Podcast appearances and mentions of case example

Sindre Talleraas Holen, Head of M&A at Visma In Part 1 of this two-part episode, Kison sits down with Sindre from Visma, one of Europe's most active acquirers in the B2B SaaS space. With over 350+ acquisitions under its belt and a stronghold across Europe and Latin America, Visma has cracked the code for scaling globally while maintaining local authenticity. Sindre shares how Visma transformed its M&A function from a two-man team to a global machine spanning 20 M&A professionals—and 16,000 employees acting as an extended sourcing engine. He walks through Visma's origin story rooted in M&A, how a bold cold email launched his own career, and the foundational philosophies behind Visma's buyer-led approach to deal execution. Think You'll Learn: The surprising power of a cold email—and how it helped launch Visma's M&A team Why Visma prioritizes local presence and cultural nuance in M&A sourcing and negotiation How internal alignment and operational champions drive deal success The three golden rules for successful M&A at Visma _______________ What is the Buyer-Led M&A™ Virtual Summit Only two weeks left to register! This half-day event brings together corporate development leaders and M&A experts to explore Buyer-Led M&A™, showing how you can take control of every stage of the deal. Register Now: DealRoom.net/Summit ________ Learn why you Shouldn't use Excel for Dilligence  If you're bouncing between Excel trackers, email threads, shared drives, and separate VDR, you're not alone-but you are wasting time. Join us for 20 minutes of practical ways to save hours, stay on track, and move deals forward faster. Join us live and see the difference. Register Now ________ Episode Timestamps: [00:00:00] – Introduction to the Guest & Visma's M&A History [00:03:30] – The €100M Sale That Funded Visma's Acquisition Journey [00:05:00] – Sindre's Bold Cold Email That Launched His M&A Career [00:09:00] – The Three Pillars of Visma's M&A Approach [00:10:00] – Aligning Deals with Equity Story & Internal Champions [00:12:00] – Why M&A Is Always Local: Cultural & Regional Nuances [00:16:00] – Building a Global M&A Team Embedded in Each Region [00:17:30] – Trust and Cultural Dynamics in Deal-Making [00:20:00] – Evolving from Seller-Led to Buyer-Led M&A Strategy [00:21:30] – Proactive Deal Sourcing and Filtering Inbound Leads [00:27:00] – Building Trust with Local Sellers & Country-by-Country Differences [00:29:30] – Rapid Acquisitions vs. Long-Term Relationship Deals [00:31:00] – Case Example: 13-Year Dialogue Before Acquisition [00:35:00] – Country-Specific Negotiation Dynamics & Deal Structures [00:38:00] – Advice for First-Time International Buyer

Send us a textWhat does a BCG healthcare case interview really look like? Find out in this live breakdown.In this episode, former BCG consultant Ish Mawla guides a candidate through a realistic, healthcare-focused case interview - just like the ones used in actual BCG interviews.You'll get a front-row seat as the candidate navigates frameworks, complex math, data analysis, and executive-level communication under pressure. Then, Ish provides a detailed performance review, breaking down what worked, what didn't, and how to improve - insights you can apply to your own prep.Want expert coaching to land your consulting offer? Ish works 1:1 with candidates through Management Consulted's Black Belt program - but spots are limited. Don't miss your chance to work with him!Coaching with IshSee Ish's coaching calendarPurchase a 1 Hour Coaching session - you can later upgrade to Black Belt or SuperPrepConnect on LinkedInAdditional ResourcesJoin the Black Belt case prep program for expert mentorship throughout recruitingJoin the SuperPrep program for mentorship throughout recruiting + resume-building consulting experienceSee exhibits from this caseJoin the free March 3-7 Networking Challenge for the specific networking tactics to land a referral from the world's most prestigious consulting firmsConnect With Management Consulted Book a free 15min info call with Katie. Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Send us a textIn this McKinsey M&A case interview demonstration, Management Consulted coach and former McKinsey Associate Partner, Divya Agarwal, provides a firsthand look at how top consulting firms approach case interviews. Listen to:Observe how MBB interviewers evaluate candidatesPractice alongside the candidate for hands-on learningGain insider case tipsWhether you're preparing for upcoming interviews or just curious about the process, this episode will help sharpen your case skills.Coaching with DivyaPurchase a la carte coaching hours to work with Divya one-to-oneJoin the Black Belt case prep program for 8 hours of MBB coaching, resume edits, and a custom networking planSee Divya's calendarAdditional ResourcesUnlock top consulting jobs on the Management Consulted Job BoardSee exhibits from this caseVolunteer for a live case2025 Consulting Salary Report Coming Soon!Submit your 2025 consulting offer data here (secure and anonymous)Join the Management Consulted email list to be the first to know when the new report dropsDavid C Barnett Small Business and Deal Making M&A SMBI discuss buying, selling, financing and managing small and medium sized businesses...Listen on: Apple Podcasts SpotifyConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Send us a textThis episode is presented by Kearney, a leading strategy and operations consulting firm. See Kearney jobs now.This case interview simulates a Bain growth case, as demonstrated by a Bain consultant! The "client" in the case is a contact lens manufacturer wanting to increase profits - and quickly. Will the candidate - a consulting candidate in the midst of case prep - deliver a compelling growth recommendation?Listen to find out!Case Prep with JulianePurchase coaching hours to work with Juliane one-to-oneSee Juliane's calendarAdditional ResourcesStrategy Sprint one-week consulting project: learn more and joinVolunteer for a live caseSee exhibits from this casePartner LinksMore info on Palm Tree careersConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Authors Gloria Iacoboni and María Pérez Raya outline the management of a patient receiving Chimeric antigen receptor (CAR) T-cell therapy for relapsed/refractory (r/r) diffuse large B cell lymphoma (DLBCL). CAR T-cell therapy is effective in the treatment of patients with DLBCL, even those with high-grade disease. However, it has a unique safety profile, including cytokine-release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), and robust management of these events are important to maximize benefits. This vodcast audio is published open access in Oncology and Therapy as a vodcast article with visual elements and is fully citeable. You can access the original published vodcast article through the Oncology and Therapy website and by using this link: https://link.springer.com/article/10.1007/s40487-024-00319-x. All conflicts of interest can be found online. This vodcast audio is intended for medical professionals. Open Access This podcast is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The material in this podcast is included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.

Send us a textIf you're preparing for a McKinsey case interview, this example is a must-listen. The case - simulating a real McKinsey case interview - is led by Rick Wilmot, a former McKinsey Engagement Manager and Management Consulted case coach.The case centers on a cinema chain that has experienced slowing profit growth and is looking for answers.Follow along with a pencil and paper, working through the case as if you were in the candidate's seat, to sharpen your problem-solving skills and build confidence for upcoming interviews.Relevant LinksRates for coaching packages go up November 21, 2024 - lock in the best rates hereLimited spots available for the next Black Belt cohort: join hereSee the exhibits from this caseConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Send us a textListen in and follow along to this case interview demonstration to learn what to expect in a BCG case interview. The case is led by Marcus Jilla, a Management Consulted coach and former BCG consultant and project leader.The case features a golf ball manufacturer and supplier considering a new market. The key question is: “Should we enter this market? If so, how?”Marcus works with candidates 1:1 to prep for case interviews using a personalized approach. Join a Management Consulted program like Black Belt (8 hours of coaching) to work with him. Management Consulted LinksBook a meeting with EdenBook expert coaching with Marcus: 1-hour, 4-hour, and 8-hour packages available Limited seats available for the next Black Belt case prep cohortSee upcoming consulting application deadlines for MBB, Big 4, and morePartner LinksMore info on Palm Tree careersThe Feminine Advantage: An Empowering Series for Women ConsultantsSix must-listen episodes that tackle key challenges for women entrepreneurs.Listen on: Apple Podcasts SpotifyConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Send us a Text Message.Big Sip, a high-end beverage company known for craft sodas, juices, and teas, seeks to expand to the East Coast. The company needs advice on whether to pursue this expansion and how to fund it, ideally through increased profits.That's the scenario faced in this case interview demo led by Zach Tabbush, a Management Consulted case coach and former Bain consultant. Grab a pencil and paper and work through the case alongside Zach and a special guest!1:00 - Case intro4:32 - Candidate framework12:34 - Exhibit insights19:24 - Final recommendation21:19 - Interviewer feedback36:41 - Bonus Q&ARelevant LinksMBB application deadlines start as soon as July 7, 2024Book a coaching session with ZachLimited spots remain for the July Black Belt cohort - learn moreWatch the video replay of this case (including the exhibits!)More case interview video examples (YouTube playlist)Sponsor LinksMore info on Palm Tree careersWhat If? So What?We discover what's possible with digital and make it real in your businessListen on: Apple Podcasts SpotifyConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

In this episode, Dr. Ally Baheti interviews interventional radiologist Dr. Lorenzo Patrone about his recent multidisciplinary editorial entitled "The 'Woundosome' Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia.” --- CHECK OUT OUR SPONSOR Reflow Medical https://www.reflowmedical.com/ --- SYNPOSIS Dr. Patrone explains his interest in critical limb ischemia (CLI) and describes how he reached out to colleagues around the world with the intention of drafting a paper that summarizes research in below-the-ankle interventions and increases awareness of the woundosome concept. He explains the woundosome concept, which aims to understand how each patient's foot vasculature influences the effectiveness of below-the-ankle interventions and tissue healing. Understanding each patient's anatomy, having adequate imaging of the foot, obtaining pedal acceleration times, and using micro-oxygen sensors are strategies to assess wound perfusion, which is integral for treatment planning and prognosis. He illustrates these techniques in a case study of a non-healing wound. Finally, Dr. Patrone shares some technical tips for below-the-ankle interventions, including the benefits of ipsilateral antegrade access, sheath selection, and strategic contrast administration. --- TIMESTAMPS 00:00 - Introduction 02:25 - Multidisciplinary and Global Collaboration 05:59 - Explaining the Woundosome Concept 07:51 - Understanding Wound Perfusion 10:20 - Assessing the Effectiveness of Revascularization 20:09 - Case Example with Pictures 28:07 - Technical Tips for CLI Interventions --- RESOURCES Find Your Algorithm (FYA): https://fya-congress.com/ The "Woundosome" Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia: https://journals.sagepub.com/doi/10.1177/15266028241231745?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Vascular imaging of the foot: the first step toward endovascular recanalization (Manzi): https://pubmed.ncbi.nlm.nih.gov/21997985/ BASIL-2 Trial: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00462-2/fulltext BackTable VI Ep. 90- Pedal Acceleration Time for Limb Salvage with Jill Sommerset and Dr. Mary Constantino: https://www.backtable.com/shows/vi/podcasts/90/pedal-acceleration-time-for-limb-salvage The First-in-Man "Si Se Puede" Study for the use of micro-oxygen sensors (Montero-Baker): https://pubmed.ncbi.nlm.nih.gov/26004327/ PEDRA Perfusion Monitoring: https://www.pedratech.com/ Armada XT Balloon: https://www.cardiovascular.abbott/us/en/hcp/products/peripheral-intervention/peripheral-dilatation-catheters/armada-14.html

Send us a Text Message.This is a BCG case interview walkthrough with Edward Collinson (incoming-Bain) and Jenny Rae Le Roux (ex-Bain). The case is a BCG-style candidate-led case using the Profitability framework. If you're curious to see how an expert drives a full case from start to finish, you're in the right place! You can even pull out a pen and paper and do the case alongside Ed and Jenny Rae.Relevant LinksMore info on Palm Tree careersLearn about our Black Belt accelerated case interview prep programAdd consulting experience to your resume through Strategy SprintSchedule a free 15-minute consultation with EdenConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Schedule a free 15min consultation with a member of the Management Consulted team. Join an upcoming live event - case interviews demos, expert panels, and more. Email our team (team@managementconsulted.com) with any questions or feedback.

Chimeric antigen receptor T cell (CAR-T) therapies targeting the CD19 antigen have been associated with high and durable response rates in patients with diffuse large B cell lymphoma (DLBCL). In this podcast, Dr. Foley and Dr. Kuruvilla discuss the case of a patient presenting with the ideal profile for CAR-T cell therapy referral whilst also determining the key attributes for eligibility from a clinician's perspective. Solutions for successful outpatient management include proper education, caregiver support, and early referral to ensure a timely infusion. In conclusion, outpatient administration of CAR-T cell therapy in patients with DLBCLs should be assessed on a case-by-case basis.   This podcast is adapted from a vodcast article published open access in Oncology and Therapy and is fully citeable. The vodcast article features the same audio, but is accompanied by slides and author video. You can access the original published podcast article through the Oncology and Therapy website and by using this link: https://link.springer.com/article/10.1007/s40487-024-00272-9. All conflicts of interest can be found online. This podcast is intended for medical professionals.   Open Access This podcast is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The material in this podcast is included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.  

In this podcast, author Dr Kai Hübel discussed a case of a patient with high-risk relapse follicular lymphoma. This discussion outlines the potential effectiveness of chimeric antigen receptor (CAR)-T cell therapy in relapsed/refractory follicular lymphoma. This podcast is published open access in Oncology and Therapy and is fully citeable. You can access the original published podcast article through the Oncology and Therapy website and by using this link: https://link.springer.com/article/10.1007/s40487-024-00269-4. All conflicts of interest can be found online. Open Access This podcast is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The material in this podcast is included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.

IN today's episode, it's part two of our focus on the updating process and meeting Self. We look at a fairly advanced case example in detail and go through it step by step. The case - involving Hazel**, and her parts Coco (an exile) and Storeen (a protector) - highlights the importance of persistence (one of the 5Ps of the therapist Self), and of being able to  differentiating between Self and a Self-like part.Other aspects we cover include:How to recognise the difference between compassion and empathyThe need to be more directive as an IFS therapistWhy parts hide SelfA timeline of the work**With many thanks to the client who agreed to this content being shared. Her identity has been protected and Hazel is a pseudonym; Coco and Storeen are, however, the chosen names of her parts. Emma E Redfern MBACP (Snr Accred) initially trained in humanistic integrative psychotherapy. Emma is a certified IFS psychotherapist as well as approved IFS clinical consultant. She edited Internal Family Systems Therapy: supervision and consultation (2022, Routledge) and authored Transitioning to Internal Family Systems Therapy: A companion for therapists and practitioners (2023, Routledge). Her most recent publication, co-edited with Helen Foot, is Freeing Self: IFS Beyond the Therapy Room (2023) .See www.emmaredfern.co.uk for details of workshops and articles as well as books. You can also follow Emma on Linked In.Gayle Williamson (MIACP) initially trained in humanistic integrative psychotherapy. She took one of the alternative routes to IFS training now available, through IFSCA and the Adler College, Canada, as well as various other shorter courses with senior IFS figures. She works fulltime as a pure-IFS psychotherapist and also writes widely on mental health. Her most recent article 'The Myth of Mental Illness' is published in the latest IAHIP professional journal. Gayle runs small-group, online trainings and skills workshops for IFS beginners as well as group supervision. She also edited Emma's book, Transitioning to Internal Family Systems Therapy: A companion for therapists and practitioners. See www.ferneytherapy.ie for further information, resources and Gayle's...

Our information is too rich to remember it all or store with paper. Here is a simple scenario to show why a "second brain" is important. For more visit the blog post: https://frankbuck.org/second-brain-scenario/

SLP  – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.    Do e-cigarettes impact an SLP's practice? Are users at greater risk for conditions that fit under your scope of practice? We will talk with Dr. Elizabeth Erickson-DiRenzo, an SLP and scientist from Stanford University School of Medicine, who researches e-cigarette use and treats e-cigarette users in the clinic. Learn about vaping devices and how these products affect the upper aerodigestive tract, potentially impacting communication and swallowing. Considerations for patient management will be discussed. How are we doing? Click here to give us feedback  Key Takeaways (02:29) (03:48) E-Cigarettes and How They Work (07:07) Electronic Nicotine Delivery Systems (10:11) Evolution of Vaping Products (15:20) E-Cigarette Users and Use Patterns (19:49) E-Cigarette Regulations (22:50) Are E-Cigarettes Healthier Than Cigarettes? (27:16) Health Risks of Vaping (35:18) An SLP's Clinical Observations of Users (41:59) Impact on an SLP's Clinical Practice (49:07) Medical Treatment of Vaping-Related Injuries (50:44) Other Inhaled Delivery Products (53:00) Case Example (59:00) Summary The content for this course was created by Elizabeth Erickson-DiRenzo, Ph.D., CCC-SLP. The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. Here is how Relias can help you earn continuing education credits:  Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.  Resources  American Lung Association: https://www.lung.org/quit-smoking/e-cigarettes-vaping/lung-health Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm National Institute on Drug Abuse: https://nida.nih.gov/publications/drugfacts/vaping-devices-electronic-cigarettes S. Food & Drug Administration (FDA): https://www.fda.gov/tobacco-products/products-ingredients-components/e-cigarettes-vapes-and-other-electronic-nicotine-delivery-systems-ends Stanford Research Into the Impact of Tobacco Advertising: https://tobacco.stanford.edu/

For more information, see https://www.michmontreal.com/.

In this case interview demonstration, Shane Muselmann (previous BCG intern; incoming Consultant) demonstrates a really interesting BCG case interview.In the case - that Shane created from scratch! - a solar developer is looking for a regional expansion strategy.Can our mystery candidate (a volunteer from the community) crack the case? You'll find out.Relevant LinksJoin Strategy Sprint - the 1-week  consulting projectLearn more about the Black Belt case prep programWatch the video recording of this case to see the chart (18:40)Connect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Join the next Extreme Consulting Makeover - every Tuesday at 12pm ET! Email our team (podcast@managementconsulted.com) with any questions or feedback. Sponsor an episode or advertise on Strategy Simplified. Check out our Media Kit for more information.

The Texas History museum has experienced unusually high HR costs - can McKinsey fix the issue?That's the scenario faced in this case interview demo led by Ryan Boutwell, a previous McKinsey Summer Associate who is returning to the firm full-time. The candidate is Camiel, an undergraduate student who plans to apply to top consulting firms like MBB.Put on your casing hat and test your skills with this fun case.Relevant LinksSee the video recording and chart from the caseNeed case prep help? Join our next case prep cohortNeed just an hour or 2 of coaching? Click hereJoin the Jan. 2024 Strategy Sprint consulting projectConnect With Management Consulted Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Join the next Extreme Consulting Makeover - every Tuesday at 12pm ET! Email our team (podcast@managementconsulted.com) with any questions or feedback. Sponsor an episode or advertise on Strategy Simplified. Check out our Media Kit for more information.

Can you earn a living just through Value 4 Value? In Ep#52 we're going to examine how much I've made across my various shows & where I'd be if I had used advertising instead. Make sure you check the chapter art for all the fancy graphs I've created.Huge thanks to Adam Curry, Sir Spencer, Gene Bean & Sam Sethi for supporting the show. You are now part of my data hehe.15% of this episode is going to John Spurlock for his creation of OP3 and giving me handy graphs to use for nerd purposes.Handy links:OP3 Website: https://op3.dev/Steven B On 'Bowl After Bowl': https://bowlafterbowl.com/episode-272/Value 4 Value Support:Boostagram: https://www.meremortalspodcast.com/supportPaypal: https://www.paypal.com/paypalme/meremortalspodcastConnect with Mere Mortals:Website: https://www.meremortalspodcast.com/Discord: https://discord.gg/jjfq9eGReUTwitter/X: https://twitter.com/meremortalspodInstagram: https://www.instagram.com/meremortalspodcast/TikTok: https://www.tiktok.com/@meremortalspodcast

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.    As occupational therapy professionals, you already have the skill and training to treat chronic pain. In this episode, we talk with Kimberly Breeden, MS, OTR/L, and Niccole Rowe, BA, COTA/L, co-authors of the AOTA official document “Occupational Therapy's Role in Treating Pain” about the role and value of OTs/OTAs in managing chronic pain. How are we doing? Click here to give us feedback  (02:06) Key Takeaways (03:04) Changing Perspective Can Change Your Practice (07:18) Change from Biomedical to Biopsychosocial Approach (11:22) Pain's Purpose and Factors that Impact Persistence (17:08) Addressing Pain Through an OT Lens (21:55) Developing an Occupational Profile (27:32) Pain Assessment Tools (30:12) Addressing Psychosocial Factors (33:09) Cognitive Behavioral Therapy (38:48) Additional Treatments Using Occupation (46:49) Pain Education, Relaxation, and Mindfulness (52:00) The Interdisciplinary Team: Building Your Network (54:10) Case Example (1:02:08) Conclusion    The content for this course was created by Niccole Rowe, BA, COTA/L.  The content for this course was created by Kimberly Breeden, MS, OTR/L. The content for this course was created by Wendy Phillips, PT, BSPT.  Here is how Relias can help you earn continuing education credits:  Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.  Resources  Pain Disability Index (PDI): http://www.med.umich.edu/1info/FHP/practiceguides/pain/detpdi.pdf Pain Management Best Practices Inter-Agency Task Force Report: https://www.hhs.gov/opioids/prevention/pain-management-options/index.html   Pain Self Efficacy Questionnaire (PSEQ): https://www.workcover.wa.gov.au/wp-content/uploads/sites/2/2015/07/pain_self_efficacy_questionnaire.pdf  Pain Toolkit: https://www.paintoolkit.org/pain-tools  PEG Scale Assessing Pain Intensity and Interference (Pain, Enjoyment, General Activity): http://www.med.umich.edu/1info/FHP/practiceguides/pain/PEG.Scale.12.2016.pdf 

Kearney is one of the world's top consulting firms - interesting work, great people, supportive culture. Careers at the firm are highly coveted, but to get in, you have to pass a series of case interviews. Today, we're bringing you one of those interviews.Tune in as Manager Caroline Queen leads a really fun case focused on increasing revenue and impact for a non-profit soccer league for women.Can you solve the case alongside our candidate? Pull out a pencil and paper and follow along!Relevant LinksAccess the exhibits from this caseExplore careers at Kearney See upcoming application deadlinesJoin the next cohort of our Black Belt case prep programConnect With Us Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Email the Strategy Simplified team at podcast@managementconsulted.com with any questions or feedback. Partner with us by sponsoring an episode or advertising on Strategy Simplified. Check out our Media Kit for more information.

It's July and case prep is heating up as interview season comes around. Today's episode is a case interview demonstration in Bain's style of interview.Our two stars - Divya Agarwal (former McKinsey Assoc. Partner, case coach) and Toma (4th year PhD) - demonstrate what to expect in a Bain interview. The case features a PE firm considering an acquisition of a pizza chain. Can you solve the case alongside Toma? Follow along with a pencil and paper!Relevant LinksLearn more: Bates WhiteVolunteer to be a live case guestWork with Divya via 1:1 case coachingBlack Belt case prep programFrameworks Intensive (Tues, July 18, 6PM ET)Exhibits/graphs from this caseConnect With Us Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Email the Strategy Simplified team at podcast@managementconsulted.com with any questions or feedback. Partner with us by sponsoring an episode or advertising on Strategy Simplified. Check out our Media Kit for more information.

Ready for another live case demo?Today's session features former McKinsey Associate Partner Divya Agarwal as the interviewer and Anu, a 4th-year Electrical Engineering PhD candidate.Can Anu help a struggling manufacturer of airplanes reverse a startling decline in profitability? Tune in to find out. Relevant LinksBook a 1:1 coaching session with DivyaNetworking Intensive: June 12, 2023Exhibits from the caseBlack Belt: structured case prep programPartner LinksExplore Stax careersLearn more about IGS careersConnect With Us Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Email the Strategy Simplified team at podcast@managementconsulted.com with any questions or feedback. Partner with us by sponsoring an episode or advertising on Strategy Simplified. Check out our Media Kit for more information.

To kick off Season 10 of Strategy Simplified, enjoy this McKinsey first round case interview example. Management Consulted coach and former BCG Project Leader Alessandro Furlotti leads a PhD candidate through a tough round 1 case study.The case features an art institution in Singapore looking to counteract a decrease in government funding through an increased focus on commercial activities.Are you ready for your case interview? Find out by taking this free 1min quiz!Relevant LinksExhibits from the caseBlack Belt: structured case prep program30sec podcast survey: Tell us what you want to hearVolunteer for live casePartner LinksLearn more about IGS careersExplore Stax careersConnect With Us Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Email the Strategy Simplified team at podcast@managementconsulted.com with any questions or feedback. Partner with us by sponsoring an episode or advertising on Strategy Simplified. Check out our Media Kit for more information.

In this CPG company case interview example, Management Consulted coach and former McKinsey consultant Lisa Bright leads a future BCGer through a mock case interview.The case follows a liquor manufacturer that is rapidly losing sales in its whiskey segment. The company wants to identify the root cause and develop a solution to reverse the decline.Can our candidate crack the case?  Tune in to find out.Relevant LinksBook a 1:1 interview prep session with Lisa: Learn MoreExplore careers at IGS: CareersShare your feedback for the podcast: 30sec SurveyAccess the exhibits from the case: ExhibitsBlack Belt case prep program: Learn MoreExplore Management Consulted's consulting prep resources: managementconsulted.comAll Business. No Boundaries.Welcome to All Business. No Boundaries, a collection of supply chain stories by DHL...Listen on: Apple Podcasts SpotifyConnect With Us Follow Management Consulted on LinkedIn, Instagram, and TikTok for the latest updates and industry insights. Email the Strategy Simplified team at podcast@managementconsulted.com with any questions or feedback. Partner with us by sponsoring an episode or advertising on Strategy Simplified. Check out our Media Kit for more information.

PT, PTA, OT, OTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   Have you ever wondered what drives your patient's behaviors? Specifically those with cognitive impairment such as dementia or brain injury. Have you found it challenging to work with individuals who display behaviors that interfere with treatment and engagement? In this episode, we talk with Aimee E. Perron, PT, DPT about maladaptive behaviors due to traumatic brain injury and ways to modify your treatment approach for optimal outcomes. How are we doing? Click here to give us feedback (01:57) Takeaways From Today's Discussion  (02:35) Behavior Defined  (04:57) Maladaptive vs. Adaptive Behavior  (07:12) Case Example  (11:00) Influencing Factors of Behavior  (17:07) The Brain's Role in Behavior: The Theory of Localization  (24:49) What We Can Do to Influence Behaviors  (32:11) Emotional Intelligence and Rational Detachment  (35:57) Case Example: The Importance of Learning More About Individuals  (37:49) Ranchos Los Amigos Scale  (39:57) Additional Assessment Considerations  (41:04) Outcome Measures  (43:26) Information to Gather and Document  (47:17) Strategies for Engagement and Behavior Modification  (50:41) Time Out Procedure  (52:30) Contingency Management Procedures  (55:14) Addressing Inappropriate Sexual Behaviors  (56:57) Positive Programming Procedures  (59:16) Behavioral Contracts  (1:00:56) Stimulus Control Procedures  (1:02:08) Addressing Behaviors at Any Stage of Recovery: Dos and Don'ts  (1:06:14) Conclusion  The content for this course was created by Aimee E. Perron, PT, DPT. The content for this course was created by Wendy Phillips, PT, BSPT. Here is how Relias can help you earn continuing education credits:  Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.  Resources  Crisis Prevention Institute: https://www.crisisprevention.com/Library The Center for Outcome Measurements in Brain Injury: https://www.tbims.org/list.html

Preparing for Bain and Company case interviews? You're in the right place.This mock case simulates exactly what to expect in a Bain interview - plus feedback for the candidate after it's all over.Let's see if our candidate can crack the case like a Bain consultant.If you need some expert help in your case prep, consider working with Cara in a 1:1 session similar to what you just heard. Click below to learn more.Relevant LinksBook consulting or product management coaching with Cara: Booking Calendar Executive Presence Intensive (Jan 16, 12-3PM ET): Learn MoreJoin free case practice partner group: GroupStructure case prep program: Black Belt Management Consulted on LinkedIn, Instagram, and TikTok Email the Strategy Simplified team: podcast@managementconsulted.com Sponsor an episode or advertise: Management Consulted Media Kit

Millions of Americans lack the stability and security that wealth bestows. Even many two-income households are living paycheck to paycheck, struggling to meet their basic needs and lacking financial security in case of an emergency. Strikingly, the bottom 25% of households have a medium net worth of only $300 and 26% of workers have no money saved for retirement.Ownership Works, a nonprofit organization, is working to change that by partnering with companies to provide employees with the opportunity to build wealth at work. Through shared ownership, all employees – from management to the assembly line – become owners in the company.We invited Pete Stavros, Founder of Ownership Works, to explain the nonprofit's approach to broad-based employee ownership and its proven impact on company culture, financial returns, and employees' financial security.Listen for Pete's insights on:●      How shared ownership directly impacts corporate performance.●      How Ownership Works uses data to track equity by level and demographics.●      What pitfalls to avoid when introducing shared ownership.●      What is necessary for shared ownership to be successful in a company.Resources + Links:●      Pete's LinkedIn●      Ownership Works●      Ownership Works & Ingersoll Rand Case Study●      Ownership Works & C.H.I Overhead Doors Case Study●      Employee Ownership: Wall Street Agrees That Ownership Works (Forbes) (00:00) - Welcome to Purpose 360 (00:13) - Pete Stavros – Ownership Works (05:33) - Pete's Background (09:07) - The Genesis (13:47) - Making It a Not-for-Profit (16:32) - Vision (21:11) - Video Clips (22:48) - Case Example (27:23) - The Type of Company for This (33:05) - How Investors Feel (34:10) - Potholes (37:47) - Partners (40:13) - The Future (42:36) - Handling Growth (44:51) - The Name (46:02) - The Last Word (50:09) - Wrap Up

We are thrilled to share a special edition of our case interview demonstrations series, this one led by OC&C Strategy Consultants Partner Stephen Carolin.  This session features a few behavioral/background-related questions in addition to a case study.You'll get an inside look at how OC&C runs case interviews and provides feedback for candidates. Make sure to grab a pencil and some paper because you'll want to follow alongside our candidate today.If you enjoyed what you heard from OC&C, check out open roles on the firm's website. The strategy consultancy is currently hiring across roles and geographies.Additional LinksOC&C careers page: VISITWatch the video recording from the session: VIDEOAce your case interviews by completing our Black Belt case prep program: BLACK BELTThis episode is brought to you by:Palm Tree - explore rolesL.E.K. Consulting - learn about open rolesSponsor an episode or advertise: Management Consulted Media Kit

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   Do you know how to help people with cognitive deficits remember key pieces of information? In this episode, we talk with dementia care educator and author Jennifer Brush, MA, CCC-SLP, about how to integrate the spaced retrieval technique, an errorless learning strategy, into rehabilitation treatment plans for individuals living with dementia and other cognitive impairments. We will talk about the steps to perform spaced retrieval, how to implement it in patient-centered care, and the research showing its benefit.   (03:00) Overview of Spaced Retrieval (SR)  (06:58) Who Can Use It?  (08:40) Client Selection  (10:17) Benefits of Spaced Retrieval  (12:46) Overview of Steps  (13:50) Why It Works: Implicit Memory and Priming  (17:53) Spacing Effect  (19:55) Errorless Learning  (22:33) Step 1: Identify Need or Desire  (24:58) What If Needs Are Not Being Met?  (30:03) Example Needs/Desires SR Can Address  (32:07) Step 2: Develop Lead Question and Response  (33:42) Step 3: Practice  (37:11) Role Play Example #1  (39:00) Time Intervals  (41:05) Case Example  (44:18) Engaging Other Team Members  (45:18) Role Play Example #2  (50:03) Pairing Responses with a Motor Movement  (51:11) When to Engage the Rest of the Team  (51:52) Incorporating Visual Cues  (53:48) What Does Success Look Like?  (57:14) Booster Sessions  (58:07) Role Play Example #3  (1:01:12) Advice for Care Partners  (1:02:31) Conclusion  The content for this course was created by Jennifer Brush, MA/CCC-SLP. The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. Here is how Relias can help you earn continuing education credits: Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.  Resources  A Step-by-Step Guide to Spaced Retrieval video by Benigas, Brush, & Elliot: https://www.youtube.com/watch?v=FiLzX1r8RVI

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  Do you know how to match your treatment plan to the specific type of Parkinson's disease the patient is experiencing? Today we talk with Mike Studer, a physical therapist who has focused on neurologic conditions throughout his career. He is an author of numerous chapters and articles, a frequently invited speaker at conferences, a Fellow of the American Physical Therapy Association, and a full-time clinician. (00:31) Introduction (02:37) What is a Phenotype?  (03:45) PD vs. Parkinsonism  (04:56) PD Phenotypes  (07:25) Phenotype: Tremor Dominant (TD) (11:02) Phenotype: Postural Instability/Gait Difficulty (PIGD)  (15:16) Phenotype: Young Onset PD (YOPD) / Dyskinesia  (17:26) Medications Across Phenotypes  (21:26) Interventions for TD Phenotype  (24:08) Interventions for PIGD Phenotype  (27:50) Interventions for YOPD/Dyskinesia Phenotype  (28:39) Role of Therapeutic Exercise Across Phenotypes  (29:54) Case Example of TD Phenotype  (37:12) Case Example of PIGD Phenotype  (42:52) Impact of Walking Backwards  (49:57) Case Example of YOPD Phenotype  (55:13) Non-Motor Symptoms  (58:52) 14-Inch Visual Cues  (1:01:50) Conclusion  The content for this course was created by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA Here is how Relias can help you earn continuing education credits:  Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Evidence Connection articles provide case examples of how practice decisions may be informed by findings of systematic reviews sponsored by the American Occupational Therapy Association (AOTA) Evidence-Based Practice (EBP) Project. This Evidence Connection article describes a case report of a child with a diagnosis of autism spectrum disorder who has difficulties in function and participation related to challenges in sensory integration. This article is the first in a two-part series, and it focuses on occupational therapy provided to the child by a clinic-based therapist in collaboration with the child's school-based occupational therapist. Part 2 in this series will describe the same child's intervention by the school-based therapist. Intervention decisions are informed by findings of systematic reviews of intervention effectiveness that were part of an AOTA EBP Project addressing occupational therapy interventions for children and youth with challenges in sensory integration and sensory processing.

In this mock case interview, Marco tackles a public sector issue. Stephanie Knight, an ex-McK EM, takes the lead in the interviewer-led case. Listen (and follow along) for quality, free case practice, and keep listening as Stephanie dissects Marco's performance and shares opportunities for growth.Additional LinksJoin Black Belt, MC's case prep program: BLACK BELTAccess case partners at your level: FREE LINKEDIN GROUPSubmit a question for the team to answer: EMAIL USSponsor an episode or advertise: Management Consulted Media Kit

In this episode, a PhD candidate (Gurrein) tackles a pharma case led by an ex-BCG consultant (Ryan). Gurrein demonstrates poise under pressure and powers her way to a strong finish.It's a great example of a first round case and a performance that would warrant a "pass" in an MBB interview. Additional LinksBook a session with Ryan: COACHING PAGEView more case examples on YouTube: WATCH HEREVolunteer for a live case: WAITLIST Find case partners at your level: JOIN LINKEDIN GROUP Join Black Belt, MC's structured case prep program: LEARN MORESubmit a question for our team to answer: EMAIL USSponsor an episode or advertise: Management Consulted Media Kit

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

Today's LIVE show with Attorney Andrew Branca of Law of Self Defense will focus on a case out of Wyoming that is a great case example of why representing yourself as your own attorney is a bad idea--and also why a superficial understanding of the law can be an extremely dangerous thing.

In today's episode Stephanie shares a real case example of a very overwhelmed primary caregiver who had to say 'no' and take a step back while her father was admitted to the hospital.This story emphasizes that it is ok to take a step back when needed and discusses who you can lean on and transfer concerns to when you need to say no.Visit us on our website:www.compassionincaregiving.comJoin our FREE Facebook community! https://www.facebook.com/groups/compassioncaregiverconnection For more visit our Instagram! @compassionincaregiving

In today's episode Stephanie shares a real case example of a very overwhelmed primary caregiver who had to say 'no' and take a step back while her father was admitted to the hospital.This story emphasizes that it is ok to take a step back when needed and discusses who you can lean on and transfer concerns to when you need to say no.Visit us on our website:www.compassionincaregiving.comJoin our FREE Facebook community! https://www.facebook.com/groups/compassioncaregiverconnection For more visit our Instagram! @compassionincaregiving

The Victorian Nationals Leader reacts from Parliament House in Melbourne the Wednesday morning that state Agriculture Minister Mary-Ann Thomas announced long-awaited reforms on farm trespass will be tabled on the final sitting day of 2021 and debated in the 2022 election year

Hour 1: To figure out how to pronounce Omicron, Michael looks to President Biden. Jussie Smollett is on trial for lying to the police about a hate crime. This is another example of how sick our society is and how quick we are to rush to judgement before any facts.

Why might you do an intensive with a client? Have you ever done one or would you like to? Check out how Claire implemented an intensive bout of exercise with a client she's been working with for 4 years and what prompted doing it. Claire shares specific details from the outcome measures she used to determine why to do the intensive with her client, what additional factors she considers when scheduling assessments and intensives, and what her recommendations were. Claire will reveal the outcomes of a specific client case. Anti-racist action: Advancing Health Equity: A Guide to Language, Narrative and Concepts https://www.ama-assn.org/system/files/ama-aamc-equity-guide.pdf

In episode 382 of Financially Simple, Justin discusses Estate Planning with guest Julie Eisenhower of Triamicus Law. Estate Planning is essential for every business owner, having a legal document in place in case the unexpected happens to you or if you are the principle beneficiary of another business owner. In this episode, Justin and Julie go over the differences between Estate Planning for a business owner and a non-business owner, considerations of inheriting a business, co-mingling and giving someone the power of attorney on your behalf. Don't forget to subscribe, and let us know how we are doing by leaving a review. Thanks for listening! _________________   TIME INDEX: 00:42 - Estate Planning, with Julie Eisenhower 02:26 - Business Owner vs. Non-Business Owner 04:37 - Case Example 08:04 - Inheriting a Business 10:57 - Co-Mingling 13:15 - Power of Attorney 16:49 - Recommended Reading 18:48 - A Nugget of Wisdom 20:10 - Wrap Up _________________   USEFUL LINKS: Work with Our Team Julie Eisenhower, LinkedIn Triamacus Law What Would the Rockerfellers Do? by Garret B. Gunderson The E Myth Attorney by Michael E. Gerber Financially Simple on YouTube Advance Child Tax Credit Payments in 2021 Subscribe to the Financially Simple Newsletter   NEW Book: Your Baby's Ugly - Maximize the Value of Your Business NOW or You Will Have Nothing to Sell Later _________________   BIO: Host Justin Goodbread, Certified Financial Planner, Certified Exit Planning Advisor, Certified Value Growth Advisor. He is a serial entrepreneur, author, speaker, educator, Investopedia Top 100 advisor, and business strategist with over 20 years of experience. Justin owns Heritage Investors LLC, a registered investment adviser with the State of Tennessee. Heritage Investors only transacts business in states where it is properly registered or is excluded or exempted from registration requirements. To learn more about our credentials and awards, please visit https://heritageinvestor.com/awards-certifications/. This material is for general information only and is not intended to provide specific advice or recommendations for individuals. To determine what is appropriate for you, please consult a qualified professional. The Financially Simple podcast provides information, guidance, and support to Small Businesses in the United States.

Pace of innovation is making foreseeing the future far more uncertain. Societies stakeholders include not only humans, but also algorithms and artificial intelligence. How does a Government foster innovation and balance it with the right safeguards? This is a discussion about the proposed Agile Governance in Japan. On this podcast episode, we talk to Hiroki Habuka, Deputy Director for Global Digital Governance at the Digital Economy Division of the Ministry of Economy, Trade, and Industry of Japan. We explore how one of the leading economies in the world is adjusting to the emerging technologies that utilize AI. Hiroki was in charge of preparing a policy paper entitled “Governance Innovation: A Guide to Designing and Implementing Agile Governance (Ver. 2)” - an efficient and pragmatic approach to govern newly emerging technologies by incorporating feedback from multiple stakeholders and balancing the competing interests that drive innovation.

This BCG Finance case features a credit and debit card processor that is looking to sustain double-digit revenue growth. The interviewer is ex-BCG consultant Nare Israelyan, who is part of Management Consulted's case coaching team.The candidate is Pascal Su, who is getting his MBA from Yale, graduating in 2022. He is targeting MBB consulting roles, and has done roughly 50 cases out-loud at the time of this mock interview. Can he build a creative framework, get through the tough case math, and find the solution?If you enjoyed this episode, leave a review on Apple Podcasts to help us get to our goal of 1,000 reviews!Learn more about Nare Israelyan.Free case of the month. Learn more about Black Belt, Management Consulted's premium case prep program.Access 500+ case studies with the Case Library.What topics do you want more of? Fill out a

A PhD candidate attempts to solve a Capital One case interview. Can he crack the case, or will he crack under the pressure of a live audience and time constraints? You'll have to listen to find out! The case involves a lot of tough math and some great brainstorming on the part of the candidate. Time to dive in! Case Interview Prep Resources: tinyurl.com/interview-prepExcel & PowerPoint for Consulting: tinyurl.com/excel-ppt-courseDrop us a note: team@managementconsulted.comAdvertise on Strategy Simplified: tinyurl.com/mcpartnership

In this video I discuss: Can you lose your Green Card for being outside of the US too much? What happens if you don't live in the US when you have a Green Card?

Enjoy this full-length mock Bain case interview with Jesse Wilkinson. What makes this session unique is the fact that Jesse has a full-time offer to join Bain next summer – as you go through the case, you’ll see why! Grab a pen and paper and work the case alongside the future Bain consultant.Access the exhibits from the case and the video recording: tinyurl.com/bain-full-mock-caseDecember Black Belt (MBA-specific) waitlist: https://tinyurl.com/bb-dec-cohortStrategy Sprint waitlist: tinyurl.com/strategysprintPartner with MC: tinyurl.com/mcpartnership

In this episode of Partnering Leadership, Scott Kratz, Vice President of Building Bridges Across The River, talks about how the pandemic crisis accelerated his organization's focus on partnering to better serve the community. Antifragile leadership in action.Some highlights:The crisis as a moment for antifragility and antifragile leadershipHow Building Bridges adjusted to serve the immediate needs of the community post-crisisBuilding Bridges collaboration with other organizations to have a greater impact Building a strong team culture through trust Also mentioned in this episode:Martha's tableGeorge Jones of Bread for the city Dionne Reeder of the Far Southeast Families Strengthening and CollaborativeConnect with Scott Kratz:Building Bridges Across The RiverLinkedInConnect with Mahan Tavakoli:MahanTavakoli.comMore information and resources available at the Partnering Leadership Podcast website: PartneringLeadership.com

"How do I pass a McKinsey case interview?" It's a question we get all the time. In this virtual case walkthrough, MBA candidate Simon Popkin gets put through the ringer, McKinsey-style, in order to prep for upcoming interviews.Whether you have a McKinsey interview coming up, or are just curious what a McK-style case interview is like, you'll enjoy this tough case. Pick up a pen and paper and run through the case alongside Simon!Link to recording: tinyurl.com/mck-interview-example500+ practice case studies: https://tinyurl.com/caselibraryFree Case of the Month: tinyurl.com/caseofthemonthPartner with MC: tinyurl.com/mcpartnership

Enjoy this BCG Case Interview example with Abby Jin on the hot seat. Abby is an undergrad consulting candidate targeting multiple offers.This Market Entry case walkthrough will give you a sense for how BCG case interviews are run. Listen to the end as Jenny Rae gives Abby blunt feedback on her performance: where she excelled, and where she had room for improvement. Enjoy!Access the video recording of this session: tinyurl.com/bcg-case-example Free Case Prep course: tinyurl.com/freecaseprepBlack Belt: tinyurl.com/blackbeltinterviewPartner with MC: tinyurl.com/mcpartnership

In episode 297 of Financially Simple, Justin goes over the basics of calculating the Return on Investment of your Business. As we continue to look at ways of narrowing the Wealth Gap, it’s important to consider the Return on Investment that our Business provides and how it impacts the value of the Business. In this episode, Justin looks at ROI, why it’s important to know, ways to calculate it, and the intangible aspects of a business’s value. Don’t forget to subscribe, and let us know how we are doing by leaving a review. Thanks for listening! _________________   TIME INDEX: 01:33 - Calculating the ROI of Your Business 02:33 - The Basics of ROI 04:52 - The Simplest Method 06:18 - Case Example 10:31 - Intangible Qualities 13:47 - Goodwill 14:50 - Valuing Goodwill 17:30 - Another Approach 19:43 - Why Do All This? 23:57 - Summary   RESOURCES: Financially Simple Educational Website Financially Simple on YouTube Financially Simple podcasts are recorded on a Blue Yeti Microphone & Samsung Notebook 9. Subscribe to the Financially Simple Newsletter Ask Justin a Question NEW Book: The Ultimate Sale - A Financially Simple Guide to Selling Your Business for Maximum Profit Jim Strauder, How to Value Goodwill When Selling a Business _________________   BIO: Host Justin Goodbread, Certified Financial Planner, Certified Exit Planning Advisor, Certified Value Growth Advisor. He is a serial entrepreneur, author, speaker, educator, Investopedia Top 100 advisor, and business strategist with over 20 years of experience. Justin owns Heritage Investors LLC, a registered investment adviser with the State of Tennessee. Heritage Investors only transacts business in states where it is properly registered or is excluded or exempted from registration requirements. This material is for general information only and is not intended to provide specific advice or recommendations for individuals. To determine what is appropriate for you, please consult a qualified professional. The Financially Simple podcast provides information, guidance, and support to Small Businesses in the United States.

On episode 5, we do a brief recap of episodes 1 to 4 and solidify the learnings by discussing the NoSQL Document Database and its application in a real-life marketing scenario. Have you ever gotten targeted with images of a product on social media only minutes after you mentioned the product to a friend or browsed it on your phone? Listen more to find out how this works! Relevant timestamps- 0'-1.20'- Recap of 1-4 episodes For the rest of the episode, we discuss a real-life scenario of a consumer being shown images of products on social media that he/she may have browsed only minutes ago. We understand how a NoSQL Document database enables this 'smart marketing'. We chat about ETL (Export, Transfer and Load) Constraints, Formatting Constraints and other constraints that make SQL databases less favorable than NoSQL Databases for the above mentioned application. Reference Video to understand NoSQL Document Database- https://www.youtube.com/watch?v=nigPkP6QeTk

In episode 247 of Financially Simple, Justin talks to Gavin Baker of Baker Labs, about best marketing practices while business takes a downturn during the COVID-19 pandemic. As the COVID-19 crisis takes its toll on small businesses, it’s important to keep positive and maintain a presence in your sphere of business. Justin and Gavin look at scaling back on your marketing budget, while keeping engagement with present clients and making connections to potential new clients for when the pandemic is over. Don’t forget to subscribe, and let us know how we are doing by leaving a review. Thanks for listening! _________________   TIME INDEX: 01:26 - Ask Justin featuring Gavin Baker: Small Business Marketing During the COVID-19 Pandemic 03:35 - Should You Stop Marketing 04:32 - Maintaining Momentum 07:21 - The Bare Minimum 10:27 - Jump-Starting a Stalled Marketing Plan 14:32 - Targeting Top Clients 20:18 - Case Example 25:28 - Communication Coaching Tips 29:55 - Marketing Tips & Tricks Going Forward 33:54 - Summary 35:36 - One Piece of Advice 38:28 - Wrap Up _________________   RESOURCES: Financially Simple Educational Website Financially Simple on YouTube Financially Simple podcasts are recorded on a Blue Yeti Microphone & Samsung Notebook 9. Subscribe to the Financially Simple Newsletter Ask Justin a Question NEW Book: The Ultimate Sale - A Financially Simple Guide to Selling Your Business for Maximum Profit Baker Labs Gavin Baker Shoe Dog, by Phil Knight on Audible and Amazon _________________   BIO: Host Justin Goodbread, Certified Financial Planner, Certified Exit Planning Advisor, Certified Value Growth Advisor. He is a serial entrepreneur, author, speaker, educator, Investopedia Top 100 advisor, and business strategist with over 20 years of experience. Justin owns Heritage Investors LLC, a registered investment adviser with the State of Tennessee. Heritage Investors only transacts business in states where it is properly registered or is excluded or exempted from registration requirements. This material is for general information only and is not intended to provide specific advice or recommendations for individuals. To determine what is appropriate for you, please consult a qualified professional. The Financially Simple podcast provides information, guidance, and support to Small Businesses in the United States.

In episode 173 of Financially Simple, Justin asks whether or not as a Business Owner you should get a Life Insurance policy to fund your retirement. There can be many pitfalls and some confusion when getting a Life Insurance policy - but what if you were to invest the money instead? Justin answers this question and gives advice and examples of what the alternatives are. TRANSCRIPT/BLOG:https://financiallysimple.com/life-insurance-policy-fund-retirement/ Don’t forget to subscribe, and let us know how we are doing by leaving a review. Thanks for listening! _________________   TIME INDEX: 01:37 - Should I Purchase a Life Insurance Policy to Fund My Retirement? 03:07 - Life Insurance Retirement Plans 05:22 - Are LIRPs Bad? 05:39 - Case Example 13:12 - Alternatives to Life Insurance: As an Investment 16:34 - Listen to the Talking-heads 18:12 - Wrap Up _________________   RESOURCES: Financially Simple Educational Website Financially Simple on YouTube Financially Simple podcasts are recorded on a Blue Yeti Microphone & Samsung Notebook 9. Subscribe to the Financially Simple Newsletter NEW Book: The Ultimate Sale - A Financially Simple Guide to Selling Your Business for Maximum Profit   _________________   BIO: Host Justin Goodbread, Certified Financial Planner, Certified Exit Planning Advisor, Certified Value Growth Advisor. He is a serial entrepreneur, author, speaker, educator, Investopedia Top 100 advisor, and business strategist with over 20 years of experience. Justin owns Heritage Investors LLC, a registered investment adviser with the State of Tennessee. Heritage Investors only transacts business in states where it is properly registered or is excluded or exempted from registration requirements. This material is for general information only and is not intended to provide specific advice or recommendations for individuals. To determine what is appropriate for you, please consult a qualified professional. The Financially Simple podcast provides information, guidance, and support to Small Businesses in the United States.

Talking with leaders from the Central Columbia School District, we’ll hear about how one district has created the Career Pathways high school, a unique program that creates a spark, and leads students to meaningful professional paths.

The College of Registered Nurses of Manitoba undertook research on practice hours, or currency hours, to determine any correlation between practice hours and continuing competence. Deb Elias discusses the research methodology, the findings and interest in future collaborative research. This podcast episode is related to a CLEAR Resource Brief, "Establishing Evidence for Regulatory Policies: A Method and Case Example," by Deb Elias, Jill Tomasson and Leanne Worsfold. Transcript: html (https://www.clearhq.org/page-1860583) or PDF (http://clearweb.drivehq.com/podcast_transcripts/CLEAR_podcast_episode13_Research_Practice_Hours_021219_transcript.pdf)

These podcasts excerpted from a 2018 webinar shares strategies for skillful communication, recognition, and response to needs of beneficiaries and their families throughout the course of serious illness, and engagement of palliative care consultants as an added layer of support. Timely recognition of hospice eligibility and referral in the months before death may improve quality of life and reduce reliance on emergency departments and hospitals for crisis management. The speakers also help the audience recognize the signs of the active dying process to ensure that thoughtful expert care is available during this vulnerable time.

It's time for another interview. This week I have on Dr. Kyle Paxton, PT and co-founder of Integrated Kinetic Neurology. I recently attended one of the IKN seminars and today we are going to share the information with you. What is IKN? Find out in this episode!  1. Intro  iknuerology.com 2. Sponsor: Eating Evolved (3:01)  Use the code ‘drscottmills‘ Extra 2-pack of cups into your order 3. Interview: Dr. Kyle Paxton (3:53)  4. How did IKN begin? (9:33)  5. Rethinking the Mechanical Model (16:50) 6. Concepts (22:12)  7. Sponsor: Kasandrinos (26:15)  Use the code ‘fullbodyfix‘ for 15% off  8. How structural issues pair with pain (27:03)  9. Tools from the seminar (31:18) 10. Case Example (34:34) 11. Get the info (42:06) Courses Instagram Please tell a friend who loves fitness and rehab about our podcast! We’re on every major podcast platform including iTunes, Stitcher and Google Play. Don’t forget to leave a review. Full show notes can always be found in the Archive.

In this episode, Justin interviews Johnathan Mills Patrick, a former banking executive, financial advisor, and 3x startup founder Jonathan Mills Patrick has worked in many fields pertaining to Business development, from banking to finance, consultant to mentor. He has had three startup businesses of his own and has learned from each experience and written several books on the subjects of his expertise. Justin chats with Jonathan about what it takes to start a business, how to get funding, and shares some of his experiences. Don't forget to subscribe, and let us know how we are doing by leaving a review. Thanks for listening!   ARTICLE TRANSCRIPT:  BLOG: Investor vs. Bank Loan... Which is the Best Source of Startup Capital?   00:30 - Jonathan Mills Patrick 02:29 - How Can Startups Find Funding? 07:49 - How to Make a Business Come to Fruition? 09:04 - How to Get Lending for a Lifestyle Business? 11:22 - Autonomous Businesses and Investors 13:43 - How Important are Projections & Can Bankers Identify Legitimate Projections? 16:42 - How to Build Up Bankability? 19:08 - What Is the SPA & How Can it Be Beneficial to Business Owners? 21:19 - When Shouldn't a Business Owner Use the SPA? 23:00 - Should I Go into Business for Myself in the First Place? 29:05 - How to Self Assess 31:30 - Case Example 33:41 - Wrap Up   USEFUL LINKS: Financially Simple Financially Simple on YouTube Financially Simple on Facebook Financially Simple on Twitter JohnathanMillsPatrick.com JMP eBooks _________ BIO: Justin A. Goodbread, CFP®, CEPA, CVGA, is a nationally recognized financial planner, business educator, wealth manager, author, speaker, and entrepreneur. He has 20+ years of experience teaching small business owners how to start, buy, grow, and sell businesses. He is a multi-year recipient of the Investopedia Top 100 Advisor and 2018 Exit Planning Institute's Exit Planner Leader of the Year.DISCLOSURES:This podcast is distributed for informational purposes only. Statements made in the podcast are not to be construed as personalized investment or financial planning advice, may not be suitable for everyone, and should not be considered a solicitation to engage in any particular investment or planning strategy. Listeners should conduct their own review and exercise judgment or consult with their own professional financial advisor to see how the information contained in this podcast may apply to their own individual circumstances. All investing involves the risk of loss, including the possible loss of principal. Past performance does not guarantee future results and nothing in this podcast should be construed as a guarantee of any specific outcome or profit. All market indices discussed are unmanaged, do not incur management fees, costs and expenses, and cannot be invested into directly. Investment advisory services offered by WealthSource Partners, LLC. Neither WealthSource Partners, LLC nor its representatives provide legal or accounting advice. The content of this podcast represents the views and opinions of Justin Goodbread and/or the podcast's guests and do not necessarily represent the views and/or opinions of WealthSource Partners, LLC. Statements made in this podcast are subject to change without notice. Neither WealthSource Partners, LLC nor its representatives, the podcast's hosts, or its guests have an obligation to provide revised statements in the event of changed circumstances. Certified Financial Planner Board of Standards, Inc. (CFP Board) owns the CFP® certification mark, the CERTIFIED FINANCIAL PLANNER™ certification mark, and the CFP® certification mark (with plaque design) logo in the United States, which it authorizes the use of by individuals who successfully complete CFP Board's initial and ongoing certification requirements.   Advisors who wished to be ranked in Investopedia's Top 100 Financial Advisors list either self-submitted answers to questions compiled by Investopedia or were nominated by peers.  Rankings were determined based on the number of followers and engagement on social media, primary contribution to professional industry websites, and their focus on financial literacy.  Neither performance nor client experience, however, were considered.  No compensation was paid by WealthSource Partners, LLC or Justin Goodbread to secure placement on Investopedia's Top 100 Financial Advisors List.   The Exit Planning Institute's Leader of the Year is awarded to a nominee who is a CEPA credential holder who has made a significant impact or contribution to the exit planning profession or overall community through innovation and influence and is viewed by the Exit Planning Institute as a thought leader, risk-taker and specialist while showing characteristics of collaboration.   This podcast might recommend products or services that offer Financially Simple compensation when you use them. This compensation is used to help offset the cost of creating the content. We will, however, never suggest products/services solely for the compensation we receive.

Marketing automation sounds robotic and impersonal. In fact, it can be a more welcoming and personal way to nurture a lead into a customer, by focusing on THEIR specific needs and interests. You have a much better chance at making a connection, while lightening your workload as well. The post Marketing Automation: A Case Example appeared first on Control Mouse Media.

https://www.resourcesforintegratedcare.com/

Jeffrey Wolfe, MT-BC This podcast reviews a case of a three-year old child diagnosed with Autism Spectrum Disorder. It highlights the importance of creating an alliance with a child's family so goals can addressed in and out of the session. Resources: Mary Ainsworth Attachment Theory at http://www.childdevelopmentmedia.com/articles/mary-ainsworth-and-attachment-theory/ Individual Music Therapy Assessment Profile at http://www.amazon.com/Individualized-Music-Therapy-Assessment-Profile/dp/1843108666 Bounce – SpectrumRead more about The Family is the Therapy Team: A Case Example[…]

In this VetGirl podcast, we review a clinical case example of canine leptospirosis. Small dog from the city? Azotemic with increased liver enzymes? It's leptospirosis until proven otherwise? This podcast reviews a true case example of Darby, a 5 year old Papillon.

In this VetGirl podcast, we review a clinical case example of canine leptospirosis. Small dog from the city? Azotemic with increased liver enzymes? It's leptospirosis until proven otherwise? This podcast reviews a true case example of Darby, a 5 year old Papillon.