realities of child trafficking. They dive deeply into what human trafficking truly looks like, why language and empathy shape outcomes, and how pediatricians can recognize and respond to red flags—even when victims don't or can't ask for help. If you've ever wondered how to protect the most vulnerable or questioned your own role in advocacy, this conversation mixes expertise and actionable strategies you can use today. Don't miss this essential episode—sometimes the most critical intervention is simply being prepared to see what others overlook.[00:00 - 06:25] Beyond Kidnapping: The Everyday Reality of Child TraffickingMedia Myths: trafficking is not always dramatic kidnappings—many victims are exploited by someone they know, sometimes in their own homes.Defining human trafficking per US federal law: for children under 18, any commercial sexual act (anything exchanged for perceived value) is trafficking, regardless of force, fraud, or coercion.Labor trafficking in children does require proof of force, fraud, or coercion, unlike sex trafficking.Children cannot legally consent to commercial sexual acts, a fact often misunderstood by practitioners.[06:26 - 18:33] Recognizing Vulnerability: Victims, Prevalence, and Persistent MythsAll children, regardless of socioeconomic status or geography, can be victimized; not just those from impoverished or unstable backgrounds.Adolescents are particularly vulnerable due to developmental, social, and neurological factors—especially girls, though all genders are at risk.The covert nature and underreporting of trafficking, with true prevalence grossly underestimated—actual victims far exceed documented cases.Practitioners should avoid assumptions about victim profiles and recognize that trafficking does not discriminate by background or location.[18:34 -24:41] Language, Reporting, and the Power of EmpathyThere is an impact of language, advocating against terms like "prostitute" or "modern day slavery," as they distort public perception and can harm survivors.There are nuanced preferences between “victim” and “survivor,” emphasizing respect for self-identification.Addresses mandated reporting: outlines state-by-state differences, reminds clinicians to know their local laws, and suggests erring on the side of caution when in doubt.Discusses the complexities of reporting and intervention with 18+ patients, promoting support over “rescue,” and collaboration over dictating solutions.[24:42 - 47:58] Identification, Patient Support, and Multi-Agency CollaborationRed flags in clinical settings: domineering non-parental adults accompanying children, delayed care-seeking, lack of address knowledge, repeated STIs, or signs of fear and withdrawal.Ways to build trust and elicit disclosures: prioritize safety, establish boundaries about reporting, and use risk-factor-based screening questions.Trauma-informed care—responding with empathy, validation, and minimal dramatization—to avoid re-traumatizing patients.Connect with local Child Advocacy Centers and understanding local resources and procedures before a crisis arises.[47:59 - 59:59] Dr. G's TakeAwaysAdditional Resources Mentioned

Sait-on vraiment ce qu'il se passe lorsque nous ouvrons l'application TikTok sur nos téléphones ?... Le réseau social chinois préféré des adolescents est accusé, non seulement de zombifier les plus jeunes utilisateurs, mais aussi de les mettre en danger en les exposant à des contenus violents, ou en les encourageant à des comportements qui pourraient menacer leur réputation, voire leur vie. Sommes-nous condamnés à voir nos enfants accros au scrolling ?

What if the key to your chronic health issues starts with your mouth? In this eye-opening episode, Dr. Michelle Jorgensen reveals the powerful, often-overlooked connection between oral health and full-body wellness. Sharing her personal transformation from conventional dentist to holistic health advocate, Dr. Jorgensen uncovers the hidden dangers of common dental procedures—like mercury fillings, root canals, and untreated airway obstructions—and how they can silently fuel disease. You'll learn how nutrition, genetics, and even the position of your wisdom teeth can influence everything from hormonal balance to gut health. From the science of tooth meridians to the surprising role of the oral microbiome, this conversation will completely change the way you think about dental care—and empower you to ask smarter questions at your next appointment. SPONSORS Troscriptions:  There's a completely new way to optimize your health. Give it a try at troscriptions.com/GABBY or enter GABBY at checkout for 10% off your first order. CHAPTERS 00:00 The Connection Between Oral Health and Overall Wellness 02:12 Dr. Michelle Jorgensen's Journey to Holistic Dentistry 08:02 Understanding Mercury Poisoning and Its Impact 13:58 The Role of Root Canals in Chronic Disease 21:03 Airway Obstruction and Its Dental Indicators 30:18 Nutrition's Role in Dental Health 34:01 Empowering Patients to Advocate for Their Health 37:22 Understanding Tongue Ties and Genetic Variants 39:49 The Connection Between Oral Health and Hormones 40:55 Exploring Tooth Meridians and Energy Flow 42:24 The Impact of Wisdom Teeth on Hormonal Health 45:46 The Importance of Cone Beam CT Scans 47:16 Bad Breath and Microbiome Issues 49:58 The Controversy of Fluoride in Dental Care 54:06 Remineralizing Teeth with Hydroxyapatite 59:21 The Joy of Restoring Smiles and Health 01:03:36 Navigating Patient Motivation and Health Choices 01:08:32 The Importance of Personal Motivation 01:09:29 Tongue Scraping: A Personal Journey 01:14:17 Non-Negotiables in Dental Care 01:16:20 The Role of Tonsils in Health 01:18:31 Stress and Its Impact on Oral Health 01:20:08 Learning from Weston Price 01:21:32 Balancing Multiple Roles as a Parent 01:24:09 The Challenge of Parenting a Child with Mental Health Issues 01:25:02 Chronic Inflammation and Its Indicators 01:29:15 Nutritional Needs in Adolescents and Women 01:33:30 Living Well: Resources and Final Thoughts For more Gabby: Instagram: https://www.instagram.com/gabbyreece/ TikTok: https://www.tiktok.com/@gabbyreeceofficial The Gabby Reece Show Podcast on Youtube: https://www.youtube.com/channel/UCeEINLNlGvIceFOP7aAZk5A KEYWORDS oral health, holistic dentistry, chronic disease, mercury poisoning, root canals, airway obstruction, nutrition, dental health, patient advocacy, wellness, tongue tie, genetic variants, oral health, hormones, tooth meridians, wisdom teeth, hormonal health, cone beam CT scans, bad breath, microbiome, fluoride, remineralization, hydroxyapatite, dental care, patient motivation, motivation, tongue scraping, dental care, tonsils, stress, Weston Price, parenting, inflammation, nutrition, health Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Sandra Hassink is joined by Dr. Asheley C. Skinner, Professor of Population Health at Duke University School of Medicine. Dr. Skinner also served as the methodologist on the Clinical Practice Guideline (CPG) for the Evaluation and Treatment of Children and Adolescents with Obesity. Together, they discuss the evidence behind the CPG. Related Resources: • Obesity CPG Homepage (tinyurl.com/52nz6m2m) • CPG Technical Report (I) (https://tinyurl.com/y7bnnsmc) • CPG Technical Report (II) (https://tinyurl.com/mv3s6eau)

Dr. Rena Malik, urologist and pelvic surgeon, examines the complex realities of pornography use, exploring scientific evidence on its potential benefits and risks for individuals and couples. She discusses motivations behind porn consumption, its effects on brain chemistry, sexual health, and relationships, as well as the impacts of moral beliefs, shame, and problematic use. Dr. Malik offers practical guidance for developing a healthy relationship with pornography, communication strategies for couples, and when to seek professional help—all with the aim of empowering listeners to make informed choices about their sexual wellness. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction 00:28 Motivations for Porn Use 03:13 Brain Response to Pornography 04:54 Benefits of Pornography 07:00 Research Findings on Satisfaction 07:53 Potential Risks and Challenges 10:14 Impact on Children and Adolescents 11:12 Pornography in Relationships 12:19 Moral Incongruence and Distress 13:39 Problematic Use and Control 15:06 Strategies for Healthy Use https://journals.sagepub.com/doi/full/10.1177/0038038516629909 https://link.springer.com/article/10.1007/s40429-021-00378-4 https://akjournals.com/view/journals/2006/8/1/article-p88.xml https://www.publish.csiro.au/SH/SH21220 https://www.tandfonline.com/doi/abs/10.1080/00224499.2018.1427204 https://www.tandfonline.com/doi/abs/10.1080/00224499.2023.2174248 https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.661347/full https://link.springer.com/article/10.1007/s11930-014-0016-8 https://link.springer.com/article/10.1007/s40429-022-00447-2 https://psycnet.apa.org/fulltext/2020-55282-001.html https://www.tandfonline.com/doi/abs/10.1080/00224499.2021.1893261?journalCode=hjsr20 https://www.tandfonline.com/doi/full/10.1080/0092623X.2021.1885532 https://link.springer.com/article/10.1007/s10508-016-0783-6 https://pubmed.ncbi.nlm.nih.gov/27318185/ https://www.tandfonline.com/doi/full/10.1080/23268743.2023.2267593 https://utppublishing.com/doi/abs/10.3138/cjhs.243-A4 https://youtu.be/ZYhZMsvBWSU?si=DeggmGuiRRcRZDOe https://youtu.be/cEqe5dHuQYE?si=NIU5RKM1SBvxSo1r https://youtu.be/cEqe5dHuQYE?si=NIU5RKM1SBvxSo1r https://www.aasect.org Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

The topic of a new course at Mansfield Senior High School is one that teenagers across the country are having trouble with: How to Get to Sleep. One ninth grader in the class says his method is to scroll through TikTok until he nods off. Another teen says she often falls asleep while on a late-night group chat with friends. Not everyone takes part in class discussions; some students are slumped over their desks napping. Sleep training is no longer just for newborns. Some schools are taking it upon themselves to teach teenagers how to get a good night's sleep. "It might sound odd to say that kids in high school have to learn the skills to sleep," says Mansfield health teacher Tony Davis, who has incorporated a newly released sleep curriculum into a state-required high school health class. "But you'd be shocked how many just don't know how to sleep." Adolescents burning the midnight oil is nothing new; teens are biologically programmed to stay up later as their circadian rhythms shift with puberty. But studies show teenagers are more sleep deprived than ever, and experts believe it could be playing a role in the youth mental health crisis and other problems plaguing schools, including behavioral and attendance issues. "Walk into any high school in America, and you will see kids asleep. Whether it's on a desk, outside on the ground or on a bench, or on a couch the school has allotted for naps—because they are exhausted," says Denise Pope, a senior lecturer at Stanford Graduate School of Education. Pope has surveyed high school students for more than a decade and leads parent sessions for schools around California on the importance of teen sleep. "Sleep is directly connected with mental health. There is not going to be anyone who argues with that." The district's high school is piloting the new curriculum, "Sleep to Be a Better You," hoping to improve academic success and reduce chronic absences, when a student misses more than 10% of the school year. During the six-part course, students are asked to keep daily sleep logs for six weeks and rate their mood and energy levels. This article was provided by The Associated Press.

How to Measure Physical Activity in Children and Adolescents Download your free e-book here: https://www.physicalactivityresearcher.com/ebook2 Authors: Ugne Kari, Olli Tikkanen, Arto Pesola _________________ This podcast episode is sponsored by Fibion Inc. Better Sleep, Sedentary Behavior and Physical Activity Research with Less Hassle Learn More About Fibion Devices: Fibion SENS- Collect, store and manage SB and PA data easily and remotely. Fibion Flash - A versatile customizable tool with HRV and accelerometry capability.  Fibion Research - SB and PA measurements, analysis, and feedback made easy Fibion Helix – Ideal for large scale studies. Scalable and affordable with patented precision. Fibion G2 – Validated data on sitting, standing, activity types, energy expenditure, with participant friendly reports.   Read about Fibion Sleep and Fibion Circadian. Fibion Kids - Activity tracking designed for children. Fibion Vitals - A portable device designed to be worn on the chest that serves as a comprehensive health management tool.  Fibion Emfit - Contact free tracking and sleep analysis.  Explore Our Solutions: Fibion Sleep Solutions Fibion Sedentary Behavior and Physical Activity Solutions Fibion Circadian Rythm Solutions Fibion Biosignal Measurements Solutions Recommended Articles & Guides: Explore our Wearables, Experience sampling method (ESM), Sleep, Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. Stay Connected: Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion Check our YouTube channel: https://www.youtube.com/@PA_Researcher Receive Updates on Latest Research Grade Wearables: Next Generation Reseach Techniques LinkedIn Newsletter  

durée : 00:13:00 - Carnets de campagne - par : Dorothée Barba - L'association "10 jours sans écrans" met au défi les enfants et adolescents pour sensibiliser les familles à un usage raisonné des écrans. Également au programme des Carnets : la bibliothèque sonore, qui recherche des bénévoles pour lire à voix haute et rendre la lecture accessible à tous.

In this podcast, I talked with Dr Gordon Flett about the psychology of mattering, a topic in which he has been a leader in the field. Mattering is a core component of one's self concept which refers to a genral sense of being significant, and valued in our relationships. A felt sense of mattering is a strongly protective factor against a variety stressors. Conversely, the absence of mattering has been associated with depression and suicidal ideation. A sense of mattering becomes especially relevant  during the adolescent years as fitting in with peers becomes so important The importance of mattering is an idea that immediately resonates with many people and is the  theme in movies such as It's a Wonderful Life and Mr Holland's Opus. Unfortunately, in keeping with the crisis in youth mental health, survey data suggest that about 30% of adolescents do not feel or are not certain that they matter to anyone. So this is obviously an important topic for us to consider Dr Flett has written two books on the psychology of Mattering: Mattering As A CORE Need in Children and Adolescents  and The Psychology of Mattering: Understanding the Human Need to be Significant In an earlier podcast  on 9/13/22, I also talked to Dr Flett about his book he coauthored with Paul Hewitt Perfectionism in Childhood and Adolescence: A Developmental Approach The Mattering Movement website is an excellent source of information https://www.thematteringmovement.com/ see also https://www.nytimes.com/2023/09/27/well/mind/mental-health-mattering-self-esteem.html  

In this episode of The Cleft Palate Craniofacial Journal podcast series, Pat Chibbaro interviews Catherine de Blacam, author of the CPCJ article entitled, "Lives of Irish Adolescents Who Were Born With a Cleft (LIA-Cleft)" (coauthored by Bridget Geoghegan, Elizabeth Nixon, BA, PhD, and Anne Nolan, BA, PhD).)

This is The Briefing, a daily analysis of news and events from a Christian worldview.Part I (00:14 - 08:39)New Groundbreaking Report on Dangers of Mixing Gender Ideology and Medical Practice for Children and Teens : New HHS Report Calls into Question ‘Best Practices' for Treatment of Pediatric Gender DysphoriaProtecting Children from Chemical and Surgical Mutilation by The White HouseTreatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices by Department of Health and Human ServicesFederal Report Denounces Gender Treatments for Adolescents by The New York Times (Azeen Ghorayshi and Amy Harmon)Independent review of gender identity services for children and young people by The Cass ReviewPart II (08:39 - 18:13)The American Academy of Pediatrics Pushes Back: Why Liberal Elites Do Not Support the HHS Report on Gender DysphoriaPart III (18:13 - 20:13)The Ideological Warfare Against Parents Continues: Controversy Over HHS Report Reveals True Agenda of Activists and LGBTQ Activists“Proving tricky” by The Christian InstitutePart IV (20:13 - 21:21)The Trump Effect: President Trump's Influence on the Canadian and Australian ElectionsPart V (21:21 - 26:00)The Loss of a Moral Dilemma: Young Adult Generation Doesn't Seem to Have an Issue with Gambling – And That's a Big ProblemThe Gambling Generation Gap by The Wall Street Journal (Caroline Aiken Koster)Sign up to receive The Briefing in your inbox every weekday morning.Follow Dr. Mohler:X | Instagram | Facebook | YouTubeFor more information on The Southern Baptist Theological Seminary, go to sbts.edu.For more information on Boyce College, just go to BoyceCollege.com.To write Dr. Mohler or submit a question for The Mailbox, go here.

Dr. Nechama Sorscher has over three decades of experience working with patients with neurocognitive challenges, both as an evaluator and a psychodynamic therapist. As a leading specialist in New York City, she combines a sophisticated understanding of the neurobiological makeup of these individuals with a nuanced appreciation for the emotional sequelae that come with each diagnosis.  She obtained her PhD in clinical psychology from Adelphi University in 1992 and a certificate in psychoanalysis and psychotherapy from NYU's Postdoctoral Program of Psychotherapy and Psychoanalysis in 2016. She has published many articles in top flight academic journals on neurocognitive challenges, trauma, and working with neurodiversechildren and adolescents.  Dr. Sorscher has two new books including Assessment and Intervention with Children, Adolescents, and Adults with Neurocognitive Challenges: A Psychodynamic Perspective available now published by Littlefield, Roman, which delineates how to best work with neurodiverse individuals in therapy and Your Neurodiverse Child: How to Help Kids with Learning, Attention, and Neurocognitive Challenges Thrive for working with neurodiverse children at home and in school, available on Amazon. In this episode, Dr. Sorscher dispels common myths about children and adults on the attention deficit spectrum and provides insights on how to navigate and support neurodivergent individuals. Learn more about Dr. Sorscher here: https://www.nechamasorscherphd.com Instagram: @dr.sorscher Get her book "Your Neurodiverse Child: How to Help Kids with Learning, Attention, and Neurocognitive Challenges Thrive" here: https://amzn.to/4cWlhEN Get 15% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara CHAPTERS: 0:00 Intro 4:08 Common myths about ADD, ADHD and autism 9:09 ADD vs. ADHD 15:00 Trouble with attention 22:00 Dopamine 30:07 What to look for in kids 40:18 How to navigate 49:40 Where to find help 51:58 Book

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode is about counselling patients on antidepressant medications.Hosts: Matthew Cho and Angad SinghAudio editing: Angad SinghTime Stamps:2:03 - Steps to antidepressant counselling7:31 - Frequently asked questions about antidepressantsRelated Episodes:PsychEd Episode 1: Diagnosis of Depression with Dr. Ilana ShawnPsychEd Episode 2: Treatment of Depression with Dr. Sidney KennedyPsychEd Episode 58: Depression in Children and Adolescents with Dr. Darren CourtneyPatient Education:UpToDate resource on ‘Medicines for Depression': https://www.uptodate.com/contents/medicines-for-depression-the-basicsCAMH resource on ‘Antidepressant Medications':https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/antidepressant-medicationsKelty Mental Health resource on ‘Selective Serotonin Reuptake Inhibitors': https://keltymentalhealth.ca/sites/default/files/resources/SSRI_MedicationSheet2022.pdf, References:PsychDB. (2024, January 11). Introduction to Antidepressants. https://www.psychdb.com/meds/antidepressants/homeLam RW, Kennedy SH, Adams C, Bahji A, Beaulieu S, Bhat V, Blier P, Blumberger DM, Brietzke E, Chakrabarty T, Do A. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023: Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes. The Canadian Journal of Psychiatry. 2024 Sep;69(9):641-87.Contact:For more about PsychEd follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), and X (@psychedpodcast). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.

This special episode of NWP Radio features many of the educators behind Empowering Youth to Confront the Climate Crisis in English Language Arts, a co-published book from Teachers College Press and the National Writing Project. Recorded in three parts, you won't want to miss this comprehensive overview of this important book.00:00 - Introduction/Systems Thinking with Richard Beach and Fawn CanadyRichard Beach and Fawn Canady discuss chapter two of the book, focusing on how to engage students in critiquing and transforming systems impacting the climate crisis. Learn how students can use writing to examine how fossil fuel energy, capitalist economic structures, agriculture, transportation, urban design, and political systems need transformation to address our changing climate.26:52 - Critical Media Literacy with Jeff Share, Andrea Gambino, Amber Medina, and Noah Asher GoldenThis segment explores the intersection of critical media literacy and environmental justice/climate education. Our guests explain why climate change is not merely a scientific problem but an issue of priorities and narratives. Discover how educators can help students understand how dominant cultural stories contribute to our climate crisis and how we can change these narratives to create more sustainable and socially just futures.50:04 - Writing of All Kinds with Allen Webb and Rich NovackAllen Webb and Rich Novack share diverse writing approaches that empower students to engage with climate issues through creative expression, persuasive writing, research, and more. Learn practical strategies for incorporating climate-focused writing across the English language arts curriculum.Related ResourcesBook ResourcesBook Website: Climate Crisis ELAWebsite for Allen's Chapter on climate change and teaching writing: tinyurl.com/y9ebyc5mWebsite for previous book "Teaching Climate Change to Adolescents": climatechangeela.pbworks.comBeach, R. (2025). Adopting a languaging approach for teaching about the climate crisis in English language arts. English Teaching: Practice & Critique, 24(1)Critical Media Literacy ResourcesKellner, D., & Share, J. (2019). The critical media literacy guide: Engaging media and transforming education. Brill/Sense PublishersClimate Crisis ELA: Critical Media Literacy and the Climate CrisisClimate Crisis ELA: Local Ecologies and Critical Media ProductionClimate Crisis ELA: Engaging Elementary Students in Inner-city LAClimate Crisis ELA: Challenging Climate Misinformation and DisinformationCML Framework ResourcesFree-to-use/share PDFs of the CML Framework:English: tinyurl.com/4v5ndatxGerman: tinyurl.com/yckctfp9Mandarin: tinyurl.com/mpfveh85Portuguese: tinyurl.com/mwrkf9szSpanish: tinyurl.com/2fdaz8upAdditional CML Framework Digital Downloadable Posters with Illustrations: drive.google.com/fileAdditional Websites & ResourcesEcomedia LiteracySubject to ClimateCritical Media ProjectBioneersLittle Justice LeadersJeff Share's WebsiteInquire 2 TransformClassroom Caffeine: Antonio LopezJohn Cabot University ArchiveOur Towns, Our Stories

Bienvenue, âmes curieuses et cœurs sombres, au seuil d'un abîme où l'adolescence, loin de sa prétendue innocence, se révèle être un terreau fertile pour les monstruosités les plus exquises. Dans cet épisode, nous sondons les profondeurs putrides de quatre jeunes existences, des êtres à peine sortis de l'enfance, dont les mains ont été souillées d'une encre rouge indélébile.Ils ont été condamnés. La sentence est tombée, lourde et définitive : la perpétuité, une éternité de murs froids et de regrets mordants. Mais croyez-vous vraiment que la justice humaine, avec ses maigres barreaux et ses jugements terre-à-terre, puisse contenir la véritable horreur qu'ils ont engendrée ?Nous allons au-delà des faits bruts, au-delà des rapports de police et des témoignages choquants. Nous plongerons dans les psychés torturées de ces jeunes bourreaux, là où les fantasmes prennent une consistance charnelle et où les murmures de leurs victimes persistent comme des échos dans un caveau.Attendez-vous à des récits qui vous glaceront le sang jusqu'à la moelle, des visions cauchemardesques tissées dans la trame de leurs souvenirs. Écoutez attentivement, car dans le silence entre les mots, vous pourriez entendre le chœur spectral de ceux qu'ils ont arrachés au monde, le festin rougeoyant de leurs pulsions les plus sombres, la toile infinie de leur terreur adolescente, et les oracles d'os murmurant des vérités trop épouvantables pour être entendues.Ceci n'est pas une histoire de rédemption. Ceci est une descente dans les entrailles de la noirceur humaine, un voyage au cœur de ce que l'adolescence, pervertie par une soif insatiable, peut engendrer de plus monstrueux. Accrochez-vous, car l'horreur, mes amis, ne fait que commencer... et pour ces quatre âmes perdues, elle ne s'éteindra jamais.

durée : 00:51:14 - Les Nuits de France Culture - par : Philippe Garbit - Extrait : Les après-midi de France Culture - Coloration jeunesse : La vie quotidienne des adolescents (1ère diffusion : 24/04/1974) Par Jacques Pradel, Michel Gonzales, Pierre-Yves Leprince et Paula Jacques - Avec des lycéens du lycée Janson de Sailly et des jeunes adolescents - réalisation : Virginie Mourthé

durée : 00:48:53 - Grand bien vous fasse ! - par : Ali Rebeihi - À l'occasion des vacances de printemps, notre club de journalistes et de libraires se retrouve avec une belle sélection d'ouvrages de littérature jeunesse dans les mains.

Today we revisit the topic of sex and dating. How should parents talk about it with their teenagers? What if my teen doesn't seem to have any interest in these sorts of issues? Is it a good idea to get your kid on birth control? Jessica and Dr. Ken talk about all this and more. Dr. Ken references the book "The Case Against the Sexual Revolution" by Louise Perry - https://a.co/d/evvl3pc If you have a minute, please leave us a review. We love hearing listeners encouraging other listeners. You can order Dr. Ken's book "Feeding The Mouth That Bites You" here: https://a.co/d/hBnlbzI Got questions or feedback? We want to hear from you! podcast@feedingthemouth.com Music provided by the great John David Kent - https://www.johndavidkent.com/

Adolescents and young adults (AYAs) face poorer cancer outcomes and experiences compared with younger and older patients, and they historically have been lost between pediatric and adult models of oncology care. The Association of Cancer Care Centers (ACCC) is committed to providing up-to-date guidance on treating AYA patients with cancer to improve their outcomes. In this episode of CANCER BUZZ, a team from the University of North Carolina (UNC) AYA Oncology Program shares how it's meeting the unique needs of this patient population by providing developmentally appropriate cancer care through a multidisciplinary approach, including clinical trial access and interactive infusion space; sharing resources where AYAs need additional support; and developing education about fertility and the short- and long-term impacts of cancer. “We talk about things like sleep, mental health, diet, exercise, knowing all of those aspects of life have been impacted by cancer and its treatment, and in order to have the best quality of life and best outcomes, we need to pay attention to all of those aspects of an AYA survivors' life.” – Andrew Smitherman, MD, MS “We know that AYAs are one of the most underinsured or uninsured populations in the United States, and so that means often they are at least initially facing these diagnoses without any insurance at all to help defray the costs.” – Jacob Stein, MD, MPH “My approach [for talking about long term effects] is that patients want to be able to have the opportunity to receive information.” – Alison Manikowski, PsyD Read the full article here. Guests Andrew Smitherman, MD, MSc AYA Medical Director Pediatric Oncologist UNC Adolescent and Young Adult Cancer Program Lineberger Comprehensive Cancer CenterChapel Hill, NC   Jacob Stein, MD, MPH AYA Oncology Liaison Medical Oncologist UNC Adolescent and Young Adult Cancer Program Lineberger Comprehensive Cancer CenterChapel Hill, NC   Alison Manikowski, PsyDAYA Program Pediatric Psychologist UNC Adolescent and Young Adult Cancer Program Lineberger Comprehensive Cancer CenterChapel Hill, NC Resources:  UNC AYA Cancer Program ACCC AYA Resources

What if your anxiety isn't fear, and your trauma might not be real? Dr. Lisa Feldman Barrett reveals how your brain creates emotional illusions. Dr. Lisa Feldman Barrett is a Professor of Psychology and among the top 0.1% of most cited scientists for her revolutionary research in psychology and neuroscience. She is also the author of books such as ‘Seven and a Half Lessons About the Brain'. In this conversation, Dr. Lisa and Steven discuss topics such as, how anxiety is a predictive error in the brain, the shocking truth about childhood trauma, how trauma can be contagious, and why you don't have any free will.  00:00 Intro 02:22 Lisa's Mission 04:14 Why Is It Important to Understand How the Brain Works? 10:48 Measuring Emotions 13:55 What Is the Predictive Brain? 16:08 Examples of the Brain Making Predictions 24:13 Is the Predictive Brain at the Root of Trauma? 31:27 Cultural Inheritance, Trauma, Anxiety, and Depression 36:29 How Reframing Past Events Can Change Identity 42:41 Meaning as a Consequence of Action 44:11 How to Overcome Fear by Taking Action 45:43 Prediction Error 47:37 Learning Through Exposure 49:47 Dangers of Social Contagion 54:06 Anxiety in the Context of Social Contagion 58:33 Is Social Media Programming Us to Be Sad? 1:02:08 Ads 1:03:03 First Step to Overcoming Mental Health Issues 1:05:18 Chronic Pain 1:08:23 What Is Depression? 1:09:17 Body Budgeting and Body Bankruptcy 1:12:26 How Stress Contributes to Weight Gain 1:15:00 Depression in Adolescents 1:17:02 Is Depression a Chemical Imbalance? 1:18:30 The Story of Lisa's Daughter 1:21:09 Oral Birth Control as a Risk Factor for Depression 1:24:07 How Lisa Helped Her Daughter Overcome Depression 1:29:11 Social Support 1:35:26 Lisa's Daughter's Recovery from Depression 1:39:12 Does Alcohol Affect the Body Budget and Increase Depression Risk? 1:42:45 Ads 1:44:00 Can People Change Emotions by Smiling? 1:45:49 Lisa's Perspective on ADHD 1:48:01 The Power of Words to Facilitate Emotion 1:52:26 Stress as a Burden to the Metabolic Budget 1:53:27 Lisa's View on God and Religion 1:54:25 What Is the Meaning of Life in Lisa's Opinion? 1:59:32 Question from the Previous Guest Follow Dr Lisa:  X - https://g2ul0.app.link/JlkAHKXhCSb  Website - https://g2ul0.app.link/TWOO6vZhCSb  You can purchase Dr Lisa's book, ‘Seven and a Half Lessons About the Brain', here: https://g2ul0.app.link/35oJGs4hCSb  Watch the episodes on Youtube - https://g2ul0.app.link/DOACEpisodes  The 1% Diary is back - and it won't be around for long, so act fast! https://bit.ly/1-Diary-Megaphone-ad-reads You can purchase the The Diary Of A CEO Conversation Cards: Second Edition, here: https://g2ul0.app.link/f31dsUttKKb  Sign up to receive email updates about Diary Of A CEO here: https://bit.ly/diary-of-a-ceo-yt  Ready to think like a CEO? Gain access to the 100 CEOs newsletter here: https://bit.ly/100-ceos-newsletter  Follow me: https://g2ul0.app.link/gnGqL4IsKKb Sponsors: Ekster - http://partner.ekster.com/DOAC and use code STEVEN to get an extra 10% off on top of their current Spring sale Shopify - https://shopify.com/bartlett Learn more about your ad choices. Visit megaphone.fm/adchoices

Recent headlines tell us about a rise in teen boys being lured into sending explicit photos and then blackmailed for money to avoid these being published on the web. Some of these cases have resulted in suicide and the FBI has sent out warnings to parents. Of course, exploitation through explicit photos is nothing new to teen girls as well. How are parents to respond to these threats? Jessica and Dr. Ken approach these issues as an opportunity for real dialogue and not another occasion for fear. Open conversation about online threats are particularly important for parents of teenagers that may appear to be innocent of any sexual interest. Adolescents need to be prepared for online threats not just protected. We cover all this and more. Dr. Ken references the resource, "Take It Down" to help fight online publishing of explicit photos: https://takeitdown.ncmec.org/ If you have a minute, please leave us a review. We love hearing listeners encouraging other listeners. You can order Dr. Ken's book "Feeding The Mouth That Bites You" here: https://a.co/d/hBnlbzI Got questions or feedback? We want to hear from you! podcast@feedingthemouth.com Music provided by the great John David Kent - https://www.johndavidkent.com/

In this episode, the host interviews Dr. Michelle Sherman, a clinical psychologist and author, known for her work on family dynamics related to mental health and trauma. Dr. Sherman talks about her books, 'Loving Someone with a Mental Illness or History of Trauma: Skills, Hope, and Strength for Your Journey' and 'I'm Not Alone: A Teen's Guide to Living with a Parent Who Has a Mental Illness or History of Trauma.' She shares her journey, professional experiences, and personal motivations for focusing on this field. The discussion centers on the importance of understanding mental health symptoms, the impact of parental mental illness on children, and the need for self-care and boundary setting for family members. Dr. Sherman also emphasizes the significance of community support and resources for managing these challenges. The episode concludes with a call to action for better awareness and support systems for families dealing with mental health issues.00:00 Introduction and Guest Background01:04 Dr. Sherman's Career and Contributions01:37 Personal Motivations and Early Work04:02 Book Structure and Purpose06:38 Teen Resilience and Prevention10:00 Understanding Mental Health Symptoms14:58 Impact on Adolescents and Families18:21 Challenges and Support Systems25:28 Identifying Toxic Relationships26:29 Recognizing Behavioral Patterns28:36 Approaching with Kindness and Curiosity31:46 Collaborating with Family35:46 Setting Boundaries and Self-Care41:06 Future Plans and Mission

What's really going on inside the minds and hearts of today's teenagers?In this powerful and eye-opening episode, I sit down with Dr Cheryl Loh, one of Singapore's leading adolescent psychiatrists and a mother to two teens, to explore the inner emotional world of adolescence: a time of searching, shaping, and often silent struggle.We unpack what teens are truly longing for, not just connection, but a deep sense of belonging, identity, and emotional safety. Dr Cheryl shares why so many adolescents turn to the digital world to cope, why shame is such a potent and often misunderstood force during these years, and how adults can begin to show up in ways that don't just manage behaviour, but meet real emotional needs.What makes this conversation truly special is that it doesn't stop at insight. Dr Cheryl offers practical, actionable ways for parents, caregivers, and educators to reconnect, rebuild trust, and offer teens the safe, anchored presence they may not know how to ask for.00:00 Introduction01:28 Dr Cheryl Loh on Championing Adolescent Mental Health in Singapore04:24 Why Teen Mental Health Deserves More Attention10:13 Are Our Teens Simply Misunderstood?14:37 Parent Guilt, Anxious Parenting & the Pressure to Get It Right17:33 Teens vs the Internet: Navigating Influence, Shame & Identity22:37 How to Stay Present in Your Teen's Life — Without Pushing Them Away27:16 Seeing the Good: Shifting from Fixing to Connecting30:03 What Increases the Risk of Mental Health Struggles in Adolescents?34:36 The Role Educators & Schools Play in Teen Emotional Safety37:55 The Social Media Trap: Why Teens Seek Validation Online39:42 Showing Up for Your Teen & Playing the Long Game44:17 Netflix's Adolescence: When Emotional Needs Go Unmet46:45 Why Healthy Parent-Teen Relationships Matter More Than Ever48:53 Helping Teens Build an Inner Compass in a Noisy World50:52 The Power of Good-Enough Parenting52:57 What Gives Dr Cheryl Hope About This Generation54:40 The Billboard Question: “Say Hello to Your Kid Today”56:07 Episode ClosingFollow Rachel here: https://www.instagram.com/ms_rach/You can book an appointment with Dr. Cheryl Loh at Garden Grove Clinic. Find out more here: https://gardengroveclinic.sg/about-us/

Buckle up, babes—this episode of Unapologetically Myself is a full-on rollercoaster of reality TV delusions, hallway poop scandals, and dating truths. I brought back my BF Stefanos Vitirados (aka Steve) because y'all loved him last time, and trust—he brought the whiskey and the hot takes. First up: The April Fools prank of the century. We tricked my dad into thinking we got scouted for a reality show. Like, full-blown fake producer email, camera crew fantasy, the whole nine. The man is LIVING for it—planning his retirement, dreaming of $1M-per-episode deals, and texting my mom like he's about to be on Bravo. And yes, we're filming the whole thing for the real show: Crazy Carluccios. Stay tuned. Then… PoopGate 2025 hits. Our apartment hallway became a crime scene after a rogue dog dropped a steamer and didn't clean it up. Now the building manager is accusing everyone on our floor. We know it wasn't Luna (our massive German Shepherd), but there's still paranoia. We're breaking down the poop logistics like we're on CSI: Dog Edition. It's gross, it's funny, it's peak apartment living. Movie night recap: We hit the Hell of a Summer premiere—directed by Finn Wolfhard (yep, Stranger Things). This horror-comedy slasher was so good we'd watch it again. Huge props to Finn for making us laugh and scream, and yes, we walked the black carpet pretending to be celebs.Now let's talk relationship pressure. People are out here in our comments DEMANDING a proposal like they're part of the wedding planning committee. Steve claps back, we talk timelines, and we both agree: Stop rushing people into life milestones. It's not 1953. We just moved in together—let us vibe. White Lotus S3? We haven't watched the finale yet, but so far nothing has happened. No murder, no scandal—just a lot of fancy dinners and dramatic staring. But shoutout to Victoria Ratliff who's serving Patricia-from-Southern-Charm energy. She's the only reason we're still tuned in. Netflix's Adolescents = a must-watch. One-take episodes, insane acting, and real emotional gut punches. We talk about the heartbreaking moments, the insane talent of the young cast, and why it's a show every parent should watch. Trust me, you'll cry. Sydney Sweeney + Glenn Powell = Red Carpet Chemistry. We discuss Sydney's recent breakup, rumors about Glenn, and how wild it must be to date an actor. Would Steve be cool watching me do a rom-com with a hot co-star? LOL, hard no. This episode is for anyone who's ever: ● Been pressured to get engaged by nosy aunties or TikTok trolls ● Had to defend their dog's honor in an apartment scandal ● Got ghosted by someone who invited them to Paris on the first date ● Is OVER modern dating nonsense and just wants honesty, laughter, and some damn guacamole

Welcome to HCPLive's 5 Stories in Under 5—your quick, must-know recap of the top 5 healthcare stories from the past week, all in under 5 minutes. Stay informed, stay ahead, and let's dive into the latest updates impacting clinicians and healthcare providers like you! Interested in a more traditional, text rundown? Check out the HCPFive! Top 5 Healthcare Headlines for March 31-April 6, 2025: Cedars-Sinai Study Finds AI Tool Could Improve Care in Virtual Urgent Care Settings A Cedars-Sinai study suggests AI tools may enhance guideline adherence and decision-making quality in virtual urgent care, though clinician oversight remains essential. FDA Accepts Biologics License Application for ONS-5010 for Wet AMD The FDA has accepted a resubmitted BLA for ONS-5010, a proposed ophthalmic formulation of bevacizumab for wet AMD, advancing it toward potential approval. Socioeconomic Status Impacts Pediatric Preemptive Kidney Transplant Rates, Study Finds A retrospective study linked lower socioeconomic status to reduced access to preemptive kidney transplants in pediatric patients, underscoring ongoing disparities in care. FDA Clears Dexcom G7 15 Day CGM System The FDA has cleared the Dexcom G7 CGM system for 15-day use in adults, offering extended wear and continued improvements in diabetes monitoring technology. Icotrokinra Clears Skin Among 75% of Adolescents with Plaque Psoriasis New phase 3 data show once-daily icotrokinra improves skin clearance and maintains a favorable safety profile in adolescents with moderate-to-severe plaque psoriasis.

If you're seeking advice on Type 1 diabetes in children, health platform Valleant offers tips for managing juvenile diabetes, with insights into treatment, nutrition, and emotional support. Visit https://valleant.com/how-to-treat-juvenile-diabetes/ for details. Valleant City: Austin Address: 11320 North FM 620 Website: https://valleant.com

Research Evaluates Effects of Adolescents' Dietary Patterns on Dental CariesBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/research-evaluates-effects-of-adolescents-dietary-patterns-on-dental-caries/Need CE? Start earning CE credits today at ⁠⁠https://rdh.tv/ce⁠⁠Get daily dental hygiene articles at ⁠⁠https://www.todaysrdh.com⁠⁠ Follow Today's RDH on Facebook: ⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠Follow Kara RDH on Facebook: ⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠Follow Kara RDH on Instagram: ⁠⁠https://www.instagram.com/kara_rdh/

This week's guest my friend Joshua DiCaglio, Associate Professor of English at Texas A&M University and author of the fabulous Scale Theory: A Nondisciplinary Inquiry.It's a book bout how contemplating scale can transform us — how it's one thing to understand the microcosm and macrocosm through our maps and another thing entirely to really sit with the mystery of how all of this is happening at once. We can conceptually differentiate ourselves from the rest of the cosmos, but scale makes it clear that at no point do we ever truly stand outside it all.And this has enormous implications: contemplating scale is not merely an idle curiosity but an existential necessity. In an age of exponential AI, our future hinges on whether we can learn to overcome the tendency to colonize other scales with our abstractions and cultivate the capacity to recognize interdependency with the unthinkably small and large. How does truly understanding this change the way we live? Bewilderment is a rich place to start. Let's simmer in it for a while…If you find enjoy this conversation, please like, subscribe, and leave a comment at YouTube, Apple Podcasts, or Spotify and consider becoming a member here or making tax-deductible contributions at every.org/humansontheloop. Recurring donors get the same community perks, including the book club and online course recordings.Chapters0:00:00 - Teaser0:01:12 - Intro Essay: Scale & AI Safety0:13:25 - You Can't Paint Fractals0:21:29 - We Can Only Act on The Scale at Which We Exist0:23:10 - The Story of Scale Theory0:27:49 - Discovering Scale through Computer Science & Nanotech0:38:37 - Being One & Feeling Many0:44:29 - The Embodiment of Mind & Information0:59:55 - The Scalar Synecdoche: Are Organizations Really Organisms?1:18:32 - Why Does It Matter Where We Draw The Lines Around Individuals?1:33:49 - Responsibility in A World Out of Control1:53:51 - ClosingAnnouncementsCheck out my new single and music video “The Big Machine” — along with an essay on songwriting as evolution and a list of my favorite sci-fi ballads. Switch it up from this week's news by diving in for a trip into the scalar reconfigurations of selfhood:Starting next week I'm hosting a members-only reading and discussion of Federico Campagna's Prophetic Culture: Recreation for Adolescents with a live call on Sat May 3rd:Josh's LinksJoshua DiCaglio's Website + Google Scholar + X + LinkedInScale Theory Part 1 PDF (almost half the book!)Microbes as Machines: Life, Control, and the Problem of Scale in the Emergence of NanotechnologyLanguage and the Logic of Subjectivity: Whitehead and Burke in Crisis (unfortunately not open-access)Project LinksContact me if you have questions or want to work togetherHumans On The Loop's living pitch & planning documentJoin the Future Fossils Discord Server for both public and members-only threadsMeet collaborators on the open online commons Wisdom x Technology Discord serverFull episode and essay archivesPodcastsHumans On The Loop 01 – Richard DoyleHumans On The Loop 06 – K. Allado McDowellHumans On The Loop 10 – J.F. MartelHumans On The Loop 12 – Matt SegallHumans On The Loop 14 – Jim O'ShaughnessyWeird Studies 36 — On HyperstitionFuture Thinkers Podcast – Daniel SchmachtenbergerTalksMichael Garfield — AI-Assisted Transformations of ConsciousnessJacob Foster — Toward A Cultural Ecology of The NoosphereBooksChaim Gingold – Building Sim CityValerie Hanson – Haptic VisionsAndrew Pilsch – TranshumanismPlato – PhaedrusGilbert Ryle – The Concept of MindThomas Hobbes – LeviathanGeoffrey West – ScaleAnonymous – The Cloud of UnknowingDouglas Adams – The Hitchhiker's Guide To The GalaxyArticlesMarc Andreessen – Why Software Is Eating The WorldDavid Krakauer et al. — The Information Theory of IndividualityWilliam Gibson – Google's EarthPeopleCarl SaganEric DrexlerRichard FeynmanNeal StephensonRay KurzweilPlotinusPseudodionysusStuart DavisRina NicolaeN. Katherine HaylesStuart KauffmanVannevar BushGregory BatesonNorbert WienerHeinz Von FoersterKurt GödelJill NephewHumberto MaturanaFrancisco VarelaWilliam BurroughsDorion SaganLynn MargulisPierre Teilhard De ChardinLuigi MangioneIlya PrigogineDavid BohmRamana MaharshiNisargadatta Maharaj This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit michaelgarfield.substack.com/subscribe

durée : 01:59:35 - Les Matins du samedi - par : Nicolas Herbeaux - Cette semaine, dans les matins du samedi, on s'intéresse à la masculinité chez les adolescents, à la vie aux côtés des oiseaux et à l'exposition consacrée à Artemisia Gentileschi au Musée Jacquemart André. - réalisation : Jean-Christophe Francis - invités : Philippe J. Dubois Ornithologue, ingénieur écologue, directeur des Editions "Delachaux et Niestlé".; Sigolène Vinson Écrivain; Pierre Curie Conservateur et historien de l'art français; Stéphanie Lamy Spécialiste des guerres de l'information et militante féministe. Autrice de "La terreur masculiniste" aux éditions du Détour.

Dr. Sandra Hassink is joined by Dr. Sarah Barlow, a professor of pediatrics at UT Southwestern in Dallas and head of the children's hospital integrated programs on obesity. Together, they discuss the new Healthy Eating Research consensus recommendations on healthy beverage consumption. Resources: • Healthy Beverage Consumption in School-Age Children and Adolescents: Recommendations from Key National Health and Nutrition Organizations (https://tinyurl.com/2hztabmd) • Healthy Beverage Consumption in Early Childhood (https://tinyurl.com/3fjp39v6) • Healthy Beverage Quick Reference Guide (https://tinyurl.com/5n8tcte6)

Dr. Raffa and Catarina explore the history and work of Dr. Ivan Pavlov, and identify where his contributions can still be found today. Do you think his name rings any bells?Welcome to Talk Therapy CBT | Conversation about Educating, Connecting, Helping Individuals to the World of Psychology.We would like to thanks our sponsor : Dr. Alba Raphaela, you can buy her book about : Breaking the Mirror : A Story & Guide on how to recognize and deal with a narcissist. https://www.amazon.com/dp/B09HFRNWYC/ref=cm_sw_r_apan_3NW8EE01F8A6G4KGNW56This podcast is sponsored by (https://www.innerbalancepsychology.com/) -  Inner Balance Psychology Center, Psychological Treatment and Evaluations for Children, Adolescents and AdultsAs solution-focused therapists, our goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.Follow Us on Social Media:Blog : (https://www.innerbalancepsychology.com/blog/ )FAQs : ( https://www.innerbalancepsychology.com/faqs/ )Facebook : (https://www.facebook.com/ibpcllc)Instagram : (https://www.Instagram.com/innerbalancepsychology) Check out our website for more information :  (https://www.innerbalancepsychology.com/) or email Dr. Raffa : (dawnraffa@innerbalancepsychology.com)This podcast is hosted by  and produced by (https://www.innerbalancepsychology.com/) Please consider subscribing and sharing this episode if you found it entertaining or informative. If you want to go the extra mile, you can leave us a rating or review which helps the show with rankings and algorithms on certain platforms. you can leave us a review on Podchaser or Apple Podcasts Make sure you're subscribed to the podcast so you get the latest episodes. Our Podcast Page : (https://www.innerbalancepsychology.com/)(Subscribe with Apple Podcast)(Follow on Spotify)(Subscribe with Stitcher)(Subscribe on IHeartRadio )(Listen on other streaming platforms) DISCLAIMEROpinions expressed are solely the hosts and guest(s) and do not represent or express the views or opinions of Inner Balance Psychology

In episode fourteen, PeDRA Pub Club host Hannah Chang, and guest panelists, Kalyani Marathe, MD, Cristy Garza-Mayers, MD, PhD, and Allison Miller, MD discuss a recent PeDRA publication, Transition of Care in Adolescents with Epidermolysis Bullosa: The Provider Perspective published in Pediatric Dermatology in 2024. Whether you're a longtime pediatric dermatologist, currently in training, or a patient or advocate who wants to learn more about the latest research in pediatric dermatology, this podcast is for you. Through a structured roundtable discussion, listeners will gain valuable insight into publications relating to pediatric dermatology and understand what this research means for both patients and providers.

Did you watch the Netflix show Adolescence? It was eye opening to be in the head of a 13 year old boy who has social media. How is your teen handling social media? Are they spending more and more time scrolling? Can't break away from social media? Getting sucked into the doom scroll? Adolescents are spending over 4 hours a day on social media. Adults...you're not exempt from the endless scroll.This week episode dives into why social media has a grip on our time and freedom, why teenagers are so susceptible to it, and what exactly we can do about it.If you have social media, you don't want to miss this episode. If you have kids with social media then you can't miss this episode! Need more support with kids and social media? Check out 4MParenting.com to help your kids navigate the digital world. Check out 4MParenting.com and use code PODCAST to save 25%.Did you know I speak in schools to teenagers? Yup! and I would love to come to your school. Take 1 minute and fill out this form to connect about coming to your school to fill your kids with belief and help them find their One Second of Strength to ditch social media. https://www.secondofstrength.com/speaking____________SHARE – this episode with one other person who is on your mindRATE THE SHOW – Take a moment and give the show 5 STARSFOLLOW – Follow Tanner on Instagram and share this episode to your stories and TAG @realtannercark

The adolescent population is experiencing increasing pressure to take part in sexual activity. It is part of our role as pediatricians to counsel our patients appropriately & thoroughly through their sexual & reproductive health. Dr. Shreeti Kapoor, a general pediatrician, joins Pediatric Resident Dani Watson & MS3 Irielle Duncan to discuss contraception options & how to have those conversations with adolescent patients. Specifically, they will: Review the efficacy, mechanism of action, potential adverse effects, and benefits of various contraceptive options, including abstinence, barrier methods, combination hormonal contraceptives, Depo Provera, and LARCs.  Discuss how to obtain relevant medical and sexual history to help in choosing an appropriate contraceptive for an adolescent patient.  Identify potential barriers or considerations that are specific for adolescent patients when discussing contraceptives.  Discuss options for emergency contraception & their mechanisms of action.  Special thanks to Drs. Rebecca Yang & Danielle Rosema for peer reviewing this episode. CME Credit (requires free sign up): Link Coming Soon! References:  https://www.aafp.org/pubs/afp/issues/2003/0401/p1571.html https://www.cdc.gov/nchs/products/databriefs/db366.htm#:~:text=By%20age%2015%2C%2021%25%20of,had%20ever%20had%20sexual%20intercourse. https://www.plannedparenthood.org/learn/birth-control/withdrawal-pull-out-method/how-effective-is-withdrawal-method-pulling-out#:~:text=What%20we%20do%20know%20is,or%20not%20you%27re%20ovulating. https://www.acog.org/womens-health/faqs/barrier-methods-of-birth-control-spermicide-condom-sponge-diaphragm-and-cervical-cap https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2017/11/long-acting-reversible-contraception-implants-and-intrauterine-devices https://www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring https://www.acog.org/womens-health/faqs/progestin-only-hormonal-birth-control-pill-and-injection https://www.aafp.org/pubs/afp/issues/1998/0801/p522.html https://www.acog.org/womens-health/infographics/effectiveness-of-birth-control-methods      

This week Jim O'Shaughnessy (Website | X) joins Humans On The Loop to carry our first on-record conversation on Infinite Loops into bold new terrains! Jim is one of the most renowned investors and asset managers of all the time and the author of several hugely best-selling and influential books on investing, including What Works on Wall Street, Invest Like The Best, and Predicting The Markets of Tomorrow. He also founded the first online investment advisor and holds the patent for “ the origination and fulfillment of stock investment portfolios over a worldwide computer network.” (You heard right!)After decades of success in wealth management, he left his company in the care of his son Patrick and launched O'Shaughnessy Ventures — a firm that combines “Jim's deeply rooted interest in all things art, science, investing and tech with his long-held desire to establish positive sum scenarios designed to help promising creators and their inspiring ideas succeed, regardless of age, location, job history or level of education.”Last fall when I was on his show, we played a game of mind-jazz about “how we can live curious, collaborative and fulfilling lives in our deeply weird, complex, probabilistic world.” For this discussion, I wanted to rotate the axis of our exploration and learn how Jim's personal experiences have contributed to the frame through which he engages life. Sweeping across scales from candid autobiography to team inquiry into some of the wickedest problems — like how we foster meaningful relationships and balance achievement with humility — we covered a lot of new ground.I hope you enjoy this conversation as much as I did and benefit from a fresh take on the mind — and heart — of one of the most exemplary mavericks I know.If you find value in this conversation, please like and subscribe (YouTube | Apple Podcasts | Spotify), leave a comment, and consider supporting my mission to help us cultivate wisdom in an age of magical technologies. Humans On The Loop is fiscally-supported by my friends at HAPPI (Helping Awesome People Prosper Intentionally), so you can become a member here or make tax-deductible contributions at every.org/humansontheloop. Recurring donors get the same community perks, including the book club and online course recordings.Project LinksContact me if you have questions or propositionsProject pitch & planning documentFull episode and essay archivesJoin the Future Fossils Discord Server for both public and members-only threadsMeet collaborators on the open online commons Wisdom x Technology Discord serverChapters0:00:00 - Teaser0:01:16 - Intro0:06:23 - Jim's Backstory0:31:43 - Crisis Personalities + Creativity vs. Risk Mitigation0:46:28 - Networks of Trust + Bootstrapped Credentials0:53:37 - Incenting Trust: Mass Customization + Consensus Reality Collapse1:06:14 - The Iterated Prisoner's Dilemma + Trust-Building in Social Networks1:13:25 - How Do We Design for Flourishing at Scale (or Can We)?1:21:22 - Markets as Complex Systems1:29:10- Using (Especially Local) AI to Accelerate Realizing Your Mistakes1:37:23 - OutroMentioned Reading, Listening, & PeopleFrom Nowhere: Artists, Writers, and The Precognitive Imagination by Eric WargoThe Master and His Emissary by Iain McGilchristFinite and Infinite Games by James P. CarseThe Status Game by Will StorrThe Tao Te Ching by Lao Tzu (John Minford, translator)Power and Influence: Beyond Formal Authority by John P. KotterOne Summer: America 1927 by Bill BrysonGödel, Escher, Bach by Douglas HofstadterThe End of Trust - McSweeney's Issue 54Bilawal Sidhu — How to Unite Reality with Imagination - Infinite Loops PodcastWill Storr — The Status Game - Infinite Loops PodcastBrendan McCord — AI and The Philosophy of Technology - Infinite Loops PodcastAdam Aronovich on A Cultural Anthropology for The Psychedelic Internet - Future Fossils PodcastReimagining the PhD - Nadia AsparouhovaThe TPOT PhD - Priya RoseSo many music festivals have been canceled this year. What's going on? - Greg Rosalsky for NPRCory DoctorowDoug RushkoffAlfred North WhiteheadJosiah WarrenJed McKennaJosh WolfeSocratesUpcoming Events* My new single and music video “The Big Machine” goes live on April 1st! Pre-save to Spotify or pre-order on Bandcamp here.* I'm co-facilitating a session on “Right Relations with AI” for the School of Wise Innovation's Spring Cultivator alongside a superb faculty. Cohort starts April 3rd!* The book club is back! Join us for a group reading and discussion of Federico Campagna's Prophetic Culture: Recreation for Adolescents with asynchronous discussion in the Future Fossils Discord server and a live call on May 3rd. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit michaelgarfield.substack.com/subscribe

Food as Medicine: A Nutritional Approach to Health with CPT Franklin Muntis, PhD, RD, CSCS Description: In this episode of the Elevate Yourself podcast, Rob sits down with Franklin Muntis, PhD, RD, CSCS, a registered dietitian and officer in the United States Army. Franklin shares his inspiring origin story, detailing his education, background, and training that have shaped his career. His unique blend of clinical work, coaching experience, and research allows him to effectively translate evidence-based nutrition into practice, especially in the context of military service members and their families. As March marks National Nutrition Month, Franklin delves into the concept of food as medicine, discussing how individuals can use nutrition to improve their health. He shares his expertise on nutritional strategies for Type 1 Diabetes (T1D) and broader diabetes management, offering actionable insights on how diet plays a key role in managing this chronic condition. Franklin also explores the role of food in muscle growth, heart health, and weight loss, breaking down the science behind how what we eat can fuel optimal performance and recovery. He wraps up the conversation with his top 3 "low-hanging fruit" nutritional action items—simple yet effective steps that anyone can take to achieve better health 80% of the time. Whether you're looking to improve your nutrition for better health or seeking practical advice on how to implement sustainable changes, this episode provides expert guidance on the transformative power of food. Franklin Muntis PhD, RD, CSCS Is a registered dietitian and an officer in the United States Army. In his role at the Brooke Army Medical Center, he provides evidenced-based nutrition education and support to improve health outcomes for military service members, retirees, and their families. He is also a NSCA certified strength and conditioning specialist and tactical strength and conditioning facilitator and has experience working as a strength and conditioning coach. This experience helps to inform his understanding of the physical demands that soldiers experience in the performance of their duties and how a nutritious diet can complement their physical training and help them recover to perform at the highest levels. Grad School Magazine Feature CPT Muntis' publication A High Protein Diet Is Associated with Improved Glycemic Control Following Exercise among Adolescents with Type 1 Diabetes The Elevate Yourself Podcast is brought to you in partnership with Athletic Brewing. Use code ELEVATE30 for 30% OFF your first online order at checkout!

Comment accompagner notre ado dans cette période parfois complexe, aussi bien pour lui que pour nous, parents ?Comment trouver l'équilibre entre confiance, accompagnement et autonomie, tout en le préparant sereinement à sa vie d'adulte et en veillant à le protéger ?Dans cet épisode, nous recevons Emmanuelle Piquet, auteure, thérapeute et spécialiste de la relation parent-adolescent, qui partage avec nous ses précieux conseils pour instaurer une relation apaisée et de confiance

As more states legalize marijuana, its use is becoming increasingly normalized—even among teenagers. According to the latest data from the National Institute on Drug Abuse, one in four high school seniors reported using cannabis in the past year. But on today's episode of Grieving Out Loud, a grieving mother is warning others about the risks.Laura Stack wasn't overly concerned when her 14-year-old son admitted to trying marijuana at a party. But what started as experimentation quickly spiraled into addiction. Laura believes cannabis-induced psychosis played a devastating role in her son's death, and now she's on a mission to educate others. Through her nonprofit, Johnny's Ambassadors, she's raising awareness about the dangers of high-potency marijuana and its impact on young minds.In this emotional episode, hear Laura's heartbreaking story and the urgent message she wants every parent to know. Plus, an addiction medicine doctor weighs in on why he believes marijuana is a gateway drug and how it affects the developing brain.Help is available: https://emilyshope.charity/help/If you liked this episode, listen to this one next: Grief, marijuana, and addiction: A conversation about cannabis use disorderCannabis-related news: Adolescents who use cannabis are at higher risk of psychotic disorders, according to new researchTeens more prone to cannabis use disorder than adults, new study findsMarijuana gummies hospitalize 11 New York middle schoolersLargest study on cannabis and brain function finds long-term impact on memorySend us a textThe Emily's Hope Substance Use Prevention Curriculum has been carefully designed to address growing concerns surrounding substance use and overdose in our communities. Our curriculum focuses on age-appropriate and evidence-based content that educates children about the risks of substance use while empowering them to make healthy choices. Support the showConnect with Angela Follow Grieving Out Loud Follow Emily's Hope Read Angela's Blog Subscribe to Grieving Out Loud/Emily's Hope Updates Suggest a Guest For more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Marley Miller

In addition to being the dapper drummer for The Dickies, The Adolescents, D.I., and more, Adam is a dad to his daughter, Stevie Jane. He stopped by to chat about how he stays young at heart, reminding himself to never forget what it's like to be a kid.

Story at-a-glance Long-term intermittent fasting disrupts insulin production in adolescents, which leads to poor blood sugar regulation and increased metabolic risks in adolescence Fasting reduces beta-cell maturity in young people, making it harder for their young bodies to regulate glucose properly Adolescents experience insulin decline from fasting, which mimics patterns seen in Type 1 diabetes Instead of long-term fasting, it's best for young people to focus on consuming regular, balanced meals. Getting the right nourishment supports their metabolic stability and prevents insulin resistance Healthy lifestyle choices that protect beta-cell function include avoiding seed oils, optimizing gut health, and getting daily sun exposure

Welcome to Being a Parent is Hard!  Pediatrician Dr. Maggie Chalson joins us in this episode to discuss disordered eating in children and teenagers.  Problems such as a distorted body image, feelings of self-hate related to one's appearance, restricting food intake, overeating, and full-blown eating disorders all plague today's children and adolescents.  Social media and many parents' preoccupation with their own weight and appearance all serve to stress and pressure our kids.  Dr. Chalson shares stories from her pediatric practice and offers valuable insights and strategies to identify, understand and address disordered eating. Please join us! We can be found on Apple Podcasts, Spotify, and Overcast.Contact us at:beingaparentishardpodcast@gmail.com

Where do we need boundaries, and where do we need flows? And how can we ensure that we can redistribute them according to the changing needs of any given moment? These are the kinds of questions I would ask if I were trying to meta-solve a meta-crisis, and this is why I'm glad to share this conversation with you. Today's guest Aishwarya Khanduja, is a fellow living inquiry, an incandescent interrobang just like myself, the founder of The Analogue Group.Announcements: * We will book club Federico Campagna's Prophetic Culture: Recreation for Adolescents on April 26th, along with pre-game discussion in the Future Fossils Discord Server's members-only channels. This book is a masterpiece of thinking otherwise and just what we need to attend to as transition from one mode of worlding to another…I can't wait to talk about it with you and hear everyone's reflections! * I am finally publishing “The Big Machine”, my anthem for the Screen Age, and will drop my new single and music video on April 1st, so dive into the show notes and pre-save it on Spotify, follow my YouTube channel for notifications when the song goes live, and prime yourself by meditating on the question:“How long can you go without looking at your phone?”Subscribe, Rate, & Comment on YouTube • Apple Podcasts • SpotifyIf you like this show, dig into the archives and consider making tax-deductible donations at every.org/humansontheloop. (You'll get all the same perks as Substack patrons.)Project LinksRead the project pitch & planning docDig into the full episode and essay archivesJoin the open online commons for Wisdom x Technology on DiscordThe Future Fossils Discord Server is where we'll do the book club discussions.Contact me about partnerships, consulting, your life, or other mysteries!ReadsHarnessing the power of our subconscious mindShaping the future with fictional storiesSocratic SalonsAirpods are ruining the worldA case for strategic ignorance by designTranscendence: An Emergent Career LifeHow to know what to doTasty Morsels from Groovy HubsThe Pathless Path by Paul MillerdScatter, Adapt, and Remember by Annalee Newitz Quarterlife by Satya Doyle ByockArtificial You by Susan SchneiderThe_Human_Roots_of_Artificial_Intelligence_A_Commentary_on_Susan_Schneider's_Artificial_You by Inês HipólitoOther MentionsStephanie LeppAri KushnirSøren KierkegaardPeter Sheridan DoddsPriya Rose of Fractal UniversityNadia AsparouhovaMark Pesce on Erik Davis' Expanding MindKatalin KarikóJim O'ShaughnessyEvan MiyazonoK. Allado McDowellAmber Case & Michael ZarghamPaul GrahamKurt VonnegutSrinivasa RamanujanCharles DarwinAlbert EinsteinWinston ChurchillDaniel KahnemannAlbert ClaudeAlfred AdlerGregor MendelAflred Russel Wallace This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit michaelgarfield.substack.com/subscribe

Summary In this conversation, Scott Schimmel emphasizes the critical importance of identity formation during the teenage years. He discusses how adolescents need guidance to discover who they are and the significance of self-discovery in building resilience and personal growth. Schimmel provides practical steps for parents to model self-discovery, encourage reflection, and celebrate their children's self-awareness, ultimately fostering a healthy environment for their development. Takeaways The teenage years are crucial for identity formation.Adolescents need guidance to discover their identity.Self-concordance is essential for resilience.The adolescent brain is wired for self-discovery.Parents should model their own self-discovery process.Encouraging reflection helps teens understand their experiences.Celebrating self-awareness is important for growth.Self-awareness is key for effective leadership and relationships.Parents play a vital role in their children's self-discovery.Normalizing self-discovery can prevent future struggles. Sound Bites "We can help them reflect on their own experiences." Chapters 00:00 The Importance of Identity Formation03:03 The Role of Self-Discovery in Adolescence06:40 Guiding Teens Towards Self-Awareness Your kid's identity isn't something that just happens—it's something they build. And they need your guidance to do it well. The 30 Critical Questions are a powerful tool to help them gain clarity on who they are, what they care about, and where they belong. Want to get started? Subscribe to our START Newsletter for weekly insights, reflection prompts, and practical steps to help your kid build a meaningful life—one question at a time.

This is a special re-release of an episode featuring guest host Jackson Kroopf speaking with the incomparable Kimberly Ann Johnson and Stephen Jenkinson. We're bringing this conversation back to let you know about something special happening this weekend from Stephen Jenkinson and the Orphan Wisdom School: Sanity and Soul: Die Wise 10 Years. Taking place on March 15th and 16th at 10am Pacific, this 6-part online event is a deep dive into the wisdom of death, grief, and the soul, 10 years after the publication of Stephen's transformative book Die Wise. You'll get to experience the depth of Stephen's work in a pretty unique way: through 4 recorded grief counsel sessions with dying people, hearing Stephen practice, in 2025, the kind of work described in Die Wise. Plus, he'll be joined by two brilliant colleagues—a neuroscientist studying human consciousness and a filmmaker exploring the afterlife—to discuss the lasting impact of Die Wise on grief counseling, death doulas, and the way these ideas continue to shape our world. If you want to learn more and register, visit orphanwisdom.com/events. But now, enjoy this conversation from March 2023, following Reckoning at Mt. Madonna. Please do consider gifting yourself or a loved one this upcoming offering, Sanity & Soul that promises to provide some ceremony in these  troubled times in ways only Stephen and the Orphan Wisdom School can. Link: https://orphanwisdom.com/event/die-wise-sanity-and-soul-ten-years-on/   What You'll Here in this Episode: Reflections on witness from retired birth and death workers The value of disillusionment The power of loneliness The proliferation of self pathologizing The complex politics of feelings The religion of western psychology Adolescents grabbing for pop psychology labels The respect in not offering solutions The eagerness to escape from pain while grieving Is love dead? Blessing not as approval but the emergence of something new Marriage as both celebration and loss Matrimony between cultures An only child and single parent inviting in a new husband Building an escape route as you enter a union The no-go zone of contemporary western marriage 15 minute weddings, 15 minute funerals, 15 minute births The cultural casualties of uniformity Being healthy enough to tend to home and neighbor   Links ig @reckoning live Sanity & Soul Sign-Up https://orphanwisdom.com/event/die-wise-sanity-and-soul-ten-years-on/

Today we continue with issues related to limit-setting with teenagers. As tempting as it is, making speeches is very ineffective in influencing adolescent behavior. Teenagers need to experience the consequences of their choices, either natural or through parent consequences. Jessica and Dr. Ken talk about both of their own struggles to avoid this trap and the situations that tempt parents to pontificate instead of act. We offer suggestions to increase your adolescent's learning experiences while reserving words for the most useful opportunities. You can order Dr. Ken's book "Feeding The Mouth That Bites You" here: https://a.co/d/hBnlbzI Got questions or feedback? We want to hear from you! podcast@feedingthemouth.com Music provided by the great John David Kent - https://www.johndavidkent.com/

Today is the first in a series on limit-setting with adolescents. Probably the most important change a parent can make in being more effective in setting limits with teenagers is to shift your job description from a "cop" to a judge. Understanding what you as a parent can and cannot control makes a huge difference in how and when you set limits for your teen. When your teen is being most defiant, always remember the power of "the smile." You can order Dr. Ken's book "Feeding The Mouth That Bites You" here: https://a.co/d/hBnlbzI Got questions or feedback? We want to hear from you! podcast@feedingthemouth.com Music provided by the great John David Kent - https://www.johndavidkent.com/

Join the Behind the Knife Bariatric Surgery Team as they kick off 2025 with a crucial discussion on pediatric and adolescent bariatric surgery. Drs. Matt Martin, Adrian Dan and Katherine Cironi delve into the latest ASMBS guidelines, comparing long-term outcomes of gastric bypass and sleeve gastrectomy in adolescents versus adults. They explore key comorbidities, including type 2 diabetes, hypertension, and orthopedic issues, and emphasize the importance of early intervention. This episode also tackles the complex ethical considerations surrounding surgery in this vulnerable population, including consent, multidisciplinary care, and the evolving role of medical therapies like GLP-1 agonists. Show Hosts: - Matthew Martin - Adrian Dan - Katherine Cironi Learning Objectives:  ·  Identify the current ASMBS guidelines for pediatric and adolescent bariatric surgery, including BMI thresholds and associated comorbidities.  ·  Describe common comorbidities seen in the pediatric population eligible for bariatric surgery, such as type 2 diabetes, hypertension, and orthopedic issues.  ·  Compare and contrast long-term outcomes of bariatric surgery (gastric bypass and sleeve gastrectomy) in adolescents and adults, including remission rates of comorbidities and reoperation rates.  ·  Discuss the importance of a multidisciplinary approach, including psychological and ethical considerations, when evaluating adolescent patients for bariatric surgery.  ·  Explain the ethical framework used in evaluating adolescents for bariatric surgery, including consent/assent, parental involvement, and addressing potential coercion.  ·  Recognize the evolving role of medical management (e.g., GLP-1 agonists) in conjunction with or as an alternative to bariatric surgery in adolescents. Article #1: Inge 2019 – Five-year outcomes of gastric bypass in adolescents as compared with adults https://pubmed.ncbi.nlm.nih.gov/31461610/ - The cumulative effect of sustained severe obesity (BMI >35) from adolescence into adulthood increases the likelihood of diabetes, hypertension, respiratory conditions, kidney dysfunction, walking limitations, and venous edema in legs/feet (when compared to adults that did not report severe obesity in adolescence) - American Society for Metabolic and Bariatric Surgery (ASMBS) guidelines for adolescents who should be considered for bariatric surgery: BMI is ≥35 with a co-morbidity or if they have a BMI ≥40 (class 3 obesity, 140% of the 95th percentile) - This article utilizes the Teen-Longitudinal Assessment of Bariatric Surgery (TEENS LAB) and LABS (adults) databases to evaluate the outcomes of adolescents vs. adults who underwent bariatric surgery Roux-en-Y gastric bypass (2006-2009) - 161 adolescents (13-19 at the time of surgery) with severe obesity (BMI>35) vs 396 adults (25-50 years old at the time of surgery) who have remained obese (BMI>30) since adolescence  - Both groups had the gastric bypass procedure as their primary bariatric operation  - Both groups had unadjusted similar demographics, however, BMI was higher in adolescence (54) when compared to adults (51)  - Results were analyzed using linear mixed and Poisson mixed models to analyze weight and coexisting conditions - After surgery, adolescents were significantly more likely than adults to have remission of type 2 diabetes and hypertension - Increased likelihood of remission of diabetes due to the shorter duration of diabetes, lower baseline glycated Hgb, less use of medications, and increased baseline C-peptide levels  - Increased vascular stiffness in adults along with a longer duration of hypertension make the cessation of hypertension less responsive with surgery in adults  - No significant difference in percent weight changes between adolescents and adults 5 years after surgery  - Both adults and adolescent groups had decreased rates of hypertriglyceridemia and low HDL levels, albeit not significantly different when comparing the two groups  - Of note, the rate of abdominal reoperations was significantly higher among adolescents (20%) than among adults (16%) with cholecystectomy representing nearly half the procedures in both groups - Limitations - At baseline, adults had a high prevalence of both diabetes and hypertension - only 14% of adolescents had diabetes vs 31% of adults  - Only 30% of adolescents had hypertension vs 61% of adults  Article #2: Ryder 2024 – Ten-year outcomes after bariatric surgery in adolescents  https://pubmed.ncbi.nlm.nih.gov/39476348/ - The goal is to discuss the long-term durability of weight loss and remission of coexisting conditions in adolescents after bariatric surgery  - This article utilizes the Teen-Longitudinal Assessment of Bariatric Surgery (TEENS LABS) database to evaluate the 10-year outcomes in adolescents who underwent gastric bypass or sleeve gastrectomy  - 260 adolescents with an average age of 17 years old at the time of surgery (ages ranged from 13-19 years old) - 161 adolescents underwent gastric bypass, 99 adolescents underwent sleeve gastrectomy  - Results were analyzed using propensity score-adjusted linear and generalized mixed models  - At 10 years, the average BMI had decreased significantly with both groups experiencing about a 20% change in BMI on average - To assess comorbidities, both groups were analyzed together -  55% of patients who had DM2 at baseline, were in remission at 10 years - 57% of patients who had HTN at baseline, were in remission at 10 years -  54% of patients who had dyslipidemia at baseline, were in remission at 10 years - Limitations  - Neither of these studies compare surgery to medical management. GLP-1s have shown promise for weight loss management but we need more data in terms of long-term outcomes in co-morbidities like diabetes, hypertension, dyslipidemia  - Highlighted Outcomes  - Metabolic bariatric surgery is quite effective in the adolescent population  - Adolescents tend to have weight loss that is similar to that of adults and improved resolution of comorbid conditions (DM2, HTN, dyslipidemia) Article #3: Moore 2020 – Development and application of an ethical framework for pediatric metabolic and bariatric surgery evaluation https://pubmed.ncbi.nlm.nih.gov/33191162/ - The purpose of this paper is to describe the ethical framework that supports the use of metabolic & bariatric surgery (MBS) on the principle of justice, and how providers can conduct a thorough evaluation of patients presenting for these surgeries - Highlights adolescents with intellectual and developmental disabilities (IDD) and preadolescent children who pose more ethical questions before considering surgery  - This article utilizes the bariatric surgery center at one children's hospital and the institution's ethics consult service to develop an ethical framework to evaluate pediatric patients seeking bariatric surgery – using the national ASMBS guidelines  - This ethical framework utilized 4 central ethical questions 1.     Should any patients be automatically excluded from evaluation for MBS? 2.     How should it be determined that the benefits of MBS outweigh the risks? 3.     How do we ensure the patient fully understands and is capable of cooperating with the surgery and follow-up care? 4.     How do we make sure the decision to have surgery is truly voluntary, and not coerced by family or others? - Results: this ethical framework was discussed in depth in two case studies  - Overview of framework: an ethical question would arise from the bariatric team they would review & apply the ethical framework. The question is either resolved by the bariatric team OR ethics consult, continue pre-operative workup vs no surgery - Case 1: 17M (BMI 42) with a history of autism spectrum disorder, pre-DM, depression with behavior challenges, HTN, dyslipidemia. Testing at school demonstrates intellectual functioning at a fourth-grade level. Pt lives with mom and 11-year-old sister. Mom endorses food insecurity (on supplemental nutrition assistance benefits) and struggles with her son's large intake of food.  1.     Co-morbidities should not be exclusionary, but pt should undergo a comprehensive psychosocial evaluation with attention to family dynamics and support and the patient's decision-making capacity  2.     Discuss benefits vs risks. Benefits – decreased progression of DM2, HTN, hyperlipidemia, cardiometabolic dx. Risks – gastric leak, infection, bleeding, dumping syndrome, etc.  3.     Can assess decision-making capacity with the surgical team or if need be other teams. In this case, the pt had limited decision-making capacity  - His level of understanding remained stable during the pre-op visits, and he gave assent to surgery - The mom identified a second source of support (extended family) - The team talked to both the patient and mother alone and then, together, found that the patient developed an independent desire for surgery, and thus moved forward.  - Case 2: 8F (BMI 50) with a history of mod OSA, L slipped capital femoral epiphysis s/p surgical stabilization (6 mos prior). The patient is neurotypical & excels in school, and lives with mom & dad. Referred by mom & dad (mom with a recent history of sleeve gastrectomy).  1.     An 8-year-old should not be discriminated against based solely on age, but the patient should be offered more conservative/less invasive options before OR.  a.     In this case, the family had not yet been offered these nonsurgical approaches (structured weight management program, physical support, dietician) 2.     Discuss benefits vs risks. Benefits – preventing progression of hip disease, improvement of OSA, decreased risk of cardiometabolic dx. Risks – anatomic/infectious/nutrition risks  3.     Decision-making capacity was assessed. Found that the parents were more advocating for the surgery saying she has a poor quality of life physically and socially. When the patient was separated from her parents, she said she could lose weight if she had healthier foods at home and someone to exercise with. The patient had decision-making capacity & did not assent to surgery.  4.     When the ethics team interviewed the patient and parents, the parents had a strong preference toward surgery vs patient was scared of surgery and wanted to try other approaches first  a.      Decided that the child's dissent outweighed the medical necessity for surgery and that there were conservative treatment options still available to try  - Highlighted Outcomes  - ASMBS guidelines give us good direction on who qualifies for surgery and emphasize an interdisciplinary approach to decision-making. The decision to pursue surgery should always weigh the benefits and risks and should be made collaboratively with the patient, family, and care team ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.