Podcasts about APA

Kita akan membahas pertanyaan mendalam, "Apa yang membuat hidup bermakna?" melalui eksplorasi buku inspiratif "Life Worth Living" karya Matthew Croasmun, Miroslav Volf, dan Ryan McAnnally-Linz. Temukan rahasia untuk menjalani hidup yang lebih bermakna dan caranya mengatasi ambisi pribadi yang tidak selaras dengan nilai-nilai internal. Kita akan menyelami makna hidup sejati dan mengungkap bagaimana hidup bukan hanya tentang mencapai tujuan, tetapi juga tentang menjalani setiap hari dengan penuh arti. Jangan lewatkan kesempatan untuk menemukan cara membuat hidupmu lebih bermakna, karena hidup cuma sekali, dan kita memiliki kendali untuk menjadikannya luar biasa! Subscribe dan ikuti perjalanan kita bersama dalam meraih arti hidup sejati. Leave a comment and share your thoughts: https://open.firstory.me/user/clhb6d0v60kms01w226gw80p4/comments Powered by Firstory Hosting

The APA can't helps themselves and have to make sure the Ark Prime is clear of all possible survivors. Can they survive that attempt?Please support us on Patreon: https://www.patreon.com/STFNetworkSTF Networkhttps://www.thestfnetwork.com/https://discord.gg/7KPfMCzStarfinder - Devastation ArkTitle Music:"Dang Thwackle Dev" by Adam KellyOther music:Kevin MacCleod - Incompetechincompetech.filmmusic.ioTabletop Audiotabletopaudio.comPurple Planet Musicwww.purple-planet.com/ (edited)

Hogyan lesz irodalom a hajnali pelenkacseréből? - teszi fel a kérdést nemrég megjelent regényében Szilvia Molnár, és mi is ehhez hasonló kérdések körül keringünk a Nem rossz könyvek podcast negyedik részében. Például hogy hogyan fér össze az anyaság és az irodalom, mit olvasnának szívesen a kisgyerekes szülők, vagy hogy apa-fiú vagy anya-lánya történetekből ismerünk-e többet. Az epizód második felében Kállay Eszter a vendégünk, akinek pár hete jelent meg Vérehulló fecskefű címmel verseskötete, melyben a várandóssághoz és az anyasághoz fűződő személyes érzéseket, társadalmi elvárásokat és az ezek között fellépő feszültségeket járta körül.  Tartalom: 00:00 Autentikusan az anyaságról, szülőségről. Azaz rögtön a nemalvással, kínzással és módosult tudatállapotokkal indítunk.  3:40 Eleve mit olvasol, amikor gyereked születik? Milyen könyvekre van ilyenkor szükségünk? 6:00 Pár jó könyv, amit olvastunk: Turi Tímea - Dolgok, amikről nem beszélünk, Kiss Noémi - Ikeranya és Czakó Zsófia - Szívhang című kötete.  8:30 Mintha a filozófia se nagyon tud mit kezdeni az anyasággal. Egy ritka kivétel Emmanuel Lévinas. Ajánlott felmerülő könyv: Vermes Katalin - A test éthosza. 11:40 Hasonlóan a politika esetéhez, mintha a líra ezúttal is bátrabban nyúlna ehhez a témához. Sok verset találhatunk a Csóka Judit és Szabó T. Anna szerkesztésében nemrég megjelent kötetben, az Egy testben két szív - Versek és mesék várandósságról, szülésről és szülőségről címűben.  13:00 Írónők személyes történetei: Rachel Cusk története és Jenny Offill Dept. of Speculation című regénye. Hogyan lehet írni gyerekek mellett? Kisgyerekek mellett alkotó nők történetét mutatja be Julie Phillips The Baby on the Fire Escape című könyve. 21:30 Az anyaság története egy történész által megírva: Sarah Knott - Mother. 24:00 Egy erős új regény az anyaságról: Szilvia Molnar - Üvegház.  30:10 Apa-fia kapcsolatokból több van az irodalomban? Két regény nagyon röviden említve: Cormac McCarthy Az út és Richard Powers - Rémület. 32:30 És két regény az anya-lánya kapcsolatról: Okszana Vaszjakina - Seb és Avni Doshi - Égetett cukor 36:50 Vendégünk: Kállay Eszter. Hogyan kezd el valaki a várandósságáról verseket írni? És mennyiben más érzés egy ilyen kötetet a nyilvánosság elé tárni?  41.30: A Ne add tovább! című vers 43:10 Hogyan válhat eszközzé a vers? Irodalom és láthatatlan munka kapcsolata 54:00 A láthatatlanok földje című vers 57:00 Társadalmi elvárások és a határátlépések anyákkal szemben 58:42 A Zárvatermő című vers 59:55 Honnan lesz nyelv egy ennyire személyes történethez?  63:31 Még egy körben Szilvia Molnar regényéről 68:25 Könyvbemutató kisgyerekekkel 71:50 Három könyv Kállay Eszter ajánlásában.  A következő rész két hét múlva érkezik, addig is további könyves tartalmakért ajánljuk facebookos csoportunkat, valamint Anna Instagramját és Bence Nemrosszkönyvek Instagramját, ahonnan a podcast nevét is kölcsönöztük. A műsor meghallgatható a 444 Spotify- és Apple Podcast-csatornáján is, az eddigi részek: #1 Kedvenc könyveink korábbi életszakaszainkból. #2 Miért szeretjük annyira a skandináv irodalmat? #3 Mit tud kezdeni az irodalom a magyar politikával? See omnystudio.com/listener for privacy information.

Delegasi menteri luar negeri anggota Liga Arab dan OKI, termasuk Retno Marsudi, kunjungi Beijing untuk membahas perang Israel-Hamas. Apa yang bisa dibaca dari sana? Eva Mazrieva membahasnya bersama Yon Machmudi, pakar Timur Tengah UI, dan Sudarnoto Abdul Hakim, ketua MUI bidang hubungan luar negeri.

Professor Nancy Pearcey, a distinguished author and speaker is hailed as "America's pre-eminent evangelical Protestant female intellectual" by The Economist. Currently a professor and scholar in residence at Houston Christian University, Pearcey is best known for her impactful books, with her latest work, "The Toxic War on Masculinity," addressing critical cultural issues. Nancy PearceyNote: This podcast episode is designed solely for informational and educational purposes, without endorsing or promoting any specific medical treatments. We strongly advise consulting with a qualified healthcare professional before making any medical decisions or taking any actions.*If you are in crisis or believe you have an emergency, please contact your doctor or dial 911. If you are contemplating suicide, call 1-800-273-TALK to speak with a trained and skilled counselor.RADICALLY GENUINE PODCASTDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / X (Twitter)Substack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically Genuine—-----------FREE DOWNLOAD! DISTRESS TOLERANCE SKILLS—----------ADDITIONAL RESOURCES2:00 - The Washington Post: Why can't we hate men?2:30 - APA issues first-ever guidelines for practice with men and boys14:30 - HuffPost Editor Says New Year's Resolution Is to "Kill All Men" | Inc.com15:30 - Why talking about 'healthy masculinity' is like talking about 'healthy cancer'17:00 - Silence Is Not Spiritual: The Evangelical #MeToo Movement | The New Yorker19:00 - Michael Kimmel Ted Talk22:30 - Terry Real25:30 - West Australian - How we stop this kid from becoming a monster33:30 - Fathers Gained Family Time in the Pandemic. Many Don't Want to Give It Back.37:00 - How Poet Robert Bly Unleashed 'Iron John' and Started the Drum-Thumping Men's Movement of the '90s44:00 - This Labor Day, there's a crisis of working and non-working men. Here are 5 things we need to do | Fox News

Bonus Episode! This week on Talking Headways we're featuring an episode of Booked on Planning, a podcast where Stephanie Rouse and Jennifer Hiatt dive deep into books for the Nebraska Chapter of the APA. This time they are joined by Alex Kreiger, author of City on a Hill. OOO Follow us on twitter @theoverheadwire Follow us on Mastadon theoverheadwire@sfba.social Support the show on Patreon http://patreon.com/theoverheadwire Buy books on our Bookshop.org Affiliate site!  And get our Cars are Cholesterol shirt at Tee-Public! And everything else at http://theoverheadwire.com

El secretario General de la Asociación del Personal Aeronáutico (APA) y secretario Adjunto de la CTA se refirió a la situación dentro de Aerolíneas Argentinas, luego de que el presidente electo, Javier Milei, afirme que va a privatizar la empresa junto a YPF y RTA. “Hay un profundo desconcierto dentro de todos los gremios y también un gran temor de perder el trabajo”, dijo Edgardo Llano. Y agregó que “Están esperando, como todos, los primeros anuncios” sobre la conformación y el plan del nuevo gobierno. “El temor y el desconcierto es muy grande”, dijo Llano a la vez que sostuvo que “la desaparición de Aerolíneas que propone Javier Milei, junto a la política de abrir los cielos, es una entrega del patrimonio y de la soberanía, dejando a las provincias a su suerte”. "Aerolíneas Argentinas no es de los trabajadores. Es del pueblo argentino", concluyó.   Pase lo que pase, lunes a viernes de 7.00 a 10.00 Con Darío Villarruel, Florencia Ibáñez, Santiago Paz, Gustavo Campana, Mariana Gil Laborde, Fernando Pedernera y Andrea Baldivieso

Ketika memutuskan memiliki keturunan, menjalani program hamil pun harus bersama pasangan. #MulaiCerita membangun keluarga bahagia, artinya siap untuk melakukan pemeriksaan bersama sebab gangguan infertilitas adalah masalah berdua bukan hanya salah satu pihak saja. Berserah pada Tuhan tapi jangan putus asa karena #SelaluAdaHarapan bagi pasangan yang tetap semangat berjuang. Periksakan kondisi Parents di Bocah Indonesia, sebagai integrated fertility solution yang membantu Parents mengatasi masalah kesuburan. 00:00 Opening 02:46 Apa itu Andrologi? 05:10 Pria dan wanita perlu cek kesehatan reproduksi 08:20 Peran pria dan wanita dalam program hamil 11:26 Analisa dari tes sperma 16:18 Varikokel adalah...... 19:00 Gaya hidup mempengaruhi kualitas sperma? 28:10 Summary & closing

Apa definisi orang pintar menurut lo? Coba deh komen di kolom QnA! Nah di segmen #TanyaEvan ini, Evan sebagai Founder dan CEO Satu Persen bakal ngasih tau pendapat dia nih. So, simak sampai habis, ya! ━━━━━━━━━━━━━━ [EPISODE LINKS] Kurikulum Satu Persen: https://bit.ly/kurikulum-sp Layanan Konsultasi: https://satu.bio/daftar-mentoring dan https://satu.bio/daftar-konseling [PODCAST INFO] Spotify: https://open.spotify.com/show/1iIFlumWtP4xI1QEzCBcSY?si=0a9a47a0abf046c0 RSS: https://anchor.fm/s/ec484e4/podcast/rss Apple Podcast: https://podcasts.apple.com/id/podcast/satu-persen-podcast/id1534263930 Youtube Full Episodes: youtube.com/satupersenpodcast ━━━━━━━━━━━━━━ APA ITU SATU PERSEN? ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀ Satu Persen adalah startup pendidikan Indonesia yang fokus pada kesehatan mental, pengembangan diri, dan edukasi life-skills. Satu Persen memiliki layanan Life Consultation (layanan konsultasi Mentoring dan Konseling), Life Skills (layanan Webinar dan Kelas Online), dan SP Career Center (berupa layanan Mentorship untuk Hiring dan Career Preparation). Untuk info lebih lanjut tentang layanan Satu Persen, kamu bisa akses https://satupersen.net/ ━━━━━━━━━━━━━━ BUSINESS INQUIRIES ▀▀▀▀▀▀▀▀▀▀▀▀▀▀ Email: partnership@satupersen.net Speaking Engagement: https://bit.ly/satumitra Content Collaboration: https://bit.ly/satumitra2 SOCIAL MEDIA UTAMA SATU PERSEN ▀▀▀▀▀▀▀▀▀▀▀▀▀▀ Instagram: @satupersenofficial instagram.com/satupersenofficial/ @satupersenpodcast instagram.com/satupersenpodcast/ @lifeconsultation.id instagram.com/lifeconsultation.id/ @lifeskills.id instagram.com/lifeskills.id/ @spcareercenter instagram.com/spcareercenter/ @postmetryc instagram.com/postmetryc/ @spcollective.id instagram.com/spcollective.id/ Youtube: https://www.youtube.com/c/SatuPersenIndonesianLifeSchool Twitter: https://twitter.com/satupersen_id Linkedin: https://www.linkedin.com/company/satu-persen-indonesian-life-school ━━━━━━━━━━━━━━ TIM PODCAST ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀ Host: Ifandi Khainur Rahim Director: Ocky Jhon G. Hidayat Video Editor: Muhammad Zidan Designer: Jovan Hendriawan Podcast Officer: Rezkita G. Astari Suhendar ━━━━━━━━━━━━━━ Jangan lupa like, comment, share, dan subscribe ya! Kalau lo mau drop saran soal topik, lo bisa ke link ini: https://satupersen.net/page/content-dropbox Satu Persen, Lebih Baik Setiap Harinya #SatuPersen #TanyaEvan #DefinisiOrangPintar #SMART

Tumpuan besar: Carsome Dilaporkan Membuang Ratusan Pekerja Dalam Usaha Mengurangkan Kos Operasi Dan Mencapai Keuntungan https://amanz.my/2023423808/ Apa lagi: Proton Dan Perodua Dijangka Hadir Dengan Kereta EV Menjelang 2025 https://amanz.my/2023423758/ Ramalan: Google Sedang Melihat Potensi Untuk Menubuhkan Pusat Data Di Malaysia https://amanz.my/2023423627/

As we know, cowok sama cewek emang kayak Mars dan Venus. Semua berputar di porosnya masing-masing, punya USPnya masing-masing dan punya objektifnya masing-masing juga. Emang beda aja. Apa yang bisa buat mereka jadi nyambung? ya komunikasi. Walopun kadang komunikasi itu sendiri juga jadi masalah karena berbeda caranya ya, tapi cuma komunikasi yang bikin semuanya jadi clear bukan cuma asumsi belaka. Dengerin di #PodcastBercanda

Setahun selepas PRU15, Bagaimana boleh kita fahami situasi yang berlaku selepas PRU15 dan di manakah Malaysia ketika ini, jika dinilai dari aspek kestabilan politik dan ekonomi? Apa yang perlu dilakukan bagi memastikan kestabilan tersebut terus kekal?

Setahun selepas PRU15, Bagaimana boleh kita fahami situasi yang berlaku selepas PRU15 dan di manakah Malaysia ketika ini, jika dinilai dari aspek kestabilan politik dan ekonomi? Apa yang perlu dilakukan bagi memastikan kestabilan tersebut terus kekal?

Apa hak golongan kanak-kanak yang terlepas pandang dan wajar diberi perhatian lebih dengan ambil kira apa yang termaktub dalam Konvensyen Mengenai Hak Kanak-kanak (CRC)? 

Apa pencapaian penting penganjuran 8th Global Higher Education Forum 2023 (GHEF2023) dan bagaimana ia boleh memperkukuhkan insiatif penjenamaan keunggulan global pendidikan tinggi negara yang selari dengan Pelan Pembangunan Pendidikan Malaysia (PPPM) 2015-2025 (Pendidikan Tinggi)? 

Menu Pemberian Makanan Tambahan (PMT) untuk pencegahan stunting kembali jadi sorotan. Kali ini soal paket PMT yang disiapkan Dinas Kesehatan di Kecamatan Tapos Kota Depok yang berisi nasi, kuah sop, dan tahu rebus. Beberapa bulan lalu, ada unggahan di media sosial soal isi paket PMT yang dibagikan sebuah Posyandu di Aceh Utara yang isinya antara lain jajanan Rp500-an. Pemerintah punya target penurunan prevalensi stunting menjadi 14 persen di tahun 2024 dari 21,6 persen di tahun 2022. Mencegah stunting atau gagal tumbuh harus dilakukan sejak 1000 hari pertama kehidupan anak. Artinya kecukupan gizi sudah terpenuhi sejak awal kehamilan. Stunting dapat terjadi sejak kehamilan jika terjadi hambatan pertumbuhan pada janin dalam kandungan. Apa saja yang harus diperhatikan dalam mempersiapkan PMT yang mengandung nilai gizi? Selain PMT, upaya apa yang harus dilakukan untuk memastikan kesehatan balita di 1000 hari pertama kehidupannya? Kita bahas hal ini di Ruang Publik KBR bersama Nurfi Afriansyah, Ketua Departemen Riset & Pengembangan Bidang Ilmiah DPP Persagi. *Kami ingin mendengar saran dan komentar kamu terkait podcast yang baru saja kamu simak, melalui surel ke podcast@kbrprime.id

Watch as Pastor Clint explores an often-mentioned and little understood aspect of the Christian life: honor. Sermon Resources: 1. “Honor is the operating system of God.” -Jon Tyson, "Creating a Culture of Honor" 2. Study from the National Academy of Sciences: https://www.pnas.org/doi/10.1073/pnas.1414146111 3. “This “outrage industrial complex” works by catering to just one ideological side, creating a species of addiction by feeding our desire to believe that we are completely right and that the other side is made up of knaves and fools. It strokes our own biases while affirming our worst assumptions about those who disagree with us.” -Arthur C. Brooks, "Our Culture of Contempt" 4. “When you see my face, hope it gives you hell. When you walk my way, hope it gives you hell. If you find a man that's worth a damn and treats you well. Then he's a fool, you're just as well, hope it gives you hell.” -The All American Rejects, "Gives You Hell" 5. “Scandal is great entertainment because it allows people to feel contempt, a moral emotion that gives feelings of moral superiority while asking nothing in return. With contempt you don't need to right the wrong (as with anger) or flee the scene (as with fear or disgust). And best of all, contempt is made to share. Stories about the moral failings of others are among the most common kinds of gossip, they are a staple of talk radio, and they offer a ready way for people to show that they share a common moral orientation. Tell an acquaintance a cynical story that ends with both of you smirking and shaking your heads and voila, you've got a bond. Well, stop smirking. One of the most universal pieces of advice from across cultures and eras is that we are all hypocrites, and in our condemnation of others' hypocrisy we only compound our own.” -Jonathan Haidt, "The Happiness Hypothesis" 6. APA study on dishonor: https://www.apa.org/monitor/2012/04/rejection 7. “There are no ordinary people. You have never talked to a mere mortal.” -C.S. Lewis, "The Weight of Glory" 8. Story of Daryl Davis: https://www.npr.org/2017/08/20/544861933/how-one-man-convinced-200-ku-klux-klan-members-to-give-up-their-robes 9. “To desecrate dead bodies is to deny the significance of their life, which is, in turn, to deny God's creative activity.” -David Atkinson, "The Bible Speaks Today"

The APA returns to the Moon Giants hideaway to review the newly found star charts.Please support us on Patreon: https://www.patreon.com/STFNetworkSTF Networkhttps://www.thestfnetwork.com/https://discord.gg/7KPfMCzStarfinder - Devastation ArkTitle Music:"Dang Thwackle Dev" by Adam KellyOther music:Kevin MacCleod - Incompetechincompetech.filmmusic.ioTabletop Audiotabletopaudio.comPurple Planet Musicwww.purple-planet.com/ (edited)

Dr. Andy Choi shares his journey from his graduate education to his current role as a licensed psychologist. Andy shares how scholars, mentors, friends, and family influence his work today.   For more on our guests, links from the conversation, and APA citation for this episode visit https://concept.paloaltou.edu/resources/the-thoughtful-counselor-podcast  The Thoughtful Counselor is created in partnership with Palo Alto University's Division of Continuing & Professional Studies. Learn more at concept.paloaltou.edu

Continuing on the theme of men in therapy, Jon and Gabe begin a multi-part discussion (because ya'll know we can't be brief) on the American Psychological Association's (APA) official guidelines for improving therapy and general psychological practice for boys and men. In this first of three part episode series, they give their take on what's so exciting about these aspirational guidelines and APA's definition of gender, gender role strain, oppression, and more.

Kencan Dengan Tuhan - Minggu, 19 November 2023 Bacaan: "Sebab bagi Allah tidak ada yang mustahil." (Lukas 1:37) Renungan: Seorang tokoh Alkitab yang bernama Sara, pernah terjebak pada satu kondisi. Kondisinya adalah baik Abraham maupun Sara sudah sangat tua untuk bisa mempunyai seorang anak. Secara manusia hal itu sudah tidak mungkin lagi. Kondisi ini membuat Sara tidak percaya, "Jadi tertawalah Sara dalam hatinya, katanya: Akan berahikah aku, setelah aku sudah layu, sedangkan tuanku sudah tua?" Sara mempertegas kondisi dirinya dengan istilah "layu", yang artinya sudah lewat masa ia bisa mendapatkan anak. Ini juga berarti dia sudah tidak mempunyai gairah untuk melakukan hubungan seks. Ini bukan karena dia sedang "tidak mood". Ini karena kondisi fisik dan kejiwaan yang "sudah habis" dimakan waktu. Kondisi seperti ini tidak memungkinkan tubuh seorang perempuan menghasilkan hormon yang berkaitan dengan keturunan. Masuk akal bukan? Maka, sekalipun Malaikat Tuhan datang memberitahu bahwa dia akan mempunyai anak, dia tidak percaya. Apa pun alasannya, Sara sudah terjebak pada kondisi dirinya dan suaminya yang sudah tua. Pernahkah kita berkata, "Kita kan orang tidak punya, bagaimana mungkin kita bisa menjadi berkat bagi sesama?" "Saya tidak pernah belajar kepemimpinan, bagaimana mungkin saya bisa menjadi ketua?" "Kita kan orang sederhana, tidak mungkin kita mempunyai usaha sendiri." "Untuk makan saja susah, apalagi untuk menyumbang bagi pembangunan gereja?" "Jadi orang biasa sajalah, pendidikan dan keuangan kita memang pas-pasan kok." Itulah contoh dari mereka yang terjebak pada kondisi tertentu. Padahal firman Tuhan mengajarkan dengan tegas, tidak ada yang mustahil bagi Tuhan. Mari, kita percaya kepada Tuhan dan meyakini bahwa firman-Nya akan terjadi melalui dan bagi kita. Tuhan Yesus memberkati. Doa: Tuhan Yesus, berilah aku kekuatan untuk mengalahkan pikiranku yang terbelenggu oleh kondisi selalu akan gagal. Yakinkanlah aku bahwa bersama-Mu aku pasti bisa. Amin. (Dod).

Kimberley: Welcome, everybody. This is a very exciting episode. I know I'm going to learn so much. Today, we have Caitlin Pinciotti and Shala Nicely, and we're talking about when OCD and PTSD collide and intertwine and how that plays out. This is actually a topic I think we need to talk about more. Welcome, Caitlin, and welcome, Shala. Caitlin: Thank you. Shala: Thanks. Kimberley: Okay. Let's first do a little introduction. Caitlin, would you like to go first introducing yourself? Caitlin: Sure thing. I'm Caitlin Pinciotti. I'm a licensed clinical psychologist and an assistant professor in the Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. I also serve as a co-chair for the IOCDF Trauma and PTSD and OCD SIG. If people are interested in that special interest group as well, that's something that's available and up and running now. Most of my research specifically focuses on OCD, trauma, and PTSD, and particularly the overlap of these things. That's been sort of my focus for the last several years. I'm excited to be here and talk more about this topic. Kimberley: Thank you. You're doing amazing work. I've loved being a part of just watching all of this great research that you're doing. Shala, would you like to introduce yourself? Shala: Yes. I'm Shala Nicely. I am a licensed professional counselor, and I specialize in the treatment of OCD and related disorders. I am the author of Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life, which is my story, and then co-author with Jon Hershfield of Everyday Mindfulness for OCD: Tips, Tricks, and Skills for Living Joyfully. I also produce the Shoulders Back! newsletter. It has tips and resources for taming OCD. Kimberley: Shoulders Back! was actually the inspiration for this episode. Shala, you recently wrote an article about post-traumatic OCD or how PTSD and OCD collide. Can you tell us about your story, particularly going back to, I think you mentioned, May 2020, and what brought you to write that article? Shala: Sure, and thank you very much for having Caitlin and me on today because I really appreciate the opportunity to talk about this and to get more information out in the world about this intertwined combination of PTSD and OCD. In May of 2020, I moved to a new house, the house that I'm in now. Of course, we had just started the pandemic, and so everybody was working at home, including me. The house that I moved into was in a brand new neighborhood. While the houses on this side of me were completed, the houses behind me and on that side were not completed. I didn't think anything of that when I moved in. But what I moved into was a situation where I was in a construction zone all the time. I was working at home, so there was no escape from it. One day I was walking behind my house, where most of the houses were in the process of being built and there were no sidewalks. As I was walking down the street, I saw, down at the end of the street, a big forklift come down the street where I was walking with my two little dogs backwards at a really high rate of speed, and the forklift driver seemed to be looking that way, and he was going that way. It happened so fast because he was going so quickly that all of a sudden I realized he was going to hit us, my dogs and me, and there was no place for us to go because we were on the road because there was nowhere else for us to be. I screamed bloody murder, and he heard me. I mean, that's how loud I screamed, and he stopped. That was not all that pleasant. I was upset. He was not happy. But we moved on. But my brain didn't move on.  After that incident, what I noticed was I was becoming really hypervigilant in my own house and finding the construction equipment. If I go outside, I tense up just knowing that construction equipment is there. Over time, my sleep started becoming disturbed. I started to have flashbacks and what I call flash-forwards, where I would think about all these horrible things that could happen to me that hadn't happened to me yet but could. I'd get lost in these violent fantasies of what might happen and what I need to do to prevent that.  I realized that I seemed to be developing symptoms of PTSD. This is where being a therapist was actually quite helpful because I pulled the DSM open one night and I started going through symptoms of PTSD. I'm like, “Oh my gosh, I think I have PTSD.”  I think what happened, because having a forklift driver almost hit you, doesn't seem like that could possibly cause PTSD. But if you look at my history, I think that created a link in my brain to an accident I was in when I was four where I did almost die, which is when my mom and I were standing on the side of a road, about to cross. We were going to go between two parked cars. My mom and I stepped between two parked cars, and there was a man driving down the road who was legally blind, and he mistook the line of parked cars where we were standing as moving traffic. He plowed into the end of all the parked cars, which of course made them accordion in, and my mom and I were in the middle of that. I was very seriously injured and probably almost died. My mom was, too. Several months in the hospital, all of that.  Of course, at that point—that was 1975—there was no PTSD, because I think— Caitlin, you can correct me—it didn't become a diagnosis until 1980. I have had symptoms—small, low-level symptoms of PTSD probably on and off most of my life, but so low-level, not diagnosable, and not really causing any sort of problems. But I think what happened in my head was that when that forklift almost hit me, it made my brain think, “Oh my gosh, we're in that situation again,” because the forklift was huge. It was the same scale to me as an adult as that car that I was crushed between was when I was four. I think my brain just got confused. Because I was stuck with this construction equipment all day long and I didn't get any break from it, it just made my brain think more and more and more, “Boy, we are really in danger.” Our lives are basically threatened all the time.  That began my journey of figuring out what was going on with me and then also trying to understand why my OCD seemed to be getting worse and jumping in to help because I seemed to get all these compulsions that were designed to keep me safe from this construction equipment. It created a process where I was trying to figure out, "What is this? I've got both PTSD now, I've got OCD flaring up, how do I deal with this? What do I do?" The reason why I wanted to write the article for Shoulders Back! and why I asked Caitlin to write it with me was because there just isn't a lot of information out there about this combination where people have PTSD or some sort of trauma, and then the OCD jumps in to help. Now you've got a combination of disorders where you've got trauma or PTSD and OCD, and they're merging together to try to protect you. That's what they think they're doing. They're trying to help you stay safe, but really, what they're doing is they're making your life smaller and smaller and smaller.  I wanted to write this article for Shoulders Back! to let people know about my experience so that other people going through this aren't alone. I wanted to ask Caitlin to write it with me because I wanted an expert in this to talk about what it is, how we treat it, what hope do we have for people who are experiencing this going forward. THE DIFFERENCE BETWEEN OCD AND PTSD (AND POST-TRAUMATIC OCD)  Kimberley: Thank you for sharing that. I do encourage people; I'll link in the show notes if they want to go and read the article as well. Caitlin, from a clinical perspective, what was going on for Shala? Can you break down the differences between OCD and PTSD and what's happening to her? Caitlin: Sure. First, I want to start by thanking Shala again for sharing that story. I know you and I talked about this one-on-one, but I think really sharing personal stories like that obviously involves a lot of courage and vulnerability. It's just so helpful for people to hear examples and to really resonate with, “Wow, maybe I'm not so different or so alone. I thought I was the only one who had experiences like this.” I just want to publicly thank you again for writing that blog and being willing to share these really horrible experiences that you had.  In terms of how we would look at this clinically, it's not uncommon for people to, like Shala described, experience trauma and have these low-level symptoms for a while that don't really emerge or don't really reach the threshold of being diagnosable. This can happen, for example, with veterans who return home from war, and it might not be until decades later that they have some sort of significant life event or change. Maybe they've retired, or they're experiencing more stress, or maybe, like Shala, they're experiencing another trauma, and it just brings everything up. This kind of delayed onset of PTSD is, for sure, not abnormal.  In this case, it sounds like, just like Shala described, that her OCD really latched onto the trauma, that she had these experiences that reinforced each other. Right now, I've had two experiences where being around moving vehicles has been really dangerous for me. Just like you said, I think you did such a beautiful job of saying that the OCD and PTSD colluded in a way to keep you “safe.” That's the function of it. But of course, we know that those things go to the extreme and can make our lives very small and very distressing.  What Shala described about using these compulsions to try to prevent future trauma is something that we see a lot in people who have comorbid OCD and PTSD. We're doing some research now on the different ways that OCD and trauma can intersect. And that's something that keeps coming up as people say, “I engaged in these compulsions as a way to try to prevent the trauma from happening to me again or happening to someone else. Or maybe my compulsions gave me a sense of control, predictability, or certainty about something related to the trauma.” This kind of presentation of OCD sort of functioning as protection against trauma or coping with past trauma as well is really common. STATISTICS OF OCD AND PTSD Kimberley: Would you share a little bit about the statistics between OCD and PTSD and the overlap? Caitlin: Absolutely. I'm excited to share this too, because so much of this work is so recent, and I'm hopeful that it's really going to transform the way that we see the relationships between OCD and PTSD. We know that around 60% of people who have comorbid OCD and PTSD tend to have an experience where PTSD comes first or at the same time, and the OCD comes later. This is sort of that post-traumatic OCD presentation that we're talking about and that Shala talked about in her article.  For folks who have this presentation where the PTSD comes first and then the OCD comes along afterwards, unfortunately, we see that those folks tend to have more severe obsessions, more severe compulsions. They're more likely to struggle with suicidality or to have comorbid agoraphobia or panic disorders. Generally speaking, we see a more severe presentation when the OCD comes after the PTSD and trauma, which is likely indicative of what we're discussing, which is that when the OCD develops as a way to cope with trauma, it takes on a mind of its own and can be really severe because it's serving multiple functions in that way. What we've been finding in our recent research—and if folks want to participate, the study will still be active for the next month; we're going to end it at the end of the year, the OCD and Trauma Overlap Study—what we're finding is that of the folks who've participated in the study, 85% of them feel like there's some sort of overlap between their OCD and trauma. Of course, there are lots of different ways that OCD and trauma can overlap.  I published a paper previously where we found that about 45% of people with severe OCD in a residential program felt that a traumatic or stressful event was the direct cause of their OCD on setting. But beyond that, we know that OCD and trauma can intersect in terms of the content of obsessions, the function of compulsions, as we've been talking about here, core fears. Some folks describe this, and Shala described this to this, like cyclical relationship where when one thing gets triggered, the other thing gets triggered too.  This is really where a lot of the research is focusing on now, is how do these things intersect, how often do they intersect, and what does that really look like for people? Kimberley: Thanks. I found in my practice, for people who have had a traumatic event, as exactly what happened to Shala, and I actually would love for both of you maybe to give some other examples of how this looks for people and how it may be experienced, is let's say the person that was involved in the traumatic event or that place that the traumatic event was recent that recently was revisited just like Shala. Some of them go to doing safety behaviors around that person, place, or event, or they might just notice an uptick in their compulsions that may have completely nothing to do with that. Shala, can you explain a little bit about how you differentiated between what are PTSD symptoms versus OCD, or do you consider them very, very similar? Can you give some insight into that? SYMPTOMS OF OCD & PTSD  Shala: Sure. I'll give some examples of the symptoms of OCD that developed after this PTSD developed, but it's all post-traumatic OCDs. I consider it to be different from PTSD, but it is merged with PTSD because it's only there because the PTSD is there.  For instance, I developed a lot of checking behaviors around the doors to my house—staring, touching, not able to just look once before I go to bed, had to be positively sure the doors were locked, which, as somebody who does this for a living, who helps people stop doing these compulsions, created a decent amount of shame for me too, as I'm doing these compulsions and saying, “Why am I not taking my own advice here? Why am I getting stuck doing this?”  But my OCD thought that the construction equipment was outside; we're inside. We need to make sure it stays outside. The only way we do that is to make sure the door stays locked, which is ridiculous. It's not as if a forklift is going to drive through my front door. As typical with OCD, the compulsions don't make a lot of sense, but there's a loose link there. Another compulsion that I realized after a time was probably linked with PTSD is my people-pleasing, which I've always struggled with. In fact, Kimberley, you and I have done another podcast about people-pleasing, something I've worked really hard on over the years, but it really accelerated after this. I eventually figured out that that was a compulsion to keep people liking me so that they wouldn't attack me. That can be an OCD compulsion all by itself, but it was functioning to help the PTSD.  Those would be two examples of compulsions that could be OCD compulsions on their own, but they would not have been there had the PTSD not been there. Kimberley: Caitlin, do you want to add anything about that from symptoms or how it might look and be experienced? Caitlin: Sure, yeah. I think it's spot on that there's this element of separation that we can piece apart. This feels a little bit more like OCD; this feels a little bit more like PTSD, but ultimately they're the same thing, or it's the same behavior.  In my work, I usually try to, where I can, piece things apart clinically so that we can figure out what we should do with this particular response that you're having. When it comes to differentiating compulsions, OCD compulsions and PTSD safety behaviors, we can look towards both the presentation of the behavior as well as the function of it.  In terms of presentation, I mean, we all know what compulsions can look like. They can be very rigid. There can be a set of rules that they have to be completed with. They're often characterized by a lot of doubting, like in Shala's case, the checking that, “Well, okay, I checked, but I'm not actually sure, so let me check one more time.” Whereas in PTSD, although it's possible for that to happen, those safety behaviors, usually, it's a little bit easier to disengage from. Once I feel like I've established a sense of safety, then I feel like I can disengage from that. There doesn't tend to be kind of that like rigidity and a set of rules or magical thinking that comes along with an OCD compulsion.  In terms of the function, and this is where it gets a little bit murky with post-traumatic OCD, broadly speaking, the function of PTSD safety behaviors is to try to prevent trauma from occurring again in the future. Whereas OCD compulsions, generally speaking, are a way to obtain certainty about something or prevent some sort of feared catastrophe related to someone's obsession. But of course, when the OCD is functioning along with the PTSD to cope with trauma, to prevent future trauma, that gets a little bit murkier.  In my work, like I said, I try to piece apart, are there elements of this that we can try to resist from more of an ERP OCD standpoint? If there's a set of rules or a specific way that you're checking the door, maybe we can work on reducing some of that while still having that PTSD perspective of being a little bit more lenient about weaning off safety behaviors over time. TREATMENT FOR OCD AND PTSD Kimberley: It's a perfect segue into us talking about the treatment here. Caitlin, could you maybe share the treatment options for these conditions, specifically post-traumatic OCD, but maybe in general, all three? Caitlin: Absolutely. The APA, a few years back, reviewed all the available literature on PTSD treatments, and they created this hierarchy of the treatments that have the most evidence base and went down from there. From their review of all the research that's been done, there were four treatments that emerged as being the most effective for PTSD. That would be broadly cognitive behavioral therapy and cognitive therapy. But then there are two treatments that have been specifically created to target PTSD, and that would be prolonged exposure or PE, and cognitive processing therapy or CBT. These all fall under the umbrella of CBT treatments, but they're just a little bit more specific in their approach. And then, of course, we know of ACT and EMDR and these other treatments that folks use as well. Those fall in the second tier, where there's a lot of evidence that those work for folks as well, but that top tier has the most evidence.  These treatments can be used in combination with OCD treatments like ERP. There are different ways that folks can combine them. They can do full protocols of both. They could borrow aspects of some treatments, or they could choose to focus really on if there's a very clear primary diagnosis to treat that one first before moving on to the secondary diagnosis. TREATMENT EXAMPLES FOR POST-TRAUMATIC OCD Kimberley: Amazing. Shala, if you're comfortable, can you give some examples of what treatment looked like for you and what that was like for you both having OCD and PTOCD?  Shala: Yes, and I think to set the ground for why the combined treatment working on the PTSD and the OCD together can be so important, a couple of features of how all this was presenting for me was the shift in the focus of the uncertainty. With OCD, it's all about an intolerance of uncertainty and not knowing whether these what-ifs that OCD is getting stuck on are true or going to happen. But what I noticed when I developed PTSD and then the OCD came in to help was that the focus of the uncertainty shifted to it's not what if it's going to happen. The only what-if is when it was going to happen because something bad happening became a given.  The uncertainty shifted to only when and where that bad thing was going to happen, which meant that I had lower insight. I've always had pretty good insight into my OCD, even before I got treatment. Many people with OCD too, we know what we're doing doesn't make any sense; we just can't stop doing it. With this combined presentation, there was a part of me that was saying, “Yeah, I really do need to be staring at the door. This is really important to make sure I keep that construction equipment out.” That lowered insight is a feature of this combined presentation that I think makes the type of treatment that we do more important, because we want to address both of the drivers, both the PTSD and the OCD. The treatment that I did was in a staged process. First, I had to find a treatment provider, and Caitlin has a wonderful list of evidence-based treatment providers who can provide treatment for both on her website, which is great. I found somebody actually who ended up being on Caitlin's list and worked with that person, and she wanted to start out doing prolonged exposure, which I pushed back on a little bit. Sometimes when you're a therapist and you're being the client, it's hard not to get in the other person's chair. But I pushed back on that because I said, “Well, I don't think I need to do prolonged exposure on the original accident,” because that's what she was suggesting we do, the accident when I was four. I said, “Because I wrote a book, Is Fred in the Refrigerator? and the very first chapter is the accident,” and I talked all about the accident. She explained, “That's a little bit different than the way we would do it in prolonged exposure.” What's telling, I think, is that when I worked on the audiobook version of Fred—I was doing the narration, I was in a studio, and I had an engineer and a director; they were on one side of the glass, I'm on the other side of the glass—I had a really hard time getting through that first chapter of the book because I kept breaking down. They'd have to stop everything, and I had to get myself together, and we had to start again, and that happened over and over and over again.  Even though I had relived, so to speak, this story on paper, I guess that was the problem. I was still reliving it. That's probably the right word. Prolonged exposure is what I needed to do because I needed to be able to be in the presence of that story and have it be a story in the past and not something that I was experiencing right then.  I started with prolonged exposure. After I did that, I moved on to cognitive processing therapy because I had a lot of distorted beliefs around life and the trauma that we call “stuck points” in cognitive processing therapy that I needed to work through. There were a good 20 or so stuck-point beliefs. “If I don't treat people perfectly nicely, they're going to attack me somehow.” Things that could be related directly to the compulsions, but also just things like, “The world is dangerous. If I'm not vigilant all the time, something bad is going to happen to me.” I had to work on reframing all of those because I was living my life based on those beliefs, which was keeping the trauma going.  I recreated a new set of beliefs and then brought exposure in to work on doing exposures that helped me act as if those new beliefs were the right way to live. If my stuck point is I need to be hypervigilant because of the way something bad is going to happen to me, and I'm walking around like this, which was not an exaggeration of really how I was living my life when this was all happening—if I'm living like that, if I'm acting in a hypervigilant way, I am reinforcing these beliefs. I need to go do exposures where I can walk by a dump truck without all the hypervigilance to let all that tension go, walk by it, realize what I've learned, and walk by it again.  It was a combination of all these and making sure that I was doing these exposures, both to stop the compulsions I was doing, like the door checking, but also to start living in a different way so that I wasn't in my approach to life, reinforcing the fact that my PTSD thought the world was dangerous.  I also incorporated some DBT (dialectical behavior therapy) because what I found with this combination was I was experiencing a lot more intense emotions than I'd really ever experienced in having OCD by itself. With OCD, it was mostly just out-of-this-world anxiety, but with the combination of PTSD and OCD, there were a lot more emotional swings of all sorts of different kinds that I needed to learn and had to deal with. Part of that too was just learning how to be in the presence of these PTSD symptoms, which are very physiological. Not like OCD symptoms aren't, but they tend to be somewhat more extreme, almost panicky-like feelings. When you're in the flashbacks or flash forwards, you can feel dissociated, and you're numbing out and all of that. I'm learning to be in the presence of those symptoms without reacting negatively to them, because if I'm having some sort of feelings of hypervigilance that are coming because I'm near a piece of construction equipment and I haven't practiced my ERP (Expsoure & Response Prevention) for a while, if I react negatively and say, “Oh my gosh, I shouldn't be having these symptoms. I've done my therapy. I shouldn't be having these feelings right now,” it's just going to make it worse. Really, a lot of this work on the emotional side was learning how to just be with the feelings. If I have symptoms, because they happen every now and then—if I have symptoms, then I'm accepting them. I'm not making them worse by a negative reaction to the reaction my PTSD is having.  That was a lot of the tail end of the work, was learning how to be okay with the fact that sometimes you're going to have some PTSD symptoms, and that's okay. But overreacting to them is going to make it worse.  Kimberley: Thank you so much for sharing that. I just want to maybe clarify for those who are listening. You talked about CPT, you talked about DBT, and you also talked about prolonged exposure. In the prolonged exposure, you were exposing yourself to the dump truck? Is that correct? Shala: In the prolonged exposure, I was doing two different things. One is the story of the accident that I was in. Going back to that accident that I thought I had fully habituated to through writing my book and doing all that, I had to learn how to be in the presence of that story without reliving it while seeing it as something that happened to me, but it's not happening to me right now. That was the imaginal part of the prolonged exposure.  This is where the overlap between the disorders and the treatment can get confusing of what is part of what. You can do the in vivo exposure part of prolonged exposure. Those can also look a lot like just ERP for OCD, where we're going and we're standing beside a dump truck and dropping the hypervigilant safety behaviors because we need to be able to do that to prove to our brain we can tolerate being in this environment. It isn't a dangerous environment to stand by a jump truck. It's not what happened when I was four. Those are the two parts that we're looking at there—the imaginal exposure, which is the story, and then we've got the in vivo exposures, which are going back and being in the presence of triggers, and also from an OCD perspective without compulsive safety behaviors. Kimberley: Amazing. What I would clarify, but please any of you jump in just for the listeners, if this is all new to you, what we're not saying is, let's say if there was someone who was abusive to you as a child, that you would then expose yourself to them for the sake of getting better from your PTSD. I think the decisions you made on what to expose yourself were done with a therapist, Shala? They helped you make those decisions based on what was helpful and effective for you? Do either of you want to speak to what we do and what we don't expose ourselves to in prolonged exposure? Caitlin: Yeah. I'm glad that you're clarifying that too, because this is a big part of PE that is actually a little bit different from ERP. When somebody has experienced trauma, when they have PTSD, their internal alarm system just goes haywire. Just like in Shala's example, anything that serves as a reminder or a trigger of the trauma, the brain just automatically interprets as this thing is dangerous; I have to get away from it.  In PE, a lot of what we're doing is helping people to recalibrate that internal alarm system so that they can better learn or relearn safe versus actual threat. When you're developing a hierarchy with someone in PE, you might have very explicit conversations about how safe is this exposure really, because we never want to put someone in a situation where they would be unsafe, such as, like you described, interacting with an abuser.  In ERP, we'd probably be less likely to go through the exposures and say, “This one's actually safe; I want you to do it,” because so much of the treatment is about tolerating uncertainty about feared outcomes. But in PE, we might have these explicit conversations. “Do other people you know do this activity or go to this place in town?” There are probably construction sites that wouldn't be safe for Shala to go to. They'd be objectively dangerous, and we'd never have her go and do things that would put her in harm's way. Kimberley: Thank you. I just wanted to clarify on that, particularly for folks who are hearing this for the first time. I'm so grateful that we're having this conversation again. I think it's going to be so eye-opening for people. Caitlin, can you share any final words for the listeners? What resources would you encourage them to listen to? Is there anything that you feel we missed in our conversation today for the listeners? Caitlin: I think, generally, I like to always leave on a note of hope. Again, I'm so grateful that Shala is here and gets to describe her experience with such vulnerability because it gives hope that you can hear about someone who was at their worst, and maybe things felt hopeless in that moment. But she was able to access the help that she needed and use the tools that she had from her own training too, which helped, and really move through this.  There isn't sort of a final point where it's like, “Okay, cool, I'm done. The trauma is never going to bother me again.” But it doesn't have to have that grip on your life any longer, and you don't need to rely on OCD to keep you safe from trauma.  There are treatments out there that work. Like it was mentioned, I have a directory of OCD and PTSD treatment providers available on my website, which is www.cmpinciotti.com that folks can access if they're looking for a therapist. If you're a therapist listening and you believe that you belong in this directory, there's a way to reach out to me through the website.  I'd also say too that if folks are willing and interested, participating in the research that's happening right now really helps us to understand OCD and PTSD better so that we can better support people. If you're interested in participating in the OCD and trauma study that I mentioned, you can email me at OCDTraumaStudy@bcm.edu. I also have another study that's more recent that will help to answer the question of how many people with OCD have experienced trauma and what are those more commonly endorsed ways that people feel that OCD and trauma intersect for them. That one's ultra-brief. It's a 10-minute really quick survey, NationalOCDSurvey@bcm.edu and I'm happy to share that anonymous link with you as well/ Kimberley: Thank you. Thank you so much. Shala, can you share any final words about your experience or what you want the listeners to hear? Shala: One thing I'd like to share is a mistake that I made as part of my recovery that I would love for other people not to make. I'd like to talk a little bit about that, because I think it could be helpful. The mistake that I made in trying to be a good client, a good therapy client, is I was micro-monitoring my recovery. “How many PTSD symptoms am I having? Well, I'm still having symptoms.” I woke up in the middle of the night in a panic, or I had a bad dream, or I had a flash forward. “Why am I having this? I must not be doing things right.” And then I took it a step further and said, “It would be great if I could track the physiological markers of my PTSD so I can make sure I'm keeping them under control.” I got a piece of tracking technology that enabled me to track heart rate and heart rate variability and sleep and all this stuff. At first, it was okay, but then the technology that I was using changed their algorithm, and all of a sudden my stats weren't good anymore, and I started freaking out. “Oh my gosh, my sleep is bad. My atrophy is going down. This is bad. What am I doing?” I was trying with the best of intentions to quantify, make sure I'm doing things right, focus on recovery. But what I was doing was focusing on the remaining symptoms that were there, and I was making them worse.  What I have learned is that eventually, things got so bad—in fact, with my sleep—that I got so frustrated with the tracking technology. I said, “I'm not wearing it anymore.” That's one of the things that helped me realize what I was doing. When I stopped tracking my sleep, when I let go of all of this and said, “You know what? I'm going to have symptoms,” things got better.  I would encourage people not to overthink their recovery, not to be in their heads and wake up in the morning and ask, “How much PTSD am I having? How much OCD am I having? If I could just get rid of these last little symptoms, life would be great,” because that's just going to keep everything going.  I'll say this year, two has been a challenging one for me. I've been involved in three car accidents this year; none of them my fault. One of my neighbors, whom I don't know, called the police on me, thinking I was breaking into my own house, which meant that a whole army of police officers ended up at my house at nine o'clock at night. That's four pretty hard trauma triggers for me in 2023.  Those kinds of things are going to happen to all of us every now and then. I had a lot of symptoms. I had a lot of PTSD symptoms and a lot of OCD symptoms in the wake of those events, and that's okay. It's not that I want them to be there, but that's just my brain reacting. That's my brain trying to come to terms with what happened and how safe we are and trying to get back to a level playing field.  I think it's really important for anybody else out there who's suffering from one or the other, or both of these disorders to recognize we're going to have symptoms sometimes. Just like with OCD, you're going to have symptoms sometimes. It's okay. It's the pushing away. It's the rejecting of the symptoms. It's the shaming yourself for having the symptoms that causes the symptoms to get worse.  Really, there is an element of self-compassion for OCD here. I like having bracelets to remind me. This is the self-compassion bracelet that I've had for years that I wear. By the way, this is not the tracking technology. I'm not using tracking technology anymore. But remembering self-compassion and telling yourself, “I'm having symptoms right now, and this is really hard. I'm anxious; I feel a little bit hypervigilant, but this is part of recovery from PTOCD. Most people with PTOCD experience this at some point. So I'm going to give myself a break, give myself permission to feel what I'm feeling, recognize how much progress I've made, and, when I feel ready, do some of my therapy homework to help me move past this, but in a nonhypervigilant, nonmicro monitoring way.” As I have dropped down into acceptance of these symptoms, my symptoms have gotten a lot better. I think that's a really important takeaway. Yes, we want to work hard in our therapy, yes, we want to do the homework, but we also want to work on accepting because, in the acceptance, we learn that having these symptoms sometimes is just a part of life, and it's okay.  I would echo what Caitlin said in that you can have a ton of hope if you have these disorders, in that we have good treatment. Sometimes it takes a little bit longer than working on either one or the other, but that makes sense because you're working on two. But we have good treatment, and you can get back to living a joyful life.  Always have hope and don't give up, because sometimes it can be a long road, especially when you have a combined presentation. But you can tame both of these disorders and reclaim your life. Kimberle: You guys are so good. I'm so grateful we got to do this. I feel like it's such an important conversation, and both of you bring such wonderful expertise and lived experience. I'm so grateful. Thank you both for coming on and talking about this with me today. I'm so grateful. Shala: Thank you for having us. Caitlin: Yes, thank you. This was wonderful. Kimberley: Thank you so much, guys. RESOURCES:  The two studies CAITLIN referenced are: OCD/Trauma Overlap Study: An anonymous online survey for any adult who has ever experienced trauma, and can be accessed at https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_0j4ULJv3DxUaKtE or by emailing OCDTraumaStudy@bcm.edu National OCD Survey: An anonymous 10-minute online survey for any U.S. adult who has ever had OCD, and can be accessed at https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_9LdbaR2yrj0oV7g or by emailing NationalOCDSurvey@bcm.edu

Fretz reviews a strange episode of WWE Monday Night Raw from December 20, 1999. HHH and Stephanie McMahon celebrate Christmas by screwing with the roster. Featuring a Brahma Bull Rope Match, Mae Young & Moolah vs APA vs Dudleyz (yes really), Mankind vs Santa Claus in a Boiler Room Brawl and Kurt Angle attempts to save another Raw. Follow Fretz on Twitter/Instagram @Fretzlemania Follow WAR on Twitter @Addict_Wrestle Join our EXCLUSIVE $5 Patreon: www.patreon.com/wrestleaddictradio Merch: https://fretzlemania.creator-spring.com/listing/fretzlemania-2-0-clothing-coll https://fretzlemania.creator-spring.com/listing/mr-fretz-accessories-collecti Read our exclusive blog with reviews, fan fiction and more! https://writteninwar.wordpress.com/ Join our Discord Server: https://discord.gg/hWUGvp85 --- Send in a voice message: https://podcasters.spotify.com/pod/show/fretzlemania/message

Men's psychologist Daniel joins me to talk about the gender war, what is masculinity, the essence of men's work, performative masculinity, Andrew Tate, the APA and men, strength, courage, paradox and vulnerability. A juicy very relevant one to the times we're in.   More information about Daniel Ellenberg's work - https://www.wisebrain.org/   To join our courses and our community go to www.embodimentunlimited.com Find Mark Walsh on Instagram https://www.instagram.com/warkmalsh/

Ahoy! On this very special Bonus episode of Cruising witih Kayfabe we are joined by Zach Z, Zach is a vendor for multiple wrestling companies in NEW ENGLAND. He sells his famous snacks and homemade foods such as Chili, Mac and cheese and all the comfort foods. Listen to his story as he talks about his wrestling fandom, how he got into the food service game, his favorite promotions to watch, wrestlers he has met and worked with and more! Some of the promotions we cover are APA, Limitless, Beyond, Chaotic and more. Tune in today and check out Zach at one of the shows for some affordable delicious home-cooked food!For a full episode archive (AD FREE) and exclusive content visit CWKPOD.COMMake sure and follow the show and leave us a 5 Star Frog Splash of a review!Be sure to Follow us on all of our socials @CruisingwithKayfabe on Facebook and Instagram, @ItsMongo and @CruisingWithKayfabe_Emily on TikTok. Visit Dubby Energy at https://www.dubby.gg/discount/Mongo?ref=TokPgWhTYa3YrX and use promo code "MONGO" to save 10% on all orders all the time!Special Thanks to friends of the show the Undone for letting us use their song Miss Fortune! Now available to stream or purchase on Apple, Amazon Music & Spotify. For more information visit https://wearetheundone.com/ and make sure to give them a follow!

Fretz reviews a strange episode of WWE Monday Night Raw from December 20, 1999. HHH and Stephanie McMahon celebrate Christmas by screwing with the roster. Featuring a Brahma Bull Rope Match, Mae Young & Moolah vs APA vs Dudleyz (yes really), Mankind vs Santa Claus in a Boiler Room Brawl and Kurt Angle attempts to save another Raw. Follow Fretz on Twitter/Instagram @Fretzlemania Follow WAR on Twitter @Addict_Wrestle Join our EXCLUSIVE $5 Patreon: www.patreon.com/wrestleaddictradio Merch: https://fretzlemania.creator-spring.com/listing/fretzlemania-2-0-clothing-coll https://fretzlemania.creator-spring.com/listing/mr-fretz-accessories-collecti Read our exclusive blog with reviews, fan fiction and more! https://writteninwar.wordpress.com/ Join our Discord Server: https://discord.gg/hWUGvp85 --- Send in a voice message: https://podcasters.spotify.com/pod/show/wrestleaddictradionetwork/message

Fretz reviews a strange episode of WWE Monday Night Raw from December 20, 1999. HHH and Stephanie McMahon celebrate Christmas by screwing with the roster. Featuring a Brahma Bull Rope Match, Mae Young & Moolah vs APA vs Dudleyz (yes really), Mankind vs Santa Claus in a Boiler Room Brawl and Kurt Angle attempts to save another Raw. Follow Fretz on Twitter/Instagram @Fretzlemania Follow WAR on Twitter @Addict_Wrestle Join our EXCLUSIVE $5 Patreon: www.patreon.com/wrestleaddictradio Merch: https://fretzlemania.creator-spring.com/listing/fretzlemania-2-0-clothing-coll https://fretzlemania.creator-spring.com/listing/mr-fretz-accessories-collecti Read our exclusive blog with reviews, fan fiction and more! https://writteninwar.wordpress.com/ Join our Discord Server: https://discord.gg/hWUGvp85 --- Send in a voice message: https://podcasters.spotify.com/pod/show/wrestleaddictradionetwork/message

The administrative state - the agencies comprising the Executive Branch of the U.S. federal government - has exploded in size and reach since 1946 when President Truman signed the Administrative Procedure Act into law. The APA has been amended a bit since then, but has it kept up with current challenges? While the Executive Branch has been growing, the other two branches of government have been changing as well. Congress has increasingly tended to delegate authority to agencies. And courts are changing their views not only of how much leeway agencies have in interpreting and applying statutes, but also of what methodology courts themselves should employ when interpreting statutes, including the APA. This panel will discuss how these changes impact the government and the governed.Featuring:Hon. Steven Bradbury, Distinguished Fellow, Executive Vice President’s Office, The HeritageProf. Emily Bremer, Associate Professor of Law, University of Notre Dame Law SchoolProf. Ronald M. Levin, William R. Orthwein Distinguished Professor of Law, Washington University in St. Louis School of LawMr. Andrew Tutt, Senior Associate, Arnold & PorterModerator: Hon. Steven J. Menashi, United States Court of Appeals, Second CircuitOverflow: Chinese Room

Apa mesej yang ingin disampaikan oleh golongan muda kepada pemimpin dunia? #AgendaAWANI bersiaran dari San Francisco sempena Persidangan APEC 2023 jam 830 mlm ini di @501Awani

Wigand Sugandi - Matius 5:37 (TB) Jika ya, hendaklah kamu katakan: ya, jika tidak, hendaklah kamu katakan: tidak. Apa yang lebih dari pada itu berasal dari si jahat.

Guest: Liza Jacob Episode Name: Unveiling  the Art of Audiobook Narration  with Liza Jacob [NANOWRIMO Day 11] Episode Number: 214 _____________________________________________________________________________________________________________ About the guest Liza, an APA member, is a seasoned audiobook narrator with a professional home studio featuring top-notch equipment, including an AT2020 microphone, Focusrite Scarlett Solo Audio Interface, and a Rolls MP13 Pre-amp. Having recorded numerous audiobooks under her name and the pseudonym Clara Abbott, Liza has honed her skills through training with Elise Arsenault, completing the Great Audiobook Adventure course, and participating in the Deyan Audio Masterclass with P.J. Ochlan. With a diverse range of accents, including American Southern, New York/New Jersey, Baltimore, Estuary, Irish, Russian, Scottish, and French, she adds a captivating touch to her narrations. Originally from Maryland and now residing in New Jersey, Liza, a wife and mom, brings a wealth of life experiences, including a background in dance, studio art, art history, small boat sailing regattas, billiards, baking, and mushroom foraging. With a BFA in Illustration and an Associate Degree in Graphic Design, she seamlessly blends her passion for dynamic characters with her love of audiobooks, creating engaging and immersive experiences for listeners. __________________________________________________________________________________________________________ In episode, audiobook narrator Liz Jacob shares invaluable insights into the world of audiobook creation. Covering topics from pay structures in narration to the art of mastering various accents, Liz delves into the intricate process of bringing written words to life through voice. She highlights the importance of open communication between authors and narrators, emphasizing the collaborative nature of audiobook production. The discussion also touches on the joy of exploring character backstories and the role of relationships in fostering successful audiobook projects. Liz invites authors to reach out, showcasing her warmth and enthusiasm for the collaborative and creative aspects of the audiobook industry. _____________________________________________________________________________________________________________ Additional Resources Website - www.blackheartedstudios.com  Patreon Link - https://bit.ly/h2bpatreon Freebie link - https://bit.ly/h2bebook Massiel Email - massiel@blackheartedstudios.com Massiel's Coach.Me site - https://www.coach.me/massielwrites Instagram - www.instagram.com/massielwrites LinkedIn - https://www.linkedin.com/in/massiel-valenzuela-castaneda/ Facebook  - www.facebook.com/howtowriteabookpodcast ________________________________________________________________________________________________________________ Are you feeling overwhelmed by your never-ending to-do list? Check out Paula, the Ultimate VA! https://pearlzconsulting11.wixsite.com/pearlz-va-services Discover the ultimate solution for regaining control with Paula, your dedicated virtual assistant. She'll help you manage your calendar, handle email, conduct research, and even mix and stitch together your podcast episodes. Don't let your to-do list overwhelm you any longer. Get started today! ______________________________________________________________________________________________________________ Follow Liza Liza Jacob's website - https://www.lizajacob.com/ Liza Jacob's TikTok - www.tiktok.com/lizajacobvo Liza Jacob's Instagram - www.instagram.com/lizajacobvo Liza Jacob's Facebook - www.facebook.com/Liza.Jacob.VO Liza Jacob's LinkedIn - https://www.linkedin.com/in/liza-jacob-a6522b74/ _________________________________________________________________________________________________________ Like, share, or leave a review on Apple Podcasts and subscribe to our YouTube channel (Blackhearted Studios)   

https://www.patreon.com/windah Di episode ini, kita akan membahas kesalahan-kesalahan umum waktu chatting dalam bahasa Indonesia. Apa saja itu? Bagaimana solusinya? Dengarkan episode ini! Terima kasih banyak atas dukungannya untuk: SAHABAT WINDAH AkiramJayNyong Jago Bob GenericJohn nyStefi PlesKanako Y.Martin JankovskýWillian Chen TEMAN WINDAH John McBride  Sky Lee  Kristofer Nivens  Dave  L. Kramer  P. Clayton D. Causey, CT  JayjayVentura  Lorenz Mantheywburnham31Vanessa HackNicole HoughLuis PaezChloe ArianaCraig RedriffMariusCharlotteJonny 5G EsveltHugh HJose LorenzoJeremyLulunCotter PhinneyMadeleine MillerAngelo CaonSusan GilesFarhad GhaussyRossi von der BorchRussell OgdenAlexander ScholtesMasahiro SugiyamaSicily FiennesEm McDermottRaulMeredith R NormanWilliam SolimanTom Simamora ThatcherWill HendersonWilliam GroseBjornrappangeTim DoolingMichaelNicole  Devin NailMark HorwoodERIKOAlissa Sjuryadi-TrowbridgeBillEric EmerAsakoTarquam James McKennaAmanda BlossAndres GonzalezStephen MSusan & Ben SetiawanRyota SaitoJensKurt VerschuerenBen HarrisonMatt ClelandJohn ParkinsonNaota YanagiharaNeel P Damian Hoo Dianne williamsHans WagnerPham VyJustin WilsonNadiaJayElfin MoningkaZane RubaiiNx BenjaminJoonas KDerynMarcusLuo. ChengPatrickScott BakerAlexDongwon LeeSebastianH HTATSUHIKO AKASHIHans F. QuaYUKI PENDENGAR SETIAHarvey JoGabriela

Apa sokongan yang diperlukan untuk perniagaan Malaysia di pasaran antarabangsa?

Apa kesudahan bagi episod perang Israel-Palestin ketika jumlah korban mangsa melebihi lima angka? Desakan berterusan untuk gencatan senjata, ada cara lain untuk permudahkan bantuan kecemasan kepada mangsa? Heret Israel ke Mahkamah Jenayah Antarabangsa (ICC), apa prosesnya? Dialog Tiga Penjuru, Khamis 8.30 malam

Kencan Dengan Tuhan Jumat, 10 November 2023 Bacaan: "TUHAN itu jauh dari pada orang fasik, tetapi doa orang benar didengar-Nya." (Amsal 15:29) Renungan: Apa yang bisa kita dapatkan dengan doa? Seorang bernama Jim Johnson membuktikan tentang kuasa doa. Jim Johnson ditugaskan oleh pimpinan sebuah hotel untuk menyelamatkan hotel itu dari "bencana" kebangkrutan. Banyak manager lain telah mencoba dan berjuang tetapi tetap gagal dan sia-sia. Hotel sekarang diambang kehancuran dan kalau ini terjadi, maka banyak karyawan akan kehilangan pekerjaan. Jim Jonhson mencoba cara lain yang belum pernah dibuat oleh manager lain. la pergi ke salah satu bukit di mana dari sana ia bisa melihat hotel itu dengan jelas. la tinggal di sana selama kurang lebih 20 menit. Apa yang ia lakukan? Ia berdoa dan berdoa. Pertama-tama ia mendoakan tamu-tamu hotel, semoga mereka sehat dan ceria, dan tergerak melangkahkan kaki ke hotel itu. Semoga mereka mendapatkan apa yang diinginkan, bukan hanya sarana yang lengkap tetapi sapaan dan sambutan hangat dari para karyawan hotel Kemudian ia berdoa untuk orang-orang yang tinggal dan berada di sekitar hotel. Mereka yang berbisnis di area itu, juga tidak luput dari doanya. Ia juga berdoa bagi semua penduduk kota. Semoga mereka mendapat rejeki dan hidup layak. Begitulah yang Jim Johnson lakukan tiap malam. Ia mendoakan hal yang sama. Lambat laun, suasana hotel mulai bergairah. Tamu-tamu mulai berdatangan. Roda perjalanan hotel itu menampakkan geliat yang sangat terasa. Jim Johnson tidak berhenti berdoa, memohon dan berharap. Akhirnya keadaan hotel kembali pulih dan bahkan melebihi harapan dan perkiraan pimpinan sehingga Jim Johnson menjadi berkat bagi karyawan hotel tersebut. Fantastis! Jika doa satu orang mampu mengembalikan masa depan hotel itu, kita bisa membayangkan bila seluruh penghuni dunia berdoa bagi dunia dan seluruh isinya? Lagi-lagi kita akan mendengar tentang kuasa doa. Memang secara manusiawi kita kadang sulit mengerti akan masalah dan problema hidup kita. Namun harus selalu kita percaya bahwa Allah lewat caraNya yang kadang tak terpahami, tak terduga, tak terselami sanggup menolong kita. Allah mendengar doa-doa kita. Kisah selamatnya hotel itu dari kebangkrutan adalah satu bukti. Banyak manager mencoba cara luar biasa, tetapi tidak membuahkah hasil. Jim Johnson mencoba cara sederhana dan biasa namun "berkuasa membawa hotel itu ke permukaan kembali. Masihkah kita meragukan kuasa doa itu? Berdoalah jika kita memang merindukan ada jalan. Berdoalah, supaya kita kuat. Allah akan menolong kita. Tuhan Yesus memberkati. Doa: Tuhan Yesus, penuhilah aku dengan Roh doa-Mu, sehingga doaku penuh kuasa untuk memberkati keluargaku, perusahaan tempat aku bekerja dan orang-orang yang ada di sekitarku serta diriku sendiri. Amin. (Dod).

00:00:00 Intro - Welcome Jonathon! Travis reviews BlizzCon 2023, NRG's Worlds experience 00:13:42 Sentiment towards NA on international stage 00:24:30 Jonathon on NRG situation 00:33:10 Offseason trends and narratives 01:04:20 Alienware break! 01:07:40 farmerginge's take: NA roster building is the 'fat loss pill' of the esports world 01:23:50 Spencer's take: the no.1 takeaway from Worlds is that NA and EU need to compete against each other more 01:35:45 mogul's take: TL is going to lose fans and rep if they drop APA 01:53:28 Stormblessed's take: Teams should be looking to pick up EMENES 02:09:05 Outro

In this week's episode we spotlight the tiny, beautiful, and critically endangered Sebright Bantam chicken. Stephanie Coomber from the American Poultry Association joins is this week to talk poultry shows and the APA's 150 Anniversary! We share our recipe for versatile and delicious Shepherd's Pie, and finish up with some chat about Libbey glass company's vintage chicken offerings.Grubbly Farms - click here for our affiliate link.https://www.anrdoezrs.net/click-100963304-15546963Bantam Coffee Roastershttps://bantamroasters.com/Use code FLUFFYBUTT for 10% off all items!Chicken Luv Box -  use CWTCL50 for 50% off your first box of any multi-month subscription!https://www.chickenluv.com/Strong Animals Chicken Essentialshttps://www.getstronganimals.com/Breed Spotlight is sponsored by Murray McMurray Hatcheryhttps://www.mcmurrayhatchery.com/McMurray Hatchery - Golden Sebright Bantams and Silver Sebright Bantamshttps://www.mcmurrayhatchery.com/bantam_golden_sebright.htmlhttps://www.mcmurrayhatchery.com/bantam_silver_sebright.htmlNestera UShttps://nestera.us/cwtclUse our affiliate link above for 5% off your purchase!Roosty'shttps://amzn.to/3yMDJ American Poultry Associationhttps://amerpoultryassn.com/Ohio National Poultry Show - November 9th-12thhttps://www.ohionational.org/Shepherd's Piehttps://coffeewiththechickenladies.com/farm-fresh-egg-recipes/shepherds-pie/CWTCL Websitehttps://coffeewiththechickenladies.com/CWTCL Etsy Shophttps://www.etsy.com/shop/CoffeeWChickenLadiesAs Amazon Influencers, we may receive a small commission from the sale of some items at no additional cost to consumers.CWTCL Amazon Recommendationshttps://www.amazon.com/shopSupport the show

Kencan Dengan Tuhan - Rabu, 8 November 2023 Bacaan: "Karena itu berdoalah demikian: Bapa kami yang di sorga. Dikuduskanlah nama-Mu, datanglah Kerajaan-Mu, jadilah kehendak-Mu di bumi seperti di sorga." (Matius 6:9-10) Renungan: Seandainya kita diminta menyebutkan sepuluh hal yang ingin kita minta kepada Allah, mungkin beberapa hal berikut akan berada diurutan awal dari daftar yang kita sebutkan: supaya sehat, supaya bisnis saya sukses, supaya jabatan saya naik, supaya mendapatkan jodoh yang cakep, kaya dan baik hati, supaya tahun ini bisa beli ini dan itu... dan seterusnya. Salah satu konsep tentang doa yang berkembang selama ini adalah sarana kita meminta dan menggantungkan kebutuhan hidup kita kepada Allah. Tentu saja tidak ada yang salah dengan konsep ini. Tapi jika hanya ini satu-satunya konsep yang kita miliki tentang doa, kita nanti pasti akan mudah kecewa. Saat mengajari para murid berdoa, Yesus menganjurkan doa yang sekarang kita kenal dengan sebutan DOA BAPA KAMI. Satu hal yang menarik dalam doa yang Yesus ajarkan tersebut adalah bahwa tiga hal pertama yang Yesus minta semuanya berkaitan dengan Bapa dan kepentingan Bapa-Nya, bukan berkaitan dengan Yesus dan yang diinginkanNya. Seolah Tuhan Yesus sedang mengajar kita semua untuk menyadari bahwa sebenarnya doa itu bukanlah tentang diri kita dan yang kita inginkan. Doa adalah tentang Bapa dan yang dikehendakiNya. Apakah itu? Supaya namaNya dikuduskan, supaya kerajaanNya datang (orang-orang mengakui dan menempatkan Allah sebagai Raja) dan supaya kehendakNya terlaksana. Selebihnya, barulah kita meminta hal- hal yang kita butuhkan. Apakah doa-doa yang selama ini kita panjatkan semuanya tentang kita dan yang kita inginkan? Surat pertama yang ditulis rasul Yohanes ini akan menyadarkan kita mengapa banyak hal yang kita doakan terkadang tidak dikabulkan yaitu: "... Ia mengabulkan doa kita, jikalau kita meminta sesuatu kepada-Nya menurut kehendak-Nya" (1 Yohanes 5:14). Apa yang sedang kita doakan saat ini? Dalam hal apa kepentingan Bapa diutamakan dan kehendak-Nya dilaksanakan di dalam doa- doa kita? Jadi, jika dahulu kita berdoa hanya untuk diri kita sendiri, "Tuhan, aku minta kenaikan gaji!" Maka sekarang, marilah kita mengubah doa-doa kita dengan mengatakan: "Tuhan, tolong aku supaya bisa bekerja lebih baik lagi, sehingga namaMu dipermuliakan melalui hidupku ditengah perusahaan ini, dan dengan begitu perusahaan ini akan makin maju sehingga kesejahteraan seluruh karyawan makin baik." Jangan menjadi manusia yang rakus, Allah tidak menyukai itu. Kita diberkati, nama Tuhan harus dipermuliakan, supaya orang lain juga ikut diberkati. Tuhan Yesus memberkati. Doa: Tuhan Yesus, jadilah padaku menurut kehendak-Mu dan yakinkanlah aku bahwa kehendak-Mu adalah yang terbaik bagiku. Amin. (Dod).

Apa tidak capek hidup dibayang-bayangi sama passion? Padahal katanya passion adalah salah satau 'alasan' buat kita tetep hidup. ea. muah. #PodcastBercanda

The APA begins their hunt for the Eclipse Giant and the star charts, but experiences a few cosmological encounters along the way.Please support us on Patreon: https://www.patreon.com/STFNetworkSTF Networkhttps://www.thestfnetwork.com/https://discord.gg/7KPfMCzStarfinder - Devastation ArkTitle Music:"Dang Thwackle Dev" by Adam KellyOther music:Kevin MacCleod - Incompetechincompetech.filmmusic.ioTabletop Audiotabletopaudio.comPurple Planet Musicwww.purple-planet.com/ (edited)

In this episode, join Dr. Jessica Tyler in an enlightening conversation on maternal mental health with Kellie Wicklund, psychotherapist and Clinical Director of the Maternal Wellness Center. Kellie delves into her 20-year career, spotlighting her dedication to perinatal mental health and helping clients navigate the complexities of parenthood. Unpacking the layers of reproductive health psychology, Kellie shares insights into her therapeutic approach. She emphasizes the importance of seeing the discouragement, invisibility, helplessness, blame, and grief clients often experience and strategies to empower and support mothers as they navigate the transformative journey into parenthood. For more on our guests, links from the conversation, and APA citation for this episode visit https://concept.paloaltou.edu/resources/the-thoughtful-counselor-podcast  The Thoughtful Counselor is created in partnership with Palo Alto University's Division of Continuing & Professional Studies. Learn more at concept.paloaltou.edu

4-H programs can be an amazing way to introduce kids and teens to the world of agriculture, science, engagement, and more to help them grow into confident leaders. In this episode, we're going to be jumping into 4-H poultry programs with Dr. Jacquie Jacob and Pam Watson to learn more about 4-H poultry projects nationwide, how kids and families can get involved, and the benefits these programs can offer to the leaders of tomorrow. For more resources, view this podcast at  https://www.motherearthnews.com/podcast/4-H-chicken-showmanship-zepz2311zawar/ More from Mother Earth News and Friends

Today we are answering you questions about taxes. We talk about how investing can impact taxes, how to manage estimated payments for your taxes and qualified dividends and even answer a question about tax breaks from investing in oil and gas. We also answer a few questions about asset allocation. Before we get into all of that Dr. Dahle gives his opinion on what advice Dave Ramsey should have, but didn't, give to an unmatched doc in a mountain of debt. Listen to the Dave Ramsey call here: https://www.instagram.com/reel/Cx3Bntau-Au/?igshid=MzRlODBiNWFlZA%3D%3D  Today's episode is brought to us by SoFi, the folks who help you get your money right. They've got exclusive rates and offers to help medical professionals like you when it comes to refinancing your student loans—and that could end up saving you thousands of dollars. Still in residency? SoFi offers competitive rates and the ability to whittle down your payments to just $100 a month* while you're still in residency. Already out of residency? SoFi's got you covered there too, with great rates that could help you save money and get on the road to financial freedom. Check out their payment plans and interest rates at https://SoFi.com/WhiteCoatInvestor SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. Additional terms and conditions may apply. NMLS 696891. The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor is for you! Main Website: https://www.whitecoatinvestor.com  YouTube: https://www.whitecoatinvestor.com/youtube  Student Loan Advice: https://studentloanadvice.com  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter  Email from Reader: Dear Dr. Dahle, Thank you for all you do.  In your recent podcast with Dr. Shteynshlyuger, I wanted to correct his statement that the AMA "will not do anything to help" regarding unfair fees for EFT payments. I am an alternate delegate to the AMA for my state. Twice a year, delegations from all 50 states, national specialty societies, and the federal health services take time away from our busy practices and families to set policy and priorities for the AMA.  It is never accurate to say that the AMA "will not do anything to help" because the House of Delegates dictate what the AMA does. If an individual physician wants to advocate for stronger positions or a change in direction, they can bring resolutions to their state medical society or specialty society to ask their delegation to advocate their position and seek the support of other delegations. That being said, the AMA has been fighting against these unfair practices for several years. In 2021, the AMA along with the 50 state medical associations and 40 specialty societies, sent a letter to CMS asking the Biden administration to take action on these unfair practices.  https://searchlf.ama-assn.org/letter/documentDownload?uri=%2Funstructured%2Fbinary%2Fletter%2FLETTERS%2F2021-10-14-Sign-on-Letter-re-EFT-Fees.pdf Furthermore, the AMA has a multitude of resources and guides on their website so that physicians and practices know their rights and how to navigate the system.  When physicians face challenges like these, it is important for us to stick together with a unified voice. Making inaccurate remarks about our own professional organizations does not move the needle.    ALEX RESPONSE Hi XXXX, I greatly appreciate the fact that you listened to the podcast + found a point of disagreement.  I also appreciate the time + effort delegates like you commit to running the AMA.  As you can imagine, I have put quite a few hours (and $$$) into advocacy on behalf of physicians. I'm an AMA member as well + introduced many of the resolutions that you are alluding to.   I'm in solo private practice, and it appears that you are part of a small private practice as well.  Our interests should align. You are correct to some extent that members write resolutions that are supposed to set policy.  In reality, things work a little differently.  Perhaps that's one of the reasons that the AMA has a 15-20% approval rating (based on membership data).  In fact, many AMA policies are set without resolutions. So why should one have to write a resolution to reverse such policies?   For example, the AMA decided to call virtual credit cards a “valid” payment method.  Whose bright idea is that? Valid means "legal".  Nowhere does the law say that VCCs are "legal" to use as a payment from insurance to doctors; in fact, it's the opposite. I have been fighting to get that language changed for years now -the AMA Board of Directors are well aware- nothing has been done. But here is a resolution (which should not be needed). https://drive.google.com/file/d/123olaPrMy1yA65IG_uoC5HlIv6OjA3nE/view?usp=sharing While the AMA management keeps writing letters, it fully knows that letters will not achieve anything. Talking to elected representatives will not achieve anything either since they have already spoken. In fact, most recently, the AMA refused to confront the insurance lobby's attempt to “normalize” virtual credit cards.  Do you know who confronted the insurance lobby? The American Hospital Association, whose policy team is run by a former AMA employee. I got 500 physicians to write letters to counter the AMA's complicity with UnitedHealthcare/Zelis/etc.   I hope you would be enraged if you found out what the AMA wrote:  "Need a full understanding of the financial and administrative burden impacts to physicians prior to recommending adoption" referring to the proposal of adding virtual credit cards information to a standard 835 remittance advice. See the last point on page 9 of the AMA's presentation: https://ncvhs.hhs.gov/wp-content/uploads/2023/01/GG-Presentation-Panel-2-AMA_Spector.pdf    I asked the AMA to come out swinging against this proposal - instead it did the opposite; fortunately >500 physicians spoke out to "neuter' the AMA's anti-physician 'advocacy".   If AMA representatives want to have a public discussion + defend what they do - I'm open to the idea.   Unfortunately, I know too much and have seen how the AMA operates. I used to be a WEDI member + sat in meetings with the AMA policy VPs.    I had to fight insurance companies + the AMA.  Pretty insane - right? An AMA VP said in a meeting (siding with insurance lobby) that insurances have a "right" to impose costs on physicians" - apparently, it's a free country! In summary, you were fed "inaccurate" and 'false' information by the AMA management (who knows who is behind it?).   Did the AMA leadership mention to you that AMA Insurance (offers Medicare secondary plan to retired doctors) joined with EchoHealth, which imposes fees on EFTs + sends virtual credit cards to doctors?  I had to file a complaint with CMS against AMA Insurance.  I recently heard that it's still happening.    I propose that the AMA starts sticking together with doctor's interests and does what I asked it to do: (1) send a letter to CMS/UHC/Cigna/BCBSA/AHIP saying that VCCs and EFT fees are "ILLEGAL" and that the AMA is revoking its prior statement that they are 'valid".  Insurance companies use the AMA's unhelpful published statements to support their "position" to extract >$10 billion / year from doctors.  "Don't look at us - AMA says it's legal."  (2) file a lawsuit against CMS for APA violations. They know what I am talking about.  I hope I swayed your opinion a bit about the legitimacy of my criticism of the AMA's actions. Hopefully, you + the IOWA delegation will help me REFORM the AMA. When the AMA does not perform to expectations, it's time to do a root-cause analysis of the AMA's failures to serve the interests of physicians. Alex