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Bruno Feldeisen is a French-born, Canadian chef, author and TV personality, known for his role as a judge on The Great Canadian Baking Show. At the height of his career Bruno experienced his first panic attack: he was 34 years old. He shares how childhood trauma led to anxiety and PTSD. Now an Anxiety Canada champion, Bruno encourages others that the key to success is to ask for help.See omnystudio.com/listener for privacy information.
Anxiety disorders have increased dramatically over the past several years. Today we speak with a leader who is making a difference in helping Canadian who are struggling with anxiety. Judith Law, CEO of Anxiety Canada, joins Douglas Nelson, host, to share the role anxiety plays in our communities and the commitment Anxiety Canada has made in providing free, reliable and accessible tools. She also reveals how the organization grew from being BC-based to a national organization improving the lives of thousands. Tune in to listen to the work that Judith Law is leading with Anxiety Canada.
Nisany is a registered psychotherapist qualifying in Ontario. She offers free counseling sessions and is a content creator around mental health. TRIGGER WARNING: In this episode, we talk about depression, abuse, and other topics that might be difficult for some listeners. We talk about finding a therapist, communicating with your parents, abusive relationships, drugs, coping mechanisms, and more. This is meant to open discussions about therapy, counseling and mental health within our South Asian community. Follow Nisany on IG @nisany_ Video versions from this episode are available on our Patreon, plus bonus content not included in this episode. BECOME A PATREON MEMBER: https://www.patreon.com/BasementReels WATCH OUR MOVIE "THE MISADVENTURE OF UNLIKELY HEROES": https://linktr.ee/basementreels GET YOUR OWN BREELS MERCH FOR A LIMITED TIME: https://www.redbubble.com/people/breels/shop?asc=u Find and share on IG @basementreels For sponsorship or questions you'd like answered on the next pod, please email basementreels@gmail.com. Below is a list of Virtual Individual Therapy available in the Greater Toronto Area. Mental health resources Crisis Talk Suicide 1-833-456-4566 (available 24/7)Text 45645 (available 4pm to 12am) Toronto Distress Centres 416-408-4357 Self-help Bounce Back program - online free self-help program for individuals 15 and up with mild to moderate anxiety or depression or difficulties feeling low, stressed, worried, irritable or angry. https://bouncebackontario.ca/ Anxiety Canada - online resource with information about anxiety related issues https://www.anxietycanada.com/ Mood Disorders Society of Canada - online resource with information about various mood and anxiety related difficulties such as depression, bipolar disorder etc. https://mdsc.ca/ ConnexOntario - support with health care service information. If unsure what services you may need or have questions about how to access services in your area, staff at ConnexOntario can help. 1-866-531-2600 (available 24/7) https://www.connexontario.ca/en-ca/ Family doctor - if you have a family doctor they are a great initial point of contact. They can help guide you through the mental health system and send referrals for therapy. When in doubt, they are a good starting point. Therapy (free or sliding scale)Ontario Structured Psychotherapy Program (OSPP) - FREE - virtual or in person cognitive behavioural therapy (CBT) for mood and anxiety related disorders such as depression, generalized anxiety, OCD and PTSD. No diagnosis required. Self-referral or referral by a health care provider. This program is offered at various sites throughout the province. https://www.ontarioshores.ca/services/ontario-structured-psychotherapy-program Family health teams - FREE - if you have a family doctor who works with a family health team, there is a good chance that there are therapists on staff available to patients at the clinic. To obtain a referral, speak with your family doctor. Community agencies offer therapy on a sliding scale based on income. For individuals receiving ODSP, OW or another form of social assistance, therapy is typically free. Therapy at a community agency is usually more affordable than therapy through a private clinic. Some agencies offering this services in Toronto include: - Family Service Toronto https://familyservicetoronto.org/ - Catholic Family Services of Toronto https://www.cfstoronto.com/ - There are many family services agencies including Jewish Child and Family and Native Child and Family that offer similar services. Note that you do not need to be a member of a particular community or religious background to receive therapy. Private therapy (fee for service) Psychology Today - online registry of therapists https://www.psychologytoday.com/ca Affordable Therapy Network - another online registry of therapists https://affordabletherapynetwork.com/
Anxiety Canada estimates that at least 25 per cent of elementary and secondary school students will avoid school at some point. And the COVID-19 pandemic has only worsened this issue. What's going on when students chronically refuse to go to school? How can parents and schools support the mental health and academic needs of students. We ask a mental health expert, a parenting expert, a social worker, and an education expert for insights and solutions. With guests: Sheryl Boswell, executive director, Youth Mental Health Canada; Alyson Schafer, family counsellor; Nathan Core, president, Ontario Teachers' Federation; Deepy Sur, CEO, Ontario Association of Social Workers.See omnystudio.com/listener for privacy information.
Dr. Melanie Badali, registered psychologist and member of Anxiety Canada’s scientific advisory committee, discusses panic attacks and panic disorder. The discussion covers what a panic attack is, how common they are, what you could do if you experience one, and how you can help if someone you know is going through one.
Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Generalized anxiety disorder (GAD) can at times be difficult to differentiate from the anxious distress that can accompany depression, health anxiety, some presentations of OCD and even social anxiety. As well GAD, is often treated as a “catch-all” diagnosis that is applied to any client expressing distress. One of Canada's leading voices in the understanding and treatment of GAD, Dr. Melisa Robichaud joins us for an extensive discussion of GAD with respect to: Generalized anxiety disorder (GAD) from a diagnostic lensuncertainty as being a key challenge within the context of GADthe developmental experiences & biological factors that might predispose someone towards developing GADwhether anxiety disorders in childhood reliably predict GAD in adulthoodthe evolution of GAD over the developmental lifespan and whether GAD gets worse with ageuseful features of GAD to be aware of that do not necessarily fall within the diagnostic framework but that would nonetheless be useful for clinicians to keep in minddifferentiating between GAD and the “anxious distress” that can so frequently accompany an episode of major depression applicability of ACT and other 3rd wave CBT therapies to GADthe vital importance of psychoeducation and pacing of therapy in the treatment of GADthe role of medication in the treatment of GADComments or feedback? Email the show: oicbtpodcast@gmail.comDr. Melisa Robichaud received her Ph.D. in clinical psychology at Concordia University in Montreal. She is currently an adjunct faculty member in the Department of Psychology at the University of British Columbia (UBC), a clinical instructor in the UBC Department of Psychiatry, and a clinical associate in the Department of Psychology at Simon Fraser University (SFU). She is also certified as an expert in cognitive-behavioural therapy by the Canadian Association of Cognitive and Behavioural Therapies (CACBT). Dr. Robichaud worked in the former Anxiety Disorders Clinic of UBC Hospital, where she provided assessment and treatment to anxiety disorder patients. She also trained and supervised psychiatry and psychology residents in how to assess, diagnose, and treat anxiety disorders. Dr. Robichaud has been actively involved in non-profit organizations dedicated to the dissemination of best practice treatment for individuals struggling with anxiety disorders. She is a former President of CACBT (2016-2019), and is on the CACBT Certification Task Force. She also served on the Board of Directors of Anxiety Canada (formerly AnxietyBC) from 2006 to 2010, was the Director of Programs (2007-2010), and is currently on the Anxiety Canada Scientific Advisory Board. Dr. Robichaud's area of specialization is cognitive-behaviour therapy (CBT) for anxiety disorders. She has established expertise in treating generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), health anxiety (also called illness anxiety or hypochondriasis), panic disorder, social anxiety disorder, body-focused repetitive behaviours (e.g., hair pulling, skin picking), and post-traumatic stress disorder. Dr. Robichaud's particular area of expertise is CBT for GAD. She ran the GAD treatment program at the former Anxiety Disorders Clinic of UBC Hospital, and has provided workshops to professionals internationally on how to recognize and treat GAD. She has published numerous scientific articles and book chapters on the subject, as well as co-authoring several books on the treatment of GAD, including “Cognitive-Behavioral Treatment for Generalized Anxiety Disorder: From Science to Practice” (2ndedition), "The Generalized Anxiety Disorder Workbook: A Comprehensive CBT Guide for Coping with Uncertainty, Worry, and Fear", and “The Worry Workbook: CBT Skills to Overcome Worry and Anxiety by Facing the Fear of Uncertainty”.
Anxiety Canada CEO Judith Law discusses the organization’s podcast, Our Anxiety Stories, as well as societal awareness of anxiety. First broadcast October 20 2022.
Dr. Meghan McMurtry joins Mind Full to talk about needle fears, needle pain, and coping strategies for all of us who experience one or the other. This includes advice about vaccinating infants and very young children. Some resources mentioned in the episode: CARD framework: https://www.aboutkidshealth.ca/card New CARD video game https://immunize.ca/card-game-kids High needle fear resources: 2-pagers on exposure for needles and for muscle tension (if fainting is a problem) https://pphc.uoguelph.ca/needle-fear-resources/ Conversation article about how to help with high fear of medical procedures in children: https://theconversation.com/if-your-child-is-afraid-of-or-refusing-a-medical-procedure-heres-how-to-help-170923 Conversation article about needle fear and COVID vaccine hesitancy: https://theconversation.com/needle-fears-can-cause-covid-19-vaccine-hesitancy-but-these-strategies-can-manage-pain-and-fear-165009 Anxiety Canada: https://www.anxietycanada.com/ Solutions for Kids in Pain: https://kidsinpain.ca/ This is a great summary resource that SKIP put together: https://kidsinpain.ca/wp-content/uploads/2021/11/Vaccine-Pain-Needle-Fear-Resources-v2-November-2021.pdf CPA fact sheet: https://cpa.ca/psychology-works-fact-sheet-needle-pain/ Help Eliminate Pain in Kids & Adults Team page for guidelines/publications: https://phm.utoronto.ca/helpinkids/
Dr. Melanie Badali is an award-winning clinical psychologist with over 20 years of experience working as a psychotherapist, researcher, and educator. At the North Shore Stress and Anxiety Clinic, she helps people optimize their personal and professional potential using science-based strategies. A committed mental health advocate, she believes everyone should have access to mental health information and services. After serving on the Board of Directors for Anxiety Canada for 8 years, she is now on the Scientific Advisory Committee. She enjoys sharing what she knows about psychology through writing, public speaking, and media communication. You can find Dr. Badali online... Website Twitter LinkedIn
SUMMARY HEADS UP producer Jo de Vries shares her personal story of healing from acute anxiety attacks that started when she was 12 years old. Now in her sixties, and after 20 years of taking two psychotrophic medications, she is in the process of healing with the help of two medical professionals. Family physician/psychotherapist Dr. Warren Bell guides her along a path of discovery to unearth her disorder's root causes, while pharmacist Sahil Ahuja advises her on how to safely taper off medication. In this compelling episode, they dig into how Jo's experiences can inform and inspire others, and explore arguments made by acclaimed journalist and author Johann Hari in Lost Connections, the book that kick-started Jo's empowering encounter with herself and the outside world. TAKEAWAYS This podcast showcases: Personal stories of healing from anxiety and depression Progressive education for pharmacists The role of personalized care and holistic healing from mental health challenges Primary considerations for deciding whether to take medication for depression/anxiety Potential side effects of some medications for depression/anxiety Potential side effects of, and recommendations for, tapering off those medications Role of psychotherapy and other treatments for depression/anxiety Role of trauma and chronic stress in depression/anxiety Benefits of feeling, identifying, processing, and learning from both positive and negative emotions Impacts of COVID on people's willingness to talk about mental health challenges Johann Hari's personal story of depression and arguments for science-based alternatives he subsequently laid out in Lost Connections: Uncovering the Real Causes of Depression & the Unexpected Solutions Using science to debunk the myth that chemical imbalance is responsible for anxiety/depression, and that medication is the only solution Disconnection (the nine causes of anxiety/depression) Reconnection (a different kind of antidepressant) Role of culture in sharing about, and healing from, anxiety/depression Role of livable communities that support the social determinants of mental health in preventing anxiety/depression SPONSOR RESOURCES Antidepressants Going off Antidepressants Bounceback Patient Health Questionnaire Depression: Resource Guide for Patients GUESTS Sahil Ahuja, PharmD Sahil Ahuja is a licensed pharmacist practising at Two Nice Guys Pharmacy in Kelowna, BC. In this setting he provides patient-centered care that starts with listening to the person in front of him. In collaboration with that patient's health care team, Sahil provides a range of services including patient education, medication recommendations, and prescriptions. While completing his Doctor of Pharmacy degree at UBC, Sahil encountered mental health struggles of his own. Having made it through those difficult times, he believes the best way to reduce any remaining stigma around mental health is by openly sharing his own experiences. Professionally, Sahil's current focus is on the Toxic Drug Crisis and ensuring patients experiencing substance-use disorders have reliable and non-judgemental access to medication. These efforts have helped Two Nice Guys' Pharmacy earn recognition as Unsung Heroes in the community. In his personal life, he is prioritizing trying new hobbies and experiences (e.g., skydiving) to continuously expand his comfort zone. Dr. Warren Bell Dr. Warren Bell has been a general practitioner for more than 40 years. For decades he has advocated for peace, social development, the environment, and the anti-nuclear movement, as well as the integration of healing modalities of all kinds. He is past founding president of Canadian Association of Physicians for the Environment, past president of International Physicians for the Prevention of Nuclear War Canada and the Association of Complementary and Integrative Physicians of BC, past president of medical staff at the Shuswap Lake General Hospital, and current president of Wetland Alliance: The Ecological Response (WA:TER). He has written several peer-reviewed clinical pieces and for online publications such as the Vancouver Observer and National Observer. Warren received a College of Family Physicians of Canada Environmental Health Award and the Queen's Medal for Canada's 125th Anniversary in 1992. Email: cppbell@web.ca Facebook: https://www.facebook.com/warren.bell.714 HOST Jo de Vries is a community education and engagement specialist with more 30 years of experience helping local governments in British Columbia connect with their citizens about important sustainability issues. In 2006, she established the Fresh Outlook Foundation (FOF) to “inspire community conversations for sustainable change.” FOF's highly acclaimed events include Building SustainABLE Communities conferences, Reel Change SustainAbility Film Fest, Eco-Blast Kids' Camps, CommUnity Innovation Lab, Breakfast of Champions, and Women 4 SustainAbility. FOF's newest ventures are the HEADS UP! Community Mental Health Summit and HEADS UP! Community Mental Health Podcast. Website: Fresh Outlook Foundation Phone: 250-300-8797 PLAY IT FORWARD The move toward optimal mental health becomes possible as more people learn about the challenges, successes, and opportunities. To that end, please share this podcast with anyone who has an interest or stake in the future of mental health and wellness. FOLLOW US For more information about the Fresh Outlook Foundation (FOF) and our programs and events, visit our website, sign up for our newsletter, and like us on Facebook and Twitter. HELP US As a charity, FOF relies on support from grants, sponsors, and donors to continue its valuable work. If you benefited from the podcast, please help fund future episodes by making a one-time or monthly donation. Sahil Ahuga and Dr. Warren Bell Interview Transcript You can download a pdf of the transcript here. The entire transcript is also found below: RICK 0:10 Welcome to the Heads Up Community Mental Health podcast. Join our host Jo de Vries with the Fresh Outlook Foundation, as she combines science with storytelling to explore a variety of mental health issues with people from all walks of life. Stay tuned. JO 0:32 Hey, Jo here. Thanks for joining me and my two special guests as we delve into my own story of healing from anxiety attacks that started when I was 12 years old. Now 67, and after multiple rounds of medication, the latest one lasting almost 20 years, I'm in the process of seeking freedom from fear and anxiety with help from two medical professionals. The first is Dr. Warren Bell, a GP who also practices psychotherapy in Salmon Arm, BC. He's guiding me along a path of discovery to find the root causes of my disorder. Hi, Warren. Warren 1:12 Hi, Jo, I'm delighted to be here. And I just like to say that the fact that you are sharing your story in this public way is an act of courage on the one hand, but it's also something that I think will lead to many other people who listen to this podcast, understanding your dilemma and the trials you've been through, and also be grateful for the fact that you have shared this very personal voyage that you've been on. JO 1:41 The other vital member of my team is pharmacist Sahil Ahuja, who's advising me on how to safely taper off two medications. Welcome Sahil. SAHIL 1:52 Hi Jo. Thank you for having me. Likewise, very grateful to have this opportunity, and appreciative that you're willing to share your story. We talk a lot about decreasing stigma around these concerns. I think this will be beneficial to a lot of people. JO 2:07 I can't tell you how grateful I am to have you both on my side and here today for the podcast. Two things before we get started. First, a big thank you to our sponsors for this episode, the Social Planning and Research Council of BC, Emil Anderson Construction, WorkSafeBC and AECOM Engineering. And second, please note that I'm sharing my story for informational purposes only. This is very important. If you're experiencing mental health challenges or want to taper off medication, please seek advice from your doctor and/or mental health professional. Okay, so imagine you're lying down tied to a railway track. You start to feel vibrations in the ties and a hum on the rails that can mean only one thing, a coming train. As it rounds the corner, you hear the whistle scream warning you to jump or else, but you can't. As the scenario unfolds, your breathing shallows while your heart rate spikes. You feel increasingly weak, dizzy, sweaty, and/or nauseated. You quickly move from feeling agitated to being terrified you'll die, and then maybe even wishing you would so the overwhelming physical and emotional sensations would stop. After what could be minutes or hours, the train roars over you, the danger seemingly past, but in its place comes the fear of what will happen next time you're tied to a track, or more likely must give a speech, or take an exam, or feel uncomfortable, insecure, or unworthy. That's anxiety's gift that keeps on giving. The continual fear of fear itself. My panic attacks started when I entered puberty when my hormones raged for the first time. My second bout was triggered again by a hormonal imbalance after the birth of my first daughter. That time it was more serious and involved depression as well. To make a long story short, I started thinking, what if I hurt my daughter and then spiraled into terror so visceral, I couldn't be alone for fear I'd go crazy and do the unthinkable. I was trapped in a vicious cycle. Feeling depressed made me more anxious and feeling anxious worsened the depression. My father who was a doctor said I was experiencing postpartum depression and prescribed an antidepressant. I also saw a psychiatrist who said that with the medication, I would recover. That's how it was done in 1983. No mention of lifestyle changes, counseling, or other potential treatments. The pills worked, so I took them until after my second daughter was born, too afraid to again face postpartum symptoms. When life settled down and my marriage and career seemed stable, I weaned off the medication and managed well for a number of years. My next experience with paralyzing fear came at the end of my first marriage, emotions were high, my anxiety levels were higher. Again, I was prescribed medication, this time by my GP. I did get counseling, but unfortunately, the counselor decided my husband was a jerk, and that I'd be better off without him. So I concluded the anxiety was situational, and didn't see the need for further counseling to get to its root causes. Fast forward to the beginning of my second marriage. I'm feeling good and decided to taper off medication again, which was fine until I accepted a job that turned into the worst experience of my working life. Eighteen months later, just after I resigned, I descended into what can only be described as hell on Earth. I lived in the emotional storm of an acute, unending, anxiety attack for three days. I couldn't think, I couldn't eat or drink without vomiting. I couldn't be alone for fear I would die. And at times, I wished I would because I didn't think I could stand another minute. I was prescribed three medications in large doses. A benzodiazepine for sleep, an antidepressant, and an antipsychotic, which is sometimes used to treat anxiety and depression when just the antidepressant isn't enough. Well, I don't regret taking the medications as they dulled the anxiety and lifted the depression to manageable levels. They did make me look and feel somewhat like a zombie for a number of months. With that first stage of recovery under my belt, I started thinking again about tapering off my medications. Like many other people who take them, I thought I was weak and wanted to prove to myself that I wasn't. First, I tapered off the sleeping pill. Then I significantly reduced the antipsychotic but decided to stay on the same dose of antidepressant, and there I sat for almost 20 years. In the early years, I tried a few times to wean off the antidepressant, but always experienced low-level anxiety and other minor side effects such as disturbing dreams. Mainly though, I was still afraid of being afraid, not wanting to look inside to find what was hiding there. Fast forward again to a little more than a year ago when I was 65. I must have been ready for a change of perspective, because a transformational book came across my desk while I was researching a Heads Up podcast about depression. It's called Lost Connections, Uncovering the Real Causes of Depression, and the Unexpected Solutions. It's by John Hari, an award-winning journalist and best selling author who has an experience of depression that he weaves throughout his book. Hari's book made me look at my situation differently through a lens of evidence-based findings, on the effectiveness of medication for depression and/or anxiety. And it made me question the medical system's long-standing pharmaceutical approach to symptom management, and the crutch it had perhaps become for me. So with input from Warren and Sahil, I developed a plan for tapering off the medications. I felt ready given that my life is now vastly different than it was 20 years ago, and that I'm truly invested in optimizing my physical, mental, emotional, and spiritual health. The three of us agreed that tapering off should be done very slowly. Given that I'd been on hefty doses for almost two decades. And because I'd had side effects when I last tried to cut down. You'll learn more about this from Warren and Sahil a little later. Starting last spring, I cut my antipsychotic medication over several months by almost 90 percent. It surprised me that I experienced no anxiety during that time, and it thrilled me that I felt increasingly more energetic and alive as the doses dropped. I delayed tapering down from the antidepressant until this spring, given that winter can be a challenging time for me. In April, I reduced the dose of my antidepressant a small amount. As with previous tapering attempts, I felt stirrings of anxiety and had vivid, sometimes disturbing dreams. But I persisted and that past. A week or so ago, I tapered down again, and I'll stay on that dose for a month or so before deciding whether to cut down further. That's slower tapering than people typically do. But I'm fine with that. Most importantly, Warren, Sahil, and I agreed that I needed to be realistic about my ability to taper off completely. I've accepted that and we'll take this process one day at a time, watching for symptoms that might be too much for me. I realized I may have to take medication for the rest of my life. And I have no shame or guilt around that. Nor should you if you're on medication that improves your mental health and quality of life. My journey of finding freedom from fear and anxiety has led me to new places, both within myself and in the world around me. I've embraced proven science while being embraced by compassionate care. I now have feelings that are big, and raw, and real, and so welcome now that I understand they're to be revered, not feared. As Eleanor Roosevelt recommended, I also try to do one thing every day that scares me. Today, it's being vulnerable by sharing my story, which I hope will inspire you to get the help you need. If you're struggling, start by making an appointment with your doctor and/or a mental health professional. And please check out the resources in the Show Notes page on our website at freshoutlookfoundation.org/podcasts. Time now to bring in the experts who can add some meat to the bones of my story, and John Hari's book. Let's start with you Sahil. I found you at Two Nice Guys Pharmacy in Kelowna, BC. Great name by the way. My daughter recommended this because of your amazing, personalized service. We met, and you agreed to help me taper off the medications. You also promised to read Hari's book and then share your insights on this podcast. Let's start by you telling us your story, and why you find such meaning in helping people along their healing journeys. SAHIL 12:31 I'm glad that you've had a good experience. I've never had someone ask me to read a book and be on their podcast. So, it was a neat experience for me as well. My story, the part that's kind of relevant to the mental health conversation here, is that in undergrad I was in sciences and living at home in Kelowna, going to UBCO. And everything was good. But when I was accepted into pharmacy school, and I had to move to Vancouver and go into this Doctor of Pharmacy Professional program, that's where things started to unravel a little bit, I would say. When I moved away, it was great. I was living with one of my friends. But in those first couple of months of being away from home and being in a new program and in a new city, I started to feel a lot of discomfort. I remember times when I was studying, and I couldn't focus anymore on the slides in front of me, and I would have to go lie down. Eventually, I got to the point of having a conversation with my doctor, and we realized that I was having panic attacks, which was very foreign to me. And the identity that I had for myself of being this high achieving person who just is able to do anything and everything, and to have that, quote unquote, what I felt as a setback was tough to process. And I wasn't able to really get a handle on the anxiety in those first few months, then kind of depression was becoming a part of that as well. And they are sometimes related but also very distinct things, and I felt the distinctions there. I eventually started on medications, and I found them to be very helpful. I remember in those first few months of being on fluoxetine that I felt that if everyone was taking this medication, that there would be less crime in the world, everyone be happier. It was amazing. But as in the book, I had a similar experience as the author where that effect faded, and then we would increase the dose I would feel well, and the effect would fade. And that cycle continued whether with new medications or new doses for a few years. And then near the end of pharmacy school, I was getting tired of it. And I tapered myself off the medications and it took probably a year after that for me to feel like okay, I'm actually through this phase of anxiety and depression. It was interesting for me because I subscribed very heavily to the chemical imbalance narrative, in part because I had everything else going for me in life. I had amazing support systems in my family and friends. Even though I had left my family, they were still very supportive. And I had friends there. I had a great career ahead of me with meaningful work. It didn't make sense to me. And that was one of the most frustrating parts of like, why am I feeling this way. So, the chemical imbalance narrative really helped, to be like hey, it is out of your control, but kind of working through it and getting through it. I think it was the purposelessness that really got me and meaning to life that got me, and I found it in social connections, I found it in really savoring the moments that I have with friends. Meaningful conversations like this one, when you're 40 minutes into a cup of coffee with someone, I find so much meaning and joy in those moments, and I soak in that joy. And I would say it's still a work in progress. And not every day is a great day. But I definitely have much more joy in my life. I have more good days than bad days, and the bad days aren't as bad anymore. JO 16:00 Thank you so much for being vulnerable and laying that out for us. And I agree your story too will help other people. How has your experience impacted in a positive way your ability to help your clients who are experiencing mental health challenges? SAHIL 16:17 I think my experience gives me an insight into what the human in front of me is experiencing. I understand how difficult it is to even get to the point of standing at the pharmacy counter. There are so many pieces in between one of just recognizing and understanding what's happening that took me a bit of time, then being willing to address that concern and eventually talking to a physician or whichever healthcare provider getting to the point of like, okay, I have this prescription in my hand, am I going to go fill it? Okay, I go drop it off at the pharmacy counter, am I gonna go back? There's so many points there, where things could fall off or the mind could change. So when that person is in front of me, I have a sense of like, okay, it was not easy to get here. And I want to make sure that I can hopefully make it a bit easier moving forward. JO 17:13 Sahil, before meeting you, my interactions with pharmacists had been what I call clinical, which I guess is fair. But the training you received is changing that. Tell us more. SAHIL 17:26 I graduated in 2019 from UBCs PharmD program, and it is very patient-centered care. We are not just looking at the condition and throwing a medication at it. We're looking at the human that's in front of us and saying okay, this condition is part of what's going on. But let's look at everything else that's going on. And as a pharmacist, our training, the first thing we even think about is, is a medication even necessary, is it even the best treatment? For example, in school, we were being assessed when we were counseling a medication to a patient. We had to give three or four non-medication ways, non-drug measures to help address any particular concern, whether its mental health related or blood pressure or cholesterol. Those non-pharm measures or non-drug measures are very important, and the first line of therapy, frankly, in the majority of conditions. If those don't work, then we look at medication. JO 18:22 When you say patient-centered or personalized care, what does that mean? SAHIL 18:28 It's about assessing what's important to them and what their values are, depending on whether they're in school, what their age is, what their priorities are. It can help us guide the antidepressant we choose, for example, because depending on their side effect profiles, some side effects, for example weight gain, may be acceptable to some and not acceptable to others. So that's where the personalized approach comes in of, okay, let me learn about this person, what's important to them. And then we can make more informed decisions together and give them the appropriate information. JO 19:02 When you speak to your clients first about taking antidepressants, what do you tell them? SAHIL 19:07 Sometimes the majority of the times the benefits aren't immediate. And that's really frustrating when you're living through anxiety and depression. You're feeling unwell in all these ways to hear that, hey, I'm gonna have to stick through this for another 246 weeks before I really feel better. So that's one thing, it is a bit of a process. And also, the first one may not be the right one. We have a lot of options. We have a lot of medications that work in different ways that have different side effect profiles. So we can hopefully over time find the right one. And the things that probably do work more immediately are those non-drug measures, whether it's starting to look at CBT, and there's a lot of free CBT resources out there, whether it's from Anxiety Canada or MindHealthBC? Maybe the first line of therapy is being more mindful about hanging out with your friends, which is really difficult to do when you're living through it. But if there's a way that you can go for that cup of coffee and feel a little bit better, or go for that walk in nature and feel that sense of calm, those things might be more immediately soothing, and that will give the medication some time to kick in. JO 20:18 What about the primary potential side effects? SAHIL 20:24 There's a whole host of things depending on the medication that you take. So to say main potential side effects is a little bit tricky. And everything's in context as well. So I always hesitate from saying things broadly. But I will say some of the big things to watch out for is that, especially in younger patients, there is an increased risk of self-harm. And that's something that is top of mind for me. So when I am talking to my patients I, especially younger patients, I'd like to mention this is something that we've got to watch out for. There's regular things like nausea, and dizziness, and all of these things that usually, we can help mitigate or get better as the weeks go on. Certain ones might have a higher risk of sexual dysfunction, for example, others have very limited risk of that. Some have a little bit of risk of weight gain, and others are less. Some cause trouble sleeping, some help more with sleeping. That's why the personalization part is really important. If I have a patient who has insomnia with depression, then we want something that causes drowsiness, depending on if that's what they want. If we have somebody that they are unable to get out of bed at all, they're sleeping 12 plus hours a day or whatever, and I was on that side I would sleep all day long, we want something that might have energized them a little bit more, a little bit more activating. Side effects are also tricky term because sometimes that effect is something we want to happen. So it's very personalized and patient specific. JO 21:51 What about side effects associated with tapering off, and your tips for minimizing these? SAHIL 21:58 What I've seen in my short career so far practicing for a couple years is we really want to take it slow; we want to go over weeks or months. And that will help minimize the withdrawal symptoms. So it can be some of the things that patients experienced in the beginning, maybe some dizziness, or the strange one to me that I wouldn't think about is flu like symptoms. People can actually feel unwell in that way. There can be some irritability, appetite affects, sleep changes. You might even feel that irritability or depression coming back, but sometimes it's temporary, right? It's just the body getting used to not having the medication. And it's not necessarily that the depression is actually coming back. The other one that I hear patients talk about sometimes even if they miss a dose or two, is brains zaps or just that abnormal sensation there. These are the things to look out for. And if they're happening, this is how we can manage it or just even knowing that something can happen, helps mitigate the surprise of when it happens and makes it less scary in that way. JO 22:59 Thanks Sahil. That's great info and will really help me by the way, which brings us to our next guest, Dr. Warren Bell and his decades-long practice of combining medical and pharmaceutical knowledge with psychotherapy and downhome compassion. Just building on what Sahil was explaining to us, what do you see in the way of side effects or symptoms of people tapering off of these medications? Warren 23:29 The principle that Sahil referred to, which is to do it slowly, is probably more important than any other principle with respect to withdrawing or tapering off medication of this nature, psychotropic drugs. People experience a variety of symptoms when they start to reduce medication, including symptoms that are very similar to the ones that they experienced before they began to take them. These are withdrawal symptoms, but they seem to be very similar to what they experienced prior to starting medication. And as a consequence, there's a sense that maybe their condition that led to them taking medication has recurred. But it's actually a withdrawal process. And the best way to deal with it is to do it very slowly. I've had people who were withdrawn off medication in six weeks by one of my psychiatric colleagues, experience a terrible withdrawal pattern. And when I was involved with repeating it, because they cut back on the medication, we changed it from a six-week withdrawal to a two year withdrawal, and it was effortless. JO 24:36 I'd like to build on Sahil's insights about patient-centered care. You and I have talked about your practice of getting to know people in the round, versus using only biomedical measures for treatment. Why don't you share your story of integrating treatment modalities and how it's helped your patients with mental health challenges? Warren 25:00 My background prior to medicine was not pure sciences. My background was actually, believe it or not, music and creative writing. So I had a sort of artsy kind of perspective on life. So when I came to medicine, it was with a very different perspective from many of my fellow students. I understood science, but it wasn't the only thing that I had studied. As I went through medical school, I found the narrow approach on biomedical matters and physical health issues, to be challenging, because I was only too aware of my own psychological responses. So early on in my training program, one of my preceptors, who was the head of psychiatry at McGill, noticed that I had a bit of an aptitude for exploring the psychological experiences that people were having. And that led to learning about different kinds of approach to therapeutic interventions in that area. And I eventually fastened on a procedure, or a process, or an approach called short-term anxiety provoking psychotherapy, which at the time, short-term meant 12 to 15 visits as opposed to two years of weekly visits that psychoanalysis was focused around. So it was shorter term, but it was still longer term than what is commonly done with psychiatrists these days. And after I had graduated, I worked in a psychiatric outpatient clinic for a year, and I also engaged in palliative care. Much of it is intensely psychologically oriented. When I came back to BC and began practicing in the small town of Salmon Arm, I just felt the need for a variety of reasons to explore other modalities. And I embarked on what amounted to a 20- 25-year process of learning about every kind of therapeutic opportunity that there is ranging from physical interventions like manual therapies, massage, cranial-sacral therapy, chiropractic, and of course physiotherapy, one of the standards, and osteopathy, and then also mind approaches. Sahil mentioned CBT, which is a fairly formulaic form of psychological intervention, but it's been used and has been validated as having some value. But then there's other things like yoga and meditation and mindfulness. And side-by-side with them was the process that I was bringing into my practice, which is insight-oriented therapy, where you spend a long time asking challenging questions and essentially, having patient hear themselves say things that they haven't said before, and understanding things inside their own consciousness that are new, and developing insights. That way, it's not a system where I give people advice. It's a system where I probe, and their responses end up being their therapy. And I've done it now for over 45 years. So it's been a central part of what I do, because once you explore people's minds, you find out what they are like, as you said, in the round. You find out more of the totality of their life experiences, not just the disease, or the condition, or the injury that they present with. So it inevitably makes you think holistically when you approach anybody. JO 28:42 During my psychotherapy sessions, we talk about many things including the mental health impacts of my upbringing, my Type A personality, my perfectionism, and so on. But my biggest takeaway was the realization that I bottled up what I thought were negative emotions for decades, only acknowledging and sharing the positive side of myself. Warren, you along with Brene Brown taught me to sit with my not so nice feelings, to really feel them, and then to identify them, process them, and maybe most importantly, learn from them. I'll give you a simple example of that. About six months ago, I was cleaning out my kitchen cupboards, and I came across a set of china that I had inherited when my Mom passed away. And it brought back wonderful memories of Easter dinners, and Thanksgiving and Christmas dinners and us all around the tables. And my mom loved those occasions. She loved her crystal, she loved her china, and her cutlery, and everything was set so beautifully, and she was so proud. And I decided that I really didn't have room for this china anymore. So I called my sister and I said, you have a lot more room, would you like this china? And she said, sure. I went downstairs, got some boxes, brought them up, and I started packing away this china. And I started feeling increasingly more sad, to the point where I started crying, which is really unusual for me because I'm not a crier. And I just felt worse and worse and worse. And so I went and lay down. And I started thinking about the china and what it meant to me and came to the conclusion that I didn't want to give it away. I really needed to keep this as a connection to my mother. So I packed up the china and I put it in this very special place, and decided that I'm going to use it on occasion, even if it's not a special occasion. So that, for me, was a cathartic experience of feeling something, identifying what it is, processing it, and then responding in a way that met my emotional needs. It has really played a remarkable role in my healing. I've said all that to ask this question. Warren, in the patients you've seen over the years who are experiencing anxiety or depression, what role do you see unprocessed negative emotions playing? Warren 31:34 They play a central role, because they embody things that are unresolved in one's own life experience. There is a social pressure on all of us to hold back expression of any kind of negativity. If you meet somebody in the street and they say, hi how are you, you don't say, well actually I'm having a really bad day, and let me tell you about it. Partly because we know that the chance of them stopping and paying attention to those remarks will be very limited, they might be frightened away. But also, it seems like exposing ourselves to having other people see the vulnerability in us. And so it's quite natural, at a social level in many social situations to suppress the expression of negative feelings, fear, anger, frustration, terror, all experiences which we define as negative. What they are, of course, is responses of our central nervous system to things that are troubling to us, that disrupt our lives, or that appear to threaten our security. When you do that, and those experiences come to the surface, as you described in the story about your mother's china, you often will experience an emotional reaction that takes you by surprise. And if it's the wrong kind of setting, for example, there's a bunch of people looking at you and you're on stage, and you happen to open your mother's china there, you would be under intense emotional pressure internally, to not start to weep on stage. Now, if it was a psychotherapeutic group therapy session, you wouldn't have that same feeling. But if you're on stage, and it's a public performance, you would feel horrified at the fact that you were losing emotional grip on yourself. So setting has a lot to do with it. And often in our early years, we have settings where we are discouraged from expressing our true reactions to things. A parent who tried to be helpful says, "Don't make so much noise in this room, keep quiet." You don't know why they want you to do it, but they tell you to do it. And you want to make a big noise, you feel full of exuberant energy, and you can't do it. And so you learn to put those feelings and that expression away. And then you get into a situation where you start to cheer at a sports event and suddenly you are feeling giddy, you feeling strange and kind of uncomfortable, and maybe a little anxious, like I'm being too exuberant. I'm expressing my feelings too vigorously. So what the negative emotions that are suppressed or unprocessed do is they influence a lot of our day-to-day behavior. But much of that behavior as an experience is of feeling anxious, or in this case that you just described, you feel sad, but they are highly legitimate emotional responses that are present in us when we're first born. And so to suppress them tends to be kind of unhealthy. It's not so much that you express them anywhere. You find out where it's appropriate to express them as you grow older, but you don't get rid of them. That's the key I think. SAHIL 34:38 I'm going to jump in here just to add a little bit more of my story and how I think processing those emotions helped out. When I originally had my symptoms, I felt defective in a sense. It's interesting how you would never think that of somebody else but when it's yourself, there's more harsh judgment, something that I have worked through thankfully. But I went on a self-improvement binge. And in doing so, I think developed a little bit more EQ, emotional intelligence, and self-awareness. With that self-awareness, I noticed and was actually able to see those negative emotions, sit with them, and process them in ways that you two have mentioned. So I think it's extremely important to get to that point where you can recognize and deal with what's happening. JO 35:23 What about the role of chronic stress and depression and anxiety? Warren 35:29 Chronic stress is usually the result of a habit. We live by habits, our lives are guided by habits, habits are shorthand ways of dealing with events that occur over and over again in our lives, and that we have to develop a sort of patterned response to. If there are patterned responses to all or most expressions of a certain part of our own inner world that is valuable and important to us, then it produces a chronic state of feeling anxious, depressed, or just out of sorts. Because we're putting aside a part of ourselves on a day-to-day basis. And the habit of putting that part of ourselves aside, has been so firmly entrenched in our vocabulary, our emotional vocabulary, that we never think about it when somebody says, are you scared, you say, oh no, even though we could be terrified, because we don't allow ourselves to think that we're terrified. Because if we thought we were terrified, we'd start to act like we were terrified. And that would produce the kind of reaction Sahil was just describing, doing things that you feel uncomfortable, that make you look more vulnerable. But in fact, as we become more integrated, our personalities become more integrated, and the different parts of ourselves get to know each other better, then stress levels tend to go down markedly. That's one of the reasons why insight-oriented psychotherapy can be so useful, because at the end of the road, you have an understanding of why you get agitated in certain situations, and not in others. SAHIL 37:04 So just to add to that chronic stress piece, it was stressful to be in a new city and learning how to fend for myself in that way. And the pace of professional school is very different from undergrad. It's hard to keep afloat in those settings sometimes. So I do think that chronic, ongoing feeling of drowning and rat race sometimes, I felt that even in my career, I think that does add to the situation. JO 37:30 For personal reasons, I'm interested in the link between genetics and anxiety and depression, as there's a history of those in my family. My dad experienced anxiety and depression. My paternal grandfather was hospitalized because of mental health challenges. And my maternal grandmother took her life by suicide when my mom was just eight years old. I also wonder about the impact of trauma and have tried to unearth the traumatic event in my past that might have triggered my challenges. Warren what can you tell us about that? Warren 38:06 Trauma is something that depends very much on the context in which a particular behavior occurs. And the trauma is not always explosive, violent, and deeply disruptive. Sometimes trauma can be the lack of a response to a certain behavior on our part as children. The adverse childhood experience body of research is often shortened to ACE, A C E, began in 1988. But it's research that really explores something that's deeply rooted in human experience. And that is that if things go really bad when you're young and vulnerable, then it can shape your response to the future quite dramatically. If somebody has a father who's an alcoholic, the father may never be violent or aggressive or invasive into that child's life, but they may be absent, they may be sort of non-existent, the parenting role could be almost completely removed because of a preoccupation with the state of consumption of alcohol. Sometimes parents are away a lot, they're absent. So trauma takes different forms. I think it's generally recognized that an accumulation of extremely disruptive events, things like a parent going to jail, things like the death of a parent, things like physical, mental, social, and sexual abuse. All of these really invasive, intensely disruptive forms of trauma clearly shake, sometimes shatter the sense of personality, self-esteem, self-trust, trust in others, and that can have impacts throughout a person's life. There's quite strong evidence that if you accumulate a certain number of traumatic experiences in your early years, it will have a permanent effect on your development as a human being. That said, you mentioned the genetic component of mental distress and mental difficulties. There is some degree of that, but with most genetic components, they offer about five, maybe 10 percent of the reason why things happen. What you may have genetically is a tendency, but not necessarily a condition. And so you might be more susceptible to certain kinds of inputs. But it's not that you're going to go ahead and behave in a certain way because of your genes overwhelming your judgment. JO 40:49 Warren, you've been doing this for decades. Have the levels of anxiety and depression increased over the last 10 or 20 years? Warren 40:59 My observation would be that certain kinds of anxieties have increased. And certain kinds of social and environmental, and I mean environmental in the broadest sense of the term, pressures and disruptions have come into the lives of many, many people around the world. On the broad scale, there is widespread anxiety, and particularly among young people, children ages, say six to 15. Anxiety about their future, on a planet that is increasingly degraded by human activity and the presence of so many of us on the planet. That's a genuine anxiety. And there have been surveys. The BBC did one recently that showed in every country, they analyzed children's responses, they found this kind of anxiety underlying their daily lives. They don't go around talking about it all the time, but if you ask them how they feel, they're very explicit and describe quite disabling, sometimes senses of anxiety. One of my colleagues who works in an emergency room here, had three young people over a period of some months who had all come to the emergency room because they were either feeling suicidal, or they had made a suicidal attempt, because they were so depressed about the future of human society. They felt that there was no hope for us. And I think the heat dome and the fires during the summer really intensified those anxieties. There are also other stressors like the enormous disparity between the very well to do and the very underprivileged and financially insecure. So I think there are increased levels of depression and anxiety about those kinds of things. But to be honest, the primary things that bring on anxiety and depression are personal factors, elements, and events, and experiences within a person's own life. That's where those kinds of experiences take place. And I would say, there's probably in this part of the world, more of that going on in communities, and neighborhoods, and individuals to some extent than there are in many other parts of the world where connection and interaction and a sense of community are much more strongly developed. But I would say these broad disruptive impacts are being felt by people all over the world. JO 43:25 Sahil, what's your observation about mental health over the last couple of years since COVID? I have heard that statistically, mental health has declined over that period. But I've also heard very promising statistics about how many people have taken this as an opportunity, like yourself, to build themselves in a positive way. SAHIL 43:54 It's hard for me to assess the exact statistics on what's happening. But what I do feel confident saying is, it's a conversation that more people are willing to have. It's something that became a societal level conversation during COVID lockdowns on how are you actually feeling. I think it prompted a lot of self-reflection in individuals. So maybe that's why we're seeing both improvements, because people are seeing things that they can work on, and maybe more conversations on people not feeling well because you're actually recognizing what's happening. And not just burying it with the busyness of life. JO 44:32 A big chunk of Hari's book outlines his research findings about the effectiveness of pharmaceutical solutions for depression and/or anxiety. He also questions the long-held belief that brain chemistry changes are the primary causes of those disorders. Sahil, what do you think about the book and Hari's arguments? SAHIL 45:00 So I mentioned my story, I did very much subscribe to the chemical imbalance narrative. And I do think there is still some truth to be had there. I think it's good to have a conversation around that on, okay, maybe that's part of the scenario, but maybe not the whole scenario. And there are things that we can work on. I did really enjoy the book. I enjoyed the breakdown of all these connections, and frankly, then all of the solutions that can help chip away at it. I don't know if I bought all the arguments in their entirety. But I think there is enough in that book to reflect on and learn from. Warren 45:38 The book was interesting for me, because I was familiar with a lot of the research that he explores. From a journalist point of view, he went and interviewed the people who had done, for example, the meta-analysis of antidepressants with the SSRI, selective serotonin reuptake inhibitor category. I was familiar with the fact that the full meta-analysis, which was done by obtaining all the studies that have been done on these drugs, rather than the ones that have been published at the time the drugs first came out. It was possible to do say, a dozen studies, find four that said what you want them to say, and then the other eight said things you didn't want them to say. In other words, they were not so positive about the drugs in question and their therapeutic benefits. And never publish those eight and only publish the four that you like. So what the researchers on that particular meta analysis did, they went and got all the studies. They nagged the Food and Drug Administration, so they finally gave them the actual raw data from those studies. And when that happened, it showed that the evidence used to promote many of the psychotropic drugs was quite skewed. It was quite directed towards a marketing end rather than a therapeutic end. And that's nothing new. Nobody should be surprised. The nature of the corporation and most large pharmaceutical companies or corporations, is to deal with the shareholders expectation of profit. And that's the sine qua non, the other part of it is of importance, but it's not the central issue. What I liked about the book was that I was hearing some of the sort of personal trajectories, the narratives of the people who did the research and why they did it, and what they felt about the research when they had done it. And that was adding another sort of personal element to stories that I had heard, written up in clinical journals. I particularly appreciated the fact that Hari was very open about his own struggles, which I think is important. It makes it clear that say an investigative journalist or a public figure, is not somebody who sprang out of the earth fully formed. They are like everybody else, in a process of evolving, and changing, and coming to new understanding about something that they might have thought they understood very well, for sometimes a very long time. So that was helpful for me. And then some of the individual stories about changes that took place in people's lives, I found quite illuminating, and quite heartening, as well. JO 48:20 What were your favorite stories and why? SAHIL 48:23 One of my favorite parts is right at the beginning, when the author talks about the initial experience with the medications which paralleled mine, of there was a benefit, it would fade, there was a benefit, and it would fade. And specifically, there was this part where the author felt compelled to evangelize about the medications. And I felt that as well. I was singing the praises because I had felt so down and so unwell. The correction of that, or the fixing of that, however, I felt in that moment was so significant to me, that I felt that everyone should consider whether or not they need these medications. So that point of relatability from the beginning, stuck with me and probably added to the authenticity of the book for me, or added to the reliability of the author's narrative throughout. Warren 49:15 The story that captured my imagination the most was the story he told about arriving in Berlin, he's originally German so this was kind of like coming home and coming across a small community of people rejected on all sides by society. Some of them were immigrants from other countries that didn't speak English, or German, or other as a first language. Some were people who had been disabled. Some were people with sexual orientation that was not accepted in German society. And somehow, they just didn't feel comfortable in the value system of the society they we're living in. All of them had been kind of isolated from society as a whole but also from one another. And then an elderly immigrant woman decided to just sit out in public and be visible, because she was having trouble with attaining some goals in her life, from the government. And around her coalesced a whole new community that formed, and was established, and strengthened, and sustained by the energy that each of these marginalized individuals brought to the broader nature of their gathering of people. It wasn't just a heartwarming story, it was an analysis of how community is established. You reach out, you find commonality, you ignore the superficial differences, you look for the deeper values that you share. And then when you do that, you gain an enormous sense of personal and shared satisfaction. And I think if there was any way to give an example of how to enhance mental health, I would say that story to me stood out very much so. SAHIL 51:03 I agree. Not only was it heartwarming, I found it to be so empowering. In those most dire of circumstances, they were able to come together. And that sense of community that they built was inspiring and empowering on any time you find yourself in dire straits, you can build that community that will help you through it. Warren 51:22 And I would compare that to say, a very wealthy suburb in a large urban setting where all the houses are grand, the trees are beautiful, and the neighbors don't always know each other. And they're often sort of in competition to have the nicest lawn, or the biggest swimming pool, or whatever. And sometimes, not always, but sometimes, just very wrapped up in material values. And then at some point in time realizing that what they really want is a sense of relationship with others. JO 51:58 Much of the book focuses on what Hari feels are the nine major causes of depression and anxiety, including trauma and genetics. He describes them as disconnection from other people, or meaningful values and work and from status and respect. He also talks about us being disconnected from nature, and from a hopeful and secure future, which are inextricably linked. He goes on to talk about solutions, or what he calls different kinds of antidepressants. And we don't have time to talk about all of these, but I would like to dig a little deeper into what I believe is the most important message in the book. And that's the vital role social connection plays in mental health at all scales, individuals, families, workplaces, and communities. So first of all, Sahil being of Indian descent, your experience with social connection is much different than ours in the Western world. Tell us about that, and how it played out in your life. SAHIL 53:07 My parents are from India, moved here kind of in their 20s. Typical immigrant story, came with very little, have kind of worked their way up the social ladder. I'm born and raised in Canada. Being Canadian is my primary identity. And then I so happen to have this background. And with that background, I think comes a greater sense of family and importance on family. The social connection that I have with my parents and with my sister, that family household connection is so central to my existence. Leaving that when I left Kelowna to go to Vancouver for pharmacy school, that definitely had a role of being further from my greatest support system. And there was never a sense that I would be abandoned. When I look at more Western culture of kids moving out at 18, it seems such a difficult way of life. I don't know if I would have been able to get to where I'm at in life, if that was the culture that I came from, or if that was the situation I was in. So that value on a family and supporting each other, this mindset of my parents support me until I'm self-sufficient, and then eventually, the responsibility becomes mine to take care of them. So we're always being taken care of and supported in that way. There's no sense of time out in the world by myself. Warren 54:33 The Indian culture is, in some ways, far more mature than the kind of hybrid culture that we have in this part of the world. And many, many other cultures really have maintained a sense of community and family. There's no question I've observed in many, many situations how having sometimes just one healthy relationship can mean the difference between somebody being really distressed almost all the time, and feeling a sense of relief and security. Maybe I can recite a story that was told to me by two prominent members of Indigenous community here. They talked about the fact that everything that happened in Indigenous community was for the community. And as a result, everything you did was to make sure the community survived. So if food was scarce, and hunters brought back a deer or something like that, or there was some kind of plant that they could harvest, it would be shared equally among the community. And even if somebody was a hunter and needed more energy, then others would make sure that the hunter had a little bit extra. We certainly don't think of the communitarian values that underlie our behavior all that much. We're doing a better job now, but we've got a long way to go. And I think we can learn a lot from the Indigenous experience. JO 55:59 Sahil, you have one foot in Canadian culture, the other in Indian culture. Tell us what you've learned about your Indian culture that would help us build more mentally healthy communities here. SAHIL 56:12 It's hard for me to speak for all of South Asian culture. Even just India is a country of a billion people, and there's a lot of nuances. But what I can say from my personal experience is, I'm lucky to have a good family dynamic. And that's taken work. It's taking conversations, it's taken establishing and respecting boundaries. So I think the takeaway for me is put time and effort into cultivating the relationships, maintaining the relationships, because that is kind of the foundation of everything else. If you have those, you can work through a lot of the other difficulties that life throws at you. JO 56:55 Warren, you and I have talked a lot about the importance of livable communities that are designed and built to foster social connection. Dig deeper into that for us. Warren 57:08 Absolutely, and with considerable enthusiasm. How you construct a community, how you actually build the infrastructure in a community has an enormous impact on the ability for people to connect with one another. I remember an article in Scientific American that showed a small English village before the advent of the automobile. And the road was narrow, and the paths on the side of it, what we might call the sidewalk was large. And there were people all over the sidewalk, and very few vehicles, and most of them were horse drawn in the roadway. After the advent of motor vehicles, and a few decades gone by, the roadway had expanded, the sidewalk had shrunk. And the vehicles on the road clearly overwhelmed any walking activities that took place, and the sidewalk was really just a kind of a narrow front in front of stores and other kinds of buildings. And the structure there did not facilitate people crossing the road to talk to one another. So when we do that kind of change in a town, even a small English village, without realizing it, we've disrupted social patterns and a sense of social connection. The changes that we've introduced with what they call concrete jungles, downtown areas where every surface has been built. And the only place you can actually meet somebody is by going in a door into a building and typically presenting something about yourself. Either it's you want a hotel room, or you want to buy something. But the interactions that are just the casual interactions are very hard to come by. I live in a small town. I've been here for 45, 43 years, and I walk down the street and it's a social event. I meet people every few feet practically, who I know and have a few words with. So I think how you construct a community has an enormous impact. Walking trails, park benches, park spaces where people can just hang out and be sociable. All of those things and many others make a huge difference in terms of facilitating social connection. SAHIL 59:17 This theme of the environment, and how ever you define it keeps coming up and is really important. And I think that starts even in your bedroom. What do you have there, and what is that promoting in your life? All the way to, yes, the greater community and the planet. And something that I've been reflecting on more recently is cultivating as much as I can, the environment that's going to bring the behaviors out of me or create the mindset in me that I'm wanting. JO 59:45 I've been a public outreach and engagement consultant to local governments in BC for 30 years. And I'm thrilled to say that things are definitely getting better at the community scale. When I started in the early 90s, municipalities didn't have sustainability plans or programs, climate action plans or programs, and very few were thinking about the social and cultural considerations of community well-being. I'm thrilled to say that there have been dramatic changes in these areas. Communities of all sizes across Canada are working with residents to plan and mobilize efforts to enhance and integrate social, cultural, environmental, and economic well-being. Warren 1:00:32 Joanne, that is such an important thing that people who are in governance systems can do to make communities what they have the potential to be, which is hubs for people interacting at multiple different levels and in multiple different ways. And in almost all of them positive. And there are many ways you structure both the physical structures and the social structures. The way support systems are given to people or not given to people can make a huge difference in the way their lives work out. And I think that is a critical element that all leaders and communities can play and make a huge difference. JO 1:01:13 Warren, I know you're also passionate about the social determinants of mental health, and how they impact people's well-being. These include things like housing, employment, education, physical environment, security, and financial stability, to name just a few. Knowing that you promote universal, basic income at every opportunity as a way to optimize these factors, tell us more and why it would improve mental health across the board. Warren 1:01:45 There's two pieces of evidence around mental health and what a universal basic income does to that part of our lives. The empirical evidence is that every experiment that has been done in this area has shown a massive uptick in positive emotional state in the people receiving the universal basic income in whatever form it occurred. There was an experiment done in Dauphin, Manitoba in the 70s and early 80s. And one of the universal findings there was everybody felt so much better about their life. There was an experiment done in Ontario for about three years before it was shut down by a new government. And it showed exactly the same thing, something like 87 percent of people had this enormous uplift in their state of mind, because they felt cared for. They felt nurtured by the community at large. It wasn't that they were given this cheque and they just went off and spent it. They looked at the cheque and they said, "This is all the other people who live in this community, contributing a few cents to my financial security." And that was a very powerful thing. The other piece of evidence is drawn from human health. And if you look at physical health outcomes in countries where there's more income equality, and what a universal basic income does is it puts a floor under which nobody will sink. The evidence from many different countries in the world shows that human health at the physical level improves very significantly. Countries with greater financial disparities between the wealthy and the financially underprivileged. Every study shows that people use hospitals less often, they go to doctors, less often, they suffer from chronic illness less often. So I think it's very hard to argue against universal basic income. SAHIL 1:03:39 I think on a broader scale, it's a great idea. We want everyone in society to be taken care of, to be fed, to be housed. The social determinants of health are something recently learned in school. Income inequality is such a predictor of health along with education and the other determinants. We talk about medications a lot, but these basic foundational societal concerns, if these can be addressed, then were working on prevention rather than treatment, and I think that's a great approach. I am probably not as well educated on the economic consequences of these policies and decisions, but definitely something I'm curious about and want to learn more about, because the promise, I think, is there. JO 1:04:30 This has been an informative and inspiring journey with you both personally and as a producer of this podcast. Thank you from the bottom of my heart, for sharing your stories and your incredible insights and passions. So let's close with a question for each of you. Warren, you've been doing this a long time. What are you seeing in treatment modalities and health care now that gives you hope for the future? Warren 1:04:59 I've been reflecting on this quite a bit recently because I'm veering towards retirement, and it makes you think about what is the nature of healthcare and your role in it. And what is the system itself doing, which I've been observing for nearly five decades overall. One of the big changes is that the information that is now available to people is far more abundant than it once was. At one point, you could only get information about health from either a specific healthcare practitioner or from somebody who was selling you a product. Abundant and accurate information about human health, in all its aspects and every aspect that we've talked about today, it's now available online. Now, there are of course, sources of information that are entirely questionable and distorted. But much of the information is really eye opening for many people. And that's taking the emphasis off just say going to the doctor or going to see another health professional, and sort of democratizing access to information, which I think is a really important step. And I think that's revolutionizing how healthcare happens. JO 1:06:19 Sahil giving your lived experience of depression and anxiety, your expertise as a progressive pharmacist, and what you've learned from Hari's book, how do you see the future for the one in five Canadians who have or will have depression and or anxiety? SAHIL 1:06:37 I see a hopeful future. I think it starts with that first step of that self-awareness and identification of what's happening before it's becoming too severe. Trying out all the non-medication measures, some mentioned in Hari's book, and some we've mentioned throughout the podcast, and then having your health care team in place if you're needing it to work on from the psychotherapy aspect or
This is a pebble in the road about some of the free resources that are out there for people that have an anxiety condition or disorder. While we're trying to obtain services and hopefully work our way through the process sometimes the people that we encountered don't have the kind of information that we need. There are resources that we can take advantage of from the anxiety and mental health websites via brochures and tips sheets. You can download these docs on your phone or tablet for reading. Desktop folks you can read on screen as well. If you need support contact the National Suicide Prevention Lifeline at 1-800-273-8255, the Trevor Project at 1-866-488-7386 or text “START” to 741-741. Resources Mentioned: Anxiety and Depression Association of America resource page on anxiety disorders. Some of the documents have been translated into other languages. National Institute of Mental Health Publications about Anxiety Disorders. There are documents in English and Spanish. Anxiety Canada also has a resource page of downloadable documents for parents, students and others needing assistance. Disclaimer: Links to other sites are provided for information purposes only and do not constitute endorsements. Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder. This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.
Dr. Daniel Chorney, Clinical Child Psychologist, discusses Anxiety Canada’s “Caretoons” – short cartoons to teach kids and youth about anxiety. The conversation also touches on social anxiety: what it is, what the signs are, when it might be something to seek help with, and how to do that. First Broadcast March 17 2022.
Show Notes: Three common themes are explored as common characteristic of living with an eating disorder: disconnection, isolation, and stigma. Through Vicky's journey, elements of secrecy, loss, and shame are discussed, and how each can show up, intensify, and the role each plays progressively and overall. We explore the difference between disordered eating and eating disorders. Vicky talks about early signs in her journey, and how her eating disorder may have evolved. Points of potential intervention are considered, and types of support are identified. Advice for parents is offered by both Vicky and Joanna, and the importance of being curious about changes. Often, we hear that one of the things that keep eating disorders in place is that people get praised for their weight loss. Vicky discusses the reality of this notion, and it's impact. On the outside Vicky appeared to be functioning at a very high level, she looked like a superstar. She discusses what was really going on inside for her during this stage. It is often noted that eating disorders ‘work' really well for people in the beginning. Vicky and Val discuss how Vicky realized it was no longer ‘working' for her, and at what point she realized it was time to get help, and what that looked and felt like. Vicky describes her experience with treatment, what was most helpful, and provides some insights and advice for people who may be contemplating treatment for themselves or a friend or loved one. Recovery is discussed from the perspective of the characteristics and how you know you are there. Vicky shares how the eating disorder has changed her, and notion of (ever) being cured. The ways in which eating disorders are different from other mental health issues and disorders is explained, and comorbidities are identified. The understanding that eating disorders are about so much more than just food is discussed. The team recognizes eating disorders have historically focused on the experiences of women and girls, but in reality, people of all genders experience eating disorders, and the importance of understanding and addressing this limited perspective. Resources: To learn more about Jessie's Legacy – the story behind the program and the range of resources available to you, click here to visit our website. To access counselling for children, youth, and adults, email our intake counsellor intake@familyservices.bc.ca. If you are interested in getting involved as a volunteer, click here to learn more. If enjoyed the podcast and would like to support our work, click here to learn about becoming a donor. In this episode we refer to the Eating Attitudes Screening Tool, click here to access the anonymous online screener. We also refer to the Body Image Screening Tool, click here to use. This is also an anonymous online screener. For more lived experience information, check out the Q&A Series the Jessie's Legacy website, click here. Anxiety Canada and Jessie's Legacy Infographic on Anxiety and Eating Disorders is also a helpful tool click here to view.
We at Anxiety Canada are always looking for ways to improve the listener experience. Although this contest is closed, you can still complete the listener feedback survey at https://www.surveymonkey.com/r/OAS22 Thanks for tuning in, and lookout for new episodes later this year! *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada is proud to be affiliated with HeretoHelp, a project of the BC Partners for Mental Health and Substance Use Information. The BC Partners are funded by the Provincial Health Services Authority.
We at Anxiety Canada are always looking for ways to improve the listener experience. Although this contest is closed, you can still complete the listener feedback survey at https://www.surveymonkey.com/r/OAS22 Thanks for tuning in, and lookout for new episodes later this year! *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
The adventure continues for the power pals on Dogland in this thrilling 8th episode of Season 2. The dogs are off again, but not before we examine the role of the fight, flight, or freeze response and how it is a natural part of your amazing brain, more specifically, the amygdala. Studies have shown that just learning about this can help kids manage anxiety and regulate themselves after surprises, stress, and fright. We love Anxiety Canada's approach here, too: https://www.anxietycanada.com/articles/fight-flight-freeze-anxiety-explained-for-kids/ If you and your family are seeking more podcast-based resources for building mindfulness toolkits, then we also HIGHLY recommend these three fellow Kids Listen member podcasts. Although designed for kids, we are finding them to be wonderful for multiple generations in our home. https://app.kidslisten.org/pod/Peace-Out-Podcast https://app.kidslisten.org/pod/Like-You-Mindfulness-for-Kids https://app.kidslisten.org/pod/Best-Day-Yet-Affirmations-Meditations-and-Mindfulness-For-Kids And, be warned, this episode ends with a bit of a fox-hanger! Grown-ups can reassure their youngers that everyone will be OK. We promise. If you haven't listened to our sidequest, bonus episodes from the Fetcher Files called “The Dog Who Rode Into the Sunset, parts 1 & 2,” then you should probably go back and check those out. This is also a good idea if it's been a while since you last gave a listen to them and need a refresh for your memory. If you're completely new to our story, please go find episode 1, called "S1E1 | START HERE! | Power Dog Goes To College" as this is a serial story adventure that unfolds throughout each season. Special thanks to Jason Roark, our creative partner and ultimate Renaissance Bunny Supreme! He records, edits, and designs this show. He also provides original music including our opening theme song, which is sung & performed by him and the wonderful, talented Jen Bernard. Our song that plays at the end of this episode is a song we wrote along with Hank's Granny & Gramps, aka Murphy & Marckx. It's called “Power Dog, He Won't Give Up!” Colin Laurel illustrated our cover art, which was directed by Jen Wick. If you catch a moment, and can follow, rate, and/or review the show, we would be so grateful! It really helps get the word out for our small, indie, mom & pop & pup, family operation. You can find out more and send us jokes at www.powerdogadventures.com This podcast was made possible, in part, by a grant from The Regional Arts & Culture Council in Portland, OR. It was made more possible by listeners like you! Thank you for your support! https://www.patreon.com/powerdogadventures The Adventures of Power Dog in Dogland is created in the ancestral lands of the Multnomah, Wasco, Kathlamet, Clackamas, Cowlitz, bands of Chinook, Tualatin Kalapuya, Molalla, and many other Tribes of the first people who made their homes along the rivers. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/powerdogadventures/support
Mary Walsh is a Newfoundland actor, writer and comedian, best known for CODCO and This Hour has 22 Minutes. Throughout her career, Mary has received many awards and honorary doctorates, including the Governor General's Performing Arts Award (GGPAA) for Lifetime Artistic Achievement.. Mary is an outspoken advocate for mental health and addiction awareness. In this episode of #OurAnxietyStories Mary reflects on her mental health journey, sharing that for 25 years she abused alcohol to “escape”. Mary shares that despite her successful career, she often felt like she was on the outside. It was only after seeing a counsellor that Mary learned about healthier coping strategies. Looking back, Mary recognizes that stigma as well as a lack of resources and information posed significant barriers to support. Today, Mary shares that she is 29 years sober, and although she still experiences anxiety, she continues to learn new coping skills in her life-long recovery. If you, or someone you know is struggling with substance use, The Canadian Institute for Substance Use Research (CISUR) has created several informative workbooks to help those who use substances. Workbooks covering topics such as substance use and young people, helping people who use substances, and safer use, can be found on www.heretohelp.bc.ca. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
John Bateman, Anxiety Canada Champion and host of #OurAnxietyStories, is a mental health advocate passionate about normalizing and destigmatizing the experience of anxiety. He is also a well-known comedian, writer, event host and woodworker based in Salt Spring Island, British Columbia. In this episode of #OurAnxietyStories, podcast host, John Bateman puts himself in the hot seat. John reflects on his experience with anxiety, expressing gratitude to his mother who played a significant role in his journey. John shares that for him, anxiety manifested in the form of panic attacks in childhood, often fuelled by existential anxiety. In early adulthood, this evolved into isolation and rumination that resulted in John’s first encounter with depression. Having experimented with various forms of treatment, John found that group therapy played the most significant role in his journey, alongside cognitive behavioural therapy, and medication. If you or someone you know is interested in group therapy, consider MindShift CBT Groups, our 8-session online therapy program for adults (19+) with mild to moderate anxiety. MindShift CBT Groups provides people with support, encouragement, and tools to help them cope better. A limited number of free spots are available for individuals who require financial support. Visit https://www.anxietycanada.com/mindshift-groups to learn more and find out if you are eligible. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Dr. Margaret Chisolm is Vice-Chair for Education, Psychiatry and Behavioral Sciences; professor of Psychiatry and Behavioral Sciences; and professor of Medicine, at Johns Hopkins University School of Medicine. Dr. Chisolm is also the author of “From Survive to Thrive Living your Best Life with Mental Illness”, released in 2021. In this episode of #OurAnxietyStories Dr. Chisolm talks about her journey with anxiety and postpartum depression, as well her experience as a mental health professional. Dr. Chisolm shares that although she’s had an anxious temperament from a young age, it wasn’t until her brother passed away from suicide that she considered psychiatry as a career path. As a practicing psychiatrist, Dr. Chisolm emphasizes the value of the John Hopkins’ Perspectives Approach to Psychiatry, a conceptual framework for the proper evaluation and understanding of psychiatric disorders. She also shares what treatment and diagnosis can look like for someone looking to manage anxiety. To learn more about Dr. Chisolm and the perspectives approach to psychiatry, visit https://margaretchisolmmd.com. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
This is the podcast sharing the medical, behavioral health, meditation/relaxation and x=the unknown treatment options for those of us on the anxiety condition or disorder spectrum. Everything is a story. If you listen to enough marketing people, the story is what makes the sale. Craft a good story and then herd them doggies down the sales funnel to rake in the dollars. That concept isn't necessarily wrong but it is being seriously corrupted by the venal passions of the money obsessed. Everything is a story. The story can help, hurt, heal or bring a sense of adventure. Sometimes all of it. And more. No amount of money can be more valuable than a story that heals and provides paths to understanding. Which is why in this episode, a look at social anxiety disorder also known as social phobia. Through the fictional lens of Mr. Arthur "Boo" Radley. Resources Mentioned: From the National Institute of Mental Health, page and brochure to download Social Anxiety Disorder: More Than Just Shyness. On the National Social Anxiety Center page there is a quiz that you can take to determine your level of social anxiety. On that site, there are also self-help videos about aspects of the condition. Succeed Socially seems to be folks with mild to middling social anxiety. There is a lot of good information on the site but it might be more geared to develop skills not acquired in the past. However, there is also a specific page about social anxiety/phobia with the clinical definition and treatment options. The Social Skills Guidebook: Manage Shyness, Improve Your Conversations, and Make Friends, Without Giving Up Who You Are by Chris MacCleod, MSW. Perhaps this is good for folks Chis is generous, he/she/they do let you know that almost everything in the book is on the main website. However, if you find value in the information, chuck a tenner into the e-book coffer. The Andrew Kukes Foundation for Social Anxiety has a YouTube channel that contains interviews with people dealing with the condition and professionals offering tips and advice. ADAA.org has a seven-page brochure on Social Anxiety Disorder. Anxiety Canada has nine-page toolkit on Self Help Strategies for Social Anxiety. If you need support contact the National Suicide Prevention Lifeline at 1-800-273-8255, the Trevor Project at 1-866-488-7386 or text “START” to 741-741. Disclaimer: Links to other sites are provided for information purposes only and do not constitute endorsements. Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder. This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.
Botswana born and Canadian raised, 14-year-old Malia Baker is a multi-talented actor best known for her role of Mary Anne Spier in Netflix’s highly acclaimed remake of the “Baby-Sitters Club”. Most recently, Baker also joined Nickelodeon’s second season of “Are You Afraid of the Dark?” as Gabby Lewis. In this episode of #OurAnxietyStories Malia discusses her evolving journey with anxiety. Malia shares that in the fourth grade her anxiety was at its worst, and she lost mobility in her legs, eventually being diagnosed with complex regional pain syndrome (CRPS). Today, Malia has regained full mobility, and although she still experiences anxiety, she has learned to manage symptoms thanks to support from her mother, little sister and friends. Follow Malia’s journey on social media: @maliabakermsb. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Minister Sheila Malcolmson is a Canadian politician who has served as the Member of the Legislative Assembly (MLA) of British Columbia for the electoral district of Nanaimo. She was elected as MLA for Nanaimo in 2019 and re-elected in 2020. In this episode of #OurAnxietyStories Minister Malcolmson discusses her role as Minister of Mental Health and Addictions, where she focuses on removing barriers and improving accessibility to resources. Malcolmson touches on the Ministry’s involvement with non-government organizations, such as Anxiety Canada and Foundry BC, sharing that technology has played a significant role in how the ministry has been able to support British Columbians. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Joanna Zelichowska is a registered clinical counsellor and the manager of Jessie’s Legacy Eating Disorders Prevention Program at Family Services of the North Shore. Jessie’s Legacy was named after Jessie Alexander, a young woman who took her own life after a long battle with disordered eating and depression. Although Jessie did not live to see this happen, her hope upon her own recovery was to help others and prevent the pain and anguish she experienced. In this episode of #OurAnxietyStories Joanna touches on her work at Jessie’s Legacy and discusses the resources available for those in need of support. Growing up as a dancer and gymnast, Joanna recognized that anxiety around body image was common among her peers. This led to her interest in learning more and becoming a clinical counsellor. Joanna notes that symptoms of anxiety tend to occur before disordered eating, and that oftentimes eating disorders are used as a way to cope with anxiety, as they can provide a sense of control. To learn more about how anxiety and eating disorders can overlap visit www.heretohelp.bc.ca/infosheet/the-overlap-between-anxiety-and-eating-disorders. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Born and raised in Kelowna, Jeff Roberts is a 32-year-old leading what could be considered a normal, average life. In this episode of #OurAnxietyStories Jeff shares that although he leads a normal life, he has a rather unique story. Reflecting on his high school years, Jeff recalls a specific traumatic incident, involving using the restroom, that set-off 15 years of severe anxiety. Over the years that followed, Jeff sought out treatment and support, including counselling and medication, but struggled to find something that worked for him. Eventually, Jeff connected with the Vancouver CBT Centre, and refers to their staff as “the best people in the entire world”, claiming they saved his life. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Eboni Fisher is a young BIPOC queer singer, songwriter, actor and mental health advocate. In recent years, Eboni has written and performed an original piece titled “I Can’t Breathe” to raise awareness amid the Black Lives Matter movement during Pride, as well as at the Juneteenth Freedom March in 2021. In this episode of #OurAnxietyStories Eboni talks about her experience with social anxiety, bullying and self-harm. Eboni shares that although she experienced anxiety as early as 11 years old, she didn’t have guidance from the adults in her life on how to find support. Living away from her mother, and attending online school to escape the bullying, Eboni was forced to learn independence at a young age, which allowed her to seek a diagnosis and treatment on her own. Today, Eboni continues to navigate her anxiety, noting that song writing, and shadow work continue to help her heal. To listen to Eboni’s music visit www.soundcloud.com/ebonifisher. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Stephanie Zito is an Educational and Counselling Psychology PhD candidate at McGill, and the founder of the self-care spotlight initiative on Instagram (@SelfCareSpotlight), which has now become a safe space for nearly 400K people to connect with and support one another. In this episode of #OurAnxietyStories Stephanie discusses her experiences with health anxiety and panic as a university student. Having studied psychology, Stephanie understood what she was experiencing, but she had trouble sharing her story with others, as mental health was not openly talked about at that time. Hoping to decrease stigma around mental health and provide the general public with helpful tools and information, Stephanie founded the self-care spotlight initiative, where she shares infographics, helpful tips, and positive affirmations. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
TC Carling is the President & CEO of the Canadian Men’s Health Foundation (CMHF), providing information, tools, and motivation for men and their families to lead healthier lives. Previously, Carling has gained valuable leadership experience holding executive roles with Canucks Sports & Entertainment, GSL Group, and most recently as President & CEO for Fortius Sport & Health. He also has experience in the non-profit sector serving on the Board of Directors for Anxiety Canada, Big Brothers of Greater Vancouver, and the CMHF. In this episode of #OurAnxietyStories TC dives into his journey with anxiety, sharing that it’s something he’s lived with for nearly 35 years. Today, TC strives to educate others on anxiety and mental health, by speaking openly about his experiences and providing Canadian men and their families with resources and support. TC is a firm believer that simple changes can lead to big impacts. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Dan Pietens is a pencil artist from London, Ontario, known for his highly realistic portraits of professional hockey players including Wayne Gretzky, Sidney Crosby and Connor McDavid. To help raise awareness around anxiety, Dan donates proceeds from his artwork sales to Anxiety Canada. In this episode of #OurAnxietyStories Dan shares that anxiety affected his work as a physiotherapist, which led him to seek treatment and explore alternative career trajectories. Dan notes that although he felt symptoms of anxiety from a young age, he didn’t think much of it at the time, assuming it was a feeling everyone experienced to some degree. After recognizing the therapeutic benefits of creating art, Dan chose to pursue a career as an artist, and continues to work on overcoming his anxiety and perfectionism. To check out Dan’s work, visit www.pietensart.ca. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Kelly Hrudey is a former NHL goaltender, a current analyst for Sportsnet's Hockey Night in Canada and a regional broadcaster for the Calgary Flames. He is also a mental health advocate and an Anxiety Canada Champion. In this episode of #OurAnxietyStories Kelly shares how his journey with anxiety began with his daughter, Kaitlin, who was diagnosed with anxiety and obsessive-compulsive disorder (OCD) in 2005. After learning about anxiety while supporting his daughter, he recognized that he had similar experiences as well, and sought out support from a mental health professional. Today, Kelly and Kaitlin continue to navigate anxiety and raise awareness as mental health advocates via various initiatives such as Kaitlin’s clothing brand “More Good Days”. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Shane Koyczan is a spoken-word poet and writer, best known for writing about issues like bullying, cancer, death, and eating disorders. Shane is best known for the anti-bullying poem “To this Day” which has amassed over 25 million views on YouTube and performed live at a Ted Talk event. In this episode of #OurAnxietyStories Shane reflects on his journey with anxiety, sharing that bullying played a major role during his years as a student. Interested in pursuing the arts, Shane was often met with discouragement and doubt from guidance counsellors, who instead pressured him to follow the status quo. Eventually, Shane stopped letting other people plant seeds of doubt in his mind and pursued a career in the arts. Although success did not come overnight, Shane’s perseverance and dedication to his craft allowed him to touch millions of hearts worldwide. Visit www.shanekoyczan.com to learn more about Shane and his work. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Hannah Stone is an artist who began painting and designing clothes in 2002. Inspired by the nostalgia of childhood visits to the seaside arcade, Hannah claims her work "has a way of transporting the viewer to a sweeter and simpler time”. In this episode of #OurAnxietyStories Hannah dives into her journey with anxiety and bipolar disorder, sharing that she didn’t realize she had anxiety her entire life until recently receiving a diagnosis. Hannah shares that in the past, she was able to hide how she was feeling, and put up a front for the outside world. As a recovered substance user, Hannah mentions that for a long time she coped by self-medicating with drugs and alcohol. Today, Hannah is eagerly exploring the various coping tools and strategies available and learning to cope with her anxiety day by day. To see Hannah’s art visit www.gohannahstone.com. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
French-Canadian Eugenie Turner was one of few women in the Royal Canadian Air Force selected to serve overseas on a bomber base in the Second World War. There she witnessed horrific crashes, dodged bombings, and worked around the clock on the historic D-Day. In this episode of #OurAnxietyStories Eugenie discusses her experiences as a World War II veteran, noting that her excitement to enlist surpassed feelings of worry and anxiety. Eugenie shares vivid stories from her time at war, mentioning that although she experienced several bombings, she would not enter bomb shelters due to claustrophobia. Living a life filled with adventure, adversity, and loss, Eugenie notes that during the toughest moments, religion and a higher power are what keep her going. To learn more about Eugenie’s story, check out Elinor Florence’s novel “My Favourite Veterans” and Eric Brunt’s upcoming documentary “Last Ones Standing”. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Dr. Kyle Burns is a psychiatrist and Co-Director of VanPsych, a centre that provides high-quality, empirically supported and compassionate care for people with complex mental health challenges. Dr. Burns completed his medical degree and psychiatry training at the University of British Columbia and joined Anxiety Canada’s Board of Directors in 2016. In this episode of #OurAnxietyStories Dr. Burns discusses his work as a psychiatrist. Dr. Burns shares that many severe mental illnesses, such as mood disorders and schizophrenia, tend to be intertwined with symptoms of anxiety. He notes that in these cases, anxiety is often overshadowed by more dramatic symptoms such as hallucinations. Dr. Burns also touches on the benefits of using medication as a tool for treatment, emphasizing that “the combination of medication and behavioural techniques can be really useful”. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
Mark Antczak is Anxiety Canada’s in-house Registered Clinical Counsellor and Clinical Educator. Mark also practices at the Vancouver CBT Centre, where he specializes in providing cognitive behavioural therapy (CBT) to adults with anxiety spectrum disorders. In this episode of #OurAnxietyStories Mark dives into his personal journey with anxiety and panic, as well as his professional experience as a mental health professional. As someone with both lived and professional experience on the topic, Mark emphasizes how important it is for those with anxiety to overcome avoidance and face their fears. Mark also discusses his work at Anxiety Canada, touching on resources offered including MindShift CBT, a free anxiety-management app, and MindShift CBT Groups, an online group therapy program. *** #OurAnxietyStories is brought to you by Anxiety Canada™, a leader in developing free evidence-based resources, including the free anxiety-management app, MindShift CBT. To learn more about Anxiety Canada, visit www.AnxietyCanada.com. Anxiety Canada™ is proud to be affiliated with HeretoHelp. HeretoHelp is a project of the BC Partners for Mental Health and Addictions Information funded by the Provincial Health Services Authority (PHSA).
In today's extended episode, I chat with Elena Iacono. Elena is a professional colleague of mine who helps empower people to support their well-being and mental health, including flexible resources and compassionate workplace practices. Elena has inspired me with her passion for exploring food and gardening. When her grandmother died in April 2020 during the early days of the pandemic, Elena lovingly replicated her Nonna's cherished recipes in a cookbook, which she used to raise more than $60,000 for Food Banks Canada, roughly the equivalent of 200,000 meals. Elena and I share a love of non-fiction, especially evidence-based work about well-being and managing mental health. Our conversation includes highlights of our favourite recent books, our reflections on leaving the pandemic with new insights about what it means to care for ourselves, and the power of curiosity and our environment to lift our spirits. Follow Elena on Instagram @ https://www.instagram.com/epiacono/ (epiacono) Sign up for Elena's newsletter: https://www.elenaiacono.com/ (https://www.elenaiacono.com/) Elena recommends: · https://www.mentalhealthcommission.ca/English (Mental Health Commission of Canada) (resource hub) · https://mhfa.ca/ (Mental Health First Aid) · https://cmha.ca/ (Canadian Mental Health Association) · https://www.anxietycanada.com/ (Anxiety Canada) · https://www.rootinnature.ca/ (Root in Nature programs) · https://kidshelpphone.ca/ (Kids Help Phone) · https://www.goodreads.com/book/show/42201448-the-well-gardened-mind?from_search=true&from_srp=true&qid=vQoB3Hxi0Q&rank=1 (The Well-Gardened Mind: The Restorative Power of Nature by Sue Stuart-Smith) · https://www.goodreads.com/book/show/57536.Second_Nature?from_search=true&from_srp=true&qid=zRpwkXUc77&rank=1 (Second Nature: A Gardener's Education by Michael Pollan) Books we mention during this podcast: · https://podcast.jannastam.com/episode/review-of-the-midnight-library-by-matt-haig-read-by-carey-mulligan (The Midnight Library by Matt Haig) · https://podcast.jannastam.com/episode/review-of-unwinding-anxiety-new-science-shows-how-to-break-the-cycles-of-worry-and-fear-to-heal-your-mind-by-judson-brewer (Unwinding Anxiety by Judson Brewer) · Rebel Talent: Why It Pays to Break the Rules at Work and in Life by Francesca Gino · The Beauty of Living Twice by Sharon Stone Connect with Audiobook Reviews in 5: · Instagram: https://www.instagram.com/audiobook_reviews_podcast/ (https://www.instagram.com/audiobook_reviews_podcast/) · Twitter: @janna_ca · Facebook: https://www.facebook.com/AudiobookReviewsInFiveMinutes (https://www.facebook.com/AudiobookReviewsInFiveMinutes) · Anchor: https://anchor.fm/audiobookreviews (https://anchor.fm/audiobookreviews) · Audiobook Reviews in Five Minutes website: https://podcast.jannastam.com/ (https://podcast.jannastam.com/) · Goodreads: https://www.goodreads.com/jannastam (https://www.goodreads.com/jannastam) Audio production by Graham Stephenson Episode music: Caprese by https://www.sessions.blue/ (Blue Dot Sessions) Rate, review, and subscribe to this podcast on Apple, Anchor, Breaker, Google, Overcast, Pocket Casts, RadioPublic, and Spotify
Alan speaks with CEO of Anxiety Canada, Judith Law about Men's Health Month and how people are faring with their mental health during this pandemic. See omnystudio.com/listener for privacy information.
In the episode, I mentioned that your symptoms are not the enemy. They ain’t your friend either. Symptoms are a way for your brain and body to communicate with you. Your symptoms do not use words. They do not do that noun conjunction verb. They are good at telling you there is a problem. They are lousy at telling you why there is a problem. They try. They really do. Like if you really don't like riding in elevators your body will tense up. Could be because work will be hectic. Could be that you don't like small boxes filled with people. So this is just a basic reminder of the general categories of symptoms and some of the things that could occur on or in your body. If you need support contact the National Suicide Prevention Lifeline at 1-800-273-8255, the Trevor Project at 1-866-488-7386 or text “START” to 741-741. Resources Mentioned: Depresh Mode with John Moe from Maximum Fun.org There is also a YouTube channel. And if you want to stay in the know about the doings at the new show, there is the podcast Substack newsletter archive. The Mayo Clinic has a good page about describing some of the symptoms of an anxiety condition. For our Canadian travelers Anxiety Canada page on adult anxiety. It is in both English and French. And from the American Psychiatric Association they also have a page about anxiety symptom. Little tricky to find but there are plus buttons. Click it and you will see the symptom for the condition. Disclaimer: Links to other sites are provided for information purposes only and do not constitute endorsements. Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder. This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.
In today's episode, Dr. Badali joins Alyssa and Sam to discuss postpartum depression and anxiety. Anxiety Canada: https://bit.ly/3sUuMM0 *Visit* *http://nativedeo.com/approachable20* ( http://nativedeo.com/approachable20 ) *or use promo code approachable20 for 20% off your first purchase.* Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Welcome to The Morning News Podcast for Thursday, June 11th. We begin with the personal story of a Calgary man who battle COVID-19. We'll hear the details of his journey – including the 25 days he spent in a coma due to the virus. On Wednesday the Province released details of the re-entry plan for the return to schools. We'll speak with a Professor who specializes in Child and Family dynamics on what she thinks should be top-of-mind before the school bells ring again. Then we take a look at the re-opening process and the effects it may have on those who suffer from Anxiety. We speak with the Director of Anxiety Canada. The filming of the police killing of George Floyd – and other incidents of police brutality – usually come to light because a civilian recorded it. What are your rights when it comes to filming police? We'll get answers from a media lawyer. And finally – the Pandemic has taken a toll on countless annual festivals and events. We'll hear details on how this year's “Alberta Metis Fest” plans to still bring entertainment to the people – virtually.
Just a few months ago we were told to stay home avoid people, now we're told its alright to go out and enjoy life again. It's no surprise people are feeling anxious about the changes and the unknown. Joining us to talk about anxiety is executive director of Anxiety Canada, Judith Law.
Bryde MacLean is a podcaster and yoga instructor. In this episode she shares how how yoga helped her overcome her anxiety: “I find that if I can control the physical aspects of my anxiety, it has a tremendous mental effect.” me." *** This podcast is brought to you by Anxiety Canada™, a leader in developing free online, self-help, and evidence-based resources on anxiety. For more information and resources, please check out our website, www.AnxietyCanada.com Our app MindShift™ CBT