Podcasts about apa guidelines

In this episode Eric interviews Jane Halonen from the University of West Florida in Pensacola, FL. We specifically sat down for this interview to discuss Jane's specialized leadership skills, especially when leading national efforts with many moving parts. We discuss her leadership skills and opportunities, and Bill McKeachie's memory is infused in much of our conversation. There are always challenges with these types of opportunities, whether national news events, a worldwide pandemic, the small-p politics of the task at hand, and more. Jane leverages her clinical skills and her story-telling ability to help with problem-solving amongst talented academics to complete the major tasks (such as being the lead on the APA Guidelines for the Undergraduate Psychology Major, Versions 1.0, 2.0, and 3.0). He chat about Jane's high school leadership experiences as well. 

In this episode Eric interviewed six individuals from the American Psychological Association's Guidelines 3.0 Task Force, including Jane Halonen (Chair), University of West Florida, Dave Kreiner, University of Central Missouri, Karen Naufel, Georgia Southern University, Garth Neufeld, Cascadia College, Susan Nolan, Seton Hall University, and Aaron Richmond, Metropolitan State University-Denver. A host of topics are addressed during this group discussion, including (a) how the group worked together, sometimes with challenging topics, (b) how the rollout of Guidelines 3.0 was planned, (c) the development of U.S.-based standards but also welcoming of international participation and input, (d) a look-ahead conversation about Guidelines 4.0, and (e) a conversation about how Guidelines 3.0 might be used, directly or indirectly, in our courses.

Show Notes: [0:00] Welcome back to The Kathy Barnette Show. Kathy introduces guest, Dr. Lauren, Schwartz [3:00] Dr. Lauren gives a brief background of herself [4:30] Psychology, psychiatry, and psychotherapy  [10:00] Chloe Cole's Story | A Mission to End Child Gender Transition Procedures[13:20] “Help me cross that bridge of how they think a physical remedy is the solution for what's going on mentally” [14:00] The process of diagnosing and treating gender dysphoria in children [18:30] Dr. Schwartz's concerns about the rush in transitioning children[23:00] “Would you rather have a dead child or a trans child?” That's emotional manipulation. I think it should be criminal. Because what you're saying is these are your only two choices, and that's absolutely not accurate.” [35:30] Impact of social media and activism in psychiatry [42:00] A critical look at the new transgenderism textbook for psychiatrists[48:030] Tune into Part 2 as Kathy and Dr. Schwartz next week![0:00] Thanks for listening to this episode of The Kathy Barnette Show. Remember to subscribe for more insightful conversations, share this episode with those interested in understanding the deeper aspects of our government, and provide your feedback for future topics.

In this episode, I interview Jane Halonen from the University of West Florida. Jane is co-author of the book The Psychology Major's Companion: How to Get You Where You Want to Go with Dana Dunn. Jane and I discuss preparing psychology majors to respond to the microaggressions they face due to misperceptions about the major (it is easy) and the value of the bachelor's degree in psychology (graduates won't be able to get a job). Jane shares the creative formats her positive psychology students use to present their five-year plans and the unique way she incorporates the APA Guidelines for the Undergraduate Psychology Major into her capstone course. Jane and I play “What Degree Does This Job Require?” and talk about ways students can engage in self-directed career exploration and professional development.

We discuss the fascinating world of psychotherapy, identity, and performance art with our guest, Sara London, M.A. Sara is a freelance journalist and author with a graduate degree from New York University's Gallatin School, specializing in psychoanalytic research.In an age where therapists are more public-facing than ever, Sara offers a unique perspective on the therapist's evolving role. In her debut book, "The Performance Therapist and Authentic Therapeutic Identity," Sara explores the intricate relationship between therapeutic identity and performance art.The Performance Therapist and Authentic Therapeutic Identity: Coming into Being - Sara LondonSara London | SubstackSara J. LondonNote: 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 RESOURCES2:30 - APA Guidelines for the Optimal Use of Social Media in Professional Psychological Practice4:00 - Sara London and Stephanie Winn: A Moderated Discussion w/Heterodorx13:30 - Authenticity | Psychology Today18:00 - Psychoanalysis vs. psychodynamic therapy20:00 - Six Levels of Validation in DBT: From Awareness to Radical Genuineness30:30 - Jonathan Shedler, PhD: The 7 Principles Of Psychoanalytic Psychotherapy32:00 - Jonathan Shedler 2010: The Efficacy of Psychodynamic Psychotherapy35:00 - A randomized controlled trial of psychoanalytic psychotherapy or cognitive-behavioral therapy for bulimia nervosa39:00 - Accelerated Experiential Dynamic Psychotherapy (AEDP) | Psychology Today42:30 - Extremist - Definition, Meaning & Synonyms | Vocabulary.com48:30 - What is Tone of Voice? Social Media Marketing Definitions - SocialBee58:30 - 30 Best Hugo Ball Quotes With Image | Bookey59:00 - VOICE PIECE FOR SOPRANO & WISH TREE at MoMA, Summer 2010 by yoko ono1:05:00 - Why I Do Not Attend Case Conferences: Paul Meehl1:16:00 - Help, My Therapist Is Also an Influencer! | WIRED

In this episode Garth and guest host Jane Halonen (University of West Florida) interview Michael Stoloff from James Madison University in Harrisonsburg, VA. Michael currently serves as the Associate Dean of the Graduate School at JMU, but leadership is a thread throughout his career (including associate dean of the college, department chair, director of the undergraduate psychology program, master's degree program, and more). A first-generation college student, he found his stride eventually with psychology and a love for experimentation with animals and humans.  His research lab experiences as a graduate student were the models he attempted to replicate with his undergraduate research methods students -- with success.  Garth, Jane, and Michael end on discussing their joint service on the APA Guidelines 3.0 revision, its implications for departments and curriculum restructuring, and the nature of service at the national level -- a topic they are all familiar with.

Until recently in many parts of Europe, and currently in the United States and Canada, the affirmative model of care is the primary practice in place for working with gender-nonconforming and gender-diverse youth and children. In this episode, Stella and Sasha put some intention into a deeper exploration of what affirmation therapy is exactly. They take time flushing out not just what it is but also facilitate consideration of what it means and what it achieves. Together they reflect on where the concept of affirming therapy came from, how it evolved into its current practice, when a clinician follows the affirmation model, how does that look in practice, and what are the implications?Sasha and Stella also explore varying types of therapy, both similar to and in contrast to the fundamental premise of the affirmative approach, what they think about it, and does it actually offer any context for a comprehensive therapeutic process in the name of care?Links:Gender: A Wider Lens (YouTube Channel)Live Stream Event from the Genspect Conference: The Bigger PictureFriday, April 28, 2023 at 11am(PT) / 2pm(ET) / 7pm(IT)https://www.youtube.com/@widerlenspod*NEW* Sponsor – GETAGender Exploratory Therapy Associationhttps://www.genderexploratory.com/GETA Workshop: Gender Trouble, Authoritarianism, and the Flight from WomanhoodSaturday, April 22, 2023 — 6 pm‒7:30 pm(ET)https://www.genderexploratory.com/wp-content/uploads/2023/04/GETA-Ilene-Philipson-Flyer-April-2023-3-2.pdfSasha's YouTubehttps://www.youtube.com/@SashaLPCGenspect Conference: The Bigger Picturehttps://genspect1.telltix.com/events/genspect1/845845/r/genspect-bannerStella's Book: What Your Teen is Trying to Tell Youhttp://www.stellaomalley.com/whatyourteenistryingtotellyouStella on Benjamin Boyce w/ Eliza MondegreenThe Dangerous Radicalization of Gender Rhetoric | with Stella O'Malley & Eliza Mondegreenhttps://youtu.be/63-bfpx2yy0Critical Therapy Antidote (CTA) book, Sasha & Stella contributing authorsCynical Therapies: Perspectives on the Antitherapeutic Nature of Critical Social Justicehttps://www.amazon.com/Cynical-Therapies-Perspectives-Antitherapeutic-CriticalCarl Rogers: Founder Of The Humanistic Approach To Psychologyhttps://www.simplypsychology.org/carl-rogers.html APA Guidelines for Psychological Practice With Transgender and Gender Nonconforming People

The numbers of young people questioning their gender have skyrocketed, with a 2000% rise in the number of young people questioning their gender observed in many countries. Supporting gender-divergent kids can be tough. GenSpect is working with professionals, parents and loved ones to navigate the complexities of distress around gender.Genspect.orggenspect | Twitter, Instagram, Facebook, TikTok | LinktreeIf you are in a crisis or think you have an emergency, call your doctor or 911. If you're considering suicide, call 1-800-273-TALK to speak with a skilled trained counselor.RADICALLY GENUINE PODCASTRadically Genuine Podcast Website Twitter: Roger K. McFillin, Psy.D., ABPPInstagram @radgenpodTikTok @radgenpodRadGenPodcast@gmail.comADDITIONAL RESOURCES3:00 - About Dr. Lisa Littman | Gender Dysphoria Physician & Researcher8:00 - Our Team - Genspect15:30 - Guidance for Psychotherapists and Counselors - Genspect21:00 - The Gender Affirmative Model24:00 - Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents | Pediatrics25:00 - APA: Guidelines for Psychological Practice With Transgender and Gender Nonconforming People32:00 - Jamie Reed, The Free Press: I Thought I Was Saving Trans Kids. Now I'm Blowing the Whistle.34:00 - Harvard Health Ad Watch: How direct-to-consumer ads hook us39:00 - Suicide by Clinic-Referred Transgender Adolescents in the United Kingdom | SpringerLink47:30 - Gender Exploratory Therapy Association (GETA)53:00 - Interim report – Cass Review55:00 - Angus Fox - Quillette1:05:00 - Beyond Transition1:25:00 - Resources - Genspect

Why Aren't Men Becoming Therapists Anymore? Curt and Katie chat about the lack of male therapists and the decreasing number of male students in the profession. We look at current statistics and reported experiences of men in the field. We also dig into what needs to change to balance gender representation and increase the number of men becoming therapists.     Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about male therapists Continuing forward within men's health month, we are looking at the state of the profession for male therapists.   Statistics on men in the mental health profession Depending on license type, mental health professionals are between 60-90% female Men and women have fairly equal parity on compensation (especially when looking at similar roles) Men are less likely to seek out these jobs as the wages stagnate, the requirements become more onerous, and due to a lack of male representation and role models What needs to change to balance gender representation within the mental health field? “Men typically have privilege in other spaces… And yet I recognize in our field, that's not the case. And so, it's this weird, complex understanding of societal privilege, but not privilege within the field.” – Katie Vernoy, LMFT Understanding the difference between societal privilege versus professional privilege Identifying why the number of men is dramatically decreasing within graduate programs and all stages of licensure The impact of feminism on the conversations about the impact of white men on the field The perception of “male bashing” and the need to nurture male voices within the profession The challenge of identifying when men are being ignored or “soloed out” The problem of stereotyping, ignoring, or isolating male therapists and students Men being automatically pushed into leadership due to mentorship by male faculty and bias toward men as leaders How do we get more men into the mental health profession? “If we're identifying that men need to go and get mental health treatment, and there's no men to get it from, this then has the potential for reaching critical failure as a profession in being able to provide services.” – Curt Widhalm, LMFT Reaching critical failure in trying to provide services to men (if men no longer enter the profession) Recruitment strategies for graduate programs Making the profession sustainable for all individuals Pushing back against wage stagnation due to feminization of the profession Looking at retention and commitment for male therapists The importance of representation across the mental health profession Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Thrizer Thrizer is a new modern billing platform for therapists that was built on the belief that therapy should be accessible AND clinicians should earn what they are worth. Their platform automatically gets clients reimbursed by their insurance after every session. Just by billing your clients through Thrizer, you can potentially save them hundreds every month, with no extra work on your end. Every time you bill a client through Thrizer, an insurance claim is automatically generated and sent directly to the client's insurance. From there, Thrizer provides concierge support to ensure clients get their reimbursement quickly, directly into their bank account. By eliminating reimbursement by check, confusion around benefits, and obscurity with reimbursement status, they allow your clients to focus on what actually matters rather than worrying about their money. It is very quick to get set up and it works great in completement with EHR systems. Their team is super helpful and responsive, and the founder is actually a long-time therapy client who grew frustrated with his reimbursement times The best part is you don't need to give up your rate. They charge a standard 3% payment processing fee! Thrizer lets you become more accessible while remaining in complete control of your practice. A better experience for your clients during therapy means higher retention. Money won't be the reason they quit on therapy. Sign up using bit.ly/moderntherapists if you want to test Thrizer completely risk free! Sign up for Thrizer with code 'moderntherapists' for 1 month of no credit card fees or payment processing fees! That's right - you will get one month of no payment processing fees, meaning you earn 100% of your cash rate during that time. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Clinical Therapist Demographics and Statistics In The US Number of women vs men in grad programs: https://www.apa.org/monitor/2018/12/datapoint Men's experiences in the field: https://www.apa.org/gradpsych/2011/01/cover-men https://link.springer.com/article/10.1007/s12144-021-01960-9 Faculty experiences of teaching male students: https://link.springer.com/article/10.1007/s11199-015-0473-1 Recruiting men into the field: https://www.researchgate.net/publication/259538918_A_Mixed_Methods_Study_of_Male_Recruitment_in_the_Counseling_Profession   Relevant Episodes of MTSG Podcast: Why Men Don't Stay in Therapy On the APA Guidelines for Boys and Men Why Therapists Quit Why Therapists Quit part 2 The Return of Why Therapists Quit Therapy for Executives and Emerging Leaders Fixing Mental Healthcare in America   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Why Men Don't Stay in Therapy Curt and Katie chat about men's mental health. We look at why men typically go to therapy, their experiences while in therapy, what therapists get wrong when working with men, and how therapists better support the needs of men seeking mental health treatment.     Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about men seeking therapy For Men's Health Awareness month, we want to explore men seeking mental health services. Why do men typically go to therapy? Others telling men to go to therapy Career or relationship issues Depression, which looks like irritability and hostility (externalized behaviors) What is the experience of men in therapy? “Some of this research [on men accessing mental healthcare] shows that while men are increasing in the numbers presenting for mental health treatment, they tend to drop out earlier than women and they tend to drop out at a lot faster rate than women. So that to me says that we as a field are doing something wrong, that we are not able to meet the needs of men. All of that great advice out of ‘hey, go and seek mental health treatment,' is falling on people who are trying it out and finding bad experiences with it. “– Curt Widhalm, LMFT Therapy seems to try to get men to emote like women Invalidating masculine presentations and behaviors Equating masculinity with toxic masculinity Not feeling safe to express emotions beyond confidence, neutrality, or anger How can therapists better serve men seeking therapy? Understanding and honoring a range of masculinities (even within the same client) Helping men to broaden their range of emotional expression Problem-solving, solution-focused can be helpful for men who want to have a clearly defined goal to work toward Collaboratively creating treatment goals Identity work that supports self-definition of masculinity What can therapists get wrong when working with men in therapy? “There is such a broad array of understandings at this point of what masculinity and what ‘real men do' that I think we need to be aware that whether it's traditional gender roles, or more current… there's some need for an understanding of where your client sits.” – Katie Vernoy, LMFT Framing masculinity and toxic masculinity solely as “bad” Not digging more deeply into individual development around masculinity Taking offense at their client's gender identity or ignoring their own bias around “traditional gender roles” How therapists characterize men's presenting problems (assigning blame, like depression being seen as anger or hostility, men being described as violent rather than traumatized) Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Thrizer Thrizer is a new modern billing platform for therapists that was built on the belief that therapy should be accessible AND clinicians should earn what they are worth. Their platform automatically gets clients reimbursed by their insurance after every session. Just by billing your clients through Thrizer, you can potentially save them hundreds every month, with no extra work on your end. Every time you bill a client through Thrizer, an insurance claim is automatically generated and sent directly to the client's insurance. From there, Thrizer provides concierge support to ensure clients get their reimbursement quickly, directly into their bank account. By eliminating reimbursement by check, confusion around benefits, and obscurity with reimbursement status, they allow your clients to focus on what actually matters rather than worrying about their money. It is very quick to get set up and it works great in completement with EHR systems. Their team is super helpful and responsive, and the founder is actually a long-time therapy client who grew frustrated with his reimbursement times The best part is you don't need to give up your rate. They charge a standard 3% payment processing fee! Thrizer lets you become more accessible while remaining in complete control of your practice. A better experience for your clients during therapy means higher retention. Money won't be the reason they quit on therapy. Sign up using bit.ly/moderntherapists if you want to test Thrizer completely risk free! Sign up for Thrizer with code 'moderntherapists' for 1 month of no credit card fees or payment processing fees! That's right - you will get one month of no payment processing fees, meaning you earn 100% of your cash rate during that time. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Men's mental health: Spaces and places that work for men Why it's time to focus on masculinity in mental health training and clinical practice Men's Dropout From Mental Health Services: Results From a Survey of Australian Men Across the Life Span Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking Relevant Episodes of MTSG Podcast: On the APA Guidelines for Boys and Men Antiracist Practices in the Room: An interview with Dr. Allen Lipscomb Therapy for Executives and Emerging Leaders What to Know When Providing Therapy for Elite Athletes Speaking up for Mental Health Awareness: An interview with Metta World Peace When is it Discrimination?   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

In this episode Garth interviews Jerry Rudman from Irvine Valley College in Irvine, CA.  Spanning six decades, Jerry has been devoted to undergraduate education through many venues.  He has contributed to APA Guidelines 1.0, 2.0, and the forthcoming 3.0 revision, as well as part of the P3 Conference and the Introductory Psychology Initiative (and more). When he starts a Psi Beta chapter at IVC in 1992, the fortunes dramatically improved for Jerry and for his students.  Jerry comes from humble beginnings as a first-generation college student and then working in human factors in the aerospace industry.  Like so many other legends in psychology, the content of the introductory psychology course truly drew Jerry's attention to the discipline. You can learn more about Psi Beta at https://psibeta.org/  

In 2018, the APA released guidelines to help psychologists work with men and boys. These guidelines recognize that some traditional masculine traits are harmful. This in itself can be damaging because those traits serve a purpose in society. Self sufficiency and independence should be fostered in a healthy way, not seen as risk factors.On today's podcast we discuss the war on masculinity.RADICALLY GENUINE PODCASTTwitter: Roger K. McFillin, Psy.D., ABPPInstagram @radgenpodTikTok @radgenpodRadGenPodcast@gmail.comRadically Genuine PodcastIf you are in a crisis or think you have an emergency, call your doctor or 911. If you're considering suicide, call 1-800-273-TALK to speak with a skilled trained counselor.ADDITIONAL RESOURCES9:00 - APA Guidelines for Psychological Practice with Boys and Men14:00 - Study: Men's Sperm Counts Continue to Decline - The Atlantic14:15 - (PDF) A Population-Level Decline in Serum Testosterone Levels in American Men14:45 - Individual variation in fathers' testosterone reactivity to infant distress predicts parenting behaviors with their 1 year old infants - Kuo - 2016 - Developmental Psychobiology - Wiley Online Library

Social justice involves action. In our society which has historically privileged whiteness, many racist and other prejudicial ideas are widely accepted as the standard and are pervasively practiced as the norm. Because of this, allies must engage in anti-racism and take action against racist behaviors. One form of action involves parenting practices. Traci Baxley, author of Social Justice Parenting, is an expert in child development, elementary education, curriculum and instruction, diversity and inclusion, anti-bias curriculum, and social justice education. On this episode of POTC, Debbie and Traci come together to discuss the importance of Social Justice Parenting Practices. Join us in this episode to learn expert-approved strategies for accepting your child for who they are, practical advice for moving from being a “good person” to being an advocate for historically excluded communities, the main qualities of a pro-justice home, and so much more! Listen and Learn: Jill and Debbie's experiences implementing Social Justice Parenting practices The personal story behind Traci's work Traci's experience with “The Talk” that black families must have with their children in the U.S. Belonging as a universal, fundamental motivation  Expert-approved strategies for accepting your children for who they are Traci's expert definition of Social Justice Parenting  Why parents struggle to implement Social Justice Parenting practices (and how to overcome those struggles!) The importance of Social Justice Parenting practices Practical advice for moving from being a “good person” to being an advocate for historically excluded communities The main qualities of a pro justice home How to start conversations about hard topics with your kids (no matter their age!) Expert-approved strategies for responding to difficult, scary questions from your kids and bringing others into the conversation of social justice Resources Check out Traci's book, Social Justice Parenting: How to Raise Compassionate, Anti-Racist, Justice-Minded Kids  Take Traci's online courses for white mothers who want to be allies to the Black community and raise antiracist children (who will be change agents in the world) and for parents who want to implement Social Justice Parenting practices in their family's daily lives Grab your copy of all our favorite books at bookshop.org/shop/offtheclockpsych. Check out Debbie, Diana, Yael, and Jill's websites to access their offerings, sign up for their newsletters, buy their books, and more!  ​​About Dr. Traci Baxley: Dr. Traci Baxley is a Associate Professor of education at Florida Atlantic University, consultant, parenting coach, and speaker. An educator for over 30 years with degrees in child development, elementary education, and curriculum and instruction. She specializes in diversity and inclusion, anti-bias curriculum, and social justice education. She teaches two online courses for white mothers who want to be allies to the Black community and raise antiracist children (who will be change agents in the world) and for parents who want to implement Social Justice Parenting practices in their family's daily lives. Make sure to grab your copy of her book, Social Justice Parenting: How to Raise Compassionate, Anti-Racist, Justice-Minded Kids. Related Episodes: Episode 96. Effective Conversations About Diversity with Anatasia Kim and Alicia del Prado Episode 91. Disability as a Form of Diversity with Erin Andrews  Episode 185. Good Guys: Allies in the Workplace with Brad Johnson and David Smith Episode 162. APA Guidelines on Race and Ethnicity in Psychology with Karen Suyemoto   Special Bonus Episode: Mending Racial Trauma with Carynne Williams and Jennifer Shepard Payne Episode 19. Keeping Children Safe from Sexual Abuse with Feather Berkower Episode 83. Courageous Conversations to Prevent Childhood Sexual Abuse with Feather Berkower Learn more about your ad choices. Visit megaphone.fm/adchoices

What's New in the DSM-5-TR? Curt and Katie interview Dr. Michael B. First, MD, editor and co-chair of the American Psychiatric Associations' DSM-5 Text revision, coming out March 2022. We explore: What are the differences between a full update and a text revision? What changes have been made (and how were these changes decided)? What new diagnoses can we expect? Can clinicians continue to use the older DSM-5? How can clinicians advocate for changes in future versions of the DSM? All of this and more in the episode. Interview with Dr. Michael B. First, MD Michael B. First, M.D, is a Professor of Clinical Psychiatry at Columbia University, a Research Psychiatrist in the Division of Behavioral Health Sciences and Policy Research, Diagnosis and Assessment Unit at the New York State Psychiatric Institute, and maintains a schematherapy and psychopharmacology practice in Manhattan. Dr. First is a nationally and internationally recognized expert on psychiatric diagnosis and assessment issues and has conducted expert forensic psychiatric evaluations in both civil and criminal matters, including the 2006 trail of the 9/11 terrorist Zacarias Moussaoui. Dr. First is the Editor and Co-chair of the American Psychiatric Associations' DSM-5 text revision, Editorial and Coding Consultant for the DSM-5, and the chief technical and editorial consultant on the World Health Organization's ICD-11 revision project. Dr. First was the Editor of the DSM-IV-TR, and the Editor of Text and Criteria for DSM-IV and the American Psychiatric Associations' Handbook on Psychiatric Measures. He has co-authored and co-edited a number of books, including the fourth edition of the two-volume psychiatry textbook, A Research Agenda for DSM-V, the DSM-5 Handbook for Differential Diagnosis, the Structured Clinical Interview for DSM-F (SCID-5) and Learning DSM-5 by Case Example. He has trained thousands of clinicians and researchers in diagnostic assessment and differential diagnosis. In this podcast episode we talk about latest updates for the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5-TR. With the upcoming release of the new DSM-5-TR, Curt and Katie reached out to Dr. First, the editor and co-chair of the American Psychiatric Association's DSM-5-TR, to find out what's new and how the DSM committee works. “During the development of [DSM-5-]TR, George Floyd happened, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So, we actually created a committee that went through the entire DSM.” – Dr. Michael First What changes have been made in the new DSM-5-TR? Text revisions occur to avoid letting the text become stale while supporting ongoing updates. New disorders, specifically Prolonged Grief Disorder, have been added. New codes, modeled off symptom codes, created for documenting suicidality and non-suicidal self-injury with another diagnosis. New categories of Unspecified Mood Disorder. New Criteria set for Autism Spectrum Disorder which is more conservative. How are cultural differences addressed in the DSM-5-TR? Starting with DSM-IV, there has been a special committee created for culture and culture related issues Hypothetically, the criteria sets should apply to everyone, but in the text, there is a section on Culture Related Features which is more specific. The impact of the George Floyd protests inspired the creation of a new committee to look for systemic racism, lack of nuances, and prevalence issues within the DSM. There are conflicting opinions if “transness” should be included in the DSM and if it's even a mental disorder. As the DSM is a diagnostic tool to code for insurance, the DSM takes the stance that the Gender Dysphoria diagnosis stay included so individuals can have access to medical intervention and treatment. The Steering Committee for new diagnosis is small, but there is diversity. Before a diagnosis is approved, it is posted for 45 days on the DSM website for all, including people with lived experience, to comment and advocate for diversity What is the Process for Accepting New Diagnose? The steering committee accepts proposals through the DSM portal for new diagnosis Some diagnoses are qualified based on the United States' continued use of ICD-10, whereas the ICD-11 is more progressive. With Complex Post Traumatic Stress Disorder, some of the criteria from the ICD have been incorporated into the DSM diagnosis of PTSD Proposals are floated around often, but they often don't have enough empirical research yet. Proposals need to show a pool of patients who don't fit other diagnoses, a gap in treatment, and a difference from other possible similar diagnoses. New diagnoses will be approved on a continuum, making the electronic DSM-V-TR the most up to date resource. The committee is more conservative in adding a new diagnosis to the DSM because it is hard to remove a diagnosis once it is included. “I'd say the biggest [change] is Prolonged Grief Disorder… Now for a number of years, the concept of Prolonged Grief Disorder was really a hole in the diagnostic system… patients were out there that… were suffering, so they had some kind of mental disorder… That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big hole in the system that allows people to come into your office and not have any place for them.” – Dr. Michael First Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: SuperBill Interested in making it easier for your clients to use their out-of-network-benefits for therapy? SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting started is simple - clients complete a quick, HIPAA-compliant sign-up process, and you send their superbills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. Superbill eliminates that hassle, and clients just pay a low monthly fee for the service. If your practice doesn't accept insurance, SuperBill can help your clients get reimbursed. SuperBill is free for therapists, and your clients can use the code SUPERBILL22 to get a free month of SuperBill. Also, you can earn $100 for every therapist you refer to SuperBill. After your clients complete the one-time, HIPAA-compliant onboarding process, you can just send their superbills to claims@thesuperbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement. By helping your clients get reimbursed without the stress of dealing with insurance companies, SuperBill can increase your new client acquisition rate by over 25%. The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Purchase the DSM-5-TR   Learn about the DSM Learn about the Changes for the DSM-5-TR Dr. Michael First's Email Dr. Michael First's Website Dr. Michael First on Wikipedia Provide Feedback on the DSM Submit Proposals for Changes to DSM-5 Relevant Episodes of MTSG Podcast: What the Grief Just Happened? Antiracist Practices in the Room with Dr. Allen Lipscomb Trans Resilience and Gender Euphoria Death, Dying, and Grief with Jill Johnson-Young, LCSW On the APA Guidelines for Boys and Men What to Know When Providing Therapy to Elite Athletes Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated):   Curt and Katie  00:00 This episode of the Modern Therapist Survival Guide is brought to you by SuperBill. interested in making it easier for your clients to use their out of network benefits for therapy. SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting Started as simple. Clients complete a quick HIPAA compliant signup process and you send their SuperBills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. SuperBill eliminates that hassle and clients just pay a low monthly fee for the service. Stay tuned for details on SuperBill therapist referral program and a special discount code for your clients to get a free month of service.   Announcer  00:42 You're listening to the Modern Therapist Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  00:58 Welcome back modern therapists. This is the Modern Therapist Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about all the things that we do. And we have a pretty big milestone coming up in our profession here where the DSM-5 is transforming into the DSM-5-TR. And we are joined today by one of the very instrumental people behind the updates to this Dr. Michael First. He's professor of psychiatry at Columbia University and editor and co-chair of the DSM-5 talking to us about some of the exciting updates that are happening and a little bit of the process behind it. So thank you very much for joining us here today Dr. First.   Dr. Michael First  01:44 Really, it's a pleasure to be here.   Katie Vernoy  01:46 We're so excited to have you and to have this conversation, we had reached out to our audience for some questions. So we'll try to get to some of those. But our first question that we ask all of our guests is, who are you and what are you putting out into the world?   Dr. Michael First  02:00 Okay, so um, I have a position at Columbia University. I also work at the New York state psychiatric institute. I also have a private practice in New York City, and also a forensic practice. That's pretty pretty busy. And I've my main thing to my life has been DSM, I actually got involved all the way back first at the VA that year, DSM-3 came out in 1986, because I did my residency at Columbia, where Robert Spitzer, who is the king, or whatever, he said, he created the DSM, he put it on the map, so I got to work with him. And I've been working with him and also with the person who did DSM for Alan Francis. And so I've been had my finger in some way, shape, or form every DSM. Oh, and I also work on the ICD 11, who has their own classification. And they're just recently updated theirs as well. So I asked to work on that project.   Katie Vernoy  02:54 Wow, that's awesome.   Curt Widhalm  02:56 So some of us have been practicing a while, my grad school we were on the DSM-4-TR. So I got to see through the transition of DSM-5, but can you maybe provide a little bit of context for what's the goal of a text revision as opposed to a full update and looking at, you know, just kind of jumping into the next number here.   Dr. Michael First  03:18 Let me give you a background of how the text, the 4-TR came about, there was those 3-TR, for example, was the first TR. So it's all started way back in 1980, with DSM-3, which was the first version that had diagnostic criteria. When they were working on it, they had this idea that it was just something that psychiatrist would be interested in. When they publish it, it became this huge hit, you know, it's sold millions of copies really transformed the field, people found that very, very useful. And so, seven years later, they did the DSM-3 are now why that wasn't called DSM-4 simply because the DSM are actually linked to the ICD. And ICD 10 was supposed to be coming out in 1992 or so. Here we were in 1987 today, so we're actually this is an in between DSM-3, DSM 4- revision, so that's why it was called the three R, then DSM-4 comes out in 1994. And then after DSM-4 came out, there was a lot of pushback in the field about APA grinding out a new DSM, every seven years, everybody had to learn it. So things really put the brakes on the DSM. So APA made a decision that we're not going to seven years from now, I'll do with the DSM-5 we're gonna wait and see. What the downside of doing that is the text which is 90 something percent of the book is actually text not just the criteria detects is a really good resource for mental health professionals about diagnosis and prevalence doesn't know anything but treatment, but it's kind of like a super textbook in the sense that it's got the top people in the world working on it. They've kept waiting, waiting, waiting DSM-5, which was clearly going to be at least 10 years if not more away. It ended up being closer to 20 years, the text would have gotten very stale. So that was the motivation to do the DSM-4-TR. Or when they did the 4-TR, or they made the decision, so people wouldn't be bent out of shape about yet another DSM only to revise the text, the diagnostic criteria will go into be unchanged, it turned out there for very, very small changes, because a couple of errors has been found in the DSM 4 like, for example, Tourette's, tic disorders had requirement that the, in order to call somebody diagnose somebody with Tourette's, it had to cause clinically significant impairment and distress. That's a standard DSM phrase. So you're trying to differentiate things that aren't problems, from things that are problems, the neurologist got all bent out of shape about that ticks a tick whether or not it causes impairment, it's still a tick. So we, for example, we deleted that, that criteria, but it's very small stuff like that. So that's why the TR really was just a text revision. So DSM-5 didn't come out until 2013. So with DSM-5 came out, it was a complete redo of all the criteria and the text. And then moving forward, what happened was, is the DSM-5-TR, now, now DSM-5-TR is actually different than the 4-TR, because it is this time, the criteria have changed, they've been changing the criteria. And the way that was accomplished was the fact that we now have APA as a process in place to allow changes to be made on an ongoing basis. That was one of the reasons why the DSM-4 criteria were changed was every time they do a revision, it's a huge expensive, you know, hundreds of people involved process and it because you really want to every time there's a change, you want to make sure that changes, it's been well researched, you consider the pros and cons. So it's a big process. So they realized that moving forward, they APA realized that now that we're not stuck using just books, they could actually have changes made in the DSM on an ongoing basis. And that's what happened since DSM-5 came out. In 2013, there's been a number of changes in the criteria set. So the criteria sets in there five to about 70 of them have some changes, most of them are very, very minor, you're correcting tiny errors, but there's some that are significant. So one of the differences, of course, is that when 4-TR are came out, you could say I want to buy that still say that about five here, but you can say I care about the criteria that he diagnoses, I don't really need to see the text. That's not true. This time, the actual definitions have changed. There's a new disorder in the DSM-5-TR.   Katie Vernoy  07:39 What are the big important changes that we should know about in DSM-5-TR?   Dr. Michael First  07:40 So we've added a disorder it's Prolonged Grief Disorder. So it's much more clinically relevant. The DSM-5-TR, really than the 4-TR was I'd say the biggest is Prolonged Grief Disorder. So you know, when you whenever a new disorders, DSM, that's big news, I've been going through many, many DSM, the press always gets what's the new disorder. So this is a this disorder was has been researched. Now for a number of years, let me the concept of Prolonged Grief Disorder is really a hole in the diagnostic system. So there are individuals who after losing a loved one, normally, you basically adjust at some point, it's always painful maybe to think about the loved one, but you move on with your life. And in that that's a very important part of the grieving process. There are individuals where they're unable to do that they're basically stuck in a grief reaction, month after month. So after a year has elapsed in the person's grieving and preoccupied with grieving, then you could meet the criteria for Prolonged Grief Disorder. So it's can be given until at least a year has elapsed. And these are individuals or a number of individuals who have that problem. And it was really unrecognized, wasn't in the system at all. Now in DSM-5 came out, and there's a pending research appendix in the back. So when DSM-5 was was in preparation, we already knew about this condition, and there was some controversy about how best to define it. So they actually put something in the research appendix called persistent, complex bereavement disorder in the back that is the precursor to what's now called Prolonged Grief Disorder. So it's been around but, So now, after this, we finally got to the point, we felt that the research was clear enough, the case was compelling enough that it would do more harm than good to put it in there. And it went through all the processes within the APA for approval, and it was approved and added to the online version, and now that's going it's in the hardcopy version as well. That's by far the biggest change. Probably the next biggest change has to do with suicide. Now suicide. If you look at the DSM now, suicide is basically a criterion in major depressive episodes, criterion number nine, that's like the biggest suicide of course, as a therapist, what are the most important things that we have to deal with very, very important but the DSM has a little sidelight so to speak. So we felt it was very important for therapists and clinicians and researchers to have a way to indicate the presence of suicidal behavior, independent of depression. Suicidal behavior can occur in a wide variety of mental disorders including no mental disorder at all. So we wanted to have a way to indicate that. So it turns out that there's a mechanism within the ICD 10, which is the coding system. You everybody know that when you write down the diagnostic code, you get paid. That's your that's how the DSM code, that's the code from the International Classification of Diseases, which is a government controlled system, we realize that there are these things called symptom codes in the ICD 10, which are not disorders, but they allow you to list a particular symptom, that is of particular importance. So we actually went and requested from the NCHS, the National Center for Health Statistics to have a new code created for suicidal behavior, current and history of suicidal behavior, and also current non suicidal self injury and history of non suicidal self injury. So there's four separate codes that are now in the book that will allow you, it's optional, obviously, to list those along with the diagnosis. So if you have somebody with Major Depressive Disorder, who's suicidal, you would list both major depressive disorder as a diagnosis. And we also list this special code. In addition, that's so that's a really nice addition. The rest are not quite... so one of them is there's a category that's been added actually restored, called unspecified mood disorder. And what's that? Why is that a big deal? It turns out that, you know, when you first see somebody who has a mixture of mood symptoms, you have to right, you're one of the things about getting paid is you need every time you see the patient or his client, you need to write down a diagnosis.   Katie Vernoy  08:32 Yep!   Dr. Michael First  08:32 What the person look like during that meeting. So let's say you have your first meeting with a client, and they have this, you know, mix of irritability and agitation and a little sad, what would you call that? And you say, Well, you know, I'm going to have to look into maybe I'll check their history more speak to some other previous treaters, we got to write something down. So what the DSM does in general, when you see someone and you don't know what the diagnosis is yet, either because it doesn't fit into any of the diagnoses, or because you simply don't have enough information. That's where these unspecified codes come from. So they typically do you see somebody who is psychotic, and either you don't have enough time to figure out what diagnosis it is, or there simply doesn't fit in the type of psychosis doesn't fit into any diagnosis, you would write down Psychotic Disorder, unspecified. So for mood, there is Bipolar Disorder, unspecified, and Depressive Disorder unspecified. The question is that person who is agitated and irritable, what is it? What would you call that? And there's some implication, if you wrote down Bipolar Disorder, unspecified, then in their record their medical record, the rest of their life will be something that says Bipolar disorder, when in fact, this may simply morph into a case of Major Depressive Disorder, because irritability and agitation is commonly seen in depression. So the real what we had to do, we introduced a new unspecified category that allows you to be neutral about whether it's bipolar or depression. So that's why it's called Unspecified Mood Disorder, which you can use that you're saying no, I don't know what it is. And I'm not I know it's a mood problem, because the symptom is a mood symptom. But I'm not going to commit myself to say whether it's either depressive or bipolar. So it's a new parking place, so to speak, to put your client before you figure out what's going on in a way that's going to be less stigmatized. And that's great. And if it's a couple of corrections to problems in the criteria, that's one of the ones is Autism Spectrum Disorder. So Autism Spectrum, so if you were called in, when we went from DSM-4 to five, that was a new category that was created that used to be autism, autistic disorder, and Asperger's disorder, there are several different and pdds are different types of autism disorders. For DSM-5, they decided to consider the entire thing a spectrum of conditions. So it's now Autism Spectrum Disorder. And it comes with three levels of severity. So Autism Spectrum Disorder is defined, there are two clusters of symptoms. There's the social interaction, social engagement, awkward social reading, social cue, cues, piece of autism, and then there's this preoccupation with unusual interests or repeating words. So there's two separate dimensions of autism, the autism spectrum, so the criteria set was reformulated. And we had to come up with a new algorithm. Now, the challenge here is Autism Spectrum Disorder is really had a huge amount of interest for the past 10, 15 years because of what appears to be this explosion in cases of Autism Spectrum Disorder. And part of that has been argued that people are recognizing it more, and that's why there's more cases, but part of it is over recognizing anyway, that's the kind of little weird and awkward Oh, they're on the spectrum, that's become a common phrase in the English language. Now, if you watch movies and TV start hearing, Oh, that guy's on the spectrum. So it's become incorporated into language. But it also shows that it's been overused and over diagnosed. So when you.. the diagnostic criteria sets, the prevalence often depends upon how you construct the criteria set. So when you have a criteria set, for example, the test five out of 10, if you were to make the requirement three out of 10, the prevalence would go up a lot. If you were to go up to eight out of 10, you would shrink the prevalence. So those kinds of criteria that give you a number out of a larger number has a big effect on prevalence. So when they reformulated the autism criteria set, they wanted to make sure that the the new criteria set was conservative. So that so the way it works is there are three items for the social impairment piece of it, and four of the interest restricted interests problem, the restricted interest is two out of four, the social one was supposed to be three out of three. But if you look at the criteria itself, it just says, including the following wasn't clear if you had to have all the following or any of the following, or whatever it was intended to be all the following because they were very worried about not inflating the rates of Autism Spectrum Disorder. So the new version now has very clearly all of the following. So that I think is good. I don't know how many people were making that error, but certainly was there to be made. And you opened up to different interpretation. I think those are some of the bigger ones. There's lots of small number of small tinkering around. But I think those are probably the most one of the greatest political interest.   Curt Widhalm  16:47 We received a lot of listener feedback and some specific questions as far as some diagnostics that may not be appearing and specifically, some things like Complex PTSD, Developmental Trauma Disorder, Orthorexia, can you explain to our audience a little bit here, as far as what your process is for inclusion, or further research into maybe an inclusion of these in the future? These are things that are being discussed with the APA, and kind of how the decision is made, as far as what do we include? What we kind of continue to  just monitor and see what's out there.   Dr. Michael First  17:21 So that's another a change in process when the DSM-5 was done over, however, eight years, they had all these committees, and they would would look what's out there in the literature, and people would write in suggestions. So there's a whole process during the DSM-5 to make lots of major major changes, those committees don't exist anymore. Instead, there's a steering committee. And what the steering committee does is we entertain proposals for new new disorder. So the Prolonged Grief Disorder, even though it was in the appendix, somebody had to come and propose that it be added to DSM-5. But when you put together the proposal, that is, on the DSM portal, there's a whole complicated... we they give an indication of what kind of empirical information is required you and submit your evidence of validity, reliability will make your cost benefit analysis is the harm versus the advantages is balanced in the right direction. So yeah, there's some hurt hurdles to go through to get one of these things in there. And the website lays out what those hurdles are. So now, the system is more reacting to what people suggest rather than coming up with diagnoses on our own. So he says, a little bit of a change. So that's now the process. All the changes you've just mentioned so far were suggested, and then ultimately approved, but let's cover some of the ones you met. So right now, there's really no unless somebody were to write in and say I want Complex PTSD in there. We're not going to be considered unless somebody actually outside the system proposes it and makes it formal proposals. Now, complex PTSD is interesting, because the ICD 11 I mentioned in the beginning that I worked on the ICD 11. On past Complex PTSD, they both PTSD and complex PTSD, in ICD 11. So they made the decision to include that condition. Now, the DSM, turns out that the DSM version of PTSD if you compare it to the ICD, PTSD and complex PTSD, they're elements in the complex PTSD, much of that has been incorporated to the criteria set for PTSD. So it's kind of a little blurry with what's and what's not emphasized, is it typically when Complex PTSD was first proposed, it was a type of PTSD that happened in response to chronic early traumatic experiences often ongoing. That was the original concept, but it turns out, this is from the ICD 11. If you look at the ICD 11 definition, even though they say that's often the kind of trauma that causes Complex PTSD, that's not required. That defines Complex PTSD, at least in the ICD. It's like PTSD, plus some chronic changes in the person to soon have a chronic sense of disconnection, chronic inability to social impairments, they basically been changed, the trauma is so extensive, it's almost like change them as a person. So you have more typical symptoms of PTSD like re experiencing, and avoiding things plus these more fundamental differences in the person. Now, some of those complex PTSD symptoms are now in the PTSD criteria set. So that's what I meant by saying that we sort of took some of the complex and added it to the regular one. So that so here's an example where there are a number of examples where the ICD 11 and the DSM-5 differ. And that's one of them, you know, DSM-5 decided to have a single PTSD category that was a little bit more broad, where ICD 11 decided that they wanted to have two. Some of the other proposals, some I've heard some other proposals, but a lot of these proposals that have been floating around, haven't really reached the stage of enough empirical research, really, to be able to be seriously considered for the DSM, they're potentially good ideas, but none of them have been offered as actual proposals, with proposed evidence to be able to be evaluated, but any of those somebody, and if you're any people listening, want to make such a proposal, you go to the way which you could do that. There's a website, which is easy, www.DSM5.org, if you go to that website, that's the DSM website. On the front page, you'll see there's a it tells you how you can make a proposal and what you need to do to fill out the application.   Katie Vernoy  21:44 It seems like what you're describing is a process to really allow a feedback loop to the steering committee. And you also described the the DSM as being because it's electronic, being a little bit more dynamic in being able to pick these things up.You know, what is the likelihood that one of these diagnoses assuming they've got the empirical research attached with my ended up in the next DSM like like is that?   Dr. Michael First  22:10 Well, to say that there is no next DSM for the time being, it could go in if somebody were to write a proposal today, for Complex PTSD and arguing that the current PTSD isn't covering a very important group of patients that there's a these are the kinds of things you would kind of argument you could make for something like that would include things like the fact that I that diagnosis does exist is hurting people because people are not recognizing it. More so the reason it's hurting them, the treatment for complex PTSD would be different than regular PTSD. That's another part of the compelling case. Another part of the argument is that you need to show that it's somehow distinct from regular PTSD and distinct from other conditions, like adjustment disorder, or, or, you know, this new Prolonged Grief Disorder. So those are the kinds of things you would need to do to make a convincing case, and then you would submit it. And if it goes through the whole process, and was approved, it would now go into the DSM. The hardcopy version, of course, you know, it's not if you buy it, it's not in your version you bought, but the electronic version, it will go into there. So we're in a funny transition now where you have the hardcopy version and the electronic version living side by side. And therefore, if you buy the hardcopy version, you're not, you know, it's it's easy to see the ongoing changes, but APA considers what's approved and in the electronic version to be the official DSM. And the hardcopy, like, the one that's going on sale now is a snapshot of where the electronic version looks like, you know, it looks like now. So everything that's in electronic version is now in hardcopy version. But as things happen, if somebody were to get complex PTSD in there, and it gets in there before the next hardcopy version comes out, then you'll have the situation where it's only on the electronic version, and not in the hardcopy version, but it's it's on the electronic version, you could use it, you know, it doesn't have to be in the hardcopy version to be legitimate diagnosis to make when one of your clients   Katie Vernoy  24:03 That's decided then, I'm not buying a new copy, then I'm just gonna get the electronic version.   Curt Widhalm  24:11 So when you're looking at the research that's submitted, what kind of thresholds are you looking at here? It sounds like part of this is not only the criteria that's maybe showing up in people's offices, but also some of the ways that things are being treated as some of the factors that you look at in how things are included, how things are rolled out, you're kind of kept under some of the existing diagnostics that are there, but what are you really looking for in the research that people are proposing?   Dr. Michael First  24:43 Well, this does not that no one thing I mean, I personally, I'm a clinical utility persons so to me, the most compelling thing is making a case that is going to help people and not hurt them. I mean that person, but that's not sufficient. I mean, you can make a proposal that that's the case but if because there's two things. One is this, say this is a good category to put in there. And then it's how to define it. That's a big problem and lots of concepts are out there. But what would be the criteria set, for example, for Complex PTSD that actually is a distinct group, and wouldn't by accident, include people who don't have complex PTSD? So it's a technical thing is the case for complex PTSD is, like, let's look at what happened with Prolonged Grief Disorder. There's a perfect, so that's already happened. How did that get in there? Well, patients were out there that people were noticing that didn't fit in any of the DSM categories. And they clearly were suffering. So they had some kind of mental disorder. They didn't have as I people say, Oh, well, they have Major Depression. That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big home system that allows people to come into your office and not have any place for them. So that's the first piece of it, then another compelling thing about comp, Prolonged Grief Disorder is is that psychotherapy that has specifically been developed, it's a variation when a CBT for treating Prolonged Grief Disorder that's been successful. So that's another compelling reason not only are you calling it something, but you have something to offer your clients by saying, Well, this is the recommended treatment. So that's the kind of argument you know, the DSM, it's very the spin, especially since DSM-4 detector, in fact it was a paper that came out before DSM-4 came out called holding the line on diagnostic proliferation, it was very easy, used to be very easy, it sounds like a good idea, we go into the DSM, a couple of problems is that once a category gets into the DSM, it's very, very, very hard to get it out. There's been very few diagnoses which have been deleted, because always some constituency says you will ruin my practice if you get rid of this diagnosis. So that's why knowing that it's easy to get in easier to get in than to get pulled out, you really want to make sure that things that are in the DSM won't need to be pulled out because you've too hastily added. I think there's been kind of a much more conservative view about putting categories in the DSM nowadays than there were back in 20, 30 years ago.   Katie Vernoy  27:13 We also got some some questions and we've had some conversations actually recently about diagnostic criteria that potentially needs to be adapted to fit a more diverse population or an understanding of the diversity in our population. I'm just curious, how culture, other demographic differences, all that all the things, how those things have been addressed in the the text revision, but also kind of the the concept around how you're making sure that the criteria, the descriptions all of the pieces really align with a very diverse population that we that we live in?   Dr. Michael First  27:50 That's a great question. In fact, there's been major efforts, since DSM-4, there was a special committee starting with DSM-4 for culture, culture related issues, how disorders present differently in different cultures. Now, the criteria sets are hypothetically supposed to be vanilla, that apply across all cultures, the way you deal with cultural variations in the text is one section called Culture Related Features. If you look at the content of that text, it's very specific than in this population and may look like this. So it's trying to show how that variability is taken into account. But it's an opportunity to let me tell you about a very important thing that we did with the TR that was basically, it's very interesting was they taking your during the development, During the development of TR, George Floyd happen, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So we actually created a committee that went through the entire DSM, looking for, um, not necessarily races as the most extreme case, but things that were not quite nuanced enough, like very often, you know, like, the big one of the big problems, of course, it's like what is race anyway? But that is because you're, you're an African American, are you really different than other people? If you are different, like very often in the DSM, the prevalence section will say this, if we break it down by ethnic group will say of depression in blacks is this and in Latinos Is this the question is why is it different? Is it because of biological reasons among these groups is out twice as if it is a different life experiences? It's lots of huge amount of data that the the disadvantage social settings for some of these groups, is the reason why they're different, not something essential about being Black or Latino. So that was one of the things when they went through the whole book, they're looking to avoid giving a message that something about the race itself is what's causing it to happen. So the way they dealt with it, is that they have a statement that says it's this in blacks and it's not and an extra sentence that says, this difference is likely due to differential exposure to racism or things like that. So it was a very, very thoughtful way of trying to make it clear and de emphasize it also get rid of stigmatizing statements, that to the whole, the whole book went through that thing, and that was really triggered by the awareness that was that was not originally part of the original plan of the TR it was the fact that that happened during the process. A new committee was been doing the process. I'm glad that we had enough time was early enough in the process, that we're able to get it in the DSM-5, I was a little dubious. But we they worked really, really hard that committee to be able to go through the all areas of the text revision to make sure it it worked for across culture, and also not not taking the certain minorities, stigmatized,   Katie Vernoy  30:54 Were any of the diagnoses assessed in that way and determining whether those diagnoses were appropriate across all the different demographic considerations. So one that comes to mind specifically, we recently had a discussion on Trans mental health and Gender Dysphoria is one that that kind of is a requirement to be able to kind of move forward with some of the things for transition. And it was interesting, the conversation was like, Well, I'm not dysphoric it's it's socially, you know, kind of everyone around me is dysphoric about my gender, I'm not and I have to kind of go through this process of saying that I'm dysphoric in order to get the letter that I need for the hormones or whatever, were there, or are there plans to look at kind of the impact of diagnoses or how diagnoses are put together and the impact on folks that are in in typically marginalized populations?   Dr. Michael First  31:44 Well, culturally, I think Trans is a special case, I could get to that whole issue of should trans even be in the DSM. I mean, lots of people in the Trans community don't consider it a mental disorder. So let's get general, we do consider that like Conduct Disorder is a good example, about a lot of the items and Conduct Disorder in minority populations living in high crime area, it's normal, it's like adaptive to do some of the items in the Conduct Disorder criteria sets. And we don't want to give people who are trying to adapt to their typical environment a diagnosis simply because in a different population, it advantage suburban population, it would be evidence of pathology, so you get into text for Conduct Disorder has things in there and the criteria sets get adjusted to drop items that might be overly influenced by culture and not apply to other cultures. And now Trans is a different story. So...   Katie Vernoy  32:38 Okay   Dr. Michael First  32:38 Let me get into that. So the name is also changed DSM-5, it's now called Gender Dysphoria. It used to be Gender Identity Disorder, that's what it was, is up to DSM-5, so they actually changed it from Gender Identity Disorder to Gender Dysphoria to make it less stigmatizing it was felt that saying, there was something wrong with your identity, there's a disorder and your identity was much more stigmatizing than saying that you're upset or it's creating a dysphoria. The fact that the term used in the ICD for this condition is Gender Incongruence, which is very well descriptive term, it's the sense that your assigned gender and your experience gender are incongruent. So the recent the problem, is it. So the individual they say, Well, I'm not dysphoric. I agree, you could say that they shouldn't get any mental disorder. But there's a big problem. How do you get qualified for treatment? Unfortunately, we live in a country, there's lots of things that are very harmful, like, you know, marital strife, child abuse, you can't get paid if you put a code for marital relationship problem on your billing form and submit it, nobody's gonna cover it because the insurance companies and the government have made a decision, unwise in my perspective, that's not my call, to not inlcude, not cover things that are not really ensuring the way they look at us insurance is for medical conditions. That's the basic concept, we're not going to, for example, if you want to get plastic surgery to make yourself look better, and make you feel better, their government says we're not going to cover that because that's sort of a cosmetic thing, even though it makes you feel better. You're not treating a disorder, to have a nose job, for example. There's a whole bunch of things that the government doesn't want to cover, unfortunately, basically, in the ICD, everything is outside of the disorder section, you won't get covered for. Now Gender Dysphoria is in the mental disorder of section, actually, therefore, you could qualify for treatment. If they were to remove it from the DSM entirely, then you would never be able to, insurance companies would not, not to say the insurance companies are happy about covering it, but they would really have a weapon to say well, if it's on the DSM, we have no obligation to cover so what what happened in the ICD 11 which I saw just came out they had the same problem, but they had a different solution. The ICD 11 is all of medicine not just mental disorders. So they had the option of moving Gender Incongruence out of the mental disorder section and moving it somewhere else so that it could still get paid for. And where did they move it, they created a new chapter called Conditions of Sexual Health or something like that. And therefore they were able to put it there. And now it's a condition that could get paid for. The United States, which is still using ICD 11. United States still using ICD 10. So there's no place in ICD 10 to move it. So that's why we're kind of frozen in the situation of it continuing to be in the DSM in that spot, for very utilitarian reasons. I mean, I'll give you another example, somebody who actually heard this case, person had sexual reassignment surgery, and broke took it off as a tax deduction under the health thing. They were challenged by the IRS, they said, Oh, no sex reassignment surgery is a cosmetic procedure, you can't take a deduction for that's their attitude.   Katie Vernoy  35:59 Wow   Dr. Michael First  36:01 It's  very tricky, because again, they don't want to cover things. So it's a balance, yes, it's stigmatizing. But on balance, is it better to deal with the stigma, by virtue of the placement in the DSM, or not have the services covered anymore, we're kind of stuck, there's some talk about moving maybe to a different spot in the DSM to try to help with that. But the code, still, the code, and the code is still mental disorder code. So until the ICD code actually changes, it's going to, it's gonna be a mental disorder, we don't have any control over that. That's the government.   Katie Vernoy  36:35 Sounds really complex.   Curt Widhalm  36:37 So if I can kind of synthesize down some of the important points that I'm hearing here is, in this process, you've taken some of the criticisms from the field of the DSM and made it more inclusive. As far as feedback opportunities for professionals. It's not, you know, committees hidden away in dark rooms, you know, twirling their mustaches, or running their fingers and just, you know, being the arbiters of mental health diagnostics. But one of the major things that I want to emphasize that you've brought up here a couple of times, is that there's a lot of parts of the DSM that are not just the diagnostic lists, that people should read from time to time. And I think that outside of maybe some of the psychopathology classes that grad students have to go through, we sometimes forget that and that a lot of the information that we do break up in our conversations that the text parts, this is the major emphasis of the text revision here is go and read these parts. And it probably answers a lot of the questions and criticisms that we have from the field. And now, more so than ever, it's had an opportunity for a lot more people to at least make suggestions and that feedback has been looked at.   Dr. Michael First  37:51 I can't agree with you more they criteria pretty bare bones. So yeah, on their own, they lots of could discuss argue about what what generally means that's what the text is there for. The text allows you to explain what they are, how do you assess it? As I said, the text is like 99% of the words in the DSM and the criteria, maybe 1% or less. So the text is extremely important. That's why we did the text revision. The difference to the from the last one is we did just leave it to the text, we also have the criteria. But you're absolutely right. Many of these things we dealt with, like this whole thing about systemic racism, if you look at the criteria set, there's nothing in the criteria in the TR, that would indicate that we did anything having to do with our sense sensitivity to race. That's all in the text.   Katie Vernoy  38:35 So to that point, I wanted to check in on a couple of things, because it seems like there's an opportunity for anyone anywhere who's able to do some research make the case they can submit to the committee. But I'm curious about who's at the table who's who's on the steering committee? And are you including folks that is there a diverse population of folks, there are other people with lived experience that are giving feedback, like how are you making sure that there's enough folks at the table to make sure that you continue this process of assessing how you're not managing just not even just culture, but also the lived experience of being autistic or, or other areas of neurodiversity? That there are folks who have psychotic symptoms that are weighing in on some of these things? And what the presentations, those things? I mean, it just it seems like there's, there's such a huge opportunity to have a lot of perspectives. How are you navigating that internally with a steering committee?   Dr. Michael First  39:33 Well, the steering committee is very small, then it goes to a committee are experts, there are women on the steering committee, and there are people who are African American, but it's still Well, obviously, just because there's one African American and a couple of women, it doesn't mean all perspectives are covered. We realize you're not simply a bunch of white guys making the decisions here. Got it tomorrow to the to where but you're making it where do we get those other perspectives? Well, the way we try to deal with that is before when something gets like, lets this go to Prolonged Grief Disorder is a good example. That category was controversial because there are a number of people who felt that you're calling people who are having normal grief, you're calling them having a disorder. And there's a lot of pushback against that category. So what we did is when before somebody gets into the final DSM and approved, it gets posted on the DSM-5 website for 45 days, it's open for comment and we get lots of comments. And that's really the opportunity for people with lived experience to say, you know, you, you clearly didn't take into account this aspect that I live with this, if you didn't get it to committee would read all of that. If they make a good case, then they could change it. Absolutely. So that's the way I mean, being on this tiny group of people who make the decisions. Unfortunately, the limit to how diverse we can make this, there's not that many people, but there are many layers. I mean, even within the American Psychiatric Association, it's got to be approved by this thing called the APA Assembly, which is sort of like Congress, so to speak, with lots of diversity built into that. And then so the so many different levels of approval, that's where some of the diversity comes in. It could it could be make it more, maybe, but that's what we're able to do.   Katie Vernoy  41:15 Well it seems like there's also an opportunity to reach out to diagnostic communities when when a new diagnosis is being presented to make sure that you're getting some of that feedback, it seems like there's there's mechanisms in place, my hope is that there's also efforts to connect with folks with lived experience or those elements so that people can really be ready to take on that 45 day period.   Dr. Michael First  41:37 Right? That's actually quite how do we, We do our best to publicize it. Yeah, but you're right, it'd be great. In fact, we've done that before, I think that this particular case, with Prolonged Grief, I think there are organizations, you know, patient groups, we could go to them and say, you know, like, we made a change in the psychotic section, or clearly, individuals have lots of experience. NAMI and, those kinds of groups. So there have not been any changes, you know, recently that would affect that. But that would be obviously something we would want to do is to go perfect sure that they're aware that the change is there and give them an opportunity to give their feedback.   Curt Widhalm  42:14 Where can people find out more about you and your work?   Dr. Michael First  42:17 I have a website at Columbia, at Columbia, every faculty member gets a website, I happen to have a Wikipedia page. So you could look at that. My email, I don't keep my email addresses secret. That's one thing. I mean, it was very interested in me working with this, if I have to contact an expert to get their email address could be incredibly difficult. You take them in and you type an email. It's nowhere you have to. I don't know why people are so afraid to have their email address public. But I mine has been public. It's been public the entire time I've been in the field. And I'm happy for people to let me know what they think.   Curt Widhalm  42:54 And we'll drop Dr. First's email in our show notes. You can check that out over at mtsgpodcast.com. And we'll include links to a couple of other episodes where we've had some relevant guests in the past talking about things like Prolonged Grief Disorder and some of the other things that we've done and follow us on our social media. Until next time, I'm Curt Widhalm with Katie Vernoy, and Dr. Michael First.   Katie Vernoy  43:21 Thanks again to our sponsor SuperBill.   Curt Widhalm  43:23 If your practice doesn't accept insurance super bill can help your clients get reimbursed. SuperBill is free for therapists and your clients can use the code SuperBill22. That's Super Bill two two to get a free month of SuperBill. Also you can earn $100 For every therapist you refer to super bill. After your clients complete the one time HIPAA compliant onboarding process, you can just send their super bills to claims@the superbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement by helping your clients get reimbursed without the stress of dealing with insurance companies SuperBill can increase your new client acquisition rate by over 25%.   Katie Vernoy  44:06 The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started.   Announcer  44:18 Thank you for listening to the Modern Therapist Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

Sand Chang, PhD (they/them/their) is a Chinese American genderfluid/nonbinary/femme psychologist/trainer in practice for 15+ years. Dr. Chang's work is focused on intersectional body liberation. Dr. Chang co-authored A Clinician's Guide to Gender Affirming Care (New Harbinger, 2018) and the APA Guidelines for Psychological Practice with Transgender and Gender Nonconforming Clients (2015). They are Board Member and section editor for Trans Bodies, Trans Selves, chapter author of the forthcoming WPATH SOC8, and co-founder of The Gender Affirming Letter Access Project (The GALAP), a movement to make mental health letters for trans health care financially accessible. Sand's work is focused on gender, sexuality, disordered eating (from an anti-diet and HAES perspective), addictions, trauma/EMDR, Internal Family Systems (IFS), and attachment concerns. Sand is a certified Body Trust Provider. Outside of work, they are a dancer, food top, punoff competitor, and small dog enthusiast. In this episode, we touch on the white-washed view of body liberation & the negative effects of diet culture, trans health and body oppression, gender vs. sexuality, gender roles & mental health diagnosis, intersectional identities, understanding authenticity as a privilege, and more. FOLLOW DR. CHANG:INSTA: @heydrsandWEBSITE: www.sandchang.comSTAY CONNECTED:INSTA: @trustandthriveFACEBOOK: bit.ly/FBtaramontWEBSITE: www.tara-mont.comEMAIL: tara@tara-mont.com

Edward M. Adams, PsyD, is a psychologist in private practice for over thirty years. He founded the nonprofit organization Men Mentoring Men and has facilitated over one thousand men's meetings, workshops, and retreats. As president of the American Psychological Association's Division 51, Adams helped usher in the landmark "APA Guidelines for Psychological Practice with Boys and Men" in 2018. He has written or cowritten articles for Fortune, Inc., and Wired and is the coauthor of three books. His latest book, Reinventing Masculinity: The Liberating Power of Compassion and Connection, explores the conventional notion of what it means to be a man. What he calls "Confined Masculinity"--traps men in an emotional straitjacket; steers them toward selfishness, misogyny, and violence; and severely limits their possibilities. As an antidote, he proposes a new paradigm: Liberating Masculinity. It builds on traditional masculine roles like the protector and provider, expanding men's options to include caring, collaboration, emotional expressivity, an inclusive spirit, and environmental stewardship.

------------------Support the channel------------ Patreon: https://www.patreon.com/thedissenter SubscribeStar: https://www.subscribestar.com/the-dissenter PayPal: paypal.me/thedissenter PayPal Subscription 1 Dollar: https://tinyurl.com/yb3acuuy PayPal Subscription 3 Dollars: https://tinyurl.com/ybn6bg9l PayPal Subscription 5 Dollars: https://tinyurl.com/ycmr9gpz PayPal Subscription 10 Dollars: https://tinyurl.com/y9r3fc9m PayPal Subscription 20 Dollars: https://tinyurl.com/y95uvkao ------------------Follow me on--------------------- Facebook: https://www.facebook.com/thedissenteryt/ Twitter: https://twitter.com/TheDissenterYT Anchor (podcast): https://anchor.fm/thedissenter Dr. Shawn Smith is a clinical psychologist in Denver, Colorado and the author of five psychology books. He also writes a blog at docsmith.co. And he has a YouTube channel - Dr. Shawn T. Smith. In this episode, we talk about the APA Guidelines for Practice with Boys and Men. We discuss the traits associated with traditional masculinity, evolutionary psychology, real problems men face in modern societies and how to help them, and how the APA wants clinical practitioners to become political activists. -- Follow Dr. Smith's work: Blog: https://bit.ly/2R0ZRxr YouTube channel: https://bit.ly/2DqSuvY Books on Amazon: https://amzn.to/2Z1hEbU The Tactical Guide to Women: https://amzn.to/34XPuTa Twitter handle: @ironshrink -- A HUGE THANK YOU TO MY PATRONS/SUPPORTERS: KARIN LIETZCKE, ANN BLANCHETTE, PER HELGE LARSEN, LAU GUERREIRO, JERRY MULLER, HANS FREDRIK SUNDE, BERNARDO SEIXAS, HERBERT GINTIS, RUTGER VOS, RICARDO VLADIMIRO, BO WINEGARD, CRAIG HEALY, OLAF ALEX, PHILIP KURIAN, JONATHAN VISSER, DAVID DIAS, ANJAN KATTA, JAKOB KLINKBY, ADAM KESSEL, MATTHEW WHITINGBIRD, ARNAUD WOLFF, TIM HOLLOSY, HENRIK AHLENIUS, JOHN CONNORS, PAULINA BARREN, FILIP FORS CONNOLLY, DAN DEMETRIOU, ROBERT WINDHAGER, RUI INACIO, ARTHUR KOH, ZOOP, MARCO NEVES, MAX BEILBY, COLIN HOLBROOK, SUSAN PINKER, THOMAS TRUMBLE, PABLO SANTURBANO, SIMON COLUMBUS, PHIL KAVANAGH, JORGE ESPINHA, CORY CLARK, MARK BLYTH, ROBERTO INGUANZO, MIKKEL STORMYR, ERIC NEURMANN, SAMUEL ANDREEFF, FRANCIS FORDE, TIAGO NUNES, BERNARD HUGUENEY, ALEXANDER DANNBAUER, OMARI HICKSON, PHYLICIA STEVENS, FERGAL CUSSEN, YEVHEN BODRENKO, HAL HERZOG, NUNO MACHADO, DON ROSS, JOÃO ALVES DA SILVA, JONATHAN LEIBRANT, JOÃO LINHARES, OZLEM BULUT, NATHAN NGUYEN, STANTON T, SAMUEL CORREA, ERIK HAINES, MARK SMITH, J.W., JOÃO EIRA, TOM HUMMEL, SARDUS FRANCE, DAVID SLOAN WILSON, YACILA DEZA-ARAUJO, IDAN SOLON, ROMAIN ROCH, AND DMITRY GRIGORYEV! A SPECIAL THANKS TO MY PRODUCERS, YZAR WEHBE, JIM FRANK, ŁUKASZ STAFINIAK, IAN GILLIGAN, SERGIU CODREANU, LUIS CAYETANO, MATTHEW LAVENDER, TOM VANEGDOM, CURTIS DIXON, BENEDIKT MUELLER, VEGA GIDEY, AND NIRUBAN BALACHANDRAN! AND TO MY EXECUTIVE PRODUCERS, MICHAL RUSIECKI, ROSEY, AND JAMES PRATT!

In this episode, Diana interviews Dr. Karen Suyemoto, the chair of the APA Guidelines on Race and Ethnicity in Psychology. Race and culture are present in all of our interactions. As mental health professionals, it is our ethical responsibility to understand the ways in which race and ethnicity impact us personally, our interactions with clients, and the communities we serve. Everyone is also caught in the system of racism and oppression. It is our responsibility as mental health providers to strive towards understanding the complexities of this system and how we can contribute to systemic change. Listen and Learn How do race and ethnicity interact, and how are they definedWhy understanding the influences of race and ethnicity is so central to psychologyThe role personal inquiry plays in the guidelinesWhy practicing cultural humility and understanding positionality is important in the work of a psychologistHow racism and privilege has impacted the field of psychologyHow the therapy room can be a reenactment of racial traumaWhat it means to be an activist in psychologyHow we can carry out a deep commitment to changeHow to hold both race and the individual authentic relationship in our inter-racial interactions About Karen Suyemoto  Karen Suyemoto has a joint appointment with the Psychology Department and the Asian American Studies Program and Critical Ethnic and Community Studies graduate program at the University of Massachusetts, Boston. Their research interests focus generally on Asian American psychology and issues related to social justice and anti-racist therapy/ practice/education. Their research addresses fostering awareness and advocacy for social justice through examining relations of race and racism to mental health; investigating effects of resistance and coping with racism, and exploring the complexity of relative and ascribed power and intersectional discrimination. Additional research addresses how cultural responsiveness and racial social justice can be developed through and integrated into education, training, research methods, and practice. Their current research projects include a quantitative study examining the effects of racism for people of color and how taking action to challenge racism may moderate negative psychological effects and a two-book project focused on transformative teaming and learning about oppression and privilege (with Grace Kim and Roxanne Donovan).   Professor Suyemoto was the Chair of the recently released Guidelines for Race and Ethnicity for the American Psychological Association. They served as the past president of the Asian American Psychological Association and as the AAPA delegate to the American Psychological Association Council of Representatives. In 2013, they were recognized as a White House Champion of Change: Asian American Pacific Islander Woman Leader and also awarded the Asian American Psychological Association’s Distinguished Contributions Award. Resources: APA Guidelines on Race and Ethnicity in PsychologyDr. Suyemoto's Web site 150. Immigrant and Refugee Mental Health with Dr. Sandra Mattar156. The Psychology of Radical Healing Collective144. Healing Racial Trauma with Dr. Kristee Haggins (Re-Release from June 2019)96. Effective Conversations About Diversity Issues with Drs. Anatasia Kim and Alicia del Prado

Toxic Masculinity: Men are twice as likely to experience a substance use disorder, are twice as likely to binge drink, are more likely to abuse heavy substances, are the victims of 78% of violent crimes, are 3.5x more likely to complete suicide, have higher rates of cancer and heart disease, and have an overall lower life expectancy. Compounding matters, men are less likely to seek care for physical and mental health. What's not working? Check out this episode, part 2 of this series, as Mark Bowen and Joe Talbot (aka Dr. Bayles and Dr. Phillips) explore how toxic masculinity influences the development of boys and interactions for men in society. Learn more about the personal struggle that Dr. Chinchilla experienced first hand and how to combat the detrimental patterns that result from toxic masculinity. Check out these resources used to address information in this episode: APA Guidelines for treating boys and men www.apa.org/about/policy/boys-m…tice-guidelines.pdf Gender Differences in emotion expression www.ncbi.nlm.nih.gov/pmc/articles/PMC3597769/ Dr. Judy Chu - "When Boys Become Boys" nyupress.org/9780814764800/ Peggy Orenstein - "Boys and Sex www.peggyorenstein.com/boysandsex APA - "Harmful Masculinity and Violence" www.apa.org/pi/about/newsletter…harmful-masculinity Peggy Orenstein - "The Miseducation of the American Boy" www.theatlantic.com/magazine/archiv…can-boy/603046/ Michael Salter - "The Problem With a Fight Against 'Toxic Masculinity'" www.theatlantic.com/health/archive/…history/583411/ PBS - "The Culture of Masculinity and its Negative Impacts on Men" www.pbs.org/newshour/show/the-c…tive-impacts-on-men

Toxic Masculinity: Men are twice as likely to experience a substance use disorder, are twice as likely to binge drink, are more likely to abuse heavy substances, are the victims of 78% of violent crimes, are 3.5x more likely to complete suicide, have higher rates of cancer and heart disease, and have an overall lower life expectancy. Compounding matters, men are less likely to seek care for physical and mental health. What's not working? Check out this episode as Lucy and Ricky Ricardo (aka Dr. Bayles and Dr. Phillips) explore the topic, history, and effects of toxic masculinity, a narrow set of characteristics emphasized for boys/men that seem to be negatively effecting society and boys/men. Check out these resources used to address information in this episode: APA Guidelines for treating boys and men https://www.apa.org/about/policy/boys-men-practice-guidelines.pdf Gender Differences in emotion expression https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3597769/ Dr. Judy Chu - "When Boys Become Boys" https://nyupress.org/9780814764800/ Peggy Orenstein - "Boys and Sex https://www.peggyorenstein.com/boysandsex APA - "Harmful Masculinity and Violence" https://www.apa.org/pi/about/newsletter/2018/09/harmful-masculinity Peggy Orenstein - "The Miseducation of the American Boy" https://www.theatlantic.com/magazine/archive/2020/01/the-miseducation-of-the-american-boy/603046/ Michael Salter - "The Problem With a Fight Against 'Toxic Masculinity'" https://www.theatlantic.com/health/archive/2019/02/toxic-masculinity-history/583411/ PBS - "The Culture of Masculinity and its Negative Impacts on Men" https://www.pbs.org/newshour/show/the-culture-of-masculinity-and-its-negative-impacts-on-men

Curt and Katie talk about why mass shootings happen. We look at the complexity of the research and how solely blaming mental illness, doesn’t reflect the research and is stigmatizing. We also talk about how to identify risks and what to do to try to prevent violence.   It’s time to reimagine therapy and what it means to be a therapist. To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. In this episode we talk about: Looking at why Mass Shootings happen Defining Mass Shooting The harm that blaming mass shootings on mental illness can cause – stigma, lack of seeking mental health treatment The limitations and complexity of the research The dehumanization of others and the role that it can play in the violence Attribution Model, low self-esteem, moving out to fringe groups, radicalization Developmental factors including parenting, culture, gender, coercion, history of violence The difficulty with learning from sound bites The role of violent media, video games The importance of differentiating correlation from causation The most important factor: access to guns “Aggrieved Entitlement” leading to seeking revenge in a violent way for a perceived or actual victimization Multi-systemic solutions and what therapists can do to address the situation Compassion, listening, and connection as a way to intervene prior to radicalization Seeing from a different perspective than what is “acceptable” for you, to help to build alliance and open opportunities for challenging violent beliefs Clarifying therapy versus threat assessment Fighting Fascism in the world and in the therapy room   Our Generous Sponsors: This episode is sponsored by Center For Discovery. Center For Discovery provides evidence-based treatment for eating disorders, binge eating disorders, mental health, substance use, and co-occurring conditions nationwide. Discovery offers gender inclusive and gender-specific treatment with separate programming for adolescent and adults. Programs have a high staff to client ratio because individualized attention is critical when it comes to providing effective and efficient treatment. Learn more about these clinical programs at CenterForDiscovery.com. Discovery offers free resources including weekly support groups, a recovery app, free evaluations, and treatment scholarships. Learn more about Discovery's Free Weekly Support Groups, for those struggling and loved ones, at SupportInRecovery.com. Center For Discovery is a preferred provider and in-network with all major insurance companies. This is episode is also sponsored by Simplified SEO. Thank you to our generous sponsor, Simplified SEO Consulting. Do you have a beautiful website that just doesn’t rank very well on Google?  Simplified SEO Consulting can help!  Jessica Tappana, LCSW  and a team of SEO Specialists focus exclusively on helping mental health professionals improve their website rankings on Google so you can get in front of more clients!  Jessica’s team goes in depth to edit your website in a way search engines will respond to, while also encouraging you to maintain your own voice and branding. Simplified SEO Consulting offers both SEO training for motivated practice owners who want to learn to manage their own SEO as well as "done for you" services for therapists who are too busy and are ready to hire someone to invest the time into getting their website ranking. Simplified SEO Consulting is offering a FREE 7-day SEO e-mail series to help you learn the basic components that can help you get your website to the top of search engines!  If you're interested in learning more about search engine optimization, you can head over to www.simplifiedseoconsulting.com/moderntherapist to sign up!   Resources mentioned: We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Tons of articles: Gun Ownership and Attribution Theory APA Statement on Shootings at Dayton and El Paso NAMI Statement on Mass Shootings in Texas and Ohio APA Report on Gun Violence Prevention SAMHSA Bulletin on Mass Violence Reading on Fascism NYT: What Experts Know About Mass Shootings Washington Post: Mentall Illness, Video Games, and Gun Violence Why Mental Illness Can’t Predict Mass Shootings Serious Mental Illness and Mass Shootings NAMI – Mental Illness and Gun Reporting Laws Thanks to James Guay, LMFT for sourcing some articles for us! Relevant Episodes: On the APA Guidelines for Boys and Men Episode with Dr. Joel Schwartz   Connect with us! Our Facebook Group – The Modern Therapists Group Therapy Reimagined 2019   Our consultation services: The Fifty-Minute Hour   Who we are: Curt Widhalm is a Licensed Marriage & Family Therapist in private practice in the Los Angeles area. He is a Board Member at Large for the California Association of Marriage and Family Therapists, a Subject Matter Expert for the California Board of Behavioral Sciences, Adjunct Faculty at Pepperdine University, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant. As a helping professional for two decades, she’s navigated the ups and downs of our unique line of work. She’s run her own solo therapy practice, designed innovative clinical programs, built and managed large, thriving teams of service providers, and consulted hundreds of helping professionals on how to build meaningful AND sustainable practices. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it. Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.   Stay in Touch: www.mtsgpodcast.com www.therapyreimagined.com Our Facebook Group – The Modern Therapist’s Group https://www.facebook.com/therapyreimagined/ https://twitter.com/therapymovement https://www.instagram.com/therapyreimagined/   Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/    

Today we have a controversial topic- the new "APA Guidelines for the Psychological Practice with Boys and Men." We discuss the nature of masculinity, the hypermasculine, solipsism, and more... Featuring: James P Dowling "Handsome" James Conners Ian Kuzma Garrett Dailey Benjamin "The Luddite" George and The Artist Known Only as Q

Join us on the Fireside Chat as we talk with psychologist Dr. John Barry about the APA Guidelines for Psychological Practice with Men and Boys as well as the Masculinity Report.

In this episode of Quah, sponsored by Organifi (organifi.com/mindpump, code "mindpump" for 20% off), Sal, Adam & Justin answer Pump Head questions about the pros and cons to exercising in a fasted state, the good and bad of Tom Brady's TB12 Method, the importance of training in person before training online and their passions they may want to turn into another business. Mind Pump recommends Sex Education on Netflix. (6:15) Will we see more epic series/novels go towards the streaming platforms rather than straight to film? [11:35] The guys recap Sal's birthday weekend in Vegas, how with age you realize the network of people you WANT to be with & MORE. (12:53) The importance of having life insurance, like Health IQ, when you unexpectedly lose a loved one. (25:46) How Microsoft and Google played to America's heartstrings with their Super Bowl commercials. Why technology is a powerful tool. (29:23) Beijing's "Anger Room" lets people smash away their stress. The significance of having an outlet to let out your negative energy. (33:30) For millennial's, cancers fueled by obesity are on the rise, study says. (37:17) Israeli scientists claim they're on the path to a cure for cancer. (40:25) #Quah question #1 – What are the pros and cons to exercising in a fasted state? (44:32) #Quah question #2 – Can you discuss Tom Brady's TB12 Method? (53:27) #Quah question #3 - Would you recommend building clientele through one on one training or jumping straight to coaching online and selling programs? (1:05:42) #Quah question #4 - What is something each of you would be passionate enough about to start a business on if you were developing a side hustle project? (1:16:46) People Mentioned: Marc Weinstein (@warcmeinstein)  Instagram Jordan Peterson (@jordan.b.peterson)  Instagram Dominic D'Agostino (@DominicDAgosti2)  Twitter Products Mentioned: February Promotion: MAPS Performance is ½ off!! **Code “GREEN50” at checkout** NED  **15% off first purchase** Health IQ   **Free Quote** Sex Education | Netflix Official Site Bazaar Meat by José Andrés Las Vegas | Restaurants - sbe Episode 957: Fyre Festival- The Story Netflix did Not Tell with Marc Weinstein iGen: Why Today's Super-Connected Kids Are Growing Up Less Rebellious, More Tolerant, Less Happy--and Completely Unprepared for Adulthood--and What That Means for the Rest of Us – Book by Jean M. Twenge PhD Irresistible: The Rise of Addictive Technology and the Business of Keeping Us Hooked - Book by Adam Alter All The Rage: Beijing's "Anger Room" Lets People Smash Away Their Stress Comment on the APA Guidelines for the Treatment of Boys and Men For millennials, cancers fueled by obesity are on rise, study says - CNN Emerging cancer trends among young adults in the USA: analysis of a population-based cancer registry Israeli Scientists Claim They're On The Path To A Cure For Cancer TB12: Homepage The TB12 Method: How to Achieve a Lifetime of Sustained Peak Performance – Book by Tom Brady MAPS Fitness Prime | Muscle Adaptation Programming System Mind Pump Free Resources

The American Psychological Association has issued new guidelines for understanding and treating the unique problems faced by men. The project took more than a decade to complete and was launched by a researcher at the University of Akron. In this week’s Exploradio, WKSU’s Jeff St.Clair examines the evolving definition of what it means to be a man in America.

Curt and Katie talk about the 2018 APA Guidelines for Psychological Practice with Boys and Men. We talk about the definition of masculinity and each of the guidelines, looking at what they explain well and where they miss the mark.   It’s time to reimagine therapy and what it means to be a therapist. To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. In this episode we talk about: Discussing whether these guidelines would be created The importance of teasing out the differences across demographics, genders, etc. The complexity of men and what the guidelines address The definition of masculinity and Curt’s problem with it The concept of many masculinities The shifting perception of masculinity and femininity Toxic masculinity as the extreme The places where the guidelines miss the mark Comparing Dwayne “The Rock” Johnson and Michael Cerra The stuff that is “no duh.” Discussing intersectionality, the impact of culture, sexism, power, privilege on how men develop Biological, evolutionary, and societal impacts on sexism for men Challenging the idea that we actually value all the different types of masculinity How the educational guidelines miss the need to adjust how schools operate What is missed or misrepresented about bullying How the guidelines address violence The problem with the data on violence – looking at convictions versus how many are committed The concept of “boys will be boys” Physical differences that lead to stand up and be protective The thought that the Guidelines are not acknowledging the biological or physical differences between men and other genders The types of responses men have toward taking care of their health How to embrace masculinity as an element of diversity and not thinking that masculinity is bad Differentiating toxic masculinity from masculinity (i.e., pathologizing masculinity) How this can be perceived in the #metoo era The shifting of what is acceptable for men and potential impacts of these shifts on boys and men How advocacy is addressed in the guidelines, especially looking at intersectionality Relevant Episodes: When is it Discrimination?   Resources mentioned: We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. APA Guidelines for Psychological Practice with Boys and Men Podcast: Hardcore History   Our Facebook Group – The Modern Therapists Group Therapy Reimagined 2019: Sign up here to get notified when the details are released.   Our consultation services: The Fifty-Minute Hour   Who we are: Curt Widhalm is a Licensed Marriage & Family Therapist in private practice in the Los Angeles area. He is a Board Member at Large for the California Association of Marriage and Family Therapists, a Subject Matter Expert for the California Board of Behavioral Sciences, Adjunct Faculty at Pepperdine University, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant. As a helping professional for two decades, she’s navigated the ups and downs of our unique line of work. She’s run her own solo therapy practice, designed innovative clinical programs, built and managed large, thriving teams of service providers, and consulted hundreds of helping professionals on how to build meaningful AND sustainable practices. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it. Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.   Stay in Touch: www.mtsgpodcast.com www.therapyreimagined.com Our Facebook Group – The Modern Therapist’s Group https://www.facebook.com/therapyreimagined/ https://twitter.com/therapymovement https://www.instagram.com/therapyreimagined/   Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/

The American Psychological Association has issued new guidelines for understanding and treating the unique problems faced by men.

Jeff Salzman talks with Dr. Keith Witt about an evolutionary approach that liberates masculinity and femininity into a new integration that features the best of both and makes them available to all. The culture wars heated up last week with two new skirmishes. One was the release of the American Psychological Association’s new Guidelines for Psychological Practice with Boys and Men. The other is a new ad released by the Gillette razor company: The Best a Man Can Get. Both explicitly criticize traditional views of masculinity; as the APA Guidelines states, “traditional masculinity — marked by stoicism, competitiveness, dominance and aggression — is, on the whole, harmful.” And both encourage men to be more sensitive, cooperative and revealing. Predictably, the new ad and report created blowback from people who see them as part of a postmodern project to neuter men by damning masculinity itself as toxic. They maintain that traditional masculine qualities are innate to men and essential to a healthy culture. Could both sides have a point?

This week I talk about the APA Guidelines on Men and Boys and the some of the general difficulties reading APA documents. I also speak with Dr Gregory Bottaro about what it's like being a Catholic Therapist and about his book, "The Mindful Catholic." Dr Bottaro is the founder and Executive of the CatholicPsych Institute which offers a varity of online courses about psychology. He is also the author of "The Mindful Catholic" a book which explores the relationship between the Catholic practice of abandonment to Divine Providence and practical exercises of clinical mindfulness. Check us out over at the website www.ColorOfThought.com Become a Patron today and get many more colorful thoughts in your life at www.Patreon.com/ColorOfThought

The culture wars heated up last week with two new skirmishes. One was the release of the American Psychological Association’s new Guidelines for Psychological Practice with Boys and Men. The other is a new ad released by the Gillette razor company: The Best a Man Can Get. Both explicitly criticize traditional views of masculinity; as […] The post Is Masculinity Toxic? appeared first on The Daily Evolver.

By now, you've probably seen this picture... ...and heard about Gillette's new ad, The Best Men Can Be Maybe you've even heard about the American Psychological Association's Guidelines for Psychological Practice with Boys and Men, which some applaud and some condemn. (Two recent headlines: "Toxic Masculinity is Under Attack. And That's Fine," from a left-leaning website, and "The American Psychological Association Has Made Choosing a Therapist Easy," from a right-leaning site.) Discussion of these videos, pictures and guidelines have dominated social media recently -- for better and for worse. For better: People are publicly discussing masculinity and the expectations placed on boys and men. For worse: Many people are jumping to conclusions without looking at the actual source material. In many corners, "discussion" has devolved into shouting. In this episode, Jen & Janet dive in & discuss: The APA Guidelines for Psychological Practice with Boys and Men The Gillette ad, The Best Men Can Be The encounter between the boys of Covington High School, tribal elder Nathan Phillips and the Black Hebrew Israelites Note: On 1/21/19, Twitter suspended an account which spread the initial 1-minute video of the encounter in DC after realizing that the account was likely part of a network of anonymous accounts that were working to amplify the video. Soon after that initial, short video sparked outrage, a longer, nearly 2-hour video of the encounter was posted on YouTube to an account called "John Duncan." As of 1/23/19, no one seems to know who recorded or posted the video. One journalist Jen spoke with said, "We all have serious questions about the origins of the vids and related content and the fact that finding a human attached to any of it proves elusive." Links we mentioned (or should have) in Episode 145: APA Guidelines for Psychological Practice with Boys and Men We Believe: The Best Men Can Be -- the Gillette ad Gillette Responds to Controversial Advert Challenging Toxic Masculinity -- Forbes.com article MAGA Losers Bothering a Native American -- short 1 minute video that ignited controversy Full video of what transpired regarding Catholic High students -- "John Duncan" video Episode 143: How Confidence & Joy Spark Success Episode 105: Masculinity in the Age of #MeToo Let's Stop Assuming the Worst About Boys -- Jen's U.S. News & World Report article    After listening, a Texas mom commented, "Thank you for addressing this issue straight on, Janet and Jen. You have a unique position in today’s world."  

The American Psychological Association came out with new guidelines for Boys & Men and how to deal with them in therapy, counseling, etc.  The biggest takeaway for us is that the APA specifically mentioned four traits in which they deemed "on the whole, harmful".  Since facing backlash and pushback, the APA through it's Division 51, severely walked back their statements to the point that they are diverting, being untruthful, and not saying a whole heck of a lot. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Psychologist and trans-health educator Sand Chang joins us to talk about the complex experience of body acceptance for transgender folks, the intersections of trans advocacy and Health at Every Size work, the growing body of research around trans folks and eating disorders, the shape-shifting nature of fatphobia and diet culture, and so much more! Plus, Christy answers a listener question about how food restrictions to try to cure acne can exacerbate an eating disorder. Dr. Sand Chang is a Chinese American clinical psychologist, educator, and writer based in Oakland, CA. Sand identifies as queer, nonbinary, and genderfluid and uses they, them pronouns. Sand currently divides their time between working at Stanford University’s counseling center, Northern California Kaiser Permanente Transgender Services, and a private practice specializing in trans health, relationships and sexuality, trauma, EMDR, eating disorders, and addictions. As a psychotherapist, trainer, and advocate, Sand is invested in healing and empowerment within marginalized communities and disrupting systems of oppression. Sand co-authored the 2015 APA Guidelines for Psychological Practice with Transgender and Gender Nonconforming Clients and is the past Chair of the APA Committee on Sexual Orientation and Gender Diversity. They regularly present at conferences and provide trainings on a wide number of topics for health care systems, educators, and organizations. Sand’s upcoming book, A Clinician’s Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients, which they co-authored with their colleagues Drs. lore dickey and Anneliese Singh, will be published by New Harbinger in late 2018. Outside of their professional work, Sand is a dancer, avid foodie, punster, and pug enthusiast. They live in Oakland, CA with their pug Zelda Sesame. Find them online at SandChang.com.

Eating Disorders Assessment Part 2 Instructor: Dr. Dawn-Elise Snipes, PhD, LPC, LMHC Podcast Host: Counselor Toolbox & Happiness Isn't Brain Surgery Objectives ~ Review the prevalence of eating disorders ~ Identify assessment areas ~ Identify risk and protective factors ~ Explore complications ~ Explore potential guidelines for treatment ~ Based on APA Guidelines for Eating […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Eating Disorders Assessment Part 1 Instructor: Dr. Dawn-Elise Snipes, PhD, LPC, LMHC Podcast Host: Counselor Toolbox & Happiness Isn't Brain Surgery Objectives ~ Review the prevalence of eating disorders ~ Identify assessment areas ~ Identify risk and protective factors ~ Explore complications ~ Explore potential guidelines for treatment ~ Based on APA Guidelines for Eating […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Deborah C. Baker, JD, is the director of Legal & Regulatory Policy in the Office of Legal & Regulatory Affairs of the American Psychological Association's Practice Directorate. Since joining APA in 2004, she has worked with state psychological associations, APA leadership and members, and regulatory bodies on a variety of issues involving scope of practice/licensure, testing, telehealth, prescriptive authority, HIPAA compliance as well as other legal and regulatory issues. Ms. Baker works with APA governance groups, such as the Committee for the Advancement of Professional Practice and the Board of Professional Affairs on legal/regulatory issues affecting professional practice. She has also provided support to several APA task forces, including the joint APA-ASPPB-APAIT Task Force on Telepsychology, which developed the APA Guidelines on the Practice of Telepsychology as well as task forces established to review and revise APA policies on prescriptive authority and designation of psychopharmacology training programs. She represents APA Practice in several outside organizations, including the Coalition for Patients' Rights and the American Telemedicine Association. She has made numerous presentations at the APA Annual Convention, state psychological association meetings and conferences as well as outside organizations on the issues of telehealth and scope of practice issues.  Susan Farber, PhD, has run a private practice in Boise, Idaho since 1983. She specializes in individual therapy work with children, adolescents and adults. She’s also assisted in the development of various conferences on topics such as autism, epilepsy and behavioral aspects of neurologic disorders. Dr. Farber has served as president of the Idaho Psychological Association and chair of IPA’s Continuing Education Committee. She is currently co-chair of IPA’s Advocacy Committee, taking the lead on prescriptive authority legislative initiatives for the last four years. Dr. Farber was also appointed to the advisory board on prescriptive authority issues serving the Idaho Board of Psychologist Examiners. In 2017, Dr. Farber won the Karl F. Heiser APA Presidential Award for Advocacy. The award honors psychologists who are at the forefront of advocating for the profession.  Dr. Farber received her undergraduate degree in English from the University of Chicago in 1967 and her doctorate in clinical psychology from Columbia University in 1973. Before returning to Idaho, her home state, she ran a private practice in New York and taught clinical psychology at New York University.  Steven D. Hollon, PhD, is the Gertrude Conaway Vanderbilt Professor of Psychology at Vanderbilt University. His research focuses on the nature and treatment of depression with a particular emphasis on the enduring effects of psychosocial treatments. He is the past president of the Association for Behavioral and Cognitive Therapies and the Society for a Science of Clinical Psychology and the recipient of awards for both Distinguished Scientific and Professional Contributions to Clinical Psychology from the Society of Clinical Psychology. He chaired the steering committee advising the American Psychological Association on the generation of clinical practice guidelines.  Marlin Hoover, PhD, is a licensed psychologist in Illinois and New Mexico. He is also the clinical director, founder and owner of Hoover and Associates, a group practice comprised of highly qualified, licensed mental health professionals. Dr. Hoover is board certified in clinical psychology by the American Board of Professional Psychology, and in medical psychology by the American Board of Medical Psychology. Dr. Hoover is a fellow of the Academy of Clinical Psychology and a fellow of the Academy of Medical Psychology.  Currently, he is an instructor of doctoral clinical psychologists, who are studying to obtain prescription privileges through the New Mexico State University/Southwestern Institute for the Advancement of Psychotherapy Cooperative and through Fairleigh Dickinson University. He has prescription privileges in New Mexico, where he works two days per week. He is a member of the faculty of the Southern New Mexico Family Medicine Residency at Memorial Medical Center in Las Cruces. Additionally, he sees patients for psychotherapy and medication at the Center Through the Looking Glass.  While starting a private practice in the Chicago area in 1985, he was a faculty member at Saint Xavier University for 20 years, and chair of the department of psychology of Saint Xavier University at Chicago. Dr. Hoover has done research and publications on the relationship between personality and heart disease, training of psychologists and validation of personality tests.  He earned a PhD in behavioral sciences from the University of Chicago and a postdoctoral master’s in clinical psychopharmacology from Fairleigh Dickinson University.

Kathy Baldock and Yvette Schneider

The Sisters discuss the new APA Guidelines for Psychological Practice with Transgender & Gender Nonconforming People