Podcasts about behavior therapy

Before we dive in: the breakdown of this episode includes a brief discussion of sexual assault. Please take care while listening. You're listening to Voices of Your Village, and today I got to hang out with Dr. Alissa Jerud. She wrote the book Emotion-Savvy Parenting. I loved getting to chat with her specifically about anxiety and what it looks like to experience anxiety without being consumed by it and had to parent a child who is experiencing anxiety. Alissa Jerud has a PhD and is a mom of two kids. She's a licensed clinical psychologist, a clinical assistant professor at the University of Pennsylvania, and author of Emotion-Savvy Parenting, which is a compassionate science informed guide for relating more skillfully to painful, unwanted emotions in her private practice. Dr. Jerud specializes in highly effective exposure based treatment for anxiety related disorders, including OCD, PTSD, social anxiety disorder, panic disorder, specific phobias and generalized anxiety disorder. Additionally, she specializes in DBT, dialectical Behavior Therapy skills training, and particularly enjoys helping other parents learn research back strategies for accepting, regulating, and tolerating their emotions as well as their children's. Dr. Jerud also trains other clinicians in exposure based treatments and frequently gives workshops on anxiety, stress, mental health, parenting, and social support to companies large and small. Alright folks, let's dive in. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vielleicht kennst du das: Du möchtest dich deinem Gegenüber öffnen, weißt aber nicht genau, wie du deine Gefühle beschreiben sollst. Du erfährst, warum das so zentral für deine Beziehung und dein psychisches Wohlbefinden ist, warum es vielen Menschen schwerfällt und wie du lernen kannst, dich selbst besser zu verstehen und deine Gefühle mitzuteilen.Mehr Informationen zu meinem BeratungsangebotPodcastempfehlung: Mind MatesTorre, J. B., & Lieberman, M. D. (2018). Putting Feelings Into Words: Affect Labeling as Implicit Emotion Regulation. Emotion Review, 10(2), 116-124. Shamay-Tsoory, S. G., & Levy-Gigi, E. (2021). You name it: Interpersonal affect labeling diminishes distress in romantic couples. Behavior Therapy, 52(2), 455-464.Lorenz, T., Algner, M. & Binder, B. (2022). A Positive Psychology Resource for Students? Evaluation of the Effectiveness of the 6 Minutes Diary in a Randomized Control Trial. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.896741Hofmann, K., Koch, S., Ulferts, C. & Plan International. (2023). SPANNUNGSFELD MÄNNLICHKEIT.

Emetophobia - an intense fear of vomiting and any thoughts or sensations associated with vomiting - is a more common struggle among anxious people than anyone might initial think. But Emetophobia can make its way into virtually every aspect of life, often resulting in a highly restricted lifestyle and a dramatic decrease in the ability to function.This week Dara Lovitz and Dr. David Yusko join Drew and Josh to talk about emetophobia. Dara suffered for over 30 years before finally overcoming emetophobia through exposure based treatment with Dr. Yusko. Now they're sharing this experience with others in need of help, which is pretty awesome.If your anxiety is driven by an intense fear of vomiting, this episode is absolutely worth a listen. ---Dara Lovitz is an attorney working for a legal nonprofit organization, adjunct professor of animal law at two law schools in the Philadelphia area, and an author. She is a recovered emetophobe and co-wrote her fourth book, Gag Reflections: Conquering a Fear of Vomit Through Exposure Therapy, with her therapist Dr. David Yusko. With Dr. Yusko, she also co-founded Emetophobia Institute, which is the premier online resource for individuals struggling with emetophobia as well as therapists of all experience levels who wish to learn how to help their clients conquer emetophobia.Dr. David Yusko is a licensed clinical psychologist in Pennsylvania and is the co-founder of the Center for Anxiety & Behavior Therapy. He received his Psy.D. in clinical psychology from the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. Upon completing his doctoral studies, Dr. Yusko joined The Center for the Treatment and Study of Anxiety (CTSA) at the University of Pennsylvania where his expertise in anxiety disorders broadly speaking was developed and refined. Under the mentorship of Dr. Edna Foa, Dr. Yusko focused his career on providing clients, and teaching other mental health professionals, evidence based treatments for anxiety related disorders (e.g. OCD, panic disorder, social phobia, PTSD, generalized anxiety disorder, and specific phobias).---Disordered Roundtables are here! Think of it as "Disordered Live", a way for members of our audience to spend time with us in an intimate virtual setting (attendance is limited) to engage in real time sharing and discussion on specific anxiety disorder and recovery topics. To be notified when new Disordered Roundtable sessions are scheduled,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠visit our homepage and get on our mailing list⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.---Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠-----Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast? Visit us on the web:⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠

In this conversation, Dr. Kasey Bedard discusses Prader-Willi Syndrome (PWS), focusing on its genetic basis, symptoms, and the importance of early intervention. She emphasizes the significance of dietary management, particularly in addressing hyperphagia, and explores behavioral challenges such as skin picking and emotional regulation. Dr. Bedard highlights the role of parent training programs and community support in managing PWS and the need for collaboration among medical providers. The discussion also touches on residential care strategies and the future of research and treatment for individuals with PWS. Continuing Education Credits (https://www.cbiconsultants.com/shop) BACB: 1.5 Learning IBAO:  1.5 Learning QABA: 1.5 General We also offer certificates of attendance! Follow us! Instagram: https://www.instagram.com/behaviourspeak/ Bluesky: https://bsky.app/profile/benreiman.bsky.social.bsky.social LinkedIn:  https://www.linkedin.com/in/behaviourspeak/ Contact: Dr. Kasey Bedard kasey@pwseducation.org https://www.pwseducation.org/ Links: Prader-Willi Association of America https://www.pwsausa.org/ Jennifer Miller - Pediatric Endocrinologist specializing in hyperphagia https://endo.pediatrics.med.ufl.edu/profile/miller-jennifer-6/ Mike Tan - Pediatric Dietitian https://www.linkedin.com/in/michaeladamtan/ Foundation for Prader Willi Research https://www.fpwr.org/ Articles Referenced: Bedard, K. E., Griffith, A. K., Ulm, D., Strittman, M., Krukowski, K., Eaton, A., Rone, A., & Cardon, T. (2025). Evaluating the Impact of PWS Smart-Start: A Behavior Analytic Caregiver Training Program for Prader-Willi Syndrome. Journal of Positive Behavior Interventions, 27(1), 26-38. https://doi.org/10.1177/10983007231200535 Bedard, K.E., Griffith, A.K. & Krukowski, K. Caregiver-Implemented Behavior Analytic Treatment Package for Skin Picking in PWS: A Pilot Study. Adv Neurodev Disord (2024). https://doi.org/10.1007/s41252-024-00393-2 Bedard, K.E., Pacha, D., Griffith, A.K., & Ward, S. (2024). Prader-Willi Syndrome: A primer for school psychologists, Children and Youth Services Review, Volume 163, https://doi.org/10.1016/j.childyouth.2024.107775 Bedard, K.E., Griffith, A.K., Lister, M.A. et al. Behavioral and Dietary Management for Adults with Prader–Willi Syndrome in a Residential Setting. Adv Neurodev Disord 5, 93–101 (2021). https://doi.org/10.1007/s41252-020-00185-4 Behaviour Speak Podcast Episodes On Other Genetic Syndromes Episode 6 Behavior Analysis and Down Syndrome with Nicole Neil https://www.behaviourspeak.com/e/episode-6-down-syndrome-and-behaviour-analysis-with-dr-nicole-neil-phd-bcba-d/ Episode 27 Val Saini shares some of his research on DiGeorge Syndrome https://www.behaviourspeak.com/e/episode-27-translational-research-digeorge-syndrome-and-a-little-dash-of-metacontingencies-with-valdeep-saini-phd-bcba-d/ Episode 39 Behavior Therapy for Tics and Tourette Syndrome with Douglas Woods https://www.behaviourspeak.com/e/episode-39-behaviour-therapy-for-tics-and-tourette-syndrome-with-douglas-woods-phd/  Episode 137 Behavior Analysis and Fragile X Syndrome with Katerina Monlux https://www.behaviourspeak.com/e/episode-137-fragile-x-syndrome-with-dr-katerina-monlux/    

Maranda Argiros, BCBA and Jenny Barcellona, BCBA provide Behavior Training and Support for Caregivers and Families which consists of Family Focused Treatments and Interventions that equip families with the tools they need to foster behavior change in their natural environment. In addition, they provide Behavior Consulting Services for schools, daycares, and other providers by implementing realistic strategies and techniques to increase skill acquisition while decreasing and managing challenging behaviors. What The Function also provides IEP Advocacy Services and BCBA supervision for students seeking certification. They work to expand the reach and increase public knowledge of how the science of Behavior Analysis is used to help individuals outside of what ABA is typically known for. Marand and Jenny are passionate about the success they have had in using Behavior Analysis across all environments regardless of age, socioeconomic status, and diagnoses.LINKSWe'd love to answer your questions on the podcast! Fill out this form - https://harkla.typeform.com/to/ItWxQNP3 All Things Sensory Podcast Instagram Harkla Website Harkla YouTubeHarkla InstagramWhat The Function Website

About two years ago, we released a podcast with Dr. Thomas Wadden of the University of Pennsylvania describing work on a new generation of medications to treat diabetes and obesity. They were really taking the field by storm. Since then, much more is known since many additional studies have been published and so many people have been using the drugs. So many, in fact, the market value of the Danish company, Novo Nordisk, one of the two major companies selling the drugs, has gone up. It is now greater than the entire budget of the country of Denmark. This single company is responsible for about half of Denmark's economic expansion this year. So, a lot of people are now taking the drugs and this is a great time for an update on the drugs. And we're fortunate to have two of the world's leading experts join us: Dr. Wadden, Professor of Psychology and Psychiatry at the University of Pennsylvania School of Medicine and the inaugural Albert J. Stunkard Professor of Psychiatry at Penn. Joining us as well as Dr. Robert Kushner, a physician and professor of medicine at Northwestern University and a pioneer in testing treatments for obesity. Interview Summary Tom, you and I were colleagues at Penn decades ago. And I got frustrated the treatments for obesity didn't work very well. People tended to regain the weight. And I turned my attention to prevention and policy. But you hung in there and I admired you for that patience and persistence. And Bob, the same for you. You worked on this tenacious problem for many years. But for both of you, your patience has been rewarded with what seems to me to be a seismic shift in the way obesity and diabetes can be treated. Tom, I'll begin with you. Is this as big of a deal as it seems to me? Well, I think it is as big of a deal as it seems to you. These medications have had a huge impact on improving the treatment of type 2 diabetes, but particularly the management of obesity. With older medications, patients lost about 7 percent of their starting weight. If you weighed 200 pounds, you'd lose about 15 pounds. That was also true of our best diet and exercise programs. You would lose about 7 percent on those programs with rigorous effort. But with the new medications, patients are now losing about 15 to 20 percent of their starting body weight at approximately one year. And that's a 30-to-40-pound loss for a person who started at 200 pounds. And with these larger weight losses, we get larger improvements in health in terms of complications of obesity. So, to quote a good friend of mine, Bob Kushner, these medications have been a real game changer. Thanks for putting that in perspective. I mean, we're talking about not just little incremental changes in what treatments can produce, which is what we've seen for years. But just orders of magnitude of change, which is really nice to see. So, Bob what are these medications that we're talking about? What are the names of the drugs and how do they work? Well, Kelly, this transformation of obesity really came about by finding the target that is really highly effective for obesity. It's called the gut brain axis. And when it comes to the gut it's starting off with a naturally occurring gut hormone called GLP 1. I think everyone in the country's heard of GLP 1. It's released after we eat, and it helps the pancreas produce insulin, slows the stomach release of food, and reduces appetite. And that's where the obesity story comes in. So pharmaceutical companies have taken this hormone and synthesized it, something similar to GLP 1. It mimics the action of GLP 1. So, you could actually take it and give it back and have it injected so it augments or highlights this hormonal effect. Now, that same process of mimicking a hormone is used for another gut hormone called GIP that also reduces appetite. These two hormones are the backbone of the currently available medication. There's two on the market. One is called Semaglutide. That's a GLP 1 analog. Trade name is Wegovy. Now, it's also marketed for diabetes. Tom talked about how it is used for diabetes and increases insulin. That trade name is Ozempic. That's also familiar with everyone around the country. The other one that combined GLP 1 and GIP, these two gut hormones, so it's a dual agonist, the trade name for obesity is called Zep Bound, and the same compound for diabetes is called Mounjaro. These are terms that are becoming familiar, I think, to everyone in the country. Tom mentioned some about the, how much weight people lose on these drugs, but what sort of medical changes occur? Just to reiterate what Tom said, I'll say it in another way. For Semaglutide one third of individuals are losing 20 percent of their body weight in these trials. For Tirzepatide, it even outpaces that. And I got a third of individuals losing a quarter of their body weight. These are unheard of weight losses. And with these weight losses and these independent effects from weight, what we're seeing in the trials and in the clinic is that blood pressure goes down, blood sugar goes down, blood fats like triglyceride go down, inflammation in the body goes down, because we marked that with CRP, as well as improvement in quality of life, which we'll probably get to. But really interesting stuff is coming out over the past year or two or so, that it is improving the function of people living with congestive heart failure, a particular form called a preserved ejection fraction. We're seeing improvements in sleep apnea. Think of all the people who are on these CPAP machines every night. We're seeing significant improvements in the symptoms of sleep apnea and the apneic events. And lastly, a SELECT trial came out, that's what it was called, came out last year. Which for the very first time, Kelly, found improvements in cardiovascular disease, like having a heart attack, stroke, or dying of cardiovascular disease in people living with obesity and already have cardiovascular disease. That's called secondary prevention. That, Tom, is the game changer. Bob, I'd like to go back to Tom in a minute but let me ask you one clarifying question about what you just said. That's a remarkable array of biological medical benefits from these drugs. Just incredible. And the question is, are they all attributable to the weight loss or is there something else going on? Like if somebody lost equal amounts of weight by some other means, would these same changes be occurring? Those studies are still going on. It's very good. We're thinking it's a dual effect. It's the profound amount of weight loss, as Tom said. Fifteen to 21 to even 25 percent of average body weight. That is driving a lot of the benefits. But there also appear to be additional effects or weight independent effects that are working outside of that weight. We're seeing improvements in kidney function, improvement in heart disease, blood clotting, inflammation. And those are likely due to the gut hormone effect independent of the weight itself. That still needs to be sorted out. That's called a mitigation analysis where we try to separate out the effects of these drugs. And that work is still underway. Tom, one of the most vexing problems, over the decades that people have been working on treatments for obesity, has been long term results. And I'm curious about how long have people been followed on these drugs now? What are the results? And what was the picture before then? How do what we see now compared to what you saw before? The study that Bob just mentioned, the SELECT trial followed people for four years on Semaglutide. And patients achieve their maximal weight loss at about one year and they lost 10 percent of their weight. And when they were followed up at four years still on treatment, they still maintained a 10 percent weight loss. That 10 percent is smaller than in most of the trials, where it was a 15 percent loss. But Dr. Tim Garvey showed that his patients in a smaller trial lost about 15 percent at one year and while still on medication kept off the full 15 percent. I think part of the reason the weight loss in SELECT were smaller is because the study enrolled a lot of men. Men are losing less weight on this medication than women. But to your question about how these results compare to the results of earlier treatment, well with behavioral treatment, diet, and exercise back in the 70s beyond, people lost this 7 or 8 percent of weight. And then most people on average regain their weight over one to three years. And the same was true of medication. People often stopped these earlier medications after 6 to 12 months, in part because they're frustrated the losses weren't larger. Some people were also worried about the side effects. But the long and short is once you stop taking the medication, people would tend to regain their weight. And some of this weight regain may be attributable to people returning to their prior eating and activity habits. But one of the things we've learned over the past 20 years is that part of the weight regain seems to be attributable to changes in the body's metabolism. And you know that when you lose weight, you're resting metabolic rate, which is the number of calories your body burns at rest to maintain basic bodily functions. Your resting metabolic rate decreases by 10 to 15 percent. But also, your energy expenditure, the calories you burn during exercise decreases. And that may decrease by as much as 20 to 30 percent. So, people are left having to really watch their calories very carefully because of their lower calorie requirements in order to keep off their lost body weight. I think one thing these new drugs may do is to attenuate the drop both in resting metabolic rate and energy expenditure during physical activity. But the long and short of it is that if you stay on these new medications long term, you'll keep off your body weight. And you'll probably keep it off primarily because of improvements in your appetite, so you have less hunger. And as a result, you're eating less food. I'd like to come back to that in a minute. But let me ask a question. If a person loses weight, and then their body starts putting biological pressure on them to regain, how come? You know, it's disadvantageous for their survival and their health to have the excess weight. Why would the body do that? Well, our bodies evolved in an environment of food scarcity, and our physiology evolved to protect us against starvation. First, by allowing us to store body fat, a source of energy when food is not available. And second, the body's capacity to lower its metabolism, or the rate at which calories are burned to maintain these basic functions like body temperature and heart rate. That provided protection against food scarcity. But Kelly, you have described better than anybody else that these ancient genes that regulate energy expenditure and metabolism are now a terrible mismatch for an environment in which food is plentiful, high in calories, and available 24 by 7. The body evolved to protect us from starvation, but not from eating past our calorie needs. And so, it's this mismatch between our evolution and our appetite and our body regulation in the current, what you have called toxic food environment, when you can eat just all the time. I guess you could think about humans evolving over thousands of years and biology adapting to circumstances where food was uncertain and unpredictable. But this modern environment has happened really pretty rapidly and maybe evolution just hasn't had a chance to catch up. We're still existing with those ancient genes that are disadvantageous in this kind of environment. Bob back to the drugs. What are the side effects of the drugs? Kelly, they're primarily gastrointestinal. These are symptoms like nausea, diarrhea, constipation, heartburn, and vomiting. Not great, but they're generally considered mild to moderate, and temporary. And they primarily occur early during the first four to five months when the medications are slowly dose escalated. And we've learned, most importantly, how to mitigate or reduce those side effects to help people stay on the drug. Examples would be your prescriber would slow the dose escalation. So. if you're having some nausea at a particular dose, we wait another month or two. The other, very importantly, is we have found that diet significantly impacts these side effects. When we counsel patients on these medications, along with that comes recommendations for dietary changes, such as reducing fatty food and greasy food. Reducing the amount of food you're consuming. Planning your meals in advance. Keeping well hydrated. And very importantly, do not go out for a celebration or go out to meals on the day that you inject or at least the first two days. Because you're not going to tolerate the drug very well. We use that therapeutically. So, if you want to get control on the weekends, you may want to take your injection on a Friday. However, if weekends are your time out with friends and you want to socialize, don't take it on a Friday. Same thing comes with a personal trainer, by the way. If you're going to have a personal trainer on a Monday where he's going to overwork you, don't take the injection the day before. You'll likely be nauseated, you're not eating, you're not hydrating. So actually, there's a lot that goes into not only when to take the dose and how to take the dose, but how to take it to the best ability to tolerate it. Two questions based on what you said. One is you talked about these are possible side effects, but how common are they? I mean, how many people suffer from these? Well, the trials show about 25 to 45 percent or so of individuals actually say they have these symptoms. And again, we ask them mild, moderate, severe. Most of them are mild to moderate. Some of them linger. However, they really do peak during the dose escalation. So, working with your prescriber during that period of time closely, keeping contact with them on how to reduce those side effects and how you're doing out of medication is extremely important. And the second thing I wanted to ask related to that is I've heard that there's a rare but serious potential side effect around the issue of stomach paralysis. Can you tell us something about that? I mentioned earlier, Kelly, that these medications slow gastric emptying. That's pretty much in everybody. In some individuals who may be predisposed to this, they develop something called ileus, and that's the medical term for gastric paralysis. And that can happen in individuals, let's say who have a scleroderma, who have longstanding diabetes or other gastrointestinal problems where the stomach really stopped peristalsis. In other words, it's moving. That's typically presented by vomiting and really unable to move the food along. We really haven't seen much of that. We looked at the safety data in a SELECT trial that Tom mentioned, which was 17,000 individuals, about 8,000 or so in each group. We really did not see a significant increase in the ileus or what you're talking about in that patient population. Okay, thanks. Tom had alluded to this before, Bob, but I wanted to ask you. How do you think about these medicines? If somebody takes them, and then they stop using the medicines and they gain the weight back. Is that a sign that the medicine works or doesn't work? And is this the kind of a chronic use drug like you might take for blood pressure or cholesterol? That's a great way of setting up for that. And I like to frame it thinking of it as a chronic progressive disease, just like diabetes or hypertension. We know that when you have those conditions, asthma could be another one or inflammatory bowel disease, where you really take a medication long term to keep the disease or condition under control. And we are currently thinking of obesity as a chronic disease with dysfunctional appetite and fat that is deposited in other organs, causing medical problems and so on. If you think of it as a chronic disease, you would naturally start thinking of it, like others, that medication is used long term. However, obesity appeared to be different. And working with patients, they still have this sense 'that's my fault, I know I can do it, I don't want to be on medication for the rest of my life for this.' So, we have our work cut out for us. One thing I can say from the trials, and Tom knows this because he was involved in them. If we suddenly stop the medication, that's how these trials were definitely done, either blindly or not blindly, you suddenly stop the medication, most, if not all of the participants in these trials start to regain weight. However, in a clinical practice, that is not how we work. We don't stop medication suddenly with patients. We go slowly. We down dose the medication. We may change to another medication. We may use intermittent therapy. So that is work that's currently under development. We don't know exactly how to counsel patients regarding long term use of the medications. I think we need to double down on lifestyle modification and counseling that I'm sure Tom is going to get into. This is really work ahead of us, how to maintain medication, who needs to be on it long term, and how do we actually manage patients. Tom, you're the leading expert in the world on lifestyle change in the context of obesity management. I mean, thinking about what people do with their diet, their physical activity, what kind of thinking they have related to the weight loss. And you talked about that just a moment ago. Why can't one just count on the drugs to do their magic and not have to worry about these things? Well, first, I think you can count on the drugs to do a large part of the magic. And you may be surprised to hear me say that. But with our former behavioral treatments of diet and exercise, we spent a lot of time trying to help people identify how many calories they were consuming. And they did that by recording their food intake either in paper and pencil or with an app. And the whole focus of treatment was trying to help people achieve a 500 calorie a day deficit. That took a lot of work. These medications, just by virtue of turning down your appetite and turning down your responsiveness to the food environment, take away the need for a lot of that work, which is a real blessing. But the question that comes up is, okay, people are eating less food. But what are they eating? Do these medications help you eat a healthier diet with more fruits and vegetables, with lean protein? Do you migrate from a high fat, high sugar diet to a Mediterranean diet, or to a DASH like diet? And the answer is, we don't know. But obviously you would like people to migrate to a diet that's going to be healthier for you from a cardiovascular standpoint, from a cancer risk reduction standpoint. One of the principal things that people need to do on these medications is to make sure they get plenty of protein. And so, guidance is that you should have about 1 gram of dietary protein for every kilogram of body weight. If you're somebody who weighs 100 kilograms, you should get 100 grams of protein. And what you're doing is giving people a lot of dietary protein to prevent the loss of bodily protein during rapid weight loss. You did a [00:20:00] lot of research with me back in the 80s on very low-calorie diets, and that was the underpinning of treatment. Give people a lot of dietary protein, prevent the loss of bodily protein. The other side of the equation is just physical activity, and it's a very good question about whether these medications and the weight loss they induce will help people be more physically active. I think that they will. Nonetheless for most people, you need to plan an activity schedule where you adopt new activities, whether it's walking more or going to the gym. And one thing that could be particularly helpful is strength training, because strength training could mitigate some of the loss of muscle mass, which is likely to occur with these medications. So, there's still plenty to learn about what is the optimal lifestyle program, but I think people, if they want to be at optimal health will increase their physical activity and eat a diet of fruits and vegetables, leaner protein, and less ultra processed foods. Well, isn't it true that eating a healthy diet and being physically active have benefits beyond their impact on your ability to lose the weight? You're getting kind of this wonderful double benefit, aren't you? I believe that is true. I think you're going to find that there are independent benefits of being physical activity upon your cardiovascular health. There are independent benefits of the food that you're eating in terms of reducing the risk of heart attack and of cancer, which has become such a hot topic. So, yes how you exercise and what you eat makes a difference, even if you're losing weight. Well, plus there's probably the triple one, if you will, from the psychological benefit of doing those things, that you do those things, you feel virtuous, that helps you adhere better as you go forward, and these things all come together in a nice picture when they're working. Tom, let's talk more about the psychology of these things. You being a psychologist, you've spent a lot of time doing research on this topic. And of course, you've got a lot of clinical experience with people. So as people are losing weight and using these drugs, what do they experience? And I'm thinking particularly about a study you published recently, and Bob was a coauthor on that study that addressed mental health outcomes. What do people experience and what did you find in that study? I think the first things people experience is improvements in their physical function. That you do find as you've lost weight that you've got less pain in your knees, you've got more energy, it's easier to get up the stairs, it's easier to play with the children or the grandchildren. That goes a long way toward making people feel better in terms of their self-efficacy, their agency in the life. Big, big improvement there. And then, unquestionably, people when they're losing a lot of weight tend to feel better about their appearance in some cases. They're happy that they can buy what they consider to be more fashionable clothes. They get compliments from friends. So, all of those things are positive. I'm not sure that weight loss is going to change your personality per se, or change your temperament, but it is going to give you these physical benefits and some psychological benefits with it. We were happy to find in the study you mentioned that was conducted with Bob that when people are taking these medications, they don't appear to be at an increased risk of developing symptoms of depression or symptoms of suicidal ideation. There were some initial reports of concern about that, but the analysis of the randomized trials that we conducted on Semaglutide show that there is no greater likelihood of developing depression or sadness or suicidal ideation on the medication versus the placebo. And then the FDA and the European Medicines Agency have done a full review of all post marketing reports. So, reports coming from doctors and the experience with their patients. And in looking at those data the FDA and the European Medicines Agency have said, we don't find a causal link between these medications and suicidal ideation. With that said, it's still important that if you're somebody who's taking these medications and you start them, and all of a sudden you do feel depressed, or all of a sudden you do have thoughts like, maybe I'd be better off if I weren't alive any longer, you need to talk to your primary care doctor immediately. Because it is always possible somebody's having an idiosyncratic reaction to these medications. It's just as possible the person would have that reaction without being on a medication. You know, that, that can happen. People with overweight and obesity are at higher risk of depression and anxiety disorders. So, it's always going to be hard to tease apart what are the effects of a new medication versus what are just the effects of weight, excess weight, on your mood and wellbeing. You know, you made me think of something as you were just speaking. Some people may experience negative effects during weight loss, but overall, the effects are highly positive and people are feeling good about themselves. They're able to do more things. They fit in better clothes. They're getting good feedback from their environment and people they know. And then, of course, there's all the medical benefit that makes people feel better, both psychologically and physically. Yet there's still such a strong tendency for people to regain weight after they've lost. And it just reinforces the fact that, the point that you made earlier, that there are biological processes at work that govern weight and tendency to regain. And there really is no shame in taking the drug. I mean, if you have high blood pressure, there's no shame in taking the drug. Or high cholesterol or anything else, because there's a biological process going on that puts you at risk. The same thing occurs here, so I hope the de-shaming, obesity in the first place, and diabetes, of course, and then the use of these medications in particular might help more people get the benefits that is available for them. I recommend that people think about their weight as a biologically regulated event. Very much like your body temperature is a biologically regulated event, as is your blood pressure and your heart rate. And I will ask people to realize that there are genetic contributors to your body weight. just as there are to your height. If somebody says, I just feel so bad about being overweight I'll just talk with them about their family history of weight and see that it runs in the family. Then I'll talk to them about their height. Do you feel bad about being six feet tall, to a male? No, that's fine. Well, that that's not based upon your willpower. That's based upon your genes, which you received. And so, your weight, it's similarly based. And if we can use medications to help control weight, cholesterol, blood pressure, blood sugar, let's do that. It's just we live in a time where we're fortunate to have the ability to add medications to help people control health complications including weight. Bob, there are several of the drugs available. How does one think about picking between them? Well, you know, in an ideal medical encounter, the prescriber is going to take into consideration all the factors of prescribing a medication, like any other medication, diabetes, hypertension, you name the condition. Those are things like contraindication to use. What other medical problems does the patient have that may benefit the patient. Patient preferences, of course and side effects, safety, allergies, and then we have cost. And I'll tell you, Kelly, because of our current environment, it's this last factor, cost, that's the most dominant factor when it comes to prescribing medication. I'll have a patient walk in my room, I'll look at the electronic medical record, body mass index, medical problems. I already know in my head what is going to be the most effective medication. That's what we're talking about today. Unfortunately, I then look at the patient insurance, which is also on the electronic medical record, and I see something like Medicaid or Medicare. I already know that it's not going to be covered. It is really quite unfortunate but ideally all these factors go into consideration. Patients often come in and say, I've heard about Ozempic am I a candidate for it, when can I get it? And unfortunately, it's not that simple, of course. And those are types of decisions the prescriber goes through in order to come to a decision, called shared decision making with the patient. Bob, when I asked you the initial question about these drugs, you were mentioning the trade name drugs like Mounjaro and Ozempic and those are made by basically two big pharmaceutical companies, Novo Nordisk and Eli Lilly. But there are compounded versions of these that have hit the scene. Can you explain what that means and what are your thoughts about the use of those medications? So compounding is actually pretty commonly done. It's been approved by the FDA for quite some time. I think most people are familiar with the idea of compounding pharmacies when you have a child that must take a tablet in a liquid form. The pharmacy may compound it to adapt to the child. Or you have an allergy to an ingredient so the pharmacy will compound that same active ingredient so you can take it safely. It's been approved for long periods of time. Anytime a drug is deemed in shortage by the FDA, but in high need by the public, compounding of that trade drug is allowed. And that's exactly what happened with both Semaglutide and Tirzepatide. And of course, that led to this compounding frenzy across the country with telehealth partnering up with different compounding pharmacies. It's basically making this active ingredient. They get a recipe elsewhere, they don't get it from the company, they get this recipe and then they make the drug or compound it themselves, and then they can sell it at a lower cost. I think it's been helpful for people to get the drug at a lower cost. However, buyer beware, because not all compounded pharmacies are the same. The FDA does not closely regulate these compounded pharmacies regarding quality assurance, best practice, and so forth. You have to know where that drug is coming from. Kelly, it's worth noting that just last week, ZepBound and Mounjaro came off the shortage list. You no longer can compound that and I just read in the New York Times today or yesterday that the industry that supports compounding pharmacies is suing the FDA to allow them to continue to compound it. I'm not sure where that's going to go. I mean, Eli Lilly has made this drug. However, Wegovy still is in shortage and that one is still allowed to be compounded. Let's talk a little bit more about costs because this is such a big determinant of whether people use the drugs or not. Bob, you mentioned the high cost, but Tom, how much do the drugs cost and is there any way of predicting what Bob just mentioned with the FDA? If the compounded versions can't be used because there's no longer a shortage, will that decrease pressure on the companies to keep the main drug less expensive. I mean, how do you think that'll all work out? But I guess my main question is how much these things cost and what's covered by insurance? Well first how much do the drugs cost? They cost too much. Semaglutide, known in retail as Wegovy, is $1,300 a month if you do not have insurance that covers it. I believe that Tirzepatide, known as ZepBound, is about $1,000 a month if you don't have insurance that covers that. Both these drugs sometimes have coupons that bring the price down. But still, if you're going to be looking at out of pocket costs of $600 or $700 or $800 a month. Very few people can afford that. The people who most need these medications are people often who are coming from lower incomes. So, in terms of just the future of having these medications be affordable to people, I would hope we're going to see that insurance companies are going to cover them more frequently. I'm really waiting to see if Medicare is going to set the example and say, yes, we will cover these medications for anybody with a BMI of 40 or a BMI of 35 with comorbidities. At this point, Medicare says, we will only pay for this drug if you have a history of heart attack and stroke, because we know the drug is going to improve your life expectancy. But if you don't have that history, you don't qualify. I hope we'll see that. Medicaid actually does cover these medications in some states. It's a state-by-state variation. Short of that, I think we're going to have to have studies showing that people are on these medications for a long time, I mean, three to five years probably will be the window, that they do have a reduction in the expenses for other health expenditures. And as a result, insurers will see, yes, it makes sense to treat excess weight because I can save on the cost of type 2 diabetes or sleep apnea and the like. Some early studies I think that you brought to my attention say the drugs are not cost neutral in the short-term basis of one to two years. I think you're going to have to look longer term. Then I think that there should be competition in the marketplace. As more drugs come online, the drug prices should come down because more will be available. There'll be greater production. Semaglutide, the first drug was $1,300. Zepbound, the second drug Tirzepatide, $1,000. Maybe the third drug will be $800. Maybe the fourth will be $500. And they'll put pressure on each other. But I don't know that to be a fact. That's just my hope. Neither of you as an economist or, nor do you work with the companies that we're talking about. But you mentioned that the high cost puts them out of reach for almost everybody. Why does it make sense for the companies to charge so much then? I mean, wouldn't it make sense to cut the price in half or by two thirds? And then so many more people would use them that the company would up ahead in the long run. Explain that to me. That's what you would think, for sure. And I think that what's happened right now is that is a shortage of these drugs. They cannot produce enough of them. Part of that is the manufacturing of the injector pens that are used to dispense the drug to yourself. I know that Novo Nordisk is building more factories to address this. I assume that Lilly will do the same thing. I hope that over time we will have a larger supply that will allow more people to get on the medication and I hope that the price would come down. Of course, in the U. S. we pay the highest drug prices in the world. Fortunately, given some of the legislation passed, Medicare will be able to negotiate the prices of some of these drugs now. And I think they will negotiate on these drugs, and that would bring prices down across the board. Boy, you know, the companies have to make some pretty interesting decisions, don't they? Because you've alluded to the fact that there are new drugs coming down the road. I'm assuming some of those might be developed and made by companies other than the two that we're talking about. So, so investing in a whole new plant to make more of these things when you've got these competitor drugs coming down the road are some interesting business issues. And that's not really the topic of what we're going to talk about, but it leads to my final question that I wanted to ask both of you. What do you think the future will bring? And what do you see in terms of the pipeline? What will people be doing a year from now or 2 or 5? And, you know, it's hard to have a crystal ball with this, but you two have been, you know, really pioneers and experts on this for many years. You better than anybody probably can answer this question. Bob, let me start with you. What do you think the future will bring? Well, Kelly, I previously mentioned that we finally have this new therapeutic target called the gut brain axis that we didn't know about. And that has really ushered in a whole new range of potential medications. And we're really only at the beginning of this transformation. So not only do we have this GLP 1 and GIP, we have other gut hormones that are also effective not only for weight loss, but other beneficial effects in the body, which will become household names, probably called amylin and glucagon that joins GLP 1. And we not only have these monotherapies like GLP 1 alone, we are now getting triagonists. So, we've got GIP, GLP 1, and glucagon together, which is even amplifying the effect even further. We are also developing oral forms of GLP 1 that in the future you could presumably take a tablet once a day, which will also help bring the cost down significantly and make it more available for individuals. We also have a new generation of medications being developed which is muscle sparing. Tom talked about the importance of being strong and physical function. And with the loss of lean body mass, which occurs with any time you lose weight, you can also lose muscle mass. There's drugs that are also going in that direction. But lastly, let me mention, Kelly, I spend a lot of my time in education. I think the exciting breakthroughs will not be meaningful to the patient unless the professional, the provider and the patient are able to have a nonjudgmental informative discussion during the encounter without stigma, without bias. Talk about the continuum of care available for you, someone living with obesity, and get the medications to the patient. Without that, medications over really sit on the shelf. And we have a lot of more work to do in that area. You know, among the many reasons I admire the both of you is that you've, you've paid a lot of attention to that issue that you just mentioned. You know, what it's like to live with obesity and what people are experiencing and how the stigma and the discrimination can just have devastating consequences. The fact that you're sensitive to those issues and that you're pushing to de-stigmatize these conditions among the general public, but also health care professionals, is really going to be a valuable advance. Thank you for that sensitivity. Tom, what do you think? If you appear into the crystal ball? What does it look like? I would have to agree with Bob that we're going to have so many different medications that we will be able to combine together that we're going to see that it's more than possible to achieve weight losses of 25 to 30 percent of initial body weight. Which is just astonishing to think that pharmaceuticals will be able to achieve what you achieve now with bariatric surgery. I think that it's just, just an extraordinary development. Just so pleased to be able to participate in the development of these drugs at this stage of career. I still see a concern, though, about the stigmatization of weight loss medications. I think we're going to need an enormous dose of medical education to help doctors realize that obesity is a disease. It's a different disease than some of the illnesses that you treat because, yes, it is so influenced by the environment. And if we could change the environment, as you've argued so eloquently, we could control a lot of the cases of overweight and obesity. But we've been unable to control the environment. Now we're taking a course that we have medications to control it. And so, let's use those medications just as we use medications to treat diabetes. We could control diabetes if the food environment was better. A lot of medical education to get doctors on board to say, yes, this is a disease that deserves to be treated with medication they will share that with their patients. They will reassure their patients that the drugs are safe. And that they're going to be safe long term for you to take. And then I hope that society as a whole will pick up that message that, yes, obesity and overweight are diseases that deserve to be treated the same way we treat other chronic illnesses. That's a tall order, but I think we're moving in that direction. BIOS Robert Kushner is Professor of Medicine and Medical Education at Northwestern University Feinberg School of Medicine, and Director of the Center for Lifestyle Medicine in Chicago, IL, USA. After finishing a residency in Internal Medicine at Northwestern University, he went on to complete a post-graduate fellowship in Clinical Nutrition and earned a Master's degree in Clinical Nutrition and Nutritional Biology from the University of Chicago. Dr. Kushner is past-President of The Obesity Society (TOS), the American Society for Parenteral and Enteral Nutrition (ASPEN), the American Board of Physician Nutrition Specialists (ABPNS), past-Chair of the American Board of Obesity Medicine (ABOM), and Co-Editor of Current Obesity Reports. He was awarded the ‘2016 Clinician-of-the-Year Award' by The Obesity Society and John X. Thomas Best Teachers of Feinberg Award at Northwestern University Feinberg School of Medicine in 2017. Dr. Kushner has authored over 250 original articles, reviews, books and book chapters covering medical nutrition, medical nutrition education, and obesity, and is an internationally recognized expert on the care of patients who are overweight or obese. He is author/editor of multiple books including Dr. Kushner's Personality Type Diet (St. Martin's Griffin Press, 2003; iuniverse, 2008), Fitness Unleashed (Three Rivers Press, 2006), Counseling Overweight Adults: The Lifestyle Patterns Approach and Tool Kit (Academy of Nutrition and Dietetics, 2009) and editor of the American Medical Association's (AMA) Assessment and Management of Adult Obesity: A Primer for Physicians (2003). Current books include Practical Manual of Clinical Obesity (Wiley-Blackwell, 2013), Treatment of the Obese Patient, 2nd Edition (Springer, 2014), Nutrition and Bariatric Surgery (CRC Press, 2015), Lifestyle Medicine: A Manual for Clinical Practice (Springer, 2016), and Obesity Medicine, Medical Clinics of North America (Elsevier, 2018). He is author of the upcoming book, Six Factors to Fit: Weight Loss that Works for You! (Academy of Nutrition and Dietetics, December, 2019). Thomas A. Wadden is a clinical psychologist and educator who is known for his research on the treatment of obesity by methods that include lifestyle modification, pharmacotherapy, and bariatric surgery. He is the Albert J. Stunkard Professor of Psychology in Psychiatry at the Perelman School of Medicine at the University of Pennsylvania and former director of the university's Center for Weight and Eating Disorders. He also is visiting professor of psychology at Haverford College. Wadden has published more than 550 peer-reviewed scientific papers and abstracts, as well as 7 edited books. Over the course of his career, he has served on expert panels for the National Institutes of Health, the Federal Trade Commission, the Department of Veterans Affairs, and the U.S. House of Representatives. His research has been recognized by awards from several organizations including the Association for the Advancement of Behavior Therapy and The Obesity Society. Wadden is a fellow of the Academy of Behavioral Medicine Research, the College of Physicians of Philadelphia, the Obesity Society, and Society of Behavioral Medicine. In 2015, the Obesity Society created the Thomas A. Wadden Award for Distinguished Mentorship, recognizing his education of scientists and practitioners in the field of obesity.

Special Guest: Robin W. Thorburn ADHP (NC) MNRHP FNSHP UKCP (H) -- An experienced Hypno-psychotherapist with 31 years’ experience Points Conjoining Rational Emotive Behavior Therapy with Hypnotherapy How hypnotherapy is a powerful tool to help you overcome your problems and access your full potential Biography Robin W. Thorburn ADHP (NC) MNRHP FNSHP UKCP (H) is an experienced Hypno-psychotherapist with 31 years’ experience. He has successfully conducted over 17,000 therapy sessions. He owns the longest full-time Hypno-psychotherapy practice in Edinburgh. Robin works with the originator of Cognitive Therapy’s wife Dr. Debbie Joffe Ellis. Robin has literally helped thousands of clients who have experienced debilitating panic attacks, phobias, anxiety, stress/insomnia, low self-confidence/esteem/self-worth, unexplained infertility, depression, imposter syndrome, public speaking and blushing, irritable bowel syndrome, pain control, sports psychology and enhancement of business performance. He is also remarkably successful working with people who wish to stop smoking/Vaping, improve weight loss or require life coaching, Sexual and relationship problems are also helped with as is Bereavement. My hypnotherapy in Edinburgh is a natural, safe and powerful tool to help you overcome your problems and access your full potential. robin@exclusivehypnotherapy.co.uk Websites https://www.exclusivehypnotherapy.co.uk/ https://www.ellisrebt.co.uk Brought to you by the J.C. Cooley Foundation, "Equipping the Youth of Today for the Challenges of Tomorrow."#ItsYourLife #Talkshow #Podcast #Radio # exclusivehypnotherapy.co.ukSupport the show: http://www.cooleyfoundation.org/See omnystudio.com/listener for privacy information.

Send in a question or comment via text.Want to know more about Rational Emotive Behavior Therapy (REBT) and how it might be applied in your situation? Join us this week for insights from the world-renowned therapist Dr. Debbie Joffe-Ellis as she guides us through the origins, core concepts, and application of REBT.  Discover how this pioneering cognitive behavioral approach can help you reshape your perceptions and beliefs, offering a path to recovery from anxiety disorders like panic disorder, agoraphobia, OCD, and generalized anxiety disorder (GAD). With Dr. Debbie's expert guidance, we explore how understanding that our beliefs—not circumstances—drive our emotions can lead to profound personal change.By challenging rigid language and embracing mindful word choices, you can create a more flexible mindset. Alongside parallels to philosophical wisdom from Stoicism and Taoism, we humorously address the challenges of relapse and persistence, offering practical strategies for maintaining progress.Taking control of your emotional well-being starts with self-compassion and acceptance. We're looking crucial role of managing secondary emotions and practicing unconditional self-acceptance, while acknowledging the role that medication may play for some individuals. Dr. Debbie inspires us to be kinder to ourselves, akin to the compassion we extend to others. For more on REBT and Dr. Debbie Joffe-Ellis:https://debbiejoffeellis.com/For full show notes on this episode:https://theanxioustruth.com/306Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee. Other ways to support my work like buying a book or signing up for a low cost workshop can be found on my website. None of this is never required, but always appreciated! Interested in doing therapy with me? For more information on working with me directly to overcome your anxiety, follow this link.Disclaimer: The Anxious Truth is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Rational emotive behavior therapy (REBT) is an evidence-based therapy that can help kids overcome anxiety, depression, guilt, and a variety self-defeating thoughts and behaviors. My guest today to explain REBT is the legendary therapist Debbie Joffe Ellis. Among other things, Deb is a licensed mental health counselor, an adjunct professor at Columbia University (where she teaches Rational Emotive Behavior Therapy and Comparative Psychotherapies), and the author of second edition of the book Rational Emotive Behavior Therapy. More information about Deb is at talkingaboutkids.com

In this episode, I speak with Dr. Walter Matweychuk. Dr. Matweychuk is a practicing psychologist in the Department of Psychiatry at the University of Pennsylvania Health System, and has an independent telehealth practice in Manhattan with clients worldwide. He is also an adjunct professor of Applied Psychology at New York University. He has personally worked with both of the two main pioneers of cognitive-behavioral therapy: Albert Ellis and Aaron T. Beck. He is the author of several books on Rational Emotive Behaviour Therapy (REBT), including Rational Emotive Behaviour Therapy: A Newcomer's Guide and The REBT Pocket Companion for Clients.Every Saturday at 9 AM in New York City on Zoom, he does a demonstration of REBT with a volunteer willing to discuss a real problem, which has now surpassed 218 consecutive weeks; go to his website REBTDoctor.com to register for the link.Stoicism: Philosophy as a Way of Life is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Highlights* What is Rational Emotive Behaviour Therapy?* Why he chose to focus on REBT rather than Beck's cognitive therapy* Mindfulness and acceptance based approaches in relation to REBT* What's the future of REBT?* The key similarities are between Stoicism and REBT* The REBT model of anger* What would a philosophy of life based on REBT look like?  Links* REBTdoctor.com* The REBT Pocket Companion for Clients* Rational Emotive Behaviour Therapy: A Newcomer's GuideThanks for reading Stoicism: Philosophy as a Way of Life! This post is public so feel free to share it. Get full access to Stoicism: Philosophy as a Way of Life at donaldrobertson.substack.com/subscribe

Vi mennesker har mange ulike følelser. Noen av dem er vanskelige for oss å håndtere. Unified Protocol (UP) er en transdiagnostisk behandlingsmetode som forsøker å hjelpe personer med å håndtere følelsene sine på en bedre måte. En grunntanke her er at det ikke er følelsene i seg selv som utgjør problemet, men hvordan personen forholder seg til og handler på dem. UP er utviklet for å behandle emosjonelle lidelser som angst, depresjon og relaterte tilstander. I dagens episode har vi besøk av førsteamanuensis og psykologspesialist Jon Vøllestad ved Universitetet i Bergen. Han forteller oss om behandlingsmetoden. Noe av det man lærer i UP er å tillate egne følelsesreaksjoner, la seg informere av dem og ikke lenger å snevre inn sitt eget opplevelses- og handlingsrom gjennom flukt og unngåelse. Behandlingen består av åtte moduler som gir ulike kjerneferdigheter for å håndtere intense og vanskelige følelser. https://psykologtidsskriftet.no/vitenskapelig-artikkel-teoretisk-artikkel/2023/12/unified-protocol Farchione, T. J., Long, L. J., Spencer-Laitt, D., Moreno, J., & Barlow, D. H. (2024). State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Behavior Therapy.

Feeling like you're failing with your horse's training? You're not alone, and we're here to help. We explore the science behind habits, discuss the importance of consistent routines for both horses and their owners, and provide practical tips to overcome common barriers to habit formation. With insights from key research and real-life success stories, we'll guide you through setting realistic goals, tracking progress, and staying motivated.Plus, we answer listener questions about training routines, improving behaviour, and maintaining positive habits.  (Email

Matt is out this week so it's just myself and Dr. Spiker. We talk Capulet Fest's idiot meltdown and the Axis reunion, as well as reminisce about being members of said band who played the same instrument at different times.On this week's Right Profile:wattsTombflowerLast DefeatEpisode Links:Get your Night Shift Party Weekend 3 pass! Check Us Out:PatreonSixth and Center PublishingMusical Attribution:Licensed through NEOSounds.“5 O'Clock Shadow,” “America On the Move,” “Baby You Miss Me,” “Big Fat Gypsy,” “Bubble Up,” “C'est Chaud,” “East River Blues,” “The Gold Rush,” “Gypsy Fiddle Jazz,” “Here Comes That Jazz,” “I Wish I Could Charleston,” “I Told You,” “It Feels Like Love To Me,” “Little Tramp,” “Mornington Crescent,” “No Takeaways.”

In this episode, Christina Robillard talks about how self-criticism can lead to increases in self-injury urges within the next two hours as well as the relationship between self-criticism and disordered eating. She explains how she and her team use ecological momentary assessment (EMA; see Season 1, Episode 11 with Dr. Glenn Kiekens) to assess self-criticism in real time.Connect with Christina on LinkedIn here. See Christina's academic page at the University of Victoria here and her Google Scholar page here. Below are links to some of her papers as well as one about self-criticism and pain:Robillard, C. L., Merrin, G. J., Legg, N. K., Ames, M. E., & Turner, B. J. (2024). Different self-damaging behaviours, similar motives? Testing measurement invariance of motives for nonsuicidal self-injury, disordered eating and substance misuse. British Journal of Clinical Psychology. Advance online publication.Robillard, C. L., Legg, N. K., Ames, M. E.,  & Turner, B. J. (2022). Support for a transdiagnostic motivational model of self-damaging behaviors: Comparing the salience of motives for binge drinking, disordered eating, and nonsuicidal self-injury. Behavior Therapy, 53(6), 1219-1232.Robillard, C. L., Chapman, A. L., & Turner, B. J. (2022). Learning from experience: Within- and between-person associations of the consequences, frequency, and versatility of nonsuicidal self-injury. Suicide and Life-Threatening Behavior, 52(5), 836-847.Robillard, C. L., Turner, B. J., Ames, M. E., & Craig, S. G. (2021). Deliberate self-harm in adolescents during COVID-19: The roles of pandemic-related stress, emotion regulation difficulties, and social distancing. Psychiatry Research, 304, 114152.Fox, K. R., O'Sullivan, I. M., Wang, S. B., & Hooley, J. M. (2019). Self-criticism impacts emotional responses to pain. Behavior Therapy, 50(2), 410-420.Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot  and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."If you or someone you know should be interviewed on the podcast, we want to know! Please fill out this form, and we will be in touch with more details if it's a good fit.

Faust, D., & Meehl, P. E. (1992). Using scientific methods to resolve questions in the history and philosophy of science: Some illustrations. Behavior Therapy, 23(2), 195–211. https://doi.org/10.1016/S0005-7894(05)80381-8

Video lectures: https://meehl.umn.edu/video  Faust, D., & Meehl, P. E. (1992). Using scientific methods to resolve questions in the history and philosophy of science: Some illustrations. Behavior Therapy, 23(2), 195–211. https://doi.org/10.1016/S0005-7894(05)80381-8 Serlin, R. C., & Lapsley, D. K. (1985). Rationality in psychological research: The good-enough principle. American Psychologist, 40(1), 73–83. https://doi.org/10.1037/0003-066X.40.1.73 Meehl, P. E. (1990). Appraising and amending theories: The strategy of Lakatosian defense and two principles that warrant it. Psychological Inquiry, 1(2), 108–141. https://doi.org/10.1207/s15327965pli0102_1 Meehl, P. E. (1992). Cliometric metatheory: The actuarial approach to empirical, history-based philosophy of science. Psychological Reports, 71, 339–467.

Dr. Monnica Williams is a professor at the University of Ottawa, where she holds the Canada Research Chair in mental health disparities. Her research is focused on mental health, race, racism and novel approaches to treatment. In this conversation, she is sharing about her research and tips for healing racial trauma based on the latest research.She also offers a call to action for players in the psychedelic space to improve diversity at all levels. We also discuss what a culturally informed psychedelic experience looks like, and what to look for in a guide if you're looking to heal racial trauma. This conversation offers support and hope for those who have been harmed by racial trauma. It also offers insights and language for those who aspire to be allies.Dr. Monnica T. Williams is a board-certified licensed clinical psychologist and Professor at the University of Ottawa in the School of Psychology, where she is the Canada Research Chair in Mental Health Disparities. She is also the Clinical Director of the Behavioral Wellness Clinics in Connecticut and Ottawa, where she provides supervision and training to clinicians for empirically-supported treatments. Prior to her move to Canada, Dr. Williams was on the faculty of the University of Pennsylvania Medical School (2007-2011); the University of Louisville in Psychological and Brain Sciences (2011-2016), where she served as the Director of the Center for Mental Health Disparities; and the University of Connecticut (2016-2019), where she had appointments in both Psychological Science and Psychiatry. Dr. Williams' research focuses on BIPOC mental health, culture, and psychopathology, and she has published over 200 scientific articles on these topics. Current projects include the assessment of race-based trauma, barriers to treatment in OCD, improving cultural competence in the delivery of mental health care services, and interventions to reduce racism. This includes prior work as a PI in a multisite study of MDMA-assisted psychotherapy for PTSD for people of color. She also gives diversity trainings nationally for clinical psychology programs, scientific conferences, and community organizations.Through the Kentucky Psychological Association (KPA), Dr. Williams served as the diversity delegate to Washington DC for the American Psychological Association (APA) State Leadership Conference for two consecutive years. She has served as the African American SIG leader for Association of Behavioral and Cognitive Therapies (ABCT), and currently is Chair of their Academic Training & Education Standards (ATES). She serves as an Associate Editor of Behavior Therapy. She also serves on the editorial board of Cognitive Behaviour Therapy, Canadian Psychology, International Journal of Mental Health, Journal of Psychedelic Studies, the Journal of Obsessive Compulsive and Related Disorders and the Cognitive Behavioural Therapist. She is a member of the Scientific Advisory Board of the International OCD Foundation and co-founded their Diversity Council. Her work has been featured in all major US and Canadian media outlets, including NPR, CBS, CTV, Huffington Post, and the New York Times.Topics Covered:What is racial trauma?Tools and research approaches that are applied to understand racial traumaTreatments developed for racial trauma by Dr. Williams, including psychedelicsCommunity and group work versus individual treatment for racial traumaDr. Williams' psychedelics for racial trauma research findingsIdeal set and setting when using psychedelics for healing racial traumaHow to vet your psychedelic guide for this workA culturally informed psychedelic experienceIntegrating a psychedelic experience when healing racial traumaIntentional steps the psychedelic space can take to diversifyShow Links:Apply for 1:1 Coaching with LanaWhere to find Dr. Monnica Williams:https://www.instagram.com/drmonnica/www.monnicawilliams.comDeliberate Practice in Psychedelic Assisted Therapy [book]Support Dr. Williams' research at mentalhealthdisparities.org Want more Modern Psychedelics?Instagram | YouTube | Web | Facebook Inspired to transform your life from the inside out, and integrate higher consciousness in your day to day life?Explore 1:1 Coaching with Lana or Apply Now This episode was produced in collaboration with FWI Media. Check out their beautiful work! Please support the show and leave a review if this episode sparked something within. FREEBIES to support your journey DISCLAIMER: Modern Psychedelics does not endorse or support the illegal consumption of any substances. This show is meant for entertainment purposes only. Modern Psychedelics does not sell or promote the sale of any illegal substances. The thoughts, views and opinions on this show should not be taken as life advice, medicinal advice, or therapeutic guidance.

Dive into the world of special education in this episode with Stacey Floersheim. She discusses great strategies, things to look for, and her journey of being an author! 

Have you gone through trauma? If you suffer from lasting effects of trauma like negative self-talk and low self-esteem, your internal beliefs might be hurting your mental health. To help you become more aware of these beliefs to better your mental health, we made this video. Disclaimer: This video is for informative purposes only and is not meant to diagnose PTSD. If you think you need help, reaching out to a mental health professional is important. Okay, let's begin. Want to learn more about trauma, watch our video on the signs of unhealed trauma: https://youtu.be/41-dra66Y0o Writer: Carley Swanson-Garro Script Editor: Morgan Franz Script Manager: Kelly Soong VO: Amanda Silvera Animation: Nii (New Animator) YouTube manager: Cindy Cheong References: The National Council for Behavioral Health (n.d.). How to manage trauma. Retrieved 11 Oct. 2020 from thenationalcouncil.org/wp-content/uploads/2013/05/Trauma-infographic.pdf?daf=375ateTbd56. National Institute of Mental Health (2019, May). Post-traumatic stress disorder. Retrieved 11 Oct. 2020 from nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml. Rockville (2014). Chapter 3, Understanding the impact of trauma. In Trauma-Informed Care in Behavioral Health Services, Substance Abuse and Mental Health Services Administration. Treatment Improvement Protocol (TIP) Series (57). Retrieved 11 Oct. 2020 from: ncbi.nlm.nih.gov/books/NBK207191/. Volkan, V.D. (2017). Chapter 3: Newcomers linking objects, linking phenomena, and nostalgia. In Immigrants and refugees: Trauma, perennial mourning, prejudice, and border. London: Karnac Books. Zetsche, U., Ehring, T., & Ehlers, A. (2009). The effects of rumination on mood and intrusive memories after exposure to traumatic material: An experimental study. Journal of Behavior Therapy and Experimental Psychiatry, 40(4), 499–514. doi.org/10.1016/j.jbtep.2009.07.001. Zurbriggen EL, Gobin RL, Kaehler LA (2012). Trauma, attachment, and intimate relationships. J Trauma Dissociation,13(2),127-33. DOI: 10.1080/15299732.2012.642762.

Ever get a trade offer and wonder “what is that person thinking!?” Well, here's what they were thinking!Dr. Caitlin Fang returns to the SuperShow, this time joining BOTH Tommy B and The Ol' SFD to discuss the psychology of dynasty fantasy football. From pulling off a lopsided trade and angering the rest of the league, to maintaining optimism in a fading asset (looking at you, Justin Fields!). The gang even discusses the broad topic of confidence and the fear of public failure, i.e. looking bad/stupid in front of the rest of your league. Kick your feet up on the couch, lean back, and let the doctor do her work in this psychological episode! The SuperFlex SuperShow – one of many great podcasts from the Dynasty League Football (@DLFootball) Family of Podcasts – is hosted by John Hogue (@SuperFlexDude) and Tommy Blair (@FFTommyB), and always dedicated in loving memory to James “The Brain” Koutoulas. Featuring weekly dynasty football content focused on superflex, 2QB and other alternate scoring settings. Special thanks to Heart and Soul Radio for their song, “The Addiction,” and special thanks to the Dynasty League Football Family of Podcasts and the entire DLF staff for the ongoing support! Stay Sexy… and SuperFlex-y!

Ever get a trade offer and wonder “what is that person thinking!?” Well, here's what they were thinking!Dr. Caitlin Fang returns to the SuperShow, this time joining BOTH Tommy B and The Ol' SFD to discuss the psychology of dynasty fantasy football. From pulling off a lopsided trade and angering the rest of the league, to maintaining optimism in a fading asset (looking at you, Justin Fields!). The gang even discusses the broad topic of confidence and the fear of public failure, i.e. looking bad/stupid in front of the rest of your league. Kick your feet up on the couch, lean back, and let the doctor do her work in this psychological episode! The SuperFlex SuperShow – one of many great podcasts from the Dynasty League Football (@DLFootball) Family of Podcasts – is hosted by John Hogue (@SuperFlexDude) and Tommy Blair (@FFTommyB), and always dedicated in loving memory to James “The Brain” Koutoulas. Featuring weekly dynasty football content focused on superflex, 2QB and other alternate scoring settings. Special thanks to Heart and Soul Radio for their song, “The Addiction,” and special thanks to the Dynasty League Football Family of Podcasts and the entire DLF staff for the ongoing support! Stay Sexy… and SuperFlex-y!

Dr. Debbie Joffe Ellis: Psychologist, Writer, and adjunct Professor of Psychology at Columbia University joins us today, and explains her husband's and her groundbreaking work "Rational Emotive Behavior Therapy" or REBT. She discusses "the fact that it is not circumstances, but our beliefs about them, that create our emotions. By being willing to think in healthy and rational ways when bad things happen, we create healthy emotions, minimize suffering and maximize tranquility and stability within." Dr. Ellis also talks about the power of gratitude. BOOKS: "Rational Emotive Behavior Therapy" by Albert Ellis and Debbie Joffe Ellis. "A Guide to Rational Living" by Albert Ellis and Robert Harper. "How to Stubbornly Refuse to Make Yourself Miserable About Anything, Yes Anything" by Dr. Albert Ellis. "How to Hug a Porcupine" by Dr Debbie Joffe Ellis. FOLLOW DR. DEBBIE JOFFE ELLIS: Website: https://www.debbiejoffeellis.com LinkedIn: https://www.linkedin.com/in/dr-debbie-joffe-ellis-45b29853 Email: debbiejoffeellis@gmail.com FOLLOW US ON FACEBOOK: http://www.facebook.com/ASMALPodcast VISIT OUR WEBSITE: http://www.asmallmediumatlarge.co Show Produced by Green Valley Production Studio Music by DJ Booda: http://www.djbooda.com

Explore our Favorite FREE items:The Mindset Makeover Workbook: https://tonyreedco.systeme.io/mindsetmakeoverworkbookMonthly Habit Tracker: https://tonyreedco.systeme.io/monthlyhabittrackerTurn Any Customer Into A Superfan Audiobook: https://tonyreedco.systeme.io/turnanycustomerintoasuperfanaudio---The Mindset Mastery Academy:Immerse yourself in the Mindset Mastery Academy, where the keys to unlocking your potential await. For just $7 per month, seize the opportunity to join this empowering community with the freedom to cancel anytime. Your path to a more fulfilled life starts now – join us at: https://bit.ly/mmagld ---

In this episode of the Celebrate Kids podcast, Dr. Kathy discusses a new form of therapy for childhood anxiety called Childhood Independence Therapy. Based on the initiative of Let Grow, this therapy encourages children to engage in new activities independently with their parent's permission but without their direct supervision. The pilot study shows promising results, including reduced anxiety, increased confidence, and improved independence. Dr. Kathy explores how this therapy can be a preventative measure for anxiety and offers insights on how parents can support their children in facing anxiety.

Join Dr. Tim Fuller in this enlightening episode of "ABA On Call" as we break down the fundamentals of Acceptance and Commitment Therapy (ACT) and its practical applications in behavior analysis. To earn CEUs for listening, click here, log in or sign up, pay the CEU fee, + take the attendance verification to generate your certificate! Don't forget to subscribe and follow and leave us a rating and review.   Show Notes References 1. Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy (2nd ed.). New Harbinger Publications.  2. Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy. Behavior Therapy, 35 , 639-665.  3. Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post-Skinnerian account of human language and cognition . Springer Science & Business Media.  4. Association for Contextual Behavioral Science (ACBS). (n.d.). Retrieved from [https://contextualscience.org/]       

Rational Emotive Behavior Therapy (REBT), as elucidated by its founder, Dr. Albert Ellis, is more than a therapeutic technique; it's a philosophy for living. Dr. Ellis, a trailblazer in the field, introduced REBT well ahead of Cognitive Behavior Therapy (CBT), laying the groundwork for Aaron Beck, CBT's originator, with whom he shared a professional relationship. Having Dr. Debbie Joffe Ellis, the late-Dr. Albert Ellis' esteemed wife and a dedicated practitioner of REBT, join us was enlightening. Her role as an adjunct professor at Columbia University and her therapeutic practice embody the essence of REBT. Central to REBT is the identification and challenging of irrational thoughts that lead to emotional imbalance. In a world brimming with stressors and irrationality, mastering REBT's techniques equips us to navigate life more effectively and healthily. Tune in to my conversation with Dr. Joffe Ellis to discover why REBT is a pivotal tool for cognitive and emotional regulation, essential for anyone's mental arsenal.

I Don't Wanna Hear It Podcast247 – One and One Are Five: A Gun That Shoots KnivesThe Ones have returned and they do, in fact, equal Five. Oh no! Reality is poison and I want to be unmade!Check out more of our stuff at I Don't Wanna Hear It and join the Patreon, jabroni. I mean, if you want. Don't be weird about it. Oh, and we publish books now at WND Press because we want to be bankrupted by a dying medium.We now have a Big Cartel where you can buy shirts, pins, mugs, and coffee.Also, you should listen to our 2021 Christmas special: A Black Metal Christmas Carol, our 2022 Halloween special: Ghoulie Ghoulie Ghoul, Where Are You?, our 2022 Christmas Special: How the Stench Stole Christmas, as well as Mikey's true crime podcast, Wasteland and Shane's psychology podcast, Why We Do What We Do.Aaannnddd... our good buddy and frequent third host Matt Moment is in a great hardcore band called Contact. Check 'em out! You can preorder their upcoming record, Before and Through and Beyond All Time right here from Patient Zero Records.Episode Links:ColiseumFolsomThe BackroomsGemini Home EntertainmentTed the CaverThe Dionaea HouseCartwheel by Hotline TNTGodlessness by Stu FolsomSome of our old bands are on Spotify:Absent FriendsWe're Not DeadYears From NowMusical Attribution:Licensed through NEOSounds. License information available upon request.“5 O'Clock Shadow,” “America On the Move,” “Baby You Miss Me,” “Big Fat Gypsy,” “Bubble Up,” “C'est Chaud,” “East River Blues,” “The Gold Rush,” “Gypsy Fiddle Jazz,” “Here Comes That Jazz,” “I Wish I Could Charleston,” “I Told You,” “It Feels Like Love To Me,” “Little Tramp,” “Mornington Crescent,” “No Takeaways.” 

SMART Recovery is based on cognitive tools rooted in addressing how we think and react to life circumstances. For therapist Bruce Burleson, combining the cognitive aspects of behavior management with staying present in the moment is a recipe for successful treatment of addictions and compulsive behaviors. He calls his approach Mindfulness-Based Rational Emotive Behavior Therapy, and he authored a workbook all about it.  Burleson has worked in a variety of mental health and recovery settings in the course of his more than 25 years in the field. In this podcast he explains how he helps clients address their issues and chart their own path to recovery.

Jim Ellermeyer, host of the mindfulness podcast "Fishing Without Bait", interviews pro wrestler Jessie Notarius, known in the ring as Tatiana The Unwilting. They discuss Jessie's experiences as a female wrestler, including dealing with inappropriate fans, respect from male wrestlers, and her career goals. Jessie talks about her current feud with Valerie Vermin and gives advice to young women pursuing their dreams. She promotes her upcoming match and invites listeners to connect on social media. The episode provides an insightful look into the world of women's professional wrestling. See Jessie's Scenic Theater work on Facebook (https://www.facebook.com/profile.php?id=100083914576326) and follow her Pro Wrestling Adventures at https://twitter.com/TatianaWrestles Are you finding benefit from this show?  We appreciate any support with our Patreon page!  Pledge as little as $1 a month for extra clips, behind the scenes and more at www.patreon.com/fishingwithoutbait ! Subscribe to our Podcast on iTunes, Stitcher, Google Music, TuneIn or look for it on your favorite Podcatcher!

In the vast sea of information, it is easy to get stuck in the land of information. Oftentimes, we begin to apply this new knowledge, but get held up in the details and end up getting stuck with information that we cannot implement, leaving us where we started.   Listen to this inspiring Parenting With Impact episode with Elaine and Diane as they discuss how to go beyond learning strategies and tools, and get into implementation and customization for your kid and your needs. Parenting is Leadership Parenting is a leadership opportunity. With the "Parenting is Leadership" Guide from ImpactParents, two frameworks and a dozen core competencies will guide you to up-level your parenting... and improve the most important relationships of your life. Here is what to expect on this week's show: Transformation requires information, integration, implementation; you cannot simply stop at information. It is important to understand repetition and improvisation when implementing ideas for change. Strategies alone are not always enough, especially if they are not used in an effective context. What are the “magic 3 questions” to ask yourself if you don't think a strategy is working?   Get your FREE copy of 12 Key Coaching Tools    Related Links: Is Coaching For You? The Coach Approach to Parenting What To Look for in a Behavior Therapy Program for ADHD Recommended Treatment What is Behavior Therapy for ADHD? (Part 1) What To Look for in a Behavior Therapy Program for ADHD   Connect with Elaine & Diane: Instagram @impactparents Facebook @impactparent LinkedIn @impactparents Twitter  @impactparents Learn more about your ad choices. Visit megaphone.fm/adchoices

The gang is back together!!! Taylor and Masse provide some Liam and Noah updates. Taylor chats about how Feeding and Behavior Therapy has been extremely important in Liam's learning and growth process. Also, did someone mention vacations, moving, Noah Girl launch, and bachelorette parties?????

Listen in as we hear from Dr. Laura Petracek, author of the new book "The DBT Workbook for Alcohol and Drug Addiction: Skills and Strategies for Emotional Regulation, Recovery, and Relapse Prevention."

Episode 84 of Ask Dr Jessica with pediatric OT Leah Hiller, founder of Hiller Therapy.  Occupational Therapy is an ever growing field, and this episode is focused on spreading awareness about all that OT can do!   In this episode, we discuss the OT approach to helping with handwriting, picky eating and behavior therapy.To learn more Hiller's Outdoor OT therapy, visit her website here.   She offers so many resources for families, including handwriting clubs, social clubs,  online feeding groups for parents, and more! Get matched with a therapist by using Better Help!  Give it a try---invest in your mental health: https://betterhelp.com/askdrjessica for 10% off your first month of therapy.  Thank you to Better Help for supporting the Ask Dr Jessica podcast.Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.

This is Part 2 of "Behavior Therapy: Behind the Curtain". In Part 1, we had clients discuss what the behavior journey is like from their side. Today we flip the script and talk to some of our most experienced behavior consultants across INSTINCT to better understand what they do, and what can set you and your dog up for success.We discuss- What are common misconceptions about behavior consulting?- What tends to make clients successful in their behavior journey with their dog?- What are traits or beliefs that clients have that can make progress more challenging?- What are the types of cases that keep them up at night?- Why do these behavior consultants choose to do what they do?Our goal for this episode was to give people hope if they are currently struggling, while also peeling back the curtain to see what this journey actually looks like. We strongly recommend listening to both Part 1 and Part 2.Guests:Jessica Wheatcraft CDBC, Founder of INSTINCT San DiegoAyelet Berger CDBC, Co-Founder and Co-Owner of INSTINCT NashvilleDr. Caroline Spark CDBC, Co-FOunder and Co-Owner of INSTINCT Portland OR.Hosts Brian Burton and Sarah Fraser are Co-Founders and Co-CEOs of INSTINCT Dog Behavior & Training. Both are Certified Dog Behavior Consultants and have Master's degrees in Animal Behavior from Hunter College/CUNY.INSTINCT has 11 locations across the US and services the global community via virtual consults. Over 18,000 students have also taken courses at INSTINCT's online school (with many free courses available): Learn more at https://www.instinctdogtraining.com/INSTINCT Resources:Online School https://onlineschool.instinctdogtraining.com Free Monthly Seminars (Puppy Parenting Roadmap, Rescue Dog Roadmap, Behavior Roadmap): https://www.instinctdogtraining.com/seminars/Youtube Version of the Podcast Episode with Video: https://www.youtube.com/watch?v=od3WW3aI0cwLocations (all locations service the global community via virtual consults): https://www.instinctdogtraining.com/locations/

This may be our most important Dogs Unknown episode to date. We are joined by INSTINCT clients Stephanie Chen and Jessica Arnold, who have worked through (and continue to work through) complex behavior challenges with their dogs Nimbus and Nova in Manhattan, NYC. We discuss - What they were feeling prior to reaching out for help, and what prompted them to seek professional guidance. - How the process was different than what they were expecting- What were some of the major challenges and hurdles- What did they learn from the process- What advice would they give themselves if they were just starting out (or to people who are just starting or are on a behavior journey with their dog).Our goal for this episode was to give people hope if they are currently struggling, while also peeling back the curtain to see what this journey actually looks like.Hosts Brian Burton and Sarah Fraser are Co-Founders and Co-CEOs of INSTINCT Dog Behavior & Training. Both are Certified Dog Behavior Consultants and have Master's degrees in Animal Behavior from Hunter College/CUNY.INSTINCT has 11 locations across the US and services the global community via virtual consults. Over 18,000 students have also taken courses at INSTINCT's online school (with many free courses available): Learn more at https://www.instinctdogtraining.com/INSTINCT Resources:Online School https://onlineschool.instinctdogtraining.comFree Monthly Seminars (Puppy Parenting Roadmap, Rescue Dog Roadmap, Behavior Roadmap): https://www.instinctdogtraining.com/seminars/Youtube Version of the Podcast Episode with Video: https://www.youtube.com/watch?v=_9aPBvN1sYsLocations (all locations service the global community via virtual consults): https://www.instinctdogtraining.com/locations/The Baby TribeA podcast dedicated to infant nutrition and health Listen on: Apple Podcasts Spotify

Founded in 2018, Arrows Behavior Therapy and Consulting aims to serve families in education and therapy for individuals on the Autism Spectrum. For over 20 years, Miranda Cavaness has been passionate about kids on the Autism Spectrum. Serving 125 learners at Arrows, they develop individualized learning plans and set socially valid goals so that these young people can thrive in our society! Their passion is to teach kids to be who they are and how they can navigate our world successfully.  This is an informative episode that will hopefully be helpful to many in our community, so download it now, and share it with friends.

A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Emotion Regulation Group Therapy (ERGT). Drs. Kim Gratz and Matthew Tull from the University of Toledo in Ohio walk us through in significant detail each of the 90-minute 14 sessions of ERGT.Learn more about Dr. Gratz here and reach her at klgratz28@gmail.com. Learn more about Dr. Tull here and follow him on Twitter @MTTull. Learn more about the Personality and Emotion Research and Treatment (PERT) Laboratory within the Department of Psychology at the University of Toledo here, and follow the PERT Lab on Twitter @LabPert. Below are links to their research on ERGT referenced in this episode:Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with Borderline Personality Disorder. Behavior Therapy, 37(1), 25-35.Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326.Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44, 2099–2112.Gratz, K. L., Bardeen, J. R., Levy, R., Dixon-Gordon, K., L., & Tull, M. T. (2015). Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Behaviour Research and Therapy, 65, 29-35.Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjarehed, J., Jokinen, J., Lundh, L., Ljotsson, B., & Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design. BMJ Open, 7(10), e016220.Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS).The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

  Slam the Gavel welcomes Lisa Breece Linke, Director Of Operations at PAS Family Advocacy, BT, CDC.  Lisa is a Mental Health professional driven to help others overcome personal obstacles. She is a responsible self-starter who communicates well and is dedicated to improving the well-being of her clients.    Team-oriented Behavioral Specialist with a strong track record of establishing solid relationships with her clients, co-workers and administration and local agencies, Lisa has successfully worked with diverse client population in one-on-one and group settings. Lisa is also a skilled Behavioral Specialist with an expertise in the identification and management of mental illnesses.    We discussed her work at San Diego Center for Children and Residential Care, from there she went into Behavior Therapy which included the Autism community. Our discussion also included the lack of training in Social Workers, Case Workers and Guardian Ad Litem who have very little Child Development background.     Civil Rights Claim Under the Color Of Law was discussed as well as how LexisNexis is used to target minorities. We talked about the Tort Intentional Infliction Of Emotional Distress and how that involves the courts. Great conversation with Lisa Breece Linke.To Reach Lisa:  lisa@pasfamilyadvocacy.com mailto:Admin@PASFamilyAdvocacy.commailto:CFAlawsuit@activist.comPAS Family Advocacy: 858-260-8458Bustin' Chops & Callin' ShotsEach week Josh and Jon sit down to give their take on travel sports and everything in...Listen on: Apple Podcasts SpotifySupport the showSupportshow(https://www.buymeacoffee.com/maryannpetri)http://beentheregotout.com/http://www.dismantlingfamilycourtcorruption.com/

Slam the Gavel welcomes Lisa Breece Linke, Director Of Operations at PAS Family Advocacy, BT, CDC. Lisa is a Mental Health professional driven to help others overcome personal obstacles. She is a responsible self-starter who communicates well and is dedicated to improving the well-being of her clients. Team-oriented Behavioral Specialist with a strong track record of establishing solid relationships with her clients, co-workers and administration and local agencies, Lisa has successfully worked with diverse client population in one-on-one and group settings. Lisa is also a skilled Behavioral Specialist with an expertise in the identification and management of mental illnesses. We discussed her work at San Diego Center for Children and Residential Care, from there she went into Behavior Therapy which included the Autism community. Our discussion also included the lack of training in Social Workers, Case Workers and Guardian Ad Litem who have very little Child Development background. Civil Rights Claim Under the Color Of Law was discussed as well as how LexisNexis is used to target minorities. We talked about the Tort Intentional Infliction Of Emotional Distress and how that involves the courts. Great conversation with Lisa Breece Linke. To Reach Lisa: lisa@pasfamilyadvocacy.com mailto:Admin@PASFamilyAdvocacy.com mailto:CFAlawsuit@activist.com PAS Family Advocacy: 858-260-8458 Support the show Supportshow(https://www.buymeacoffee.com/maryannpetri) http://beentheregotout.com/ http://www.dismantlingfamilycourtcorruption.com/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/maryann-petri/support

    Slam the Gavel welcomes Lisa Breece Linke, Director Of Operations at PAS Family Advocacy, BT, CDC.  Lisa is a Mental Health professional driven to help others overcome personal obstacles. She is a responsible self-starter who communicates well and is dedicated to improving the well-being of her clients.    Team-oriented Behavioral Specialist with a strong track record of establishing solid relationships with her clients, co-workers and administration and local agencies, Lisa has successfully worked with diverse client population in one-on-one and group settings. Lisa is also a skilled Behavioral Specialist with an expertise in the identification and management of mental illnesses.    We discussed her work at San Diego Center for Children and Residential Care, from there she went into Behavior Therapy which included the Autism community. Our discussion also included the lack of training in Social Workers, Case Workers and Guardian Ad Litem who have very little Child Development background.     Fascinating discussion included 1997 ASFA, Child Trafficking with over 800,000 children gone missing. The fictitious Family Courts and that the judges are a corporate entity, a registered agent and is insured with indemnity insurance is something all litigants should explore when finding malfeasance in their case.    Advice was given if CPS comes to your door as well and that caseworkers also have their own insurances.      We discussed that all litigants Pro Se or otherwise get the Black's Law Dictionary which Lisa has a free PDF for parents on her web-site.To Reach Lisa:  lisa@pasfamilyadvocacy.com mailto:Admin@PASFamilyAdvocacy.commailto:CFAlawsuit@activist.comPAS Family Advocacy: 858-260-8458Supportshow(https://www.buymeacoffee.com/maryannpetri)http://beentheregotout.com/http://www.dismantlingfamilycourtcorruption.com/Music by: mictechmusic@yahoo.comBustin' Chops & Callin' ShotsEach week Josh and Jon sit down to give their take on travel sports and everything in...Listen on: Apple Podcasts SpotifySupport the show

Nick and Robyn finish up the last part of the Gloria Tapes with one of the more profound therapy approaches still seen today. This approach being Rational Emotive Behavior Therapy or REBT. The "father" of this approach is Albert Ellis and they begin to analyze his approach using a Christian World View to show the truth in what Ellis is saying but also to show you where his conclusions and remedy misses the mark of true help for the individual.

teen mental health advocate, Sadie Sutton, is here to de-stigmatize and raise awareness around the importance of mental health. Sadie's experience of struggling with mental health began as a young teenager and would last for years to follow as she continued to do the work. today, she shares her story with a variety of treatment plans, healing modalities, and the self-work it took to find peace on the other side. after experiencing and learning so much along her journey, Sadie started She Persisted the podcast to help others. her work includes solo episodes and guest interviews to spread awareness and knowledge in the field of mental/emotional health. DBT, lifestyle change, habits, mindsets, and more are the tools that helped Sadie and will now help others. in this episode we discuss: Sadie's experience with depression at such a young agehow mental health impacts our livelihoodgoing through treatment but not feeling betterhaving faith to not give uphow DBT was the ultimate solutionlearning skills & coping mechanisms caring for mental / emotional health in the everyday let's connect! @emilyfeikls and @imtrying_podcast to join the Geneva community, head here!Sadie can be found @shepersistedpodcast 

Host Jeremy C. Park talks with Stacy Dodd, Regional Ambassador for Vertava Health, who highlights their efforts in the Mid-South to help patients achieve their recovery and wellness goals through their inpatient and outpatient treatment centers. Vertava Health is a comprehensive, evidence-based behavioral health treatment center. Locally, Vertava Health offers Detox, Residential, Partial Hospitalization, Intensive Outpatient, and Virtual Care. Their clinical model consists of Dialectical Behavior Therapy, Cognitive Behavior Therapy, Motivational interviewing, Medicated Assisted Therapy, and EMDR. During the interview, Stacy talks about their different service offerings, their impact on thousands in the Mid-South, what to look for and how to help loved ones or friends who might be struggling, their efforts to help Veterans, and more.Visit www.vertavahealth.com or call 877-VERTAVA to learn more.

Tune in on Monday, 7/4/22, for a rerun of The Doctor Whisperer Show featuring Licensed Clinical Psychologist, Dr. Jodi Larman! This episode originally aired in July of 2021. At the time, Dr. Larman had 7.6k followers on TikTok. Today, she reached an impressive 19.5k! Follow her at @psychdrj And don't forget to check out Dr. Larman's psycho-educational Facebook group that she started with a colleague called Psych Docs Talk Shop. ▪︎ ▪︎ ▪︎ Dr. Larman is a Ph.D. Licensed Clinical Psychologist in the state of California. She received her undergraduate degree in psychology from UCLA, a M.S. degree in Counseling Psychology, with a certification in Behavior Therapy and Healthy Psychology from California Lutheran University in Thousand Oaks, and an M.A. and Ph.D. in Clinical Psychology with a specialization in Health Psychology from Fielding Graduate University in Santa Barbara. Her dissertation research focused on Conjugal Bereavement in Older and Younger Widows and Widowers: Influences of Social Support and Health. Dr. Larman has also written a book called “Diary of a Young Widow, The beginning of my journey.” Dr. Larman has been working in the field of psychology since 1992. She has experience working in many settings with various populations and diagnoses, including children with Autism and other Developmental Disabilities, college students with mental health and learning disabilities, and couples and individuals with various mental health issues, She has managed a substance abuse treatment center, created a program for healthy mothers and babies in community mental health, and worked as an evaluator for substance abuse, mental health issues, and domestic violence. Dr. Larman recently retired after 13 years as a clinician with the California Department of Corrections and Rehabilitation, and currently works as a part time clinician with Happier Living in California. She utilizes an eclectic approach that focuses mainly on Cognitive Behavior Therapy, and believes in a holistic, mind body approach to better physical and mental well being. Prior to becoming an adjunct professor at Pepperdine, Dr. Larman guest lectured at both the undergraduate and graduate level psychology classes at Pepperdine, CSUB, Antelope Valley College, Santa Ana College, Cal Lutheran University and ITT. ▪︎ ▪︎ ▪︎ Thank you to our incredible sponsor, TieTechnology, for sponsoring the show! #medicalpodcast #healthcarepodcast #clinicalpsychologist #psychologist #DrJodiLarman --- Send in a voice message: https://anchor.fm/thedoctorwhisperer/message

Compassion focused therapy (CFT) was developed to help people who experience high levels of shame and self-criticism, and has been found to be effective in reducing these difficult aspects of human suffering across a range of presenting problems. Adult survivors of childhood sexual abuse can experience very painful shame, as well as self-hating self-criticism, which can also perpetuate on going symptoms of post-traumatic stress. However, there hasn't been a systematic investigation of CFT as an intervention for survivors of childhood sexual abuse…until now! In this video I discuss our recent University of Queensland study, spearheaded by the talented and compassionate clinician-researcher, Dr Lisa McLean, in which she and myself, along with Dr Matthew Bambling, carried out a preliminary investigation into group-based CFT for adult female survivors of childhood sexual abuse. TARGETED PLAYLIST LINK: Compassion in a T-Shirt ARTICLES MENTIONED: McLean, L., Steindl, S.R. & Bambling, M. (2022). Compassion Focused Group Therapy for Adult Female Survivors of Childhood Sexual Abuse: a Preliminary Investigation. Mindfulness. https://doi.org/10.1007/s12671-022-01837-3 Au, T. M., Sauer-Zavala, S., King, M. W., Petrocchi, N., Barlow, D. H., & Litz, B. T. (2017). Compassion-based therapy for trauma-related shame and posttraumatic stress: Initial evaluation using a multiple baseline design. Behavior Therapy, 48(2), 207–221. https://doi.org/10.1016/j.beth.2016.11.012 Lucre, K. M., & Corten, N. (2013). An exploration of group compassion-focused therapy for personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 86(4), 387–400. https://doi.org/10.1111/j.2044-8341.2012.02068.x Naismith, I., Ripoll, K., & Pardo, V. M. (2020). Group compassion-based therapy for female survivors of intimate-partner violence and gender-based violence: A pilot study. Journal of Family Violence, 36(2), 175–182. https://doi.org/10.1007/s10896-019-00127-2 Say hi on social: Facebook: https://www.facebook.com/drstansteindl Twitter: https://twitter.com/StanSteindl Instagram: https://www.instagram.com/dr_stan_steindl/ LinkedIn: https://www.linkedin.com/in/stan-steindl-150a5264/ Website: https://www.stansteindl.com/ YouTube Video URL: https://youtu.be/PIKP5el0i0w *Affiliate Disclaimer: Note this description contains affiliate links that allow you to find the items mentioned in this video and support the channel at no cost to you. While this channel may earn minimal sums when the viewer uses the links, the viewer is in no way obligated to use these links. Thank you for your support! Video hashtags compassion, self-compassion, compassion focused therapy, childhood sexual abuse, trauma, posttraumatic stress disorder, ptsd, shame, self-criticism

Joshua Moore Owner Alternative Behavior Therapy joined Neuropsychologist Dr Laura Jansons and Tech Legend Jay Gunkelman to chat about: Joshua's journey on setting up his Neurofeedback Practice He has developed over fifty people that have gone on to practice Neurofeedback Trichotillomania Self-harm Aphasia and Bruce WillisAphasia and Bruce Willis Please subscribe to our YouTube Channel! This show sponsored by: 6 TH ANNUAL SUPER BRAIN SUMMIT Friday, April 8, 2022 Live from the Peplow Pavilion, Hayden-Clark Alumni Center, Bradley University bradley.edu/superbrainsummit NeuroTraining Strategies eegstrategies.com/course-neuro "NeuroTraining Strategies offers a higher standard of EEG/qEEG education to EEG clinicians, technicians and neurofeedback practitioners with convenient, online BCIA and qEEG certified didactic courses." Links Used: http://stresstherapysolutions.com/2016/06/lisa-black-ph-d-bcnbcia-id-xxxxx/ https://www.amazon.com/Neurofeedback-Book-2nd-Introduction-Psychophysiology/dp/069292101X/ref=sr_1_1?crid=34R5K758AY37I&keywords=the+neurofeedback+book+2nd+edition+thompson&qid=1649337169&sprefix=neurofeedback+book+tho%2Caps%2C130&sr=8-1 https://www.amazon.com/Niedermeyers-Electroencephalography-Principles-Clinical-Applications/dp/0190228482/ref=sr_1_1?crid=3CN0G1695GPFU&keywords=Niedermeyer%27s+Electroencephalography&qid=1649337594&sprefix=niedermeyer%27s+electroencephalography%2Caps%2C74&sr=8-1 https://en.wikipedia.org/wiki/Far_infrared https://en.wikipedia.org/wiki/Hyperbaric_medicine https://www.investopedia.com/terms/c/coopetition.asp https://en.wikipedia.org/wiki/Dissociative_identity_disorder http://brownbackmasonstore.com/ https://www.besselvanderkolk.com/ https://en.wikipedia.org/wiki/Trichotillomania https://www.linkedin.com/in/leslie-s-prichep-phd-91142422/ https://lisafeldmanbarrett.com/books/how-emotions-are-made/ https://en.wikipedia.org/wiki/Aphasia --- Send in a voice message: https://anchor.fm/neuronoodle/message Support this podcast: https://anchor.fm/neuronoodle/support

The ideas presented in this book are based on the ancient wisdom of Stoicism and the more contemporary Rational Emotive Behavior Therapy (REBT). By putting the advice into practice, you will be able to more easily overcome adversity and better control your emotions. When we experience intense emotions such as anger, depression, or anxiety, we assume that something outside of ourselves caused our feelings. But, according to REBT, it is our underlying beliefs about our circumstances that control our emotions. By changing our underlying beliefs, we can change how we feel. According to Albert Ellis, founder of Rational Emotive Behavior Therapy (REBT), we make an error when interpreting our emotions. When we experience intense emotions such as anger, depression, or anxiety, we assume that something outside of ourselves caused our feelings. But, according to REBT, it is our underlying beliefs about our circumstances that control our emotions. By changing our underlying beliefs, we can change how we feel. The therapy presented in this book is based on the ancient wisdom of Stoicism and the more contemporary Rational Emotive Behavior Therapy (REBT). By putting the advice into practice, you may be able to get better control of your emotions. By following a simple, common-sense approach to confronting your unwanted beliefs, which influence your emotions, you may begin to get a hold of the underlying cause of your unwanted feelings. At its core, REBT is the idea we make ourselves miserable, most of the time. We are the cause of our unwanted feelings, and we can change our feelings by changing the underlying philosophy behind our feelings. REBT is based on some of the philosophies of the Stoics, especially Epictetus, who said: ”Men are disturbed not by things, but by the view which they take of them." For Ellis, achieving tranquility of mind was not about changing what was going on in the external world, but rather, changing our underlying philosophy of life. Events themselves don't cause us to be miserable, it is our beliefs about the events that control our emotions. By changing our underlying beliefs, we can change how we feel. Chapters: 00:00:00 Opening Credits 00:00:15 Introduction 00:01:17 Who Was Albert Ellis? 00:05:51 A Guide to REBT 00:15:14 Practicing REBT 00:16:51 REBT Self-Help Form 00:18:45 Conclusion 00:19:23 About the Author 00:19:32 Closing Credits --- Send in a voice message: https://anchor.fm/aaronolson/message Support this podcast: https://anchor.fm/aaronolson/support

Piano lessons as autism therapy is sheet music to Board Certified Behavior Analyst Mary-Debra Pawloski's ears. Her techniques strike a chord in her students as a symphony of results play up positive behaviors. B sharp and tune in as Miss Mary explains the key reasons piano evokes a concert of skills.  She is a (blonde) natural. For the ultimate VIP Disorderly Blondes podcast experience, join our PATREON channel! Exclusive perks and behind the scenes scoop! Support the show (https://www.patreon.com/disorderlyblondes)

I give an overview of Rational Emotive Behavior Therapy.   It is a useful practice and tremendously powerful for healing mental illness and uncomfortable emotions.  It was started in the 1950s by Psychologist Albert Ellis and was the first form of CBT therapy.  I think it's much more effective than most forms of CBT though.  Enjoy!Clint Sabom is Creative Director of Contemplative Light. He lived in Budapest, Hungary in 2003 as a Gilman Scholar. He speaks English, Spanish, and Portuguese. In 2007, he lived for six months in a silent monastery. He holds bachelor's degrees in Religious Studies and one in Spanish literature. He has traveled extensively through Europe and South America. He has spoken and/or performed at Amnesty International, Health Conferences, High Schools, and art galleries across the US. He has studied and done in his own work in Advaita Vedanta, Buddhism, Shamanism, NLP, and hypnosis.The Sanity Sessions is an ongoing podcast on mental health and psychology.  It features both interviews with mental health professionals and lessons from Clint.   Clint offers a class on Overcoming Learned Helplessness that is a 6 week class to employ research-proven methods that have helped thousands.  https://contemplativelight.teachable.com/p/overcoming-learned-helplessness/