Podcasts about American Psychiatric Association

There aren't many practitioners writing about today's topic. Unless, that is, you look up the collected works of Dr. Bill Dodson. Dr. Dodson is an award-winning board-certified psychiatrist and specialist in adult ADHD and his contributions to the study of Rejection Sensitive Dysphoria bring him to the show today. According to Dr. Dodson, nearly all those living with ADHD live with some level of rejection sensitivity, and thanks to the poor training on the ADHD connections to the condition, patients are going misdiagnosed and mistreated as a result.Today on the show, Dr. Dodson joins Nikki Kinzer and Pete Wright to discuss Rejection Sensitive Dysphoria and provide new language to frame a state those living with ADHD know all too well.About Dr. William DodsonDr. Bill Dodson is a award-winning board-certified psychiatrist and specialist in adult ADHD. While Dr. Dodson has been on the faculties of Georgetown University and the University of Colorado Health Sciences Center he is primarily a clinical practitioner who tries to combine evidence-based practice techniques with practice-based evidence.  In addition to being named a Life Fellow of the American Psychiatric Association, and recipient of the national Maxwell J. Schleifer Award for Distinguished Service to Persons with Disabilities, Dr. Dodson is one of two experts from the US to the World Anti-Doping program for the development of guidelines for the use of ADHD stimulant medications in the world's athletes.Links & NotesDr. William Dodson at Additudemag.com (00:00) - Welcome to The ADHD Podcast (02:24) - Become a Member of The ADHD Community (04:28) - Introducing Dr. William Dodson (05:53) - What is Rejection Sensitive Dysphoria? (10:59) - Defining Characteristics of RSD? (13:37) - Mental health trends (17:23) - RSD and Imposter Syndrome (20:15) - RSD and Gender (25:45) - Treatment paths for RSD (34:14) - RSD and ADHD Coaching (43:44) - Finding Dr. Dodson ★ Support this podcast on Patreon ★

Jess and Jaimi take a (very) critical look at the American Psychiatric Association suggesting four new mental disorders for people who want to end their lives. What is the real motive for inventing four new disorders, and what/who will they be used for? Content warning for in depth discussions of suic*de, mental health, and euthanasia.

Dr. Benjamin Brody (Weill Cornell Medicine, New York) joins Dr. Dixon and Dr. Berezin to discuss how Joint Commission accreditation can be evolved to ensure that it is aligned with best incentives to for high-quality behavioral health care. Transcript 00:52     Brody background 02:51     Inpatient work 03:42     The tension of inpatient psychiatric care 05:28     The Joint Commission 07:39     What the Joint Commission is doing well 09:04     Best practices 11:02     Who ordered what, when, and where 13:33     Including the patient as a stakeholder 20:23     Comprehensive treatment plans 22:25     What would you do if you were CEO? 24:34     Ensuring that the things the Joint Commission focuses on are the things that improve patients' lives. 25:14     A vision for quality improvement that engages stakeholders 30:12     Shared decision making Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

André, The Impulsive Thinker™, sits down with renowned adult ADHD psychiatrist Dr. William Dodson to tackle the confusing process of ADHD medication management for Entrepreneurs. Together, they break down why finding the right medication and dose is far from one-size-fits-all. Dr. Dodson reveals why targeting specific symptoms, understanding the blood-brain barrier, and personalized titration matter more than body weight or standard protocols. Discover what ADHD meds can—and cannot—actually do, how to think about “target symptoms,” and why collaboration with your prescriber matters. If you're an ADHD Entrepreneur struggling to dial in your meds, this episode is a must-listen.  

André, The Impulsive Thinker™, sits down again with adult ADHD psychiatrist Dr. William Dodson for a straight-up conversation about resistance to ADHD medication. Together, they break down where fear and hesitation come from, tackling misinformation, family stigma, and unrealistic expectations around treatment. Dr. Dodson delivers research-backed truths on the safety and effectiveness of stimulant medications, the dangers of leaving ADHD untreated, and the real-life impact of labels and self-medicating. This episode is a must-listen for ADHD Entrepreneurs weighing their options, dealing with family judgment, or looking for clarity to take charge of their own ADHD treatment journey.  

Rawle Andrews Jr., Esq., Executive Director the American Psychiatric Association Foundation discussed workplace mental health. In a recent study they found 80% say they feel stress at work. .One-third of Americans say work has an adverse effect on their mental health. They estimate that depression alone costs employers in the U.S. $43B annually. He notes that work is one of the most reported causes of stress among Americans and he hopes they can build on the workplace mental health considerations many companies began during COVID. He discussed the APA’s Center for Workplace Mental Health that has created a initiative called Notice. Talk. Act.® At Work to encourage management to open the discussion of mental health and stress with their employees, to give mental health care the same priority as our physical well-being, and to learn how to recognize the signs of stress and burn-out. Learn more at apaf.org

What if death isn't the end but a doorway to something far greater? Dr. Bruce Greyson, M.D. (author of After, Chester Carlson Professor Emeritus of Psychiatry at the University of Virginia, and co-founder of the International Association for Near-Death Studies) shares the near-death experience (NDE) that shattered his medical skepticism and launched decades of consciousness research. A Distinguished Life Fellow of the American Psychiatric Association, Greyson explores astonishing cases of tunnel visions, otherworldly reunions, and the powerful, peer-reviewed scientific evidence for life after death. Could it be that consciousness exists outside the brain? Discover why many say NDEs eliminate the fear of dying, trigger lifelong transformation, and may even unlock hidden psychic abilities. Plus: the surprising connection between trauma, psychedelics, and reincarnation science—and what it all reveals about what happens after we die. Dr. Bruce Greyson's book, After: A Doctor Explores What Near-Death Experiences Reveal about Life and Beyond: https://www.brucegreyson.com/after-a-doctor-explores-what-near-death-experiences-reveal-about-life-and-beyond/ The Division of Perceptual Studies at the University of Virginia: http://med.virginia.edu/perceptual-studies The International Association for Near-Death Studies: http://iands.org BialikBreakdown.comYouTube.com/mayimbialik

Dr. Roy Perlis (Mass General Bringham, Boston) joins AJP Audio to discuss a machine learning model to examine electronic health records in individuals who had recently given birth designed to detect those who might develop postpartum depression.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the June issue into context. 00:31     Perlis interview 02:56     Lack of validation in screening methods 04:03     Stumbling blocks on the road to validation 05:10     Synergy between screening scores and machine learning models 06:36     Issues with clinician adoption? 08:44     Administrative burden for running these models 10:38     Current clinical application 12:37     Screening without those with a history of depression 13:48     Limitations 15:30     Future research 17:26     Kalin interview 17:41     Clapp et al. 21:41     Kępińska et al. 25:19     Savitz et al. 25:25     Miller 28:38     Wall et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

In this captivating online presentation from the IMMH 2023 conference, board-certified psychiatrist Dr. Achina Stein reveals how the intersection of functional medicine, gut restoration, and psychiatry can lead to lasting healing for depression, anxiety, and other mental health challenges. She explains why the journey takes dedication and time, why psychiatry provides an ideal setting, and why it's worth the effort. She also delves into very concrete clinical advice on the basics of how to implement functional medicine psychiatry.    Dr. Achina Stein is a board-certified psychiatrist with over 25 years of clinical experience and serves as the Clinical Director of the Healing Depression Project. Also a certified practitioner with the Institute for Functional Medicine (IFMCP) and a distinguished fellow of the American Psychiatric Association, Dr. Stein was awarded the Exemplary Psychiatrist Award by the National Alliance on Mental Illness. Author of the best-seller What If It's Not Depression, she explains how diet and lifestyle changes - including gut restoration and the 5R protocol - can significantly improve depression, anxiety, and mental health. In this comprehensive presentation, Dr. Stein reveals why standard psychiatric care often falls short by relying on a “silver bullet” approach, the limitations of medications, and why functional medicine offers a revolutionary path forward in psychiatry and mental health treatment.   In this episode, discover: Who benefits most from functional medicine and why it's ideal for patients open to diet and lifestyle changes. Why functional medicine analyses food diaries, bowel movements, sleep patterns, exercise, toxin and mould exposure and physical exam/gait analysis in evaluations alongside more conventional  psychiatric care. Why a diagnosis isn't always needed for treatment, and why changes to diet and lifestyle can treat conditions before they fully manifest. The link between complex chronic illness and mental health symptoms. The intrinsic connection between depression and inflammation. Other often overlooked root causes of depression and anxiety, including certain medications (e.g., Chantix, Accutane), low cholesterol, low Omega-3, low Vitamin D, thyroid issues, lupus and other autoimmune conditions, and hypoglycemia. Why antidepressants may not always improve symptoms and the potential downsides of their use. The importance of addressing infections, toxins, oxidative stress, hormone imbalances, digestive issues, blood sugar levels, and circadian rhythm in treatment. The 5R protocol (Remove, Replace, Reinoculate, Repair, Rebalance) and its role in restoring gut health for better mental health. Insights from the Dr. Hyman Questionnaire on how chronic toxicity impacts mental health. Why the gut-brain axis is a crucial missing link in treating depression, the mental health risks of gut permeability (leaky gut), and the critical role of diet in maintaining gut and brain health. Ways to strengthen the gut-brain connection and increase BDNF levels through HIIT, fasting, and cold exposure for mental health benefits. The crucial role of exercise in detoxification. Top dietary recommendations for improving depression, anxiety and mental health, including foods to add (vegetables, eggs, beef, fish, quinoa, nuts, seeds, fermented foods) and foods to avoid (caffeine, sugar, dairy, gluten).  

Episode 191: Diagnosis of ADHDFuture Dr. Granat explains how to diagnose Attention Deficit Hyperactivity Disorder. She explained the influence of social media in increasing awareness of ADHD. Dr. Arreaza added input about the validated tools for ADHD diagnosis and highlighted the importance of expert evaluation for the diagnosis of this disorder.  Written by Yen Stephanie Granat, MSIV. Ross University School of Medicine. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Steph: I love podcasts—many of us do—and if you, like me, spend any amount of your leisure time listening to podcasts, perusing the news, or scrolling social media; you've likely noticed an alarming trend in the number of discussions we seem to be having about ADHD. It has grown into a very hot topic over the past couple of years, and for some of us, it seems to have even begun sneaking into our “recommended videos” and across our news feeds! Naturally, for the average person this can spur questions like:“Do I have ADHD? Do we all have it? How can I be certain either way, and what do I do if I find myself relating to most of the symptoms that I'm seeing discussed?”Granted that there is a whirlpool of information circulating around this hot topic, I was hoping to spend a bit of time clearly outlining the disorder for anyone finding themselves curious. I believe that can best be achieved through outlining a clear, concise, and easy-to-understand definition of what ADHD is; outlining what it is not; and helping people sift through the fact and the fiction. As with many important things we see discussed on the internet, we're seeing is that there is much more fiction than fact. Arreaza: I'm so glad you chose this topic! I think it is challenging to find reliable information about complex topics like ADHD. Tik Tok, Instagram and Facebook are great social media platforms, but we have to admit that fake news have spread like a fire in recent years. So, if you, listener, are looking for reliable information about ADHD, you are in the right place. With ADHD, there aren't any obvious indicators, or rapid tests someone can take at home to give themselves a reliable “yes” or “no” test result. People's concerns with ADHD are valid, and important to address, so we will discuss the steps to identify some of signs and symptoms they are seeing on TikTok or their favorite podcaster. Steph: Healthcare anxiety is a vital factor to consider when it comes to large cultural conversations around our minds and bodies; so, I hope to sweep away some of the misconceptions and misinformation floating around about ADHD. In doing so, I want to help alleviate any stress or confusion for anyone finding themselves wondering if ADHD is impacting their lives! We might even be able to more accurately navigate these kinds of “viral topics” (for lack of a better term) next time we see them popping up on our news feeds.Arreaza: The first thing I want to say about ADHD is “the crumpled paper sign.”Steph: What is that?Arreaza: It is an undescribed sign of ADHD, I have noticed it, and it is anecdotal, not evidence based. When I walk into a room to see a pediatric patient, I have noticed that when the paper that covers the examination table is crumpled, most of the times it is because the pediatric patient is very active. Then I proceed to ask questions about ADHD and I have been right many times about the diagnosis. So, just an anecdote, remember the crumpled paper sign.  Steph: When you have patients coming to you asking for stimulants because they think they have ADHD, hopefully, after today, you can be better prepared to help those patients. So, for the average person—anyone wanting to be sure if this diagnosis applies to them—how can we really know?”Arreaza: So, let's talk about diagnosis.Steph: Yes, the clearest information we have is the DSM-5, which defines these disorders, as well as outlines the specific criteria (or “checkpoints”) one needs to meet to be able to have a formal diagnosis. However, this manual is best utilized by a trained professional—in this case, a physician—who can properly assess your signs and symptoms and give you a clear answer. Steph: ADHD stands for Attention Deficit Hyperactivity Disorder. It is among the most common neurodevelopmental disorders of childhood. That is not to say it does not affect adult—it does—and because it can be easy to miss, it's very possible for someone to have ADHD without knowing. Arreaza: I recently learned that ADD is an outdated term. Some people with ADHD do not have hyperactivity but the term still applies to them. Steph: Yes, there are multiple types that I will explain in just a bit. But overall the disorder is most simply characterized by a significant degree of difficulty in paying attention, controlling impulsive behaviors, or in being overly active in a way that the individual finds very difficult to control. (CDC)Arreaza: How common is ADHD?Steph: The most recently published data from The CDC estimates that 7 million (11.4%) of U.S. children between the ages of 3 and 17 have been diagnosed with ADHD. For adults, it is estimated that there are 15.5 million (6%) individuals in the U.S. who currently have ADHD. Arreaza: I suspected it would be more than that. [Anecdote about Boy Scout camp]. Steph: I totally agree. With short videos on TikTok, or paying high subscription fees to skip ads, it feels like as a society we all have a shorter attention span. Arreaza: Even churches are adapting to the new generation of believers: Shorter sermons and shorter lessons.Steph: When it comes to better understanding these numbers, it's also important to know that there are three distinct presentations of ADHD recognized by The CDC and The World Health Organization. Arreaza: The DSM-5 TR no longer uses the word “subtypes” for ADHD. Instead, it uses the word "presentation" to describe the different ways that ADHD may manifest in a person. That reminded me to update my old DSM-5 manual and I ordered it while reading today about ADHD. This means people with ADHD are no longer diagnosed as having a “subtype”. Instead, they are diagnosed with ADHD and a certain “presentation” of symptoms.Steph: These presentations are:Inattentive TypePeople often have difficulty planning or completing tasksThey find themselves easily distracted (especially when it comes to longer, focus-oriented tasks)They can often forget details and specifics, even with things that are part of their daily routineThis used to be referred to as “ADD” (you'll notice the absence of an “H”, segue).Hyperactive-Impulsive TypePeople often have a sense of intense “restlessness”, noticeable even in calm environments.They tend to be noticeably more talkative, and might often be seen interrupting others, or finishing their sentences.They find significant difficulty in being still for extended periods. Because of this, they are often unable to sit through a movie or class time, without fidgeting or getting up and moving around.With this category of ADHD, we often see an impulsiveness that unwittingly leads to risky behavior. Because of this, accidents and bodily injury are more common in individuals with this type of ADHD.Combined TypeThese are individuals who exhibit symptoms from both “Inattentive” and “Hyperactive-Impulsive” ADHD equally.Some listeners might have noticed that the categories are quite different, meaning that ADHD presents in different ways depending on the person! Two people who have ADHD can be in the same room and have vastly different presentations, whilst still having many of the same types of challenges. You also might have noticed what makes the discussion so interesting to the general public, which is also the thing that makes speaking to a professional to get formally tested so important:The diagnostic criteria rely heavily on patterns of behavior, or external variables; rather than on how a person might feel, or certain measurements taken from lab tests.Arreaza: Diagnosing ADHD requires evaluation by a professional who is properly trained for this. Fortunately, we have tools to assist with the diagnosis. The attention deficit must be noted in more than one major setting (e.g., social, academic, or occupational), that's why the information should be gathered from multiple sources, including parents, teachers, and other caregivers, using validated tools, such as:The Neuropsychiatric EEG-Based ADHD Assessment Aid (NEBA), recommended by the American Academy of NeurologyThe Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) and the Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS), recommended by the Society for Developmental and Behavioral Pediatrics.For adults: The validated rating scales include the Adult ADHD Self-Report Scale (ASRS) and the Conners Adult ADHD Rating Scales (CAARS).Steph: This is important because nearly everyone alive has experienced several, if not most, of these behavioral patterns at least once. Whether or not an individual has ADHD, I'm certain we could all think of moments we've had great difficulty focusing or sitting still. Perhaps some of us are incredibly forgetful, or act more impulsively than the average person might find typical. Getting a professional diagnosis is important because it is in skillfully assessing “the bigger picture” of a person's life, or their patterns of behavior, that a skilled physician, who understands the nuances and complexities in these disorders, can properly tell each of us whether we have ADHD, or not.Essentially, most of us could stand to use a bit more focus these days, but far fewer of us would meaningfully benefit from the kinds of treatments and therapies needed by individuals with ADHD to live healthier, more happy and regulated lives.Arreaza: I had a mother who came to discuss the results of the Vanderbilt Questionnaire. I think she left a little disappointed when she heard that, based on the responses from her and the teacher, her son did not have ADHD. Some kids may have behaviors such as being distracted during a meeting, forgetting about homework or having a lot of energy, but that does NOT mean necessarily that they have ADHD, right?Steph: Absolutely! The important thing to remember here is that these patterns of behavior outlined in the DSM-5 are merely an external gauge for a neurological reality. What the science is showing us is that the brains of people with ADHD are wired differently than that of the more “neurotypical” brain. Much like a check engine light would serve as a signal to a driver that something under the hood needs attention; these patterns of behavior, when they begin impeding our day to day lives, might tell us that it's time to see a professional (whether it be an auto mechanic or a trained physician). I think we all know someone who drives with their check engine light and not a care in the world. Arreaza: How serious/urgent is ADHD? Why should we care to make the diagnosis?Steph: Although we've yet to see anyone incur harm solely from having ADHD, it does lead to quite a range of more serious issues, some of which might prove more urgent. In the cases of ADHD, specifically, what we know is that there is a notable degree of dysregulation in some key neurotransmitters, like dopamine and norepinephrine. More plainly, what we are seeing in the brains of people with ADHD is a disruption, or alteration, of some of the brain's key chemicals.These neurotransmitters are largely responsible for much-needed processes like Motivation, Satisfaction, Focus, Impulse control, even things like energy and feelings of happiness. Many of these things serve as “fuel” for our day-to-day lives; things we'd call our “executive function”.  These are also what prove dysfunctional in those struggling with ADHD. It is in this sense that we might be able to bridge a meaningful gap between ADHD as being seen through patterns of behaviorthat signal a real, neurological reality.Steph: We often hear of the brain referenced as a kind of supercomputer. A more accurate assessment might be that the brain is more of a network of interconnected computers that run different processes and require continual communication with one another for our brain to function properly and seamlessly. What we're seeing in members of the population with this diagnosis, is a significant disruption in these lines of communication. Although this is a very broad oversimplification, for the purposes of our metaphor is to think of it like our brain chemicals getting caught in a traffic jam, or parts of our brain attempting to communicate to one another with poor cell signal. Arreaza: Making the diagnosis is critical to start treatment because having that level of dysfunction sounds like having a very difficult life.Steph: Yeah! I think that's why this conversation matters so much. There's a sense of urgency there, because much of life is, in fact, boring. Things like paying bills, exercising and eating well, work and school—these are all things that are vital to health and wellbeing in day-to-day life; and for the more neurotypical brain, these things might prove occasionally challenging. Yet, they are still doable. For those with ADHD however, this goes far beyond mere boredom or “laziness” (which proves to be a trigger term for many—more on that in just a bit).For folks listening, I wanted to offer some statistics that show why this is such a big concern for the public, whether one has a formal ADHD diagnosis or not. The facts are figures are:Children with ADHD are more than five times as likely as the child without ADHD to have major depression.A significant increase in the prevalence of anxiety is seen in ADHD patients, ranging from 15% to 35%, when accounting for overlap in symptoms.There are significant correlations in youth diagnosed with ADHD, and those diagnosed with what are known as “externalizing disorders”. These are things like Conduct Disorder, Disruptive Mood Dysregulation Disorder, and Oppositional Defiant Disorder.We are seeing a much higher rate of academic problems in kids who have ADHD, like reading disorder, impaired verbal skills, and visual motor integration.We're finding that many, if not most, of these connections are being made after diagnosis. In the case of the “internalized disorders”, like depression and anxiety, we're often seeing years between ADHD diagnoses and the diagnoses of major depressive disorder or anxiety disorders. Given this framework, much of the data is theorized to point towards what we call “negative environmental circumstances”, otherwise known as “ADHD-related demoralization”.For children, this often looks like struggling with sitting still during class, failing to get homework done (because they forgot, or couldn't focus on the tasks at hand), and struggling to focus their attention on what their teacher is saying during lecture. These things often lead to bad grades, discipline or forced time sitting still in detention. This can be seen in more problems at home, with children being disciplined often for behavior that they struggle immensely to control.For adults, this can mean forgetting to pay your bills, missing work meetings, having trouble making appointments, or having difficulty with day-to-day tasks, really anything that requires sustained attention. We often see adults with ADHD who are chasing normalcy with caffeine addictions or even struggling with substance use. Arreaza: Substance use disorder actually can be a way for some people living with ADHD to self-treat their symptoms. Steph: These differences between the individual's experience and the world around them can lead to really powerful feelings of failure or inadequacy. They can affect your social life, your sense of community, and even further limit your capacity to seek help.Literacy in these things is so important—not just for the individual who feels that they may have ADHD, but also for those who are likely to encounter people with ADHD in their own lives. Understanding why some of these patterns pop up, even those who might not have a formal diagnosis, can go a long way to properly approaching these behaviors with success and with empathy.Arreaza: Learning about ADHD is fundamental for primary care doctors. We talked about the high prevalence and the influence of the media in increasing awareness and sometimes increasing public panic. So, we have to be prepared to diagnose or undiagnosed ADHD. Steph: Whether we're the physicians in the room, or the patient in the chair, I think it's important to have a clear understanding of what ADHD is and how it can affect lives. Thanks for listening, I hope we were able to teach you a little more about ADHD. ______________Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _______________References:NICHQ-Vanderbilt-Assessment-Scales PDF: https://nichq.org/wp-content/uploads/2024/09/NICHQ-Vanderbilt-Assessment-Scales.pdfADHD: The facts. ADDA - Attention Deficit Disorder Association. (2023, January 11). https://add.org/adhd-facts/American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596.Gnanavel S, Sharma P, Kaushal P, Hussain S. Attention deficit hyperactivity disorder and comorbidity: A review of literature. World J Clin Cases. 2019 Sep 6;7(17):2420-2426. doi: 10.12998/wjcc.v7.i17.2420. PMID: 31559278; PMCID: PMC6745333.Staley BS, Robinson LR, Claussen AH, et al. Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October – November 2023. CDC.Gov, MMWR Morb Mortal Wkly Rep 2024;73:890-895.Danielson ML, Claussen AH, Arifkhanova A, Gonzalez MG, Surman C. Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021. J Atten Disord. 2024 Jun;28(8):1225-1235. doi: 10.1177/10870547241238899. Epub 2024 Mar 18. PMID: 38500256; PMCID: PMC11108736. https://pubmed.ncbi.nlm.nih.gov/38500256/Mattingly G, Childress A. Clinical implications of attention-deficit/hyperactivity disorder in adults: what new data on diagnostic trends, treatment barriers, and telehealth utilization tell us. J Clin Psychiatry. 2024;85(4):24com15592. https://www.psychiatrist.com/jcp/implications-adult-adhd-diagnostic-trends-treatment-barriers-telehealth/Didier J. My four kids and I all have ADHD. We need telehealth options. STAT News. Published October 10, 2024. Accessed October 10, 2024. https://www.statnews.com/2024/10/10/adhd-medication-shortage-telehealth-dea-congress/.Hong J, Mattingly GW, Carbray JA, Cooper TV, Findling RL, Gignac M, Glaser PE, Lopez FA, Maletic V, McIntyre RS, Robb AS, Singh MK, Stein MA, Stahl SM. Expert consensus statement for telepsychiatry and attention-deficit hyperactivity disorder. CNS Spectr. 2024 May 20:1-12. doi: 10.1017/S1092852924000208. Epub ahead of print. PMID: 38764385. https://pubmed.ncbi.nlm.nih.gov/38764385/Gabor Maté: The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture. (2022). Youtube. Retrieved April 27, 2025, from https://www.youtube.com/watch?v=ttu21ViNiC0. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

What does your diet have to do with your mood? Is mercury in fish really dangerous? Psychiatrist Dr. Drew Ramsey joins Michael Shermer to discuss the science behind nutritional psychiatry and how food, sleep, exercise, and social habits influence brain health. They explore why mental health issues are rising—especially among teens—and what role parenting, social media, and modern lifestyles play. The conversation also covers the effectiveness of SSRIs and other treatments, the role of inflammation in mental health, and the importance of sleep and tracking sleep quality. Drew Ramsey, MD is a board-certified psychiatrist, author, and leading voice in Nutritional Psychiatry and integrative mental health. He is a Fellow of the American Psychiatric Association. For twenty years, he served as an assistant clinical professor of psychiatry at Columbia University. He has authored four books, including the international bestseller Eat to Beat Depression and Anxiety. His new book is Healing the Modern Brain.

Dr. Kenneth Ruggiero (Medical University of South Carolina, Charleston) joins AJP Audio to discuss the the effectiveness of an app-based intervention at reducing the symptoms of sleeplessness and posttraumatic stress in a broad cohort in the wake of a natural disaster.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the May issue into context. 00:38     Ruggiero interview 03:13     Bounce Back Now app 05:03     Natural disasters and other sources of trauma 07:31     Low cost and broad-based intervention 08:49     Limitations 10:19     Changes in how the intervention was designed 11:17     Uptake and interactions with the app 13:15     Future directions 14:36     Kalin interview 14:50     Ruggiero et al. 19:26     Norman et al. 23:29     Conrod et al. 27:53     Olfson et al. 31:44     Olfson et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

John Moe joins us as we start recording and releasing new episodes in 2025 after an extended break over the winter. Maybe we are rusty, but we really take the whole "don't want to know you ahead of time" thing to an extreme with John, which he handles well. John Moe is a Twin Cities-based podcast maker, author, public speaker, and mental health advocate. He created and currently hosts the podcasts Depresh Mode with John Moe (LA Press Club Award) and Sleeping with Celebrities on the Maximum Fun network and he has created and produced podcasts for clients including the National Alliance on Mental Illness (NAMI), the American Psychiatric Association, Whitman College (two higher ed marketing awards), and University of Puget Sound. Moe has hosted three national public radio programs, Wits, Marketplace Tech, and Weekend America, and he created and hosted the groundbreaking podcast, The Hilarious World of Depression (Webby Award). His writing has appeared in numerous publications, including The New York Times Magazine and McSweeney's. He is the author of four books, including the WSJ bestseller, The Hilarious World of Depression. Moe has delivered speeches on mental health all over the country.The Hilarious World of Depression was launched in late 2016 and was an instant success, quickly reaching the number two spot on the Apple Podcasts chart, garnering millions of downloads, and receiving widespread press coverage. It was based on the idea that depression is a lot more common than people realize, especially among celebrities and entertainers like comedians and musicians, and that open conversations on this often taboo topic could be a healing experience. The show won the Webby Award for Best Comedy Podcast in 2017 and led to a critically-acclaimed bestselling book of the same name in 2020.Our Whitman, My Story was conceived in collaboration with the communications staff at Whitman College in Walla Walla, Washington. The small school had a challenge: how to attract applicants from around the world and how to get admitted students to actually enroll. The unhosted podcast series featured profiles of a diverse group of students, the kind of people who could be friends once a student arrived on campus. The podcast, which was renewed for a second season, won the CASE Circle of Excellence Award and the Educational Advertising Award. The success of the Whitman series led to another podcast at the University of Puget Sound featuring students, faculty, and alums as part of the school's capital campaign. Depresh Mode with John Moe is a mental health interview podcast program produced in conjunction with Maximum Fun, an employee-owned co-op podcast network. Drawing on his extensive connections in the entertainment industry, John Moe has interviewed celebrities such as Jamie Lee Curtis, Patton Oswalt, and David Sedaris and won an...

Dr. Judith Cook (University of Illinois Chicago) joins Dr. Dixon and Dr. Berezin to discuss an intervention designed to help improve financial literacy and competency and reduce economic strain for people receiving services for psychiatric disorders. Transcript 00:57     Psychiatric services research 02:05     Clinical work and Thresholds 03:46     Current role 04:23     Why does financial wellness matter for this population? 06:43     Psych rehab 08:05     Spending triggers 10:59     A psych rehab framework 12:53     Financial wellness 14:10     Beyond trans-diagnostic 16:24     The curriculum 20:10     Receiving a good financial education 21:32     Top line findings of the trial 25:07     The emotional context of financial wellness 25:55     Trained peer instructors 27:34     Policymaker takeaways 30:30     Financial literacy does not imply financial wellness 32:07     Small goals towards financial wellness  Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Introduction:* Hi there, and welcome—or welcome back—to Authentically ADHD! I'm [Your Name], your host, fellow ADHDer, and your guide through the beautifully chaotic, wildly creative, and sometimes frustrating world of the ADHD brain.* Now, let me ask you something—have you ever heard someone say, “ADHD isn't real, it's just an excuse,” or “Oh, everyone gets distracted sometimes”? Maybe you've even doubted yourself, wondering, Am I really struggling, or am I just not trying hard enough?* Well, my friend, if any of that sounds familiar, you're in the right place. Today, we're diving headfirst into the tangled web of myths and misconceptions that surround ADHD—the ones that leave people feeling misunderstood, dismissed, and frustrated.* But here's the good news: we're bringing the facts. The real, science-backed, brain-imaging, peer-reviewed, expert-approved truth about ADHD. Together, we're going to bust these myths wide open and replace them with knowledge, empowerment, and maybe even a few lightbulb moments along the way.* Are you ready? Lets get started!Segment 1: Debunking Common MythsADHD has been misunderstood for decades, leading to myths that undermine the experiences of those who live with it. In this segment, we'll break down two of the most common and damaging misconceptions about ADHD, using historical context and scientific research to separate fact from fiction.Myth 1: ADHD Isn't a Real Disorder—It's Just an Excuse for LazinessOne of the most pervasive myths about ADHD is that it isn't a legitimate medical condition—that it's just an excuse for laziness, lack of motivation, or poor self-control. But the reality is that ADHD has been recognized as a neurodevelopmental disorder by leading medical organizations, including the American Psychiatric Association (APA) and the World Health Organization (WHO).Historical Context & Scientific RecognitionADHD has been documented for centuries. As early as 1798, Scottish physician Sir Alexander Crichton described a condition in children characterized by inattentiveness and restlessness. In the early 20th century, researchers began studying what was then called “Minimal Brain Dysfunction,” a term that later evolved into ADHD as our understanding of the condition deepened.In 1968, the American Psychiatric Association formally recognized what we now know as ADHD in the second edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-II), calling it “Hyperkinetic Reaction of Childhood.” Over the decades, extensive research has led to refinements in the diagnostic criteria, demonstrating that ADHD is not just a childhood disorder but one that persists into adulthood for many individuals.Neurological Studies & Brain Imaging EvidenceThanks to advancements in neuroscience, we now have concrete evidence that ADHD is a real, measurable brain-based disorder. Brain imaging studies, including fMRI (functional magnetic resonance imaging) and PET (positron emission tomography) scans, have revealed key differences in the brains of individuals with ADHD compared to neurotypical individuals.* Structural Differences: Research shows that people with ADHD often have smaller volumes in certain brain regions, particularly the prefrontal cortex, which is responsible for executive functions like planning, impulse control, and attention regulation.* Dopamine Deficiency: ADHD is closely linked to dysfunction in the brain's dopamine system. Dopamine is a neurotransmitter that plays a crucial role in motivation and reward processing. In people with ADHD, dopamine transporters clear the neurotransmitter too quickly, leading to difficulties with sustained attention, impulse control, and task persistence.* Delayed Brain Maturation: Studies have shown that the brains of children with ADHD tend to develop more slowly in key areas related to self-regulation and decision-making. This doesn't mean they're incapable—it just means their developmental timeline is different.So, ADHD isn't an excuse—it's a well-documented neurodevelopmental condition backed by decades of scientific research.Myth 2: ADHD Is Just a Lack of Discipline or Bad ParentingAnother damaging misconception is that ADHD is caused by a lack of discipline or ineffective parenting. This myth suggests that children (and adults) with ADHD simply need to “try harder” or that parents should be stricter to “fix” their child's behavior. However, scientific research overwhelmingly shows that ADHD is rooted in biology, not upbringing.Biological & Genetic FactorsADHD has a strong genetic component, meaning that if a parent has ADHD, their child is significantly more likely to have it as well. Studies estimate that ADHD is about 70-80% heritable, making it one of the most genetically influenced neurodevelopmental disorders.Twin studies have been particularly revealing:* Identical twins (who share nearly 100% of their genes) are much more likely to both have ADHD than fraternal twins (who share about 50% of their genes).* Adoption studies show that children with ADHD are more likely to have biological parents with the condition, regardless of their adoptive environment.Beyond genetics, prenatal and early life factors can also contribute to ADHD, such as:* Premature birth or low birth weight* Prenatal exposure to nicotine, alcohol, or environmental toxins* Differences in brain chemistry and structure that affect attention and impulse controlWhy the Parenting Myth PersistsADHD symptoms—such as impulsivity, inattention, and hyperactivity—can often be mistaken for behavioral issues caused by poor discipline. However, research shows that even children raised in highly structured, nurturing environments can still exhibit ADHD symptoms due to the biological nature of the disorder.That said, while parenting does not cause ADHD, it can influence how symptoms manifest. Parenting strategies that focus on understanding, routine, and positive reinforcement can help manage symptoms, but they don't "cure" ADHD.So, next time someone says ADHD is just a discipline issue, remember: it's a neurobiological condition that has been extensively studied, and science proves that it's much more than just “bad behavior.”Segment 2: Understanding ADHD Brain FunctionAlright, now that we've cleared up some of the most damaging myths about ADHD, let's get into the fascinating science of how the ADHD brain actually works. Because trust me—once you understand what's happening behind the scenes, everything starts to make a whole lot more sense.Brain Differences in ADHDOne of the biggest misconceptions about ADHD is that it's just a behavioral issue—when, in reality, it's deeply rooted in brain structure and function. Scientists have spent decades studying ADHD using advanced neuroimaging techniques like MRI and PET scans, and the results are eye-opening.Structural & Functional DifferencesStudies have shown that individuals with ADHD often have differences in the size and activity of certain brain regions compared to neurotypical individuals. Some of the most notable differences include:* Prefrontal Cortex: This is the brain's “CEO” responsible for decision-making, impulse control, focus, and organization. In people with ADHD, this area tends to be smaller and less active, which explains why things like planning, time management, and staying on task can be so challenging.* Basal Ganglia: This region plays a role in movement and reward processing. Researchers have found that people with ADHD often have differences in basal ganglia activity, which can contribute to hyperactivity and difficulty with delayed gratification.* Corpus Callosum: This is the bridge that connects the left and right hemispheres of the brain. Studies suggest that in ADHD, there may be differences in the communication between the two sides, which can affect how efficiently the brain processes information.But the real kicker? It's not just how the ADHD brain is structured—it's how it communicates internally through neurotransmitters like dopamine and norepinephrine.Dopamine & Norepinephrine: The ADHD Brain's Chemical MessengersDopamine and norepinephrine are neurotransmitters, which are basically tiny messengers that help brain cells communicate. In ADHD, the way these chemicals are processed is different, leading to some of the core symptoms of the condition.* Dopamine: This neurotransmitter plays a major role in motivation, reward, and pleasure. In the ADHD brain, dopamine is often not regulated efficiently, meaning that everyday tasks don't provide the same sense of reward or urgency. That's why boring tasks feel physically painful to start—but something exciting? Instant hyperfocus.* Norepinephrine: This is involved in alertness and attention. In ADHD, there may be lower levels of norepinephrine, making it harder to sustain focus and filter out distractions.So, when people say, “You just need more discipline!”—nope. The ADHD brain is literally wired differently, and it's not a matter of willpower, but of brain chemistry.Executive Function Challenges: Why Organization, Planning & Impulse Control Are HarderNow, let's talk about executive function—because if you have ADHD, this is where the struggle gets real.What Are Executive Functions?Executive functions are the brain's self-management system—the skills that help us plan, prioritize, remember things, control impulses, and regulate emotions. Imagine them like the air traffic control center of your brain, making sure all your mental planes take off and land at the right time.In ADHD, this system doesn't operate as smoothly. It's like running airport operations during a thunderstorm—flights (aka thoughts) get delayed, rerouted, or crash into each other.How ADHD Affects Executive FunctionLet's break down three major executive function challenges and how research helps explain them:* Impulse Control & Inhibition* The prefrontal cortex (which helps with self-control) is less active in ADHD brains. This means impulsivity can take over—blurting things out, interrupting, acting before thinking.* Studies show that people with ADHD struggle more with delayed gratification, meaning the brain craves immediate rewards rather than long-term goals.* Working Memory & Mental Organization* Working memory is what helps us hold information in our minds while we use it—like remembering why you walked into a room or following multi-step directions.* Research shows that ADHD brains have weaker working memory abilities, which explains why you can read an email and forget what it said seconds later.* Planning & Time Management* Time perception in ADHD is fundamentally different. The ADHD brain doesn't track time linearly—it's either Now or Not Now.* MRI studies show less activation in the brain's time management areas, which explains why deadlines feel so distant—until they suddenly don't, and it's a full-blown panic.Real-World ExampleLet's say you have a report due in two weeks. A neurotypical brain naturally breaks it down: Start researching today, write a draft next week, and finalize it before the deadline.But an ADHD brain? It's like: ❌ “Plenty of time, I'll get to it later…” ❌ Forgets about it entirely. ❌ Remembers the night before and enters full panic mode.This isn't laziness—it's an actual difference in brain processing.Final Thoughts for This SegmentThe more we understand the science behind ADHD, the more we can work with our brains instead of against them. The next time you feel frustrated with yourself for forgetting something or struggling to focus, remember—it's not a character flaw. It's brain wiring.And the best part? Once you understand how your brain works, you can start using strategies that actually help. We'll get into that soon, but first—let's talk about the impact of these myths and misunderstandings on people with ADHD.Segment 3: The Impact of Myths on Individuals with ADHDAlright, now that we've broken down what ADHD actually is—and what it isn't—let's talk about something just as important: how these myths affect the people who live with ADHD every single day. Because as much as misinformation is frustrating, it's also harmful. The stigma and misunderstandings surrounding ADHD don't just exist in conversations or on social media—they have real, lasting consequences on self-esteem, relationships, education, and even career opportunities.The Weight of Stigma: The Psychological Toll of ADHD MythsImagine being told your whole life that you're just not trying hard enough. That if you cared more or were more disciplined, you'd be fine. For many people with ADHD, this is their reality. And over time, that kind of messaging doesn't just hurt—it starts to shape the way you see yourself.Research shows that individuals with ADHD are at a higher risk of developing anxiety, depression, and low self-esteem, often because they've internalized these damaging narratives. When society tells you that ADHD isn't real, or that you're just being lazy, it's easy to start believing it yourself.Personal Stories: Living in the Shadow of MisinformationLet me share a story—one that might sound familiar to a lot of you.Take Sarah, for example. She was diagnosed with ADHD in her late 20s after struggling for years in school and at work. Growing up, she was always told, “You have so much potential if you'd just apply yourself.” Teachers called her distracted and unfocused, and when she forgot assignments or lost track of time, they chalked it up to irresponsibility.By the time she got to adulthood, she believed she was just bad at life. She thought she was a failure because no matter how hard she tried, she couldn't keep up with deadlines, stay organized, or focus in meetings. When she finally got diagnosed, it was a relief—but also heartbreaking. She realized she had spent years blaming herself for something that wasn't her fault.Stories like Sarah's aren't uncommon. The lack of understanding about ADHD doesn't just cause frustration—it can lead to deep feelings of shame and inadequacy. And when people don't have access to the right information, they might not seek the help they need, delaying proper treatment and support.This is why busting these myths matters. Because when we replace misinformation with education, we empower people to see their ADHD not as a flaw, but as a different way of thinking that comes with its own strengths and challenges.Segment 4: Dispelling Myths with ScienceNow that we've explored the harm that myths can cause, let's shift gears and talk about what actually works. ADHD isn't just “solved” by working harder or forcing yourself to focus—it requires evidence-based strategies that help support brain function, reduce symptoms, and make everyday life more manageable.Evidence-Based Treatments for ADHDDespite what some might say, ADHD is treatable. No, there's no magic “cure” that will make it disappear, but there are science-backed approaches that can significantly improve focus, impulse control, and overall well-being.1. Medication: A Tool, Not a CrutchADHD medications—like stimulants (such as Adderall and Ritalin) and non-stimulants (like Strattera)—help regulate dopamine and norepinephrine levels in the brain. And despite common myths, they aren't about dulling someone's personality or making them dependent.Instead, think of medication as glasses for the ADHD brain—they don't change who you are, but they help things come into focus. Studies show that stimulant medications are effective for about 70-80% of people with ADHD, improving focus, impulse control, and working memory.2. Behavioral Therapies: Rewiring the ADHD BrainCognitive Behavioral Therapy (CBT) and ADHD coaching are powerful tools that help people develop skills to manage symptoms. Therapy can help with:* Time management and organization strategies* Emotional regulation techniques* Reframing negative self-talk that stems from years of feeling “not good enough”3. Lifestyle Adjustments: Daily Habits That Make a DifferenceADHD management goes beyond just medication and therapy—small lifestyle changes can make a huge impact. Some research-backed strategies include:* Exercise: Regular movement helps boost dopamine and improve focus.* Sleep hygiene: ADHD brains often struggle with sleep regulation, but prioritizing rest can help with focus and impulse control.* Diet and nutrition: While food isn't a “cure,” balanced meals with protein and healthy fats can support brain function.Educational & Workplace Accommodations: Setting People Up for SuccessOne of the most damaging myths about ADHD is that people just need to “push through” and “work harder” to succeed. But the truth is, when people with ADHD get the right accommodations, they thrive.1. ADHD in School: The Power of AccommodationsIn educational settings, simple supports can make a world of difference. Some examples include:* Extended time on tests or assignments to accommodate slower processing speeds.* Alternative work environments (like quiet spaces) to reduce distractions.* Access to audiobooks or speech-to-text software for students who struggle with reading or writing.Studies have shown that students with ADHD perform significantly better when given these accommodations—proving that the issue isn't about intelligence or effort, but about creating the right environment for learning.2. ADHD in the Workplace: Creating an ADHD-Friendly Career PathMany adults with ADHD struggle in traditional 9-to-5 jobs, not because they're incapable, but because workplaces aren't always designed for neurodivergent minds. Some game-changing accommodations include:* Flexible work schedules (because forcing focus at 8 AM doesn't work for everyone).* Task management tools and deadline reminders to support executive function.* Clear, written instructions rather than relying solely on verbal communication.Companies that implement ADHD-friendly policies often see higher productivity and job satisfaction from employees with ADHD. Because when people are supported, they do their best work.Final Thoughts: ADHD is Real, and So Are the SolutionsSo, let's bring it all together. ADHD is real, it's biological, and it's not caused by laziness or bad parenting. Myths and misinformation can be damaging, but when we replace them with knowledge and understanding, we empower individuals with ADHD to embrace who they are and access the support they deserve.If you take away one thing from this episode, let it be this: You are not broken. You are not lazy. Your brain just works differently—and that's okay. With the right tools, strategies, and support, you can build a life that works with your brain, not against it.

In today's media, it is impossible not to see an ad for the latest gambling service. If you don't already know, gambling is risking money or something of value on an event with an unknown outcome and can be done both online and in-person, on anything from slot machines to a sports game. While it may seem fun to win some money on something, gambling comes with a bunch of risks, and it's not just losing money.    Links: If you or someone you know might struggle with gambling visit https://www.nhproblemgambling.org/ for information and resources Explore psychology resources and therapy services on Psychology Today's website Explore Gamblers Anonymous website for resources and services Check out TCU University for financial education tips and resources! Follow us on Facebook, Instagram and Twitter! Learn more about Triangle Credit Union  Transcript: Welcome to Money Tip Tuesday from the Making Money Personal podcast.      If you decide to gamble, it is very important to gamble safely. Before you try your luck, consider setting some guidelines to stick to. Limit how much you want to gamble, and don't exceed that limit. If you have the unfortunate experience of losing all the money you set aside to gamble, walk away. Don't put any more money down to chase a win. If you decide to gamble, keep it in a social setting with supportive friends who can help you stick to your plan. Also, try to avoid excessive alcohol and drug use while gambling, as that might influence you to make rash decisions and gamble more.    While most people who have placed a bet have done so without problems, some have gone on to develop a gambling addiction.  The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, which is a diagnostic tool published by the American Psychiatric Association, classifies gambling problems as an addictive disorder. Similarly to drugs and alcohol, a gambling addiction involves an increased tolerance that results in the feeling of gambling even more to feel satisfied. People with a gambling addiction who try to quit will go through similar withdrawal symptoms, such as an urge to gamble and irritability.     With unchecked gambling issues, it can quickly turn from a fun way to win or lose money to costing you a fortune, going into debt, mental health issues, and even bringing harm to your friends and family. The first part is obvious: the more you gamble, the more likely you will lose more and more money. Watching your finances go down the drain will impact your mental health. Often when this happens, a gambling addict will keep going back in an attempt to win their money back. This spiraling behavior can strain your loved ones, especially your family or people who might rely on you.    An estimated 0.4% to 2% of the world's population has a gambling addiction. You are more likely to develop a gambling addiction if you have any other addictions or have a psychiatric condition. For example, an estimated 4% of people treated for substance abuse also have a gambling addiction. A lower income is also linked to having a gambling addiction, as people are looking for a big win to give them a step up.    If you believe you may have a gambling problem or addiction, there are options to help you. Going to therapy is a significant first step. Many therapists are knowledgeable about gambling addictions and trained to help you overcome them. You can visit psychologytoday.com to find the right therapist for you. There are also support groups like Gamblers Anonymous, where you can talk to other people with gambling problems and share experiences.    Gambling can be fun, but it's risky. Please play responsibly.    If there are any other tips or topics you'd like us to cover, let us know at tcupodcast@trianglecu.org. Also, remember to like and follow our Making Money Personal Facebook and Instagram to share your thoughts. Finally, remember to look for our sponsor, Triangle Credit Union, on Facebook and LinkedIn.           Thanks for listening to today's Money Tip Tuesday. Check out our other tips and episodes on the Making Money Personal podcast.

How do you stop porn addiction—for good?Most men never stop their porn addiction, and it's not because they're weak. It's because they're using outdated tools to fight a deeply wired, incredibly difficult problem. In this video, Craig Perra—world-renowned coach and founder of The Mindful Habit System—shares the 5 essential steps that have helped thousands of men overcome porn addiction and transform their lives.

Dr. Valentina Mancini (Oxford University) joins AJP Audio to discuss the impact of anticholinergic burden on cognition in patients with schizophrenia.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the March issue into context. 00:32     Mancini interview 02:26     Anticholinergic burden method of action 02:58     Balancing the impact of side effects in schizophrenia treatment 04:52     Limitations 05:34     The need for further studies 05:59     Clinical implications 06:32     Further research 07:01     Trials needed 07:54     Kalin interview 08:03     Mancini et al. 11:23     Tiihonen et al. 13:43     Zhou et al. 16:28     Omlor et al. 18:51     Orhan et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

André, The Impulsive Thinker™, sits down again with Dr. William Dodson, a pioneer in ADHD treatment, for a deep dive into the unique challenges that ADHD Entrepreneurs face when it comes to procrastination and productivity. They break down Dr. Dodson's concept of the ADHD interest-based nervous system, exploring how factors like urgency and passion influence task engagement. Learn why overcoming inertia is the true hurdle for ADHD minds and how you can reverse-engineer productivity by starting from your goals. Tune in to transform the way you tackle tasks and navigate your entrepreneurial journey with ADHD.   The ADHD Simplified™ online course is coming soon!  Get on the waitlist (and get a special discount)! Download The Sh!t List™, my weekly planning tool.  We want to hear from you! Send show ideas, questions, or feedback to podcast@theimpulsivethinker.com and join our newsletter Impulsive Thoughts. Watch the podcast on YouTube and connect with me on LinkedIn. Check out our website. Guest: Dr. William Dodson is a board-certified adult psychiatrist who began specializing in adults with ADHD 25 years ago. Throughout his illustrious career, Dr. Dodson has been a pivotal figure in the field of adult ADHD. In recognition of his significant contributions, he was named a Life Fellow of the American Psychiatric Association in 2012.

Today, I have the privilege of speaking with Dr. Drew Ramsey, a board-certified psychiatrist, author, and a leading voice in nutritional psychiatry and integrative mental health.  With over 50 million Americans facing mental health challenges, Dr. Ramsey and I discuss the effects of loneliness, connection, and the quality of attachment. We explore the importance of boundaries and self-awareness, as well as the stigma surrounding mental health issues, and we dive into public awareness of mental health, factors that negatively affect brain health, and the crucial role of sleep in overall well-being. Our conversation also includes insights on how to find high-quality mental health care from qualified professionals, and we look at protective factors for our brains, like neuroplasticity, inflammation reduction, and maintaining a diverse microbiome.  I hope you find this insightful discussion with Dr. Ramsey as valuable, engaging, and enlightening as I did while recording it. IN THIS EPISODE YOU WILL LEARN: The challenges of being in a caregiving role Perimenopause and the impact on women's health Dr. Ramsey explains the concept of interpersonal psychotherapy Why self-awareness is necessary for improving mental health How social media and modern lifestyles impact mental health Urban living and its impact on sleep and mental health Mental health benefits of maintaining a diverse microbiome and avoiding ultra-processed foods Strategies for improving sleep quality Why personalized mental health treatments are essential The role of psychedelic medicine in mental health treatments Bio: Dr. Drew Ramsey Drew Ramsey, MD, is a board-certified psychiatrist, author, and leading voice in Nutritional Psychiatry and integrative mental health. He is a Fellow of the American Psychiatric Association and the founder of the Brain Food Clinic and Spruce Mental Health. For twenty years, he served as an assistant clinical professor of psychiatry at Columbia University, where he taught and supervised psychotherapy and nutritional psychiatry. Dr. Ramsey has authored five books, including Healing the Modern Brain, and three e-courses. He is a dynamic speaker, podcast host, and educator who has delivered three TEDx talks, and his work has been featured by The New York Times, The Wall Street Journal, the Today Show, NPR, and other notable outlets. He lives in Jackson, WY, with his wife and family. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Drew Ramsey On his website On Instagram Healing the Modern Brain: E-course  Healing the Modern Brain: Nine Tenets to Build Mental Fitness and Revitalize Your by Drew Ramsey, M.D. is available anywhere books are sold

Send us a textThe next episode will explore how to avoid the devastating psychological impacts of disasters. A native of Long Island, New York, Dr. Katz attended Harvard College and went on to Columbia University where he obtained his medical degree, completed his psychiatric residency training and served as chief resident in psychiatry. He subsequently completed a fellowship in forensic psychiatry at NYU. Dr. Katz has a private practice in general and forensic psychiatry in Manhattan and is a former President of the New York County District Branch of the American Psychiatric Association as well as a Distinguished Fellow of the APA.  Dr. Katz is married to Linda, a pediatrician and a child psychiatrist who is herself Chair of the Disaster Committee of the American Academy of Child and Adolescent Psychiatry, and is the proud father of twenty-two-year-old Maya (whose travelled with him to Haiti and Japan and studies international relations) and eighteen-year-old Lev (whose travelled to Japan).https:/natureandsciencepodcast.com

This is the Weight and Healthcare newsletter. If you like what you are reading, please consider subscribing and/or sharing!Content note: this piece will discuss research around binge eating, including behaviors and frequency. In part 1, we looked at the authors and methodology of a 2024 study called “Evaluating dietary restriction as a maintaining factor in binge-eating disorder” by Bartholomay et al., whose authors claim that the findings “challenge the assumption that dietary restriction maintains BE [binge eating] among all individuals with BED [Binge Eating Disorder]. Rather, results suggest that dietary restriction may be largely unrelated to BE maintenance in this population, and that reducing dietary restriction generally does not have the intended effect on BE frequency.”Too Long Didn't Read Version:When analyzing research, it's important to check to see if the research that the authors cite to support their claims actually does support their claims. In this case, these authors are drawing large, broad-based conclusions that would support a weight-centric/weight-loss paradigm based on small, short-term, and decades old studies that offer only weak conclusions. They are also completely ignoring the success of a weight-neutral intervention that is included in on of the studies they cite. Let's dig in!When I teach research analysis, I recommend checking something I call “The Do-Do's” which encompasses two questions: Do the citations support the claims? Do the study data support the results?In this part of our three-part analysis, we're going to examine the first question. Regular readers may have noticed me pointing out in my analyses how often the studies that are cited don't support the claims. In the case of this study, the question “do the citations support the claims” is particularly important since they are using them to bolster a very limited experimental design, so I've devoted this section to some examples.Bartholomay et al. claim:“randomized controlled trials conducted among individuals with overw*ight and ob*sity demonstrate that assignment to a low-calorie weight loss diet (e.g., 1200 calories per day) produced greater decreases in binge-eating symptoms than assignment to a wait list control group (Goodrick et al., 1998; Klem et al., 1997; Reeves et al., 2001).”What I want to note here is that the study authors have created a false binary between low calorie weight loss diets and wait list control group which would be bad enough. In this case, they've done so by blatantly ignoring the inclusion of a weight-neutral intervention in the very first study they cited.Let's look at the three studies they cited to, in theory, support this claim:The first study they cite is1998 Nondieting versus dieting treatment for overw*ight binge-eating womenG K Goodrick 1, W S Poston 2nd, K T Kimball, R S Reeves, J P ForeytDOI: 10.1037//0022-006x.66.2.363This study evaluated non dieting vs dieting treatment for what they described as “overw*ight binge-eating women.” There were 219 subjects and they were assigned randomly to diet treatment, non-diet treatment, or wait-list control (which is a form of control group in which participants are told that they were on a wait list for the intervention, while being offered no intervention.)The diet intervention was a restricted diet “reinforced with behavioral strategies” and the non-diet treatment was “therapy designed to help participants break out of their dieting cycles.” It involved 18 months of contact - 6 months of treatment followed by 26 bi-weekly maintenance meetings. They checked in on the subjects 6 months later and 18 months later and at both follow-up points the Binge Eating Scale of both the diet and non-diet group was significantly better than the weight list group and at 18 months both experienced weight gain. They concluded that “Results indicate that neither intervention was successful in producing short- or long-term weight loss.”I would suggest that this means that the weight loss intervention is a failure since its goal was weight loss and binge eating reduction but the non-diet intervention was a success since it's goal was to reduce binge eating disorder. I would also suggest that it may have been more effective if the therapy included more specific techniques to reduce binge eating.What it means for sure is that a higher-weight cis woman (the only group included in the sample and thus the only group we can draw conclusions about) who wants to reduce binge eating without risking the experience of another failed diet (and the physical and psychological risks that can come with it) would be best served by a non-diet approach.Second, they cite:1997 A descriptive study of individuals successful at long-term maintenance of substantial weight lossM L Klem 1, R R Wing, M T McGuire, H M Seagle, J O HillDOI: 10.1093/ajcn/66.2.239The study discusses the ridiculous National Weight Control Registry (NWCR) which I often use as a peak example of the embarrassingly poor methodology that gets passed off as research in the weight-centric paradigm. I've written about it in detail previously but the short story is that they collect commonalities among an incredibly small group of dieters (literally 10,000 out of what is estimated to be over a billion attmpts) and then make unsupportable claims about those commonalities. I am unclear why Bartholomay et al cited this since the only reference to binge eating disorders is two studies that happened to include those who binge that tracked the mean lifetime weight loss of participants in order to compare it to the mean lifetime loss claimed in the NWCR. Not only could I find no claim here about whether weight loss attempts impacted binge behaviors, what I did find was that:”20% of the sample indicated a worsening in time spent thinking about weight and 14% reported a worsening in time spent thinking about food.”I would argue that, being as generous as I possibly can, this study has nothing to do with the authors claims and, being a bit less generous, this could be seen as a bit of a refutation of the claims.And this is why we check the references. Finally they cite2001 Nutrient intake of ob*se female binge eatersR S Reeves 1, R S McPherson, M Z Nichaman, R B Harrist, J P Foreyt, G K GoodrickDOI: 10.1016/S0002-8223(01)00055-4In this very small, short study 46 cis women were given a behavioral self-management intervention (6 months of weekly, 1-hour classes taught by registered dietitians) and the other group was a wait list control group. The researchers wanted to measure any change in calories consumed, percentages of calories from fat, protein, and carbohydrates, grams of fiber per 1,000 calories and change in number of self-reported binge days.After 6 months they found no significant difference between nutrients in either group. The behavioral self management group reported a greater reduction in binge days than the control group.Their conclusion was quite weak, finding that “Our results suggest that collecting dietary information from participants identified with binge eating disorder is challenging. Dietitians who conduct behavioral weight management programs may require additional training in identifying and understanding the psychological characteristics of participants with binge-eating disorder.”For this conclusion to have merit, behavioral weight management programs would have to be effective and there is no research supporting that and plenty suggesting that it is not.Overall these studies are small, short term, and quite old. The most recent was conducted about 24 years ago. It makes me wonder if there really isn't more recent data, or if more recent data exists but didn't support their conclusion? Also, remember that Barholomay et al. claimed “randomized controlled trials conducted among individuals with overw*ight and ob*sity demonstrate that assignment to a low-calorie weight loss diet (e.g., 1200 calories per day) produced greater decreases in binge-eating symptoms than assignment to a wait list control group.”I think their claim is seriously overstated. First of all, they should have been clear that this was the case in short-term, small sample studies. They also failed to mention that a non-diet treatment also produced greater decreases in binge-eating symptoms than in weight list control group - I wonder why they left that out of everything?Ok, let's look at another claim from Bartholomay et al.. They claim that adolescent girls with BN (which they explain is “bulimia nervosa, a disorder characterized by both binge eating and extreme compensatory behaviors; American Psychiatric Association, 2013”) who were assigned to participate in a healthy dieting intervention promoting weight control through moderate reductions in caloric intake, exhibited greater reductions in binge eating than girls who were assigned to a wait list control group.The first issue here is the claim that there is any such thing as a “healthy dieting intervention.” This is, in fact, a claim and not a fact, and it requires evidentiary support, which they don't offer. They don't even offer a definition of “healthy” nor proof that this intervention is, in fact, healthy by any definition. Again as we often see in research propping up the weight loss paradigm the authors have substituted “just saying stuff” for anything resembling scientific precision. In this case they are repeating a mistake originally made in the 2006 study they are citing by Burton and Stice called “Evaluation of a healthy-weight treatment program for bulimia nervosa: a preliminary randomized trial.” This study included 85 cisgender female participants with “full- and sub-threshold bulimia nervosa” who were randomly assigned to a 6-session “healthy dieting intervention” or a waitlist control group and assessed after a 3 month follow up. Their conclusion was that “These preliminary results suggest that this intervention shows potential for the treatment of bulimia nervosa and may be worthy of future refinement and evaluation. Results also provide experimental evidence that dieting behaviors do not maintain bulimia nervosa, suggesting the need to reconsider maintenance models for this eating disorder.”In using this study to support their claim, Bartholomay et al seem to be heavily glossing over words like “preliminary” and “may be worthy.” Also, even if we believe the results (without a deep dive into them) the fact that people on diets can suppress binging (or report suppressing binging) over 9 months is a far cry from showing what impact that restriction has over the long term.Back to Bartholomay et al., they make another claim that“Importantly, although longitudinal studies indicate that self reported dietary restraint predicts the future onset of binge-eating symptoms (Field et al., 1999; Killen et al., 1994; Stice, 2001; Stice et al., 2002), these results stand in stark contrast with findings from experimental treatment studies testing the causal effect of dietary restriction and restraint on the maintenance of binge eating.”This is an odd claim that, to me, is made with far too much confidence/bias. Longitudinal studies look at a longer time period, often quite a bit longer, than experimental treatments. Bartholomay et al. do not have a method to determine whether any difference is due to experimental design or simply due to the fact that experimental treatment studies capture a much shorter time frame. If what is true is that people who are on diets can suppress binge behaviors short term, but that the restriction drives additional binge behavior long-term, then the longitudinal studies could be more accurate.Let me offer an example to help illustrate the issue: It takes from 10-40 years for symptoms of asbestos conditions to appear. Let's stay that a study claimed “Importantly, although longitudinal studies indicate that exposure to asbestos causes mesothelioma, these results stand in stark contrast with findings from [6 month - 1.5 year] experimental treatment studies testing the causal effect of asbestos on mesothelioma, which found no relationship.”If the effect takes longer to appear than the time over which the experiments are conducted, there is a significant risk of missing the effect. That effect may be identified by longitudinal studies.Overall, I don't think the studies they are citing come anywhere close to, as they claim:“challenge the assumption that dietary restriction maintains BE [binge eating] among all individuals with BED [Binge Eating Disorder]. Rather, results suggest that dietary restriction may be largely unrelated to BE maintenance in this population, and that reducing dietary restriction generally does not have the intended effect on BE frequency.”In part 3 we'll investigate to see if the rest of the article's data supports their conclusions. Did you find this post helpful? You can subscribe for free to get future posts delivered direct to your inbox, or choose a paid subscription to support the newsletter (and the work that goes into it!) and get special benefits! Click the Subscribe button below for details:Liked the piece? Share the piece!More researchThe Research PostMore resourcesThe Resource Post*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings' Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison' Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

Today, I have the pleasure of connecting with Dr. Sue Varma. Dr. Varma is a privately-practicing board-certified psychiatrist and a Clinical Assistant Professor of Psychiatry at New York University. She is a nationally acclaimed keynote speaker, medical contributor, media consultant, and advisor to leading television networks and programs. In our discussion today, we examine the impact of shared life experiences like 9/11 and the pandemic, exploring the role of PTSD and the effects of practical optimism, self-care, and self-reliance. We discuss optimism, its inheritability, and the significance of milestones for women, including transitioning from high school to college, navigating midlife, and addressing feelings of loneliness. We also look into purpose and compassion, the complexities of processing emotions, the challenges of the perfectionism façade, the role of trauma, ACE scores, autoimmunity, and the benefits of mindfulness and meditation.  Stay tuned for more! IN THIS EPISODE YOU WILL LEARN: Dr. Varma discusses the collective sense of grief, fear, connection, and empathy after 9/11 and the pandemic The importance of optimism and resilience when dealing with tragedy How Dr. Varma helps her patients identify their blind spots and other areas for improvement in their lives How perimenopause can bring about a sexual awakening and increased desire for intimacy but also loneliness and dissatisfaction in relationships Why friendships are essential for our well-being Why do we need to invest in different types of connections and relationships? The critical importance of finding purpose in life  How unprocessed emotions affect our mental and physical well-being How trauma impacts mental health Some practical tips for incorporating mindfulness into daily life  The benefits of meditation Bio: Dr. Sue Varma is a board-certified psychiatrist in private practice and a Clinical Assistant Professor of Psychiatry at New York University (NYU) Langone Health. She is a Distinguished Fellow of the American Psychiatric Association. Dr. Varma was the first medical director and attending psychiatrist at the World Trade Center Mental Health Program at NYU Langone Health, treating civilians and first responders in the aftermath of 9/11. Dr. Varma is a nationally acclaimed keynote speaker, medical contributor, media advisor, and consultant to major networks and shows. She regularly appears on the Today Show, Nightly News, CBS Mornings, and Good Morning America and is frequently interviewed by Time, Washington Post, NPR, and beyond. Dr. Varma is the recipient of numerous prestigious awards for her ground-breaking efforts in mental health education and advocacy, including a Sharecare Emmy. Her forthcoming book, “Practical Optimism,” is eagerly anticipated worldwide, with translations in several languages. Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Sue Varma On her website Instagram Facebook Twitter LinkedIn Dr. Varma's book, Practical Optimism:  The Art, Science, and Practice of Exceptional Well-Being

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Many therapists and psychiatrists dream of running their own private practice—setting their own hours, choosing their clients, and working independently. But what happens when the reality doesn't match the dream? In this episode, Dr. Choulet pulls back the curtain on what it really takes to run a successful private practice—especially one that operates on a cash-pay model. Spoiler alert: It's not just about being a great clinician. If you're not passionate about networking, marketing, and building your brand, you may struggle to make it work. Dr. Choulet shares why niching down is a game-changer, how branding can make or break your success, and why investing in your visibility is just as important as your clinical skills. She's built a thriving practice that serves high-profile clients, from professional athletes to business executives, and she's here to share her biggest lessons—so you can decide if private practice is the right move for you. If you've ever wondered why some private practices thrive while others barely survive, this episode is for you. Resources Mentioned In This Episode Read the full show notes here Use the promo code "GORDON" to get 2 months of Therapy Notes free Website Design Packages from Inflow Google Ads for Therapists Start Consulting with Gordon The PsychCraft Network Mental Health Wear TN Meet Dr. Brook Choulet Dr. Brook Choulet, M.D., The Performance Psychiatrist™, is the founder and CEO of the Choulet Performance Psychiatry®, President of the Maricopa County Medical Society Foundation, and President of the American Board of Sports and Performance Psychiatry, of which she is one of the seven founding members. With a focus on concierge Performance Psychiatry®, Dr. Choulet guides professionals, athletes, and their families towards unparalleled mental health and performance optimization by offering bespoke mental health care services for both adolescent and adult patients. She holds a Certificate of Additional Training in Sports Psychiatry from the International Society for Sports Psychiatry (ISSP) and is a preferred provider on the NBPA, NFLPA, USSF, USOPC, and MLBPA's Mental Health Directories. Dr. Choulet's expertise has been pivotal in shaping mental resilience in sports at its highest level, and she worked for two seasons as a Consulting Team Psychiatrist for the NBA Phoenix Suns and WNBA Phoenix Mercury. Dr. Choulet is a regular contributor to Forbes SportsMoney and is a Forbes Health Advisory Board member who reviews and consults on Forbes Health articles. She also contributes her expertise to the American Psychiatric Association's publications and Psychology Today's Sports & Performance Psychiatry column. She also provides expert advice each month to local Arizona publications, including Paradise Valley City Lifestyle Magazine, Stroll Biltmore, Stroll Desert Mountain, and Stroll Paradise Valley, as part of her commitment to cultivating the mental health and well-being of her local community. Website Facebook Instagram LinkedIn

Dr. Kevin Simon (Harvard Medical School and Boston Public Health Commission) joins Dr. Dixon and Dr. Berezin to discuss the processes behind and concerns surrounding involuntary psychiatric hospitalization. Transcript 01:03     Career path 03:42     Boston Public Health Commission 09:28     Collaborators 13:09     Section 12 16:14     Transportation 17:17     Rates of involuntary transport 22:29     Requests that don't end in transport 23:42     Police involvement Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Dr. William Horan (Bristol Myers Squibb) joins AJP Audio to discuss a newly approved, novel treatment for schizophrenia spectrum disorder, which has potential impacts for cognition in patients.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the March issue into context. 00:45     Horan interview 03:15     Novel mechanism of action in the treatment of schizophrenia 05:39     Side effect profiles 07:20     Clinical impacts 08:31     The need for further investigation 09:58     Limitations 11:05     Further research 13:08     Kalin interview 13:21     Horan et al. 17:34     Levenstein et al. 19:00     Fountoulakis et al. 20:57     Couture et al. 23:18     Stern et al. 27:35     McGirr et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Dr. Adrian Soto-Mota brings a unique blend of expertise as a practicing clinician, data specialist, researcher, and educator at the National Autonomous University of Mexico (UNAM), the largest university in Latin America. The Yale Food Addiction Scale (YFAS) (https://sites.lsa.umich.edu/fastlab/yale-food-addiction-scale/) is the most widely used food addiction screening tool worldwide. Dr. Soto-Mota utilized another food addiction screening technique, CRAVED (https://the-chc.org/assets/uploads/CRAVED%20Introduction%20and%20Notes%20for%20the%20User_Update_240506.pdf), a shorter yet effective screening method, in his research. His study distinguishes between binge-eating disorder and food addiction, highlighting key differences. While binge-eating disorder is recognized in the American Psychiatric Association's diagnostic manual, food addiction as a substance use disorder is not—an important distinction.  Having experienced childhood obesity himself, Dr. Soto-Mota understands the personal impact of food addiction and is deeply committed to addressing the ongoing childhood obesity crisis in Mexico. In May 2024, he participated in the IFACC conference in London, where he signed a groundbreaking Consensus Statement (https://heyzine.com/flip-book/a00ee3aa6c.html). This agreement, developed by 40 experts over many months, recognizes ultra-processed food addiction as a substance use disorder. The next IFACC London Conference is set for 2025: IFACC London Conference 2025 (https://the-chc.org/fas/conference), Dr. Soto-Mota emphasizes that while food addiction is not our fault, we have a personal responsibility to acknowledge it and take steps toward recovery to live healthier, fuller lives. Tune in to this insightful episode.

Welcome to "Ditch the Lab Coat," the podcast where we break down complex medical topics with leading experts shaping the future of healthcare. In today's episode, we're diving into the nuanced and critical conversation surrounding Fetal Alcohol Spectrum Disorder (FASD) with our distinguished guest, Dr. Susan Rich. With a career spanning decades, Dr. Rich is a trailblazer in child and adolescent psychiatry and an ardent advocate for public health. She's here to shine a light on prenatal alcohol exposure's often overlooked impacts on brain development. Did you know that not only alcohol consumed during pregnancy but even prior to conception can lead to multigenerational health issues? Dr. Rich unpacks how prevalent this is, affecting 1 in 20 children, yet remains largely unrecognized. Throughout our discussion, we'll explore systemic challenges, the myths perpetuated by the alcoholic beverage industry, and most importantly, the critical steps we need to take for prevention and support. Whether you're a healthcare professional, a parent, or just intrigued by one of public health's hidden crises, this episode promises to be both enlightening and empowering. Get ready for a thought-provoking journey as we seek a healthier future for the generations to come.Key Takeaways :The Hidden Impact of Alcohol on Fetal Development Dr. Susan Rich explains that fetal alcohol spectrum disorder affects approximately 1 in 20 children (5% of the population), with far-reaching consequences beyond the commonly known physical characteristics.Early Pregnancy Vulnerability Critical developmental impacts occur as early as the third to fourth week post-conception, often before women know they're pregnant. About 13.5% of childbearing age women in America binge drink, and approximately 50% of pregnancies are unplanned.Beyond Traditional Understanding While medical education traditionally focused on severe cases with facial deformities and intellectual disabilities, Dr. Rich reveals that only 10-15% of affected children show these classic features. The majority have neurodevelopmental issues without obvious physical signs.Male Factor Contribution Alcohol consumption by men up to three months before conception can affect sperm quality through epigenetic modifications, potentially making the embryo more susceptible to alcohol exposure during pregnancy.Economic and Social Impact The alcohol industry generates approximately $220 billion annually, while the cost of caring for just those with full fetal alcohol syndrome (not including the entire spectrum) was estimated at $5.4 billion as of 2003 data.Prevention and Treatment Approaches Dr. Rich advocates for better public health messaging, comprehensive support systems for affected children, and the need for healthcare providers to better understand and recognize the full spectrum of alcohol-related developmental disorders.03:14 - Alcohol's multigenerational impact explained.08:27 - Alcohol's epigenetic effects on offspring.13:17 - Unplanned pregnancies and fetal alcohol syndrome.15:33 - Neural crest and facial development.19:18 - Fetal alcohol, nutrition, and growth.23:04 - Dr. Kathleen Sulick's contributions.25:26 - Alcohol's impact on family events.28:38 - Alcohol's cultural role and societal effects.30:57 - Alcohol's toxicity and informed consent.34:05 - Liquor profits and education funding.37:35 - Rethinking alcohol's role in society.42:56 - Global epidemic: Fetal alcohol impact.45:05 - Supporting neurodivergent youth transitions.47:50 - Taxing alcohol to aid impoverished children.51:01 - Alcohol's Hidden Health Impacts.54:12 - Rethinking alcohol's impact on children.DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

In this episode of Association Tech Insider, we share actionable tips for optimizing your organization's data collection and management. From asking the right questions to secondary data sources, these quick wins will help you streamline your data quality efforts - for organizations of all sizes! Hosted by Jenny Johnson, CAE, Senior Director, Enterprise Services at the American Psychiatric Association and Dana Karstensen, Data Governance Product Manager at the American Society of Anesthesiologists.

In the words of my esteemed co-host, Anne Remy, “There's a difference between an elder and a person who is older than you.” Judith Lewis Herman, MD, is wise––a psychiatrist, professor, researcher, author, and advocate who helped establish the diagnosis of PTSD back before many of us were born. In addition to her work with veterans and children, Judith fundamentally altered the discourse around women's traumatic experiences and pioneered subsequent treatments for victims of abuse. How's that for street-cred sagacity!? I'd be remiss if I didn't mention that this is Anne Remy's final episode as co-host. Don't worry, it's all for good! You can find out more by tuning in. I couldn't think of a more fitting interview than this to close out Anne's incredible tenure. It's been my pleasure and privilege to share this virtual space with her. GUEST BIO Judith Lewis Herman, MD, is a part-time senior lecturer in psychiatry at Harvard Medical School. For 30 years until she retired, she was director of training at the Victims of Violence Program at the Cambridge Hospital in Cambridge, MA. She's the author of award-winning books, Father-Daughter Incest and Trauma And Recovery. She is the recipient of numerous awards, including a Guggenheim Fellowship in 1984 and the 1996 Lifetime Achievement Award from the International Society for Traumatic Stress Studies like that's life goals. In 2007, she was named a Distinguished Life Fellow of the American Psychiatric Association. Her new book, Truth And Repair: How Trauma Survivors Envision Justice was published in March 2023. Redefining the Future of Psychotherapy: From Disruption to Innovation Are you feeling the seismic shifts currently reshaping the therapy field? From AI to rising healthcare costs, our field is at a crossroads – but what if these disruptions weren't just challenges, but opportunities for transformation? I'm excited to introduce "Redefining the Future of Psychotherapy" – a groundbreaking 12-week program where I've partnered with organizational consultant Marc Mathys to help therapists navigate and thrive in these changing times. Together, we'll explore how cultural values and systemic forces are impacting mental health care. You'll learn to apply powerful frameworks like Spiral Dynamics to enhance your practice, transform challenges into opportunities, and develop practical strategies for both you and your clients. Starting February 13th, 2025, we'll meet virtually every Thursday for live, interactive sessions. You'll earn a Level 1 Certification in Spiral Dynamics, and up to 24 CEUs are available. This isn't just about surviving these tumultuous times – it's about working together to create positive change. Visit https://bit.ly/futureoftherapy to register today. SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review of this show *** Let's be friends! You can find us in the following places… Sarah's Website: https://www.headheartbiztherapy.com/podcast Facebook: https://www.facebook.com/HeadHeartBizTherapy/ Instagram: @headheartbiztherapy Anne's Website: https://www.spareroomwellness.com Instagram: @spareroomwellness

Cody Rall, M.D., is a United States Navy trained Psychiatrist who specializes in neurotechnology wearables. He is a co-founder of Stanford Brainstorm, the world's first academic laboratory dedicated to transforming brain health through entrepreneurship.Dr. Rall also served as a selection judge and team member of the psychiatry innovation lab, an annual national competition at the American Psychiatric Association that works as an incubator for groups developing technological solutions to problems in mental health care.He is the founder of Techforpsych, a media and relations company that covers advancements in technology related to neuroscience.xtOur Sponsors:* Check out Kinsta: https://kinsta.com* Check out Mint Mobile: https://mintmobile.com/tmf* Check out Trust & Will: https://trustandwill.com/TRAVIS* Check out Warby Parker: https://warbyparker.com/travisAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Andrea King (University of Chicago Medicine) joins AJP Audio to discuss a novel, real time assessment of the reward, stimulation, and negative affect of alcohol use in people with alcohol use disorder with and without depressive disorders.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the February issue, which focuses closely on issues surrounding addiction. 00:35     King interview 00:45     Allostatic model of addiction 02:12     Gathering data and the groups studied 07:37     The ethics of studying alcohol use in patients with AUD 10:38     Findings 13:29     The impacts of alcohol's pleasurable effects on people with AUD and those without 14:32     Limitations of natural environment research versus laboratory research 18:18     Clinical implications 20:09     Further research 22:56     Kalin interview 23:03     King et al. 26:21     Brand et al. 28:12     Conway et al. 32:17     Kypriotakis et al. 35:42     Kuhn et al. 39:37     Grilo et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Description Catherine Chao, is a cause-driven communicator and a vice president, Insights & Analytics, at the Ad Council, a nonprofit that uses the power of communications to drive behavior change on social impact issues. She oversees audience research, strategic development, and evaluation for campaigns dedicated to improving mental health. Her approach to every campaign is ensuring the target audience's voice and mindset is at the forefront so that creative not only raises awareness, but also inspires action. She has a Master of Public Health from UNC-Chapel Hill. Jason Hunziker, MD, is a board-certified psychiatrist and Associate Professor (Clinical Track) at the University of Utah. A graduate of the University of Utah (BS Anthropology, cum laude, 1994; MD, 2002), he was inducted into AOA and served as Chief Resident. He actively teaches and mentors medical students, residents, and physician assistants. As Division Chief of Adult Psychiatry and Behavioral Health Medical Director for University of Utah Health plans, he specializes in complex medical, substance use, and behavioral health issues. He is also the Utah delegate to the American Psychiatric Association. RESOURCES RELATED TO THIS EPISODE The Rituals We ShareSound It OutLove Your MindLearn More About the University of Utah Health & the Huntsman Mental Health InstituteLearn More About the Ad Council CREDITSTheme Music by lesfm from Pixabay.Produced by ChatWithLeadersMedia.com.See omnystudio.com/listener for privacy information.

Send us a textIn this episode we interview Dr. Adrian on her journey navigating dissociative identity disorder (DID). She shares with us everything there is to learn about DID: the causes, treatments, living and communicating with her parts and the ways it affects her life. =================================Adrian A. Fletcher, Psy.D., M.A., is a licensed psychologist, author, and survivor with lived experience of Dissociative Identity Disorder (DID) formerly known as Multiple Personality Disorder. She also uses the name Adrienne & Co. System to reflect a DID system of 22+ parts. She is a trafficking and ritual abuse survivor. A passionate mental health warrior, she stepped out publicly in 2021 to challenge the stigma around DID and trauma. She and her parts are here to bring hope, love, and inspiration to the world by sharing their lived and professional experience with mental health. She and her parts are the proud authors of One Soul, Multiple Expressions: Poems by the Parts, former podcast hosts of Braving the Way with Dr. Fletch, and hosts of an international mentorship program for people living with DID. They have been featured in the Los Angeles Times and USA Today. They have also had their work published by The American Psychiatric Association, The National Alliance on Mental Illness, Psychology Today, and This Is My Brave. They are currently writing a book for people with DID through New Harbinger publications with the love of their life, Mabel Rose, called The Experiential Toolbox for DID, which will be released in 2025.Follow Adrienne and her parts on instagram @adrienneandcoSupport her work via her poetry book: https://www.amazon.com/One-Soul-Multiple-Expressions-POEMS/dp/B0BLG6SWS6Support the showAdditionally, you can now also watch the full video version of your favourite episode here on YouTube. Please subscribe, like or drop a comment letting us know your thoughts on the episode and if you'd like more stories going forward!If you would like to offer any feedback on our show or get in touch with us, you can also contact us on the following platforms: Website: www.multispective.org Email: info@multispective.org Instagram: www.instagram.com/multispectiveorg Facebook: www.facebook.com/multispectiveorg Reddit: www.reddit.com/r/multispective Support the show: https://www.patreon.com/multispectiveProducer & Host: Jennica SadhwaniEditing: Stephan MenzelMarketing: Lucas Phiri

Eunice Wong, Ph.D., (RAND, Santa Monica, Calif.) joins Dr. Dixon and Dr. Berezin to discuss a review taking a look at the interactions of faith communities and the mental health sector in the provision of mental health care. Transcript 00:56     How did you arrive at this field of study? 02:58     What is RAND and what do they do? 04:11     How are works for a think tank evaluated? 05:21     The interaction of faith communities and mental health service provision 07:38     Types of collaboration – PSFPTP Hankerson episode 09:57     Why look at the literature now? 11:12     What kinds of questions are you asking? 12:57     The complexity of different faiths, and different organizations 15:56     Topline findings 18:12     Does the research paradigm work in situations like this? 22:03     Discussing a patient and provider's religiosity 23:20     Assumptions and characterizations of faith-based organizations 24:55     Destigmatizing conversations about mental health and behavioral health in faith-based communities 27:39     The multilayered nature of faith-based community participation 28:53     Future research Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Rabbi Richard Louis Price, M.D. is a Yale & Columbia University-trained psychiatry professor at Weill Cornell Medical College/New York-Presbyterian Hospital. Over the past two decades, he has evaluated over 20,000 patients serving as a medical director at Achieve Behavioral Health in Monsey; Rockland TMS & Wellness Center; Hamaspik of Orange and Rockland Counties; Volunteer Counseling Services in New City; ParCare in Brooklyn, Chai Urgent Care Centers of New York, Pennsylvania, and Florida,, and has a private pediatric and adult psychotherapy and psychopharmacology practice in Monsey, New York. Dr. Price is triple board certified in Psychiatry, Consultation-Liaison/Mind-Body Medicine, and Addiction Medicine and has been awarded numerous patents in the United States, Canada, Europe, and Israel for a novel pharmacotherapy for the treatment of both core and associated symptoms of Autism Spectrum Disorder. Dr. Price has served on the advisory boards and as a national speaker for several pharmaceutical companies, such as Abbvie, Alkermes, Allergan, Almatica, Axsome, Idorsia, Intracellular, Janssen, Jazz, Lumbeck, Neuronetics, Otsuka, Supernus, and Vanda and has been recognized as a top Medical Educator by the American Psychiatric Association. He is also a professional singer and taekwondo black belt.     ADHD ARTICLE PUBLISHED: https://pmc.ncbi.nlm.nih.gov/articles/PMC10374479/ HISTORICAL OVERVIEW OF VILOXAZINE: https://pmc.ncbi.nlm.nih.gov/articles/PMC8219567/  

The difference in diagnosing a delusion or deception is in discerning the distress. The history and differential associated with gender dysphoria. Criteria: Gender Dysphoria in Adolescents and Adults 1 A marked incongruence between one's experienced/expressed gender and assigned gender, of at least six months' duration, as manifested by at least two or more of the following: • A marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics) • A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics) • A strong desire for the primary and/or secondary sex characteristics of the other gender • A strong desire to be of the other gender (or some alternative gender different from one's assigned gender) • A strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender) • A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender) The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. Caveats • The Gender Dysphoria diagnosis functions as a double-edged sword. It provides an avenue for treatment, making medical and surgical options available to TGNC people. However, it also has the potential to stigmatize TGNC people by categorizing them as mentally ill. • The ultimate goal would be to categorize TGNC treatment under an endocrine/medical diagnosis. • In the past, TGNC patients were disproportionally diagnosed with psychotic/mood disorders to explain their gender variance. Because of this, many in the community are understandably skeptical of mental health and psychiatric care. • There are some genetic explanations for gender dysphoria, categorized in DSM–5 by using the diagnostic specifier “with a disorder of sex development.” Parents and physicians of these patients are typically aware of the genetic anomaly from birth, with treatment beginning in childhood. Ruling out Psychiatric Illness • It is common for TGNC people who have grown up in an unsupportive environment to express symptoms characteristic with personality disorders. Impulsivity, mood lability, and suicidal ideation occur commonly. This does not necessarily qualify them for a personality disorder diagnosis because personality disorders are typically lifelong and pervasive. TGNC people typically show a reduction or disappearance of these symptoms once they are in a supportive gender-affirming environment. • There are no studies indicating that psychiatric illness causes gender dysphoria as a consistent condition over time, although delusions or unstable personality characteristics may manifest as intermittent thoughts or feeling of gender incongruity. Additionally, TGNC people can have other psychiatric disorders (e.g., psychotic, bipolar, depressive, substance use disorders) just as anyone else that is not related to their gender variance. • Gender dysphoric symptoms may be the primary focus of treatment, but don't overlook the possibility that other psychiatric symptoms may need to be treated first depending on severity. • TGNC people can have psychiatric symptoms of psychotic, anxiety, and mood disorders just like any other part of the population. References 1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing Life lived is life learned.  Every experience has facts, concepts and applications.  These arestories from the eclectic life of Lonnie Jones.

Dr. Bonnie Nolan holds a PhD in neuroscience and is a Licensed Clinical Alcohol and Drug Counselor. With expertise in both neuroscience and psychotherapy, she works on the front lines of opioid addiction, understanding the brain's dopamine response to addictive substances. She also recognizes how genetics, environment, and mental health issues like anxiety and depression contribute to addiction. Having struggled with alcohol addiction herself, Dr. Nolan has been in recovery for years, seeing addiction's prevalence in her large family. Her experience at the The INFACT School (https://infactschool.com/) led her to identify as a food addict, a diagnosis confirmed by the Yale Food Addiction Scale (https://en.wikipedia.org/wiki/Yale_Food_Addiction_Scale). She believes ultra-processed foods should be included in the Diagnostic Statistical Manual (DSM-V)of the American Psychiatric Association as a substance use disorder. Dr. Nolan's work focuses on the link between childhood trauma, Adverse Childhood Experiences (ACEs) and addiction, with many clients unaware of or minimizing past traumas. She leads group recovery courses, including one for women with food addiction, where she helps them process trauma and gain control over what they can change. Dr. Nolan has witnessed the brain's ability to reset and the potential to reverse the dopamine response to addictive substances through recovery practices.  Dr. Nolan has witnessed firsthand the possibility of reversing the dopamine response to ingesting substances through recovery practices.  This podcast episode is excellent and delves into Dr. Nolan's unique blend of education, professional expertise, and personal experience in addiction and treatment.

We are thrilled to welcome Dr. Glezer, a renowned expert in reproductive and integrative mental health, to the show. Dr. Glezer began her training at Harvard and then transitioned to the University of California, San Francisco, where she has been a practicing physician, teacher, mentor, and is an associate professor. She is a board certified psychiatrist, a distinguished fellow of the American Psychiatric Association, and a past President of the Northern California Psychiatric Society. She established the annual Bay Area Maternal Mental Health Conference and the Women's Wellness Psychiatry Podcast to inform women and their clinicians about mental health and emotional issues common in the reproductive years. Her teaching passion includes founding the online Fellowship in Reproductive & Integrative Psychiatry. She began her private practice in 2017 to help women throughout the Bay Area access reproductive mental health services and is really passionate about helping as many women as possible. It has grown to 11 clinicians, specializing in reproductive and integrative women's mental health across California. Connect with Dr. Glezer Linkedin Instagram

Why is community important? In this message, Pastor Jamie Nunnally shares how focusing on community can help you level up to the next stage of spiritual growth.Community is togetherness. It's gathering around a common faith and relying on one another for help, support and guidance—both naturally and spiritually. It's doing life together.U.S. Surgeon General Dr. Vivek Murthy wrote the country a letter and said, "As I finish my tenure as Surgeon General, this is my parting prescription, my final wish for all of us: choose community."Reports show that Americans are lonelier than ever. The American Psychiatric Association reported in 2024 that 30% of US adults say they have experienced feelings of loneliness at least once a week, and 30% of young adults say they feel lonely every day.Community is not connectivity, assembly, or being friendly.We have confused community with connectivity. The connectivity of the digital age is convenient, but it is a counterfeit of true community.We have also confused community with being friendly. Community is based on being authentic, not just being nice to one another.We have also confused community with assembly. True community requires that we engage with one other, not just gather together. In scripture, the word for community in Greek is koinonia - fellowship, association, sharing, joint participation, intimacy.Acts 2:42 NIV "They devoted themselves to the apostles' teaching and to fellowship, to the breaking of bread and to prayer."The invitation to follow Christ, is an invitation into community, because other people have been invited, too. Jesus saves individuals, but we grow in groups. Things that kill community:Mistrust – our past wounds cause us to view others through a lense of suspicion.Perfectionism – everything and everybody should be perfect. Being Fake – unwillingness to be real, vulnerable and accountable.You need community.1. It helps you.Ecclesiastes 4:9-10 NLT 2. It matures you.You don't get better by being comfortable.  Strength comes from stretching.1 John 4:19-21 You can't love God and not love His kids. Learning to love people teaches you about God because that what He does.3. It heals you.James 5:16 NLTMany Christians are forgiven of their sin, but they are not healed from it because they have refused to embrace community.  How Do We Level Up Through Community?1. Hang out.Make time to be with other people.Acts 5:42 Jesus had groups of 3 (close friends), 12 (spiritual family), 70 (ministry), 120 (acquaintances), & 500 (the church).Hebrews 10:25 "And let us not neglect our meeting together, as some people do, but encourage one another, especially now that the day of his return is drawing near."2. Help out.You can grow spiritually by investing in others.Galatians 6:10Serve your city and serve your church family. Galatians 6:2  Independence and dependence aren't healthy - we are called to interdependence.Are you using community to level up?

In this episode, we dive into the unique experience of living with AuDHD by exploring its strengths and challenges, as well as practical strategies for navigating life in a way that works for you. From creativity and hyperfocus to sensory sensitivities and executive dysfunction, we unpack how these traits present differently in each individual and offer actionable solutions tailored to diverse needs—including no-cost or low-budget options. We also address the critical issue of burnout and how to prevent it by structuring your work and life to align with your neurodivergent brain.Whether you're looking to embrace your unique strengths, find strategies for daily challenges, or simply feel seen and understood, this episode offers fresh insights and encouragement for the AuDHD community.Sources Referenced in This Episode: 1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). 2. Mindful Neurodivergence. (2024). “Mindfulness Practices for Emotional Regulation in Neurodivergent Adults.” 3. Neurodivergent Perspectives Quarterly. (2024). “Understanding Sensory Overload in AuDHD.” 4. ADDitude Magazine. (2024). “Preventing Burnout in ADHD and Autism.” 5. Autism Research Institute. (2024). “Burnout in Neurodivergent Adults: Causes and Strategies.” 6. The Journal of Neurodivergent Creativity. (2024). “Harnessing Creativity in ADHD and Autism.” 7. Camilleri, J. A., et al. (2023). “Cold water therapy for emotional regulation: Impacts on the nervous system.” Journal of Behavioral Science. 8. Focusmate. (2024). “How Body Doubling Increases Productivity in Neurodivergent Individuals.”Tune in to learn how to recognize your unique strengths, overcome challenges, and build a life that celebrates your neurodivergence. You've got this!

On this episode of Talk Nerdy, Cara is joined by distinguished life fellow of the American Psychiatric Association and professor of psychiatry at Harvard Medical School, Judith Herman MD. They discuss her new book, “Truth and Repair: How Trauma Survivors Envision Justice."

Renowned brain health expert Dr. Daniel G. Amen reveals transformative insights into optimizing brain function, no matter its current state. Our conversation takes you through Dr. Amen's groundbreaking findings, highlighting the often-overlooked consequences of mild traumatic brain injuries and the limitations of traditional psychiatry in neglecting the brain's physical condition. With a deep dive into the distinctions between physical and emotional trauma, Dr. Amen provides a crucial understanding of how these factors affect brain activity, offering a nuanced perspective for addressing mental health challenges effectively. Explore the intricate relationship between lifestyle choices and brain health with us. Drawing from my upcoming book, "The End of Mental Illness," Dr. Amen and I discuss how common dependencies on caffeine, alcohol, and sugar can severely impact mental well-being. We delve into the addictive nature of sugar and its potential role in depression and dementia, all while emphasizing the need for fostering healthier relationships with food and substances. Learn about the fascinating insights gained from brain scans and discover a free online test that can help you better understand your brain type, ultimately enabling a more personalized approach to mental health. We also address the potential health risks of electromagnetic frequencies from devices like cell phones and emerging technologies like 5G. Dr. Amen discusses the alarming rise in deaths related to drugs, alcohol, and suicide, suggesting a paradigm shift in viewing these issues as brain illnesses. The conversation explores the impact of physical health on brain function, and we touch on the transformative power of music in enhancing creativity, mood stabilization, and relaxation. Listen in as we discuss the importance of aligning lifestyle choices with natural rhythms and explore alternative mental health treatments like diet, exercise, and transcranial magnetic stimulation (TMS). ------------------ Dr. Daniel G. Amen believes that brain health is central to all health and success. When your brain works right, he says, you work right; and when your brain is troubled you are much more likely to have trouble in your life. His work is dedicated to helping people have better brains and better lives. The Washington Post called Dr. Amen the most popular psychiatrist in America and Sharecare named him the web's #1 most influential expert and advocate on mental health. Dr. Amen is a physician, double board certified psychiatrist, television producer and ten-time New York Times bestselling author. He is the Founder and Medical Director of Amen Clinics across the US. Amen Clinics have the world's largest database of functional brain scans relating to behavior, totaling more than 125,000 scans on patients from 111 countries. Dr. Amen is a Distinguished Fellow of the American Psychiatric Association, the highest award given to members, and is the lead researcher on the world's largest brain imaging and rehabilitation study on professional football players. His research has not only demonstrated high levels of brain damage in players, he also showed the possibility of significant recovery for many with the principles that underlie his work. Together with Pastor Rick Warren and Dr. Mark Hyman, Dr. Amen is also one of the chief architects on Saddleback Church's “Daniel Plan,” a program to get the world healthy through religious organizations. Dr. Amen has written, produced and hosted 11 popular shows about the brain for public television, which have been aired more than 100,000 times across North America. Dr. Amen is the author or co-author of 70 professional articles, seven book chapters, and over 30 books, including the #1 New York Times bestseller The Daniel Plan and Change Your Brain, Change Your Life, Magnificent Mind At Any Age, Change Your Brain, Change Your Body, Use Your Brain to Change Your Age, Unleash the Power of the Female Brain and Healing ADD.  --------- EPISODE CHAPTERS --------- (0:00:01) - Mastering the Brain With Dr. Amon (0:05:19) - Balancing Brain Health and Behavior (0:20:17) - Revolution in Brain Health (0:26:56) - Optimizing Brain Function Through Lifestyle --------- EPISODE CHAPTERS WITH SHORT KEY POINTS --------- (0:00:01) - Mastering the Brain With Dr. Amon Dr. Daniel G. Amen's insights on brain health, including the impact of trauma and the shortcomings of traditional psychiatry. (0:05:19) - Balancing Brain Health and Behavior Daily habits and mental health are impacted by caffeine, alcohol, and sugar, as discussed in "The End of Mental Illness" book. (0:20:17) - Revolution in Brain Health Cell phone health risks, mental health and brain function, brainwave frequencies, and music's transformative power. (0:26:56) - Optimizing Brain Function Through Lifestyle Music genres' impact on brain function, genetic and developmental factors in sleep patterns, concerns over substance use for mental health, and small choices for brain health. --------- EPISODE CHAPTERS WITH FULL SUMMARIES --------- (0:00:01) - Mastering the Brain With Dr. Amon (5 Minutes) This chapter focuses on the remarkable insights of Dr. Daniel G. Amen regarding brain health and optimization. We explore Dr. Amen's groundbreaking discoveries, including the ability to improve brain function regardless of its current state, the profound impact of mild traumatic brain injuries that often go unnoticed, and the shortcomings of traditional psychiatry that overlooks the brain's physical state. Dr. Amen distinguishes between physical and emotional trauma, highlighting how each affects brain activity differently. He shares how physical trauma can lead to decreased brain activity, while emotional trauma can cause heightened activity in the limbic system, which is crucial for understanding how to appropriately treat various mental health challenges. Understanding these differences is essential to either calming or repairing the brain effectively. (0:05:19) - Balancing Brain Health and Behavior (15 Minutes) This chapter focuses on the relationship between daily habits and mental health, specifically discussing the impacts of caffeine, alcohol, and sugar on the brain. I share insights from my upcoming book, "The End of Mental Illness," where I discuss how society's dependency on coffee to wake up and alcohol to sleep can contribute to mental health issues. By gradually reducing caffeine and alcohol intake, individuals can improve their energy levels and sleep quality without withdrawal symptoms. The conversation highlights the addictive and inflammatory nature of sugar, its role in depression and dementia, and its negative effects on brain healing and function. The importance of maintaining healthy relationships with food and substances is emphasized, suggesting that food should "love you back." Finally, we touch on the insights gained from brain scans regarding personality and behavior, introducing a free online test to help people understand their brain types. (0:20:17) - Revolution in Brain Health (7 Minutes) This chapter addresses concerns about the pervasive use of cell phones and the potential health risks associated with electromagnetic frequencies (EMFs) and radiation exposure from devices like microwaves and the emerging 5G technology. The discussion touches on the alarming rise in deaths from drugs, alcohol, and suicide, linking them to broader mental health issues and suggesting a shift from viewing these as mental illnesses to brain illnesses. Highlighting Dr. Amen's work, we explore the impact of weight and physical health on brain function, emphasizing the importance of preventing or treating risk factors like low blood flow and diabesity, as outlined in the "Bright Minds" mnemonic. We also discuss the influence of brainwave frequencies and cognition enhancers, sharing insights on brain-enhancing music's potential to improve mental health and function, reflecting on the transformative power of music in promoting creativity, mood stabilization, and relaxation. (0:26:56) - Optimizing Brain Function Through Lifestyle (9 Minutes) This chapter focuses on the impact of different music genres on brain function and the individual variability in optimal brain rhythms, discussing a personal study comparing rock, country, classical, and heavy metal music on memory. I also explore the genetic and developmental factors influencing whether someone is a morning or night person and emphasize the importance of aligning one's lifestyle with their natural rhythms. We address the growing interest in using substances like MDMA, ketamine, and DMT for mental health treatment, while highlighting concerns over their use and advocating for alternatives such as diet, exercise, and transcranial magnetic stimulation (TMS). Finally, I share insights on making small, informed choices to improve brain health, encouraging listeners to consider whether their daily actions are beneficial for their brains.

Dr. Charles Nemeroff (University of Texas at Austin) joins AJP Editor-in-Chief Dr. Ned Kalin to discuss the January issue of the American Journal of Psychiatry. Dr. Nemeroff is a guest editor of the special issue, which takes a close look at the potential, pitfalls, and clinicial implications of psychedelics in mental health treatment. 00:38     Nemeroff interview 02:27     McIntyre et al. 04:06     Ramaekers et al. 05:44     Ghaznavi et al. 08:01     Fonzo et al. 09:17     Wolfgang et al. 10:45     Psychedelics and psychotherapies 12:31     Aaronson et al. 14:17     Pagni et al. 15:31     Kirlić et al. 17:06     Olson Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Be sure to tune in to this episode of the Precision Health and PGX Podcast as Dr. Becky Winslow, Dr. Josiah Allen, and Dr. Jeffrey Bishop, three PharmDs and pharmacogenomics industry veterans, discuss hot topics in the PGx industry today including the Board of Pharmacy Specialties exploring the need to establish a pharmacogenomics board specialty for pharmacists, the American Psychiatric Association's and American Heart Association's recent statements on pharmacogenomics' clinical utility, and how the need for PharmDs who are experts in genomic medicine will continue to grow as whole genome sequencing reveals additional druggable biomarkers.  

Do you ever look around and think: how does everyone else seem so happy? If this thought hits you now more than usual, you're not alone. Did you know that - on average - upwards of 30% of adults in the US report to the American Psychiatric Association that their stress levels significantly increase during the holidays? And 55% of us report experiencing loneliness throughout the season.Stella Grizont, named a leading happiness expert by Time Magazine, is a speaker and executive coach who helps leaders achieve career fulfillment and organizations enhance employee well-being. Some of Stella's corporate clients include Google, Johnson & Johnson, VMWare, and Genentech. Her unique approach to being happier and more engaged on the job has been featured on MSNBC, The Today Show, and Vanity Fair.Growing up, Stella often felt out of place. With immigrant parents from Ukraine, it was hard for her to relate to typical American childhood experiences, leading her to immerse herself in schoolwork in a bid for independence and self-reliance. As the first in her family to attend college, Stella pursued what she believed to be her path: climbing the corporate ladder. However, she soon found herself feeling stuck. It took a recession, being laid off, and ending an engagement for Stella to hit rock bottom—but in that challenging time (when many would give up) she managed to find her light and start anew… and it inspired her to help the rest of us do the same.Tune in as she discusses how to rediscover joy in your work, overcome burnout, and use life's toughest moments as stepping stones to a more fulfilling career and a more meaningful life overall. ************Show Notes:(Full episode release November 18, 2024) A big thank you to Stella Grizont for joining the podcast and sharing your inspiring story. Your insight on career goals and being a self advocate is empowering to women everywhere. Follow Stella on Instagram: https://www.instagram.com/stellagrizont/Learn more about Stella Grizont: https://www.stellagrizont.com/Purchase Stella's Book: The Work Happiness Method: Master the 8 Skills to Career Fulfillment ************Make sure to follow Jamie @jamiehess on Instagram for news & updates, and visit our companion Instagram account @gratitudeology for a sneak peek into the personal moments discussed on the show.************The Gratitudeology Podcast theme music is by HYLLS, performed by Nadia Ali @thenadiaali  Advertising Inquiries: https://redcircle.com/brands

Unlock the mystery of existence with Sam Wilkins in this episode of The Unbeatable Mind, where he explores the powerful intersection of free will, evolution, and personal growth. He dives into the profound belief in pre-birth choice and how our past experiences shape our decisions, blending insights on human nature's duality of good and evil. Wilkins challenges the presumption that life is meaningless within the lens of science, emphasizing recurring evolutionary patterns hinting at a deeper purpose.    Discover how purpose isn't just an abstract concept but something you can cultivate through thoughtful effort and relationships. Addressing our modern dependency on technology, Wilkins examines the mental health impacts of excessive phone use and societal polarization, offering wisdom grounded in personal anecdotes and empirical studies. Join the conversation on confronting challenges and finding meaning through altruism, as Sam reasons that our struggles are stepping stones tailored for individual growth.   Tune in to uncover how strategic challenges, much like Navy SEAL training, can build resilience, and why focusing on meaningful connections over material gains leads to lasting happiness. Sam Wilkins' critical analysis of social media addiction compared to alcohol dependency emphasizes the importance of deliberate action and mindful living as keys to mental and emotional well-being.   Samuel T. Wilkinson, M.D., is Associate Professor of Psychiatry at the Yale School of Medicine, where he also serves as Associate Director of the Yale Depression Research Program. Dr. Wilkinson received his B.S. in mechanical engineering, summa cum laude, from Brigham Young University and later his medical degree from Johns Hopkins School of Medicine. He completed his residency at Yale, where he joined the faculty following his post-graduate medical training. His primary research has focused on depression and suicide prevention and has been funded by the National Institute of Mental Health, the National Institute of Drug Abuse, the Brain and Behavior Research Foundation, and the American Foundation for Suicide Prevention. His research and articles have been featured in the New York Times, the Washington Post, and the Wall Street Journal. He has been the recipient of many awards, including Top Advancements & Breakthroughs from the Brain and Behavior Research Foundation (2017 and 2020), Top Ten Psychiatry Papers by the New England Journal of Medicine Journal Watch, the Early Career Scholar Award from the American Psychiatric Association, the Samuel Novey Writing Prize in Psychological Medicine (Johns Hopkins), the Seymour Lustman Award (Yale University), and the rank of Eagle Scout.   Key Takeaways: The Soul's Pre-Birth Choice: Wilkins suggests that the notion of pre-birth choice is deeply entwined with various religious and spiritual doctrines. Many cultures and belief systems propagate the idea that souls select their lives to undergo particular experiences, learn certain lessons, or fulfill a specific destiny. Religions like Hinduism and Buddhism, for instance, often include concepts of reincarnation and karmic cycles, where the actions and choices of past lives influence the circumstances of the current one. Personalized Challenges as Karmic Growth: Sam posits that the challenges we face in life are not random but are tailored specifically for individual growth. This is a karmic perspective, which suggests that our actions and experiences are interwoven with spiritual lessons that we need to learn and overcome to develop as individuals.  Success vs Sustained Happiness: Wilkins underscores that genuine, meaningful relationships are crucial for sustained happiness. While material success might bring temporary satisfaction, it often fails to provide long-term fulfillment. Instead, strong interpersonal connections — whether they be friendships, family bonds, or romantic partnerships — act as consistent pillars of joy, support, and love. Screen Time and Mental Well-Being: The average time people spend on their phones is equivalent to one and a half full-time jobs. This excessive screen time impacts other enriching activities, such as learning new skills like playing an instrument. By spending so many hours on digital devices, individuals are unknowingly sacrificing opportunities for personal growth and hobbies that contribute to overall well-being.   Sponsors:   Momentous If you're interested in making a true investment in your health, why not join the best in human performance and be part of the change in raising the bar on supplements. Just go to Livemomentous.com and use code DIVINE for 20% off your new routine today. That's Livemomentous.com with code DIVINE.   Defender The highest achievers among us are the people still striving, still reaching for something. The people who aren't satisfied to stay where they are. The ones who want to keep climbing higher. And it's those people who approach the impossible and embrace it. There's a vehicle for people like that. It's called the Defender. Design yours at LandRoverUSA.com  

Welcome to the Imagine Belonging at Work Podcast brought to you by Rhodes Perry Consulting. The episode you're about to hear is a special gift to help ease what psychologists and researchers have identified as a specific kind of anxiety; election anxiety.   To ease election anxiety, the show's host, Rhodes Perry, developed a 10-minute mindfulness practice designed to help you self-regulate, ground, and soothe political anxieties that are running high this season given the uncertainty about what's on the 2025 horizon.   You're invited to try this practice to help you build capacity to increase your well-being and ignite creativity and connection at work. It's designed to deliver the medicine you need to heal some of these harsh realities many are experiencing this season:   73% of U.S. adults say they are anxious about the election according to the results of the 2024 American Psychiatric Association's annual mental health poll. 65% of employees surveyed over the summer by the Society of Human Resources Management (SHRM) said they have experienced or witnessed incivility on the job in the past month.   34% of employees surveyed by SHRM believe that the November 5th elections will trigger additional incivility in the workplace.   You and I know all too well that election anxiety is very real and undermines our commitment to building a sense of belonging at work, where everyone feels seen, connected, supported, and proud. And we know we need to build spaces of belonging at work because it is no longer a moral imperative; rather it is a prerequisite for business success.   During this episode, you'll be able to recognize where to locate your own sense of belonging. Specifically, you'll recognize:   Belonging Lives in the Body. Feelings of belonging live in our nervous system, and somatics practices can help cultivate a sense of belonging. Safety & Trust are Foundational. Feeling safety and trust are the foundation for belonging, and during this practice you will explore where they are present in your life. Belonging is a Practice: Actively engaging in practices like this one will help rewire you brain to notice where belonging does and does not exist in your everyday life.   This interview was designed to support people like you - visionary leaders, and those on their way to joining us. Savor this insightful talk, and if you're looking for more ways to engage in practices like these, be sure to explore Rhodes Perry Consulting's Coaching Belonging for Visionaries, a 6-month executive coaching program applying a somatics methodology to help you align your behaviors with your leadership and career vision.   Learn more about this program here: https://rhodesperry.substack.com/p/belonging-the-1-prerequisite-for   Connect directly with Team Belonging here: www.rhodesperry.com/contact.   Get more belonging in your inbox here: www.rhodesperry.com/subscribe

*Content Warning: child abuse, abuse, assault, sexual assault, natural disasters, violence, mental illness, self-harm, suicidal ideation, suicide, and murder.Resources:Head Strong Project: http://www.headstrongproject.orgPTSD Foundation of America: https://ptsdusa.org/22 Zero: http://22zero.orgAmerican PTSD Association: https://www.aptsda.org/Substance Abuse & Mental Health Services Administration: https://www.samhsa.gov/For more free + confidential resources + safety tips please visit: somethingwaswrong.com/resources Sources:Diagnostic and statistical manual of mental disorders: DSM-5-TR(TM). American Psychological Association (2022), American Psychiatric Publications Inc: https://www.psychiatry.org/psychiatrists/practice/dsmSex & Gender Differences in PTSD by Olff M. Sex and gender differences in post-traumatic stress disorder: an update. Eur J Psychotraumatol. (2017 Sep 29) (sup4):1351204. doi: 10.1080/20008198.2017.1351204. PMCID: PMC5632782: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632782/Mental Health Issues, by The Office of Victims of Crimes on PTSD, (2005): https://www.ncjrs.gov/ovc_archives/ncvrw/2005/pg5n.html Ketamine as treatment for post-traumatic stress disorder: a review, by Liriano F, Hatten C, Schwartz TL. Drugs Context. (2019 Apr 8) 8:212305. doi: 10.7573/dic.212305. PMID: 31007698; PMCID: PMC6457782: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457782/Virtual Reality for PTSD, by Arline Kaplan (November 23, 2009): https://www.psychiatrictimes.com/view/virtual-reality-ptsd MDMA's Latest Trial Results Offer Hope for Patients with PTSD: UCSF-led study puts MDMA on path to be the first psychedelic to seek FDA approval, by Victoria Colliver. (September 18, 2023): https://www.ucsf.edu/news/2023/09/426116/mdmas-latest-trial-results-offer-hope-for-patients-ptsdPTSD statistics 2024, By SingleCare Team (Jan. 20, 2023) Medically reviewed by Marissa Walsh, Pharm.D., BCPS-AQ ID: https://www.singlecare.com/blog/news/ptsd-statistics/How Common Is PTSD in Adults?, by The US Department of Veterine's Affairs (last updated: February 3, 2023) https://www.ptsd.va.gov/understand/common/common_adults.aspWhat is Posttraumatic Stress Disorder (PTSD)?, by The American Psychiatric Association (2024): https://www.psychiatry.org/patients-families/ptsd/what-is-ptsdDr. Danielle Moore Moore:On Instagram: http://www.instagram.com/dr.dani2016At The Army of Survivors: https://thearmyofsurvivors.org/Listen to What Came Next S01 E17 [Dr. Danielle Moore] No Longer a Number: https://podcasts.apple.com/us/podcast/dr-danielle-moore-no-longer-a-number/id1674051643?i=1000615414939See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.