Podcasts about Cognitive behavioral therapy

Guest Bios Dr. Suhas Kshirsagar, BAMS, MD (Ayurveda) One of the most academically accomplished Ayurvedic physicians in the Western world. Former personal physician to Maharishi Mahesh Yogi. Bestselling author of Change Your Schedule, Change Your Life and co-author of Awakened Sleep. Faculty at numerous integrative medicine programs. Trained in both classical Ayurvedic medicine and modern clinical research. His work bridges 5,000 years of Vedic wisdom with cutting-edge neuroscience and AI-driven health research. Renowned globally for his clinical expertise and his ability to make the ancient tradition accessible, scientific, and immediately practical. Dr. Sheila Patel, MD Board-certified family medicine physician and a leading voice in integrative health. Former Chief Medical Officer of the Chopra Center. Co-author of Awakened Sleep. Dr. Patel's clinical practice synthesizes conventional medicine with Ayurvedic principles, meditation, and mind-body approaches. She has spent decades helping patients understand the connection between emotional regulation, sensory awareness, and physical health — with sleep as the connective thread. Brought to you by MTE — More Than Energy, the performance formula designed for those who live life at full resonance. Trusted by top performers worldwide, MTE blends adaptogens, nootropics, and essential minerals to fuel focus, vitality, and flow — without the crash.  Code Michael Elevate your day, sharpen your mind, and feel More Than Energy. 15% OFF YOUR ORDER:: https://getmte.com/products/mte-daily-energy-wellness?ref=MICHAEL Key Themes & Timestamps  [00:00] Introduction — launching Resonance, the long tail of a book [02:28] What is Awakened Sleep? The Vedic perspective on sleep as a journey into consciousness [06:13] Modern science validates ancient wisdom — the convergence [08:13] The doshas explained — Vata, Pitta, Kapha and your sleep constitution [14:24] Universal sleep principles — temperature, light, timing, and the Stanford AI study [17:19] Personalized sleep — why one size doesn't fit all [20:00] The nervous system connection — parasympathetic tone and sensory overload [23:47] Your evening meal is your sleep prescription [25:50] The world has changed more since 1992 than in the previous thousand years [28:14] Orthosomnia — the new tech-induced sleep disease [29:09] Email apnea and text apnea — we literally stop breathing [30:15] Somniphobia — the fear of being alone in the dark (and why loneliness is the real insomnia) [37:47] Breath as medicine — the yogic prescription for sleep [40:11] Mantra, sound, and the neuro-associative conditioning of sleep [42:27] Creating your evening routine — the practice Michael is starting tonight [45:05] The dress rehearsal for dying — sleep as a journey into consciousness [51:17] Awakened Sleep as meditation's companion — the fourth state of consciousness [56:04] Geography, doshas, and the places that heal us [59:56] Vedic astrology, the eclipse, and the chapter we're entering [1:02:49] Closing — guiding us home in a noisy world Key Quotes Dr. Suhas: "We are doing a dress rehearsal of dying every night. We go to the same place where we were before we were born and long after we will be gone." "Sleep outweighs diet and exercise. If you rank lifestyle things, sleep is even higher ranked than diet and exercise and loneliness." "Orthosomnia — about 40% of Gen Z adults are experiencing sleep anxiety because of the gadgets they are wearing." "Where your attention goes, that's where the energy is flowing." "These techniques are not free. They are very expensive — because the most expensive commodity right now is me time." "An introspective sage is awake when the rest of the world is sleeping." — Bhagavad Gita Dr. Sheila: "Sleep is an active process. It's not just rest — it's an active rest." "So much of depression, anxiety is that disconnect from nature, disconnect from community. Everyone's all in their own individual bubbles." "Pick the weeds, plant some seeds, water them with gratitude." "We have so many tools within us — and with our breath, it's free." Michael: "I think a lot of us as humans have lost our way with all of the conflicting signals. And it's hard in a noisy world to find true signal that reminds us of who we are and how we can find our way home." Resources Mentioned Awakened Sleep by Dr. Suhas Kshirsagar & Dr. Sheila Patel Change Your Schedule, Change Your Life by Dr. Suhas Stanford Medicine AI Sleep Study (January 2025) — 65,000 participants, 600,000 hours of sleep data, predicting 130+ health conditions Oura Ring — wearable sleep tracking Vedic Meditation / Mantra practice Temescal (traditional sweat lodge) ceremony Bhagavad Gita — "Yānishā sarva-bhūtānāṁ tasyāṁ jāgarti saṅyamī" Rathri Sukta — Vedic hymn to the twin sisters Usha (dawn) and Nisha (dusk) Cognitive Behavioral Therapy for Insomnia (CBT-I) Connect Dr. Suhas Kshirsagar: [website] | [Instagram]  Dr. Sheila Patel: [website] | [Instagram]  Michael Trainer: michaeltrainer.net | @michaeltrainer | Resonance Podcast Pre-Order Resonance Resonance: The Art and Science of Human Connection arrives May 5, 2026 from BenBella Books. Foreword by Steven Pressfield, author of The War of Art. "Outstanding. I wouldn't change a word." — Steven Pressfield  Companion Substack Read Michael's full essay on this conversation: "The Dress Rehearsal for Dying: What Vedic Sleep Science Reveals About Why We Can't Connect" — exploring how orthosomnia, somniphobia, and the loneliness epidemic collide with the Resonance framework and the Seven Pillars of authentic connection. https://substack.com/@michaeltrainer Michael Trainer has spent 30 years learning from Nobel laureates, neuroscientists, and wisdom keepers worldwide. He's the author of RESONANCE: The Art and Science of Human Connection (March 31, 2026), co-creator of Global Citizen and the Global Citizen Festival, and host of the RESONANCE podcast.Featured in Forbes, Inc, Good Morning America. Follow on YouTube

What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org

►► GET MY FREE VIDEO & WORKSHEET - SHATTERPROOF YOURSELF LITE! 7 SMALL STEPS TO A GIANT LEAP IN YOUR CONFIDENCEReady to kick anxiety to the curb? In Episode 192 of the Decide Your Legacy Podcast, join our fearless host Adam Gragg as he reveals the 3 Daily Decisions that will slash your anxiety, fast!Discover how a shift in mindset, a sprinkle of optimism, and a dash of creative planning can shrink your worries, unlock your creativity, and bring back your sense of humor. Adam Gragg shares powerful, actionable tools, so simple you can teach them to a six-year-old, yet profound enough to reshape your future. Learn why perfectionism could be holding you back, how expanding your horizons opens up endless options, and why even a sloppy plan is better than standing still.Don't just feed your fears, spark hope and momentum with every episode. Tune in for real-life stories, practical steps, and a fresh perspective that will leave you ready to tackle any challenge with courage.Laugh, learn, and live boldly, because it's time you decided your legacy! Listen now and discover how to make anxiety work for you, not against you.BLOG ARTICLE MENTION: 3 Keys to Lowering AnxietyBOOK MENTION: Primal Intelligence by Angus FletcherCHAPTERS:00:00 "3 Simple Decisions for Anxiety"05:41 Critique of Cognitive Behavioral Therapy09:01 "Building Hope Through Reflection"13:36 "Finding Options Beyond Anxiety"16:23 "Fear Signals Need for Planning"19:32 "Vision vs. Plan: A Focus"22:55 "Planning for Success & Growth"26:20 "Impactful Core Conversations"28:04 "Commit, Act, Teach, Transform" Be sure to check out Escape Artists Travel and tell them Decide Your Legacy sent you!

Meet Richard Lam-- Master TEAM CBT Teacher and Therapist! Today we chat with Richard Lam. Richard is a licensed Marriage and Family Therapist in private practice in Mountain View, California. He is a graduate of Palo Alto University. He currently provides short-term therapy for anxiety, OCD, habits/addictions, depression, and relationship concerns using Cognitive Behavioral Therapy. Richard also trains other therapists in David Burn's model of CBT called TEAM-CBT Therapy. He is a certified Level 5 Master Therapist and Trainer in TEAM-CBT Therapy.  And today, Richard has gifts for you! They are fantastic! See below! I began by asking Richard how he got interested in teaching. When he was first learning, he was tutored by Dr. Angela Krumm, an advanced TEAM CBT practitioner and one of the three founders of the Feeling Good Institute. He was loving the training, but one day she said, "That's all I can teach you. Now you have to start teaching!"  And that started the wagon rolling down the hill. Richard is particularly interested in developing free self-help tools for patients, but also runs a special training class for TEAM CBT therapists who themselves want to become trainers. It meets in-person at the FGI office on Mondays from 12 to 2 PM. If interested, contact Richard (contact information is at bottom of show notes.) Richard is one of our most articulate TEAM CBT teachers, and is renown for some of his live demonstrations of specific techniques, like Forced Empathy. He has created a series of multi-page interactive teaching guides for a variety of techniques, so you can learn exactly how to do the Double Standard Technique, or the Externalization of Voices in a simple, clear, step-ty-step manner. Here are links to several examples. Check them out and feel free to share them with your patients if you are a TEAM therapist.  These links are all kick ass! Check them out and do the exercises. You'll be glad you did! Link to Double Standard Technique Link to Externalization of Voices  Link to Externalization of Resistance Link to I Feel Statements, Part 1 Link to I Feel Statements, Part 2 Link to Feared Fantasy Link to Forced Empathy Link to Forced Empathy Handout Link to Future Projection, for Habits Link to Paradoxical Ultimatum Richard tells us that mental health works a lot like physical health. When we don't regularly care for our bodies, things start to deteriorate and the same is true for our minds. These tools give you a way to keep nurturing your mental health so you can maintain a strong, healthy mind. Richard and I also discussed Acceptance--one of the most difficult concepts for patients and therapists alike to "get." I was delighted to learn he has a five-point plan to help people grasp this concept. Richard's Five Steps to Acceptance 1. The Win-Win Principle: How can I see this loss as a win? In high school, Richard had a patient whose heart was set on making the varsity basketball team, and was heartbroken when he only made the junior varsity team. But then he got to thinking that it would be fun to be the start on the JV team because his best friend is also going to be in JV. He relaxed and started to enjoy his practices with the team.  And He was promptly promoted to the varsity team!  2. Remember the butterfly effect!  Richard described getting angry and frustrated when he was late for an important appointment, and the car in front of him was moving slowly and caused a delay at a red light. His first impulse was to get angry and insist it SHOULDN'T have happened. But then, in reflection, he thought: "Wait a minute. This delay will change the entire trajectory of the rest of my life. And who knows, this could have save my life from some future tragedy if the trajectory of my life had been on time."  3, Growth mindset I have always thought of this important idea in simple terms. There is really no such "thing," from a Buddhist perspective, as "success" or "failure." These are just experiences. But often things do not turn out as one hoped. Instead of caving in, giving up, or feeling depressed or frustrated, although those are perfectly reasonable human experiences, you can accept your failure and view it as an opportunity for growth and learning. Our 9 month old grandson has reminded me that when we are learning to walk, we "fail" constantly, falling over, etc. But these are steps in learning that eventually culminates in the ability to walk--which is a miracle! 4. The spiritual view Acceptance can be thought of as letting go of judgement. Richard treated a woman who was angry at God because she could not have children, and she had always dreamed of having a big family. But from a medical perspective, her anger and constant agitation were actually the main reason she couldn't get pregnant. Shen she began working on reducing her anger using TEAM CBT, she was able to relax, and accept her fate with greater in peace. And then she suddenly got pregnant!  I, David, have seen this on many occasions. Check out Podcast #7f9, one of our most popular podcasts ever, with Daisy: "What is the Secret of a Meaningful Life?" Or Podcasts 268 - 269, featuring live work with our beloved Dr. Carly Zankman. Or #349: "What if my family rejects me?" All of these podcasts were amazing, and resulted in rapid pregnancies! 5. Empathy vs anger Richard described getting VERY angry when someone broke into his car and stole a bunch of stuff, but then asked himself why they did it. He realized that they were probably struggling and desperate for money--for drugs, for food, for family. Understanding someone's story can help lower the anger that you feel. Richard, Rhonda, and David

Concentrar-se no que é controlável e aceitar o que é incontrolável. Essa á uma das máximas do pensamento estóico, criado pelo imperador romano Marco Aurélio e que voltou ao hype. Afinal, o que é - e, principalmente, o que não é - estoicismo?Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (58min 48s)* Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*APOIO: INSIDERChegou fevereiro, ilustríssima ouvinte e ilustríssimo ouvinte do Naruhodo.É quando a rotina aperta de verdade: o calor pesa, os compromissos se acumulam, o corpo sente, o Carnaval se aproxima — e a vida real acontece sem pausa.E qual é a roupa que acompanha o seu ritmo?Ela mesma: INSIDER.Afinal, INSIDER é a escolha inteligente que aguenta o dia inteiro, aguenta o calor, aguenta o movimento, aguenta a rotina.Ou seja: sustenta seu ritmo com muito estilo.Então use o endereço a seguir pra já ter o cupom NARUHODO aplicado ao seu carrinho de compras: são 10% de desconto para clientes cadastrados e 20% de desconto caso seja sua primeira compra.>>> creators.insiderstore.com.br/NARUHODOOu clique no link que está na descrição deste episódio.INSIDER: inteligência em cada escolha.#InsiderStore*REFERÊNCIASThe Western origins of mindfulness therapy in ancient Romehttps://link.springer.com/article/10.1007/s10072-023-06651-wA Comparative Analysis of Stoicism and Cognitive Behavioural Therapy (CBT)http://albertinejournal.org/10%20A%20Comparative%20Analysis%20of%20Stoicism%20and%20Cognitive%20Behavioural%20Therapy%20(CBT).pdfWilliam James and the Impetus of Stoic Rhetorichttps://scholarlypublishingcollective.org/psup/p-n-r/article-abstract/45/3/246/290269/William-James-and-the-Impetus-of-Stoic-RhetoricThe Ancient Origins of Cognitive Therapy: The Reemergence of Stoicismhttps://www.proquest.com/openview/742f90a1c1e13c9085ce2a9c8d0410fe/1?pq-origsite=gscholar&cbl=28723Core Beliefs in Cognitive Behavioral Therapy and Stoicismhttps://muse.jhu.edu/pub/1/article/964183/summaryPatricia A. Rosenmeyer (2001). Ancient Epistolary Fictions: The Letter in Greek Literature. Cambridge University Press. p. 214. ISBN 978-0-521-80004-4.https://catdir.loc.gov/catdir/samples/cam031/00041454.pdfA HISTORY OF CYNICISM https://www.holybooks.com/wp-content/uploads/A-History-of-Cynicism.pdfStoicism as a Panacea for Contemporary Problemshttps://www.proquest.com/openview/f128731c9d006eca833b90aa36167659/1?pq-origsite=gscholar&cbl=18750&diss=yThe Stoic Capitalist: Advice for the Exceptionally Ambitioushttps://books.google.com.br/books?hl=en&lr=&id=VR1VEQAAQBAJ&oi=fnd&pg=PP2&dq=stoicism+and+capitalism&ots=VuA23wsQ3C&sig=BUUMCHZI782I82BzPTwzSi6ui74&redir_esc=y#v=onepage&q=stoicism%20and%20capitalism&f=falsePopular Stoicism in the Face of Social Uncertaintyhttps://www.ceeol.com/search/article-detail?id=1075832Diógenes Laércio, Vidas e Doutrinas dos Filósofos Ilustreshttps://revistas.ufrj.br/index.php/FilosofiaClassica/article/download/40618/22230/110987Nietzsche contra stoicism: naturalism and value, suffering and amor fati https://www.tandfonline.com/doi/abs/10.1080/0020174X.2019.1527547Stoicism and sensation seeking: Male vulnerabilities for the acquired capability for suicidehttps://www.sciencedirect.com/science/article/abs/pii/S0092656612000530Can stoic training develop medical student empathy and resilience? A mixed-methods studyhttps://link.springer.com/article/10.1186/s12909-022-03391-xTroubling stoicism: Sociocultural influences and applications to health and illness behaviourhttps://journals.sagepub.com/doi/10.1177/1363459312451179Meditações - Marco Auréliohttps://masculinistaopressoroficial.wordpress.com/wp-content/uploads/2017/06/meditac3a7c3b5es-marco-aurc3a9lio.pdfBig boys don't cry: An investigation of stoicism and its mental health outcomeshttps://www.sciencedirect.com/science/article/abs/pii/S0191886907004473Naruhodo #26 - Meditação faz bem pra saúde, segundo a ciência?https://www.youtube.com/watch?v=cqzZlXHtxjkNaruhodo #404 - Por que algumas pessoas gostam de terminar as coisas e outras não?https://www.youtube.com/watch?v=pTSZ--4TKMkNaruhodo #135 - Como eu sei que você é você e não eu? - Parte 1 de 2https://www.youtube.com/watch?v=Fq-VjuiTOY0Naruhodo #136 - Como eu sei que você é você e não eu? - Parte 2 de 2https://www.youtube.com/watch?v=yRZkLKL6QH0Naruhodo #319 - O tempo passa mais rápido quando ficamos mais velhos?https://www.youtube.com/watch?v=8xgBvsN0b_INaruhodo #433 - Existe amizade entre homens e mulheres? - Parte 1 de 2https://www.youtube.com/watch?v=EFVaBfGaowgNaruhodo #434 - Existe amizade entre homens e mulheres? - Parte 2 de 2https://www.youtube.com/watch?v=H6D1yCni0rcNaruhodo #446 - O que é transfuga de classe?https://www.youtube.com/watch?v=HQQyT1sawZoNaruhodo #430 - Por que é tão difícil deixar o rancor de lado?https://www.youtube.com/watch?v=u0IesoD4A9ANaruhodo #346 - Programação Neurolinguística (PNL) tem base científica? - Parte 1 de 2https://www.youtube.com/watch?v=p9-iauANzY0Naruhodo #347 - Programação Neurolinguística (PNL) tem base científica? - Parte 2 de 2https://www.youtube.com/watch?v=yggQXOE9lRYNaruhodo #186 - O que são as 4 causas de Aristóteles?https://www.youtube.com/watch?v=GQnAQGbMpXcNaruhodo #393 - A psicologia positiva tem validade científica? - Parte 1 de 2https://www.youtube.com/watch?v=LnSZCHHfoWINaruhodo #394 - A psicologia positiva tem validade científica? - Parte 2 de 2https://www.youtube.com/watch?v=n8h3zC7YLNs*TEXTO MARCO AURÉLIOAo despontar a aurora, faça estas considerações prévias: encontrarei com um indiscreto, com um ingrato, com um insolente, com um mentiroso, com um invejoso, com um não-sociável. Tudo isso lhes ocorre por ignorância do bem e do mal. Mas eu, que observei que a natureza do bem é o belo, e que a do mal é o vergonhoso, e que a natureza do próprio pecador, que é meu parente, porque participa, não do mesmo sangue ou da mesma semente, mas das inteligência e de uma porção da divindade, não posso receber dano de nenhum deles, pois nenhum me cobrirá de vergonha; nem posso me aborrecer com meu parente nem odiá-lo. Pois, nascemos para colaborar, como os pés, as mãos, as pálpebras, os dentes, superiores e inferiores. Agir, pois, como adversários uns para com os outros é contrário à natureza. E é agir como adversário o fato de manifestar indignação e repulsa. Isso é tudo o que sou: um pouco de carne, um breve fôlego vital e o guia interior. Deixe os livros! Não te distraias mais; não está permitido a ti. Mas que, na idéia de que já és um moribundo, despreza a carne: sangue e pó, ossos, fino tecido de nervos, de pequenas veias e artérias. Olha também em que consiste o fôlego vital: vento, e nem sempre o mesmo, pois em todo momento se expira e de novo se aspira. Em terceiro lugar, pois, te resta o guia interior. Reflete assim: és velho; não o consintas por mais tempo que seja escravo, nem que siga ainda arrastando-se como marionete por instintos egoístas, nem que maldigas o destino presente ou tenhas receio do futuro. Para qualquer parte da natureza, é bom aquilo que colabora com a natureza do conjunto e o que é capaz de preservá-la. E conservam o mundo tanto as transformações dos elementos simples como as dos compostos. Sejam suficientes para ti essas reflexões, se são princípios básicos. Afasta tua sede de livros, para não morrer amargurado, mas verdadeiramente resignado e grato de coração aos deuses. Não consumas a parte da vida que te resta fazendo conjecturas sobre outras pessoas, a não ser que teu objetivo aponte para o bem comum; porque certamente te privas de outra tarefa. Ao querer saber, ao imaginar o que faz fulano e por que, e o que pensa e o que trama e tantas coisas semelhantes que provocam teu raciocínio, tu te afastas da observação do teu guia interior. Convém, consequentemente, que, no encadear das tuas ideias, evites admitir o que é fruto do azar e supérfluo, mas muito mais o inútil e pernicioso. Deves também acostumar-te a ter unicamente aquelas ideias sobre as quais, se te perguntassem de súbito “em que pensas agora?”, com franqueza pudesses responder no mesmo instante “nisso e naquilo”, de maneira que no mesmo instante se manifestasse que tudo em ti é simples, benévolo e próprio de um ser isento de toda cobiça, inveja, receio ou qualquer outra paixão, da qual pudesses envergonhar-te ao reconhecer que a possui em teu pensamento. Porque o homem com essas características, que já não demora em situar-se entre os melhores, converte-se em sacerdote e servo dos deuses, posto ao serviço também da divindade que habita seu interior; tudo que o imuniza contra os prazeres, o faz invulnerável a toda dor, intocável a todo excesso, insensível a toda maldade, atleta da mais excelsa luta, luta que se entrava para não ser abatido por nenhuma paixão, impregnado a fundo de justiça, apegado, com toda a sua alma, aos acontecimentos e a tudo o que lhe tenha acontecido. E, raramente, a não ser por uma grande necessidade e tendo em vista o bem comum, cogita o que a outra pessoa diz, faz ou pensa. Colocará unicamente em prática aquelas coisas que lhe correspondem, e pensa sem cessar no que lhe pertence, o que foi alinhado ao conjunto. Enquanto, por um lado, cumpre o seu dever, por outro, está convencido de que é bom. Porque o destino designado a cada um está envolvido no conjunto e ao mesmo tempo o envolve. Tem também presente que todos os seres racionais têm parentesco e que preocupar-se com todos os homens está de acordo com a natureza humana Mas não deves considerar a opinião de todos, mas somente a opinião daqueles que vivem conforme a natureza. E, em relação aos que não vivem assim, prossegue recordando até o fim como são em casa e fora dela, pela noite e durante o dia, e com que classe de gente convivem. Consequentemente, não considera o elogio de tais homens que nem consigo mesmos estão satisfeitos.Na convicção de que pode sair da vida a qualquer momento, faça, fale e pense todas e cada uma das coisas em consonância com essa ideia. Pois distanciar-se dos homens, se existem deuses, em absoluto é temível, porque estes não poderiam atirar-te ao mar. Mas, se em verdade não existem, ou não lhes importam os assuntos humanos, para que viver em um mundo vazio de deuses ou vazio de providência? Mas sim, existem, e lhes importam as coisas humanas, e criaram todos os meios a seu alcance para que o homem não sucumba aos verdadeiros males. E se restar algum mal, também haveriam previsto, a fim de que contasse o homem com todos os meios para evitar cair nele. Mas o que não torna pior um homem, como isso poderia fazer pior a sua vida? Nem por ignorância nem conscientemente, mas por ser incapaz de prevenir ou corrigir esses defeitos, a natureza do conjunto o teria consentido. E, tampouco, por incapacidade ou inabilidade teria cometido um erro de tais dimensões como acontece aos bons e aos maus indistintamente, bens e males em partes iguais. Entretanto, morte e vida, glória e infâmia, dor e prazer, riqueza e penúria, tudo isso acontecem indistintamente ao homem bom e ao mal, pois não é nem belo nem feio, porque, efetivamente, não são bons nem maus.*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

Sleep doesn't break because you forgot how to close your eyes. It breaks when anxiety trains your brain to stay on guard, and when quick fixes like alcohol, cannabis, or OTC sleep aids sedate you without restoring you. We team up with Australian psychologist and author Helen Dugdale to unpack how insomnia forms, why 3 a.m. wakeups become a habit loop, and the practical, evidence‑based steps that rebuild real rest—especially for people in recovery.Helen shares how anxiety sits at the core of most sleep problems and why the brain's plasticity is our greatest ally. We dig into Cognitive Behavioral Therapy for Insomnia (CBT‑I) basics—aligning with circadian rhythm, setting simple pre‑bed routines, and replacing catastrophic thoughts with repeatable behaviors—and explore how Eye Movement Desensitization and Reprocessing (EMDR) calms trauma so sleep skills can finally land. Expect concrete tactics: caffeine cutoffs tied to bedtime, screen boundaries that don't feel punitive, mantras that redirect attention, breathing and counting that occupy mental space, and progressive muscle relaxation you can run anywhere, even in a noisy room with the lights on.We also address the realities people with addiction face: unstable housing, tight budgets, caregiving, and long days that drain executive function. You'll hear how to build micro‑habits that fit into crowded lives—thirty seconds while the kettle boils, one minute before starting the car, seven minutes as “0.5% of your day.” We talk timelines for progress, what to do on rough days when HALT hits, and how to bounce back from relapse without shame. The throughline is hope: you are worth the effort, and repetition rewires nights. If you're ready to trade quick fixes for deep, durable rest, this conversation gives you a blueprint you can start tonight.Subscribe, share with a friend who needs better sleep, and leave a review with the one habit you'll try first. Your feedback helps others find the show.To learn more about Helen's work: https://australianbraincoaching.com.auTo contact Dr. Grover: ammadeeasy@fastmail.com

Whether you're new or aware of Cognitive Behavioral Therapy, behavioural activation is a critical part of this therapeutic approach. It focuses on helping a person to do what they love to improve their mood, their mental health and their life. However, as one of my clinical psychology lecturers once said, this is extremely difficult, a lot of people struggle and even psychology students struggle to do behavioural activation when given it as a fun assignment. Yet it is a lot of fun, it is doable and it really can make the world of difference to your mental health. Therefore, in this clinical psychology podcast episode, you'll learn what is behavioural activation, how to do behavioural activation and more fun facts. If you enjoy learning about psychotherapy, cognitive behavioural therapy and mental health, then this will be a great episode for you.In the psychology news section, you'll learn why half of people arrested in London might have undiagnosed ADHD, how a new study makes a great case for weekend lie ins, and why the overwhelming majority of women in STEM might feel like imposters.LISTEN NOW!If you want to support the podcast, please check out:FREE AND EXCLUSIVE 8 PSYCHOLOGY BOOK BOXSET- https://www.subscribepage.io/psychologyboxsetCBT For Depression: A Clinical Psychology Introduction to Cognitive Behavioural Therapy for Depression- https://www.connorwhiteley.net/cbt-for-depression Available from all major eBook retailers and you can order the paperback and hardback copies from Amazon, your local bookstore and local library, if you request it. Also available as an AI-narrated audiobook from selected audiobook platforms and libraries systems. For example, Kobo, Spotify, Barnes and Noble, Google Play, Overdrive, Baker and Taylor and Bibliotheca. Patreon- patreon.com/ThePsychologyWorldPodcast#cbt #behaviouralactivation #behavioralactivation #cognitivebehaviouraltherapy #cognitivetherapy #psychotherapy #behaviouraltherapy #clinicalpsychology #mentalhealth #clinicalmentalhealth #clinicalpsychologist #mentalhealthawareness #mentalhealthsupport #mentalhealthadvocate #psychology #psychology_facts #psychologyfacts #psychologyfact #psychologystudent #psychologystudents #podcast #podcasts

In this thought-provoking solo episode of Modern Chiropractic Mastery, Dr. Kevin Christie dives deep into the hidden mental habits that quietly shape our decisions, confidence, and success—cognitive distortions. Drawing from Dr. Seth Gillihan's work in Cognitive Behavioral Therapy, Dr. Christie breaks down common thinking traps like all-or-nothing thinking, catastrophizing, and emotional reasoning—and shows how they show up in everyday life and in practice ownership.You'll learn a simple but powerful framework to regain control of your mindset: Catch it. Check it. Change it. Dr. Christie explains how this three-step process can help you challenge unhelpful thoughts, reduce stress, and make clearer, more intentional choices.He also reflects on the continued growth of Modern Chiropractic Mastery in 2025 and shares exciting opportunities ahead in 2026, including a London Masterclass. The episode wraps with a strong reminder that long-term success doesn't happen in isolation—having a coach and a community of driven, like-minded professionals can be the difference between burnout and fulfillment.If you're ready to sharpen your mindset, elevate your practice, and stop letting your thoughts run the show, this episode is a must-listen.

Click to Text Thoughts on Today's EpisodeWhat if you could literally change your brain's structure just by thinking differently? Neurosurgeon and Iraq war veteran Dr. Lee Warren shares groundbreaking insights on how modern brain science confirms ancient biblical wisdom—and how you can use "self-brain surgery" to break free from anxiety, depression, and negative thought patterns. After performing over 200 brain surgeries in a war zone and losing his son to tragedy, Dr. Warren discovered the surprising truth: your mind controls your brain, not the other way around. This conversation will change how you think about thinking.Main Points:1. Your Mind Controls Your Brain (Not Vice Versa)2. 80% of Your Thoughts and Feelings Aren't True3. Gratitude and Anxiety Cannot Coexist4. The Daily Scrub-In Practice5. Neuroplasticity: Your Brain's Built-In Hope6. Practical Self-Brain Surgery OperationsLinks:The Life-Changing Art of Self-Brain Surgery: Connecting Neuroscience and Faith to Radically Transform Your LifeDr. Lee Warren PodcastConnect with Dr. Warren:www.drleewarren.comInstagram: @drleewarrenFacebook: @drleewarrenX: @docleewarrenYouTube: @drleewarrenMy latest recommended ways to nourish and move your body, mind and spirit: Nourished Notes Bi-Weekly Newsletter Be Strong and Vibrant! Online Strength Training Course for Christian Women in Perimenopause and Beyond 30+ Non-Gym Ways to Improve Your Health (free download)Connect with Amy: GracedHealth.com Instagram: @GracedHealthYouTube: @AmyConnell

Living a Nutritious Life PodcastIn this exciting episode of Living a Nutritious Life Podcast, we are thrilled to welcome Sarah Petroski, a sleep expert, yoga instructor, and personal trainer.About Our Guest:Sarah Petroski is a Personal Trainer, Kundalini Yoga teacher, and Sleep Performance Coach specializing in Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold standard treatment for insomnia. She holds a postgraduate degree in Sleep Medicine from the University of Oxford and has spent the past 20 years teaching movement and mindfulness practices.What You'll Learn in This Episode:- The real science behind why women in midlife often struggle with sleep, including the profound impact of hormonal changes and hidden factors like sleep apnea.- Practical, actionable tools for improving your sleep (beyond good sleep hygiene) from developing a morning routine to leveraging powerful meditation techniques and exercise.- Why managing stress and nurturing your nervous system throughout the day may be as important as what you do in the hours immediately before bed.- The latest on sleep tracking, supplements, and the surprising role of ritual and mindset in rewiring lifelong sleep patterns.Episode Highlights:- Sarah shares her unconventional journey from sports TV producer to sleep expert and why her own lifelong battle with insomnia fuels her passion for helping others.- A deep dive into how perimenopause and menopause affect women's sleep physiology, the increase in sleep apnea risk, and why most symptoms go undiagnosed.- Powerful routines and tools: from the benefits of Kundalini meditation and strategic morning sunlight, to the importance of keeping your bedroom cool—and what to do when you wake at 3 a.m.- Must-know facts about the glymphatic system (your brain's “waste clearance” system at night), the role of mindset in overcoming insomnia, and what works—and doesn't—with popular sleep supplements like melatonin and magnesium.About Living a Nutritious Life Podcast: Welcome to the Living a Nutritious Life podcast with Keri Glassman, MS, RDN, CDN, where we break down the latest nutrition science into smart, actionable tips to help you live your most nutritious life.On the Living a Nutritious Life podcast, Keri and her world-renowned guests cut through the noise, sharing unparalleled, forward-thinking tips, tricks, and the latest in health, wellness, and nutrition science.Based on Keri's whole-person approach to healthy living, each impactful episode extends far beyond the simplistic “get more sleep” and “eat your greens” advice. She connects the dots like no one else – like how morning yoga can make it easier to choose a healthy lunch, leading to better sleep at night.Listen as Keri and her expert guests explore the physiological and behavioral connections that explain, for example, why the common wisdom around dieting and exercising alone doesn't work, so you can finally make the meaningful changes you've been looking for.Thank you for listening in to this episode of Living a Nutritious Life. We hope you enjoyed the conversation as much as we did! If you found value in this episode, please RATE, REVIEW and SHARE.Ready to Dive Deeper? Get in on the action—enroll in our Become a Nutrition Coach program at nutritiouslife.com/bnc.Connect with Sarah on social:Instagram: https://www.instagram.com/sleepfitsarahLinkedIn: https://www.linkedin.com/in/sarah-petroski-51a8b919/Website: www.sleepfitsarah.comRest to Rise Journal: www.sleepfitsarah.com/sleepshopConnect with Keri on social: Instagram: https://www.instagram.com/nutritiouslifeofficial/ Facebook: https://www.facebook.com/KeriGlassmanNutritiousLife Twitter: https://twitter.com/NutritiousLife_ LinkedIn: https://www.linkedin.com/company/nutritiouslife Pinterest: https://www.pinterest.com/nutritious_life/ Website: https://nutritiouslife.com/ Become a Nutrition Coach: https://nutritiouslife.com/bnc/Copyright © 2023-2025 Nutritious Life.#LivingaNutritiousLife #NutritiousLife Hosted on Acast. See acast.com/privacy for more information.

Do you have trouble sleeping? It's a topic you can't avoid once you reach a certain age. And while sleep problems are common in people with Parkinson's disease, they certainly aren't limited to them. Because of that, treatment is often the same as it is for anyone else. Until researchers uncover more specific biological causes in Parkinson's—progress is being made—we rely on standard, evidence-based treatments for insomnia. In this episode, we speak with an expert about one such treatment: a non-medication approach called Cognitive Behavioral Therapy for Insomnia, or CBT-I. It helped me tremendously, and I hope you'll listen. It may be something you want to try. https://cbti.directory/ Thank you to our sponsor – Boston Scientific, the maker of Vercise Genus, a Deep Brain Stimulation or DBS system. To learn more about the latest treatment options for Parkinson's disease at https://DBSandMe.com/17branches   

Send us a textIn this heartfelt conversation, Patricia Holbrook welcomes Brendt Blanks, author, content creator, and former marriage and family therapist, to share her powerful journey from counseling in hospitals to building a thriving faith-based lifestyle brand ("She Gave It A Go") and publishing her new devotional book, "Listen Closer." The episode dives into navigating grief, finding purpose in pain, and reframing negative thoughts with the truth of God's Word.Key Topics Covered:- Navigating seasons of loss, grief, and family challenges- The story behind "She Gave It A Go" and how a simple phrase and leap of faith led to a new career- The importance of making meaning from pain- Reframing negative thought patterns using practical, biblical techniques- Examples from motherhood and daily life about changing your mindset- How "Listen Closer" helps women identify and replace 31 common lies with God's truth- The power of speaking and meditating on Scripture over your circumstances- Overcoming fear, anxiety, and self-doubt in the pursuit of your calling- Encouragement for listeners to take bold steps of faith ("Give it a go!")Guest Bio:Brendt Blanks spent 17 years as a licensed marriage and family therapist before launching "She Gave It A Go," a home and faith-focused lifestyle brand with a major online following. Her experiences through personal hardship, professional burnout, and spiritual growth led her to write "Listen Closer," a devotional helping women fight the lies of the world with God's truths.Connect and Learn More:Visit Brendt's website: SheGaveItAGo.comEnter the book giveaway via Patricia's show notes: https://kingsumo.com/g/1rjew93/listen-closer-believing-gods-truth-over-the-worlds-lies-by-brendt-blanksPurchase "Listen Closer:” https://amzn.to/4pVFzTKSubscribe, like, and comment to share how God's truth has helped you reframe your own thoughts and challenges.Tag someone who needs encouragement to “give it a go” in their faith journey!Support the showClick on the link above to support us and help keep this show going!Click on the links to connect with Patricia on Instagram, Facebook, Twitter, LinkedIn, YouTube

As 2026 gets underway we know that many take time around this new beginning to improve not only their physical, but also their mental health. With that in mind, we're rerunning an episode with Leanne Williams on the future of depression care. Leanne is an expert on clinical depression and is working on new ways to more precisely diagnose depression in order to develop more effective treatment. For anyone who has suffered from depression or knows someone who has, it's an episode that provides hope for what's on the horizon. We hope you'll take another listen and also share this episode with anyone who you think may benefit from the conversation. Episode Reference Links:Stanford Profile: Leanne WilliamsConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest Leanne Williams, a professor of Psychiatry and Behavioral Science at Stanford University.(00:01:43) What Is Depression?Distinguishing clinical depression from everyday sadness.(00:03:31) Current Depression Treatment ChallengesThe trial-and-error of traditional depression treatments and their timelines.(00:06:16) Brain Mapping and Circuit DysfunctionsAdvanced imaging techniques and their role in understanding depression.(00:09:03) Diagnosing with Brain ImagingHow brain imaging can complement traditional diagnostic methods in psychiatry.(00:10:22) Depression BiotypesIdentifying six distinct biotypes of depression through brain imaging.(00:12:31) Cognitive Features of DepressionHow cognitive impairment plays a major role in certain depression biotypes.(00:14:11) Matching Treatments to BiotypesFinding appropriate treatments sooner using brain-based diagnostics.(00:15:38) Expanding Treatment OptionsPersonalizing therapies and improving treatment outcomes based on biotypes.(00:19:03) AI in Depression TreatmentUsing AI to refine biotypes and predict treatment outcomes with greater accuracy.(00:22:15) Psychedelics in Depression TreatmentThe potential for psychedelic drugs to target specific biotypes of depression.(00:23:46) Expanding the Biotypes FrameworkIntegrating multimodal approaches into the biotype framework.(00:27:29) Reducing Stigma in DepressionHow showing patients their brain imaging results reduces self-blame and stigma.(00:29:38) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This special episode of AJP Audio brings together the editors of the American Journal Psychiatry and the AJP Residents' Journal to discuss important and impactful articles published in 2025. 00:39   Ned H. Kalin, M.D., discusses "Transcriptomic Analysis of the Human Habenula in Schizophrenia" by Ege A. Yalcinbas, Ph.D., et al. 06:23   Elisabeth Binder, M.D., Ph.D., discusses "Copy Number Variant Architecture of Child Psychopathology and Cognitive Development in the ABCD Study" by Zhiqiang Sha, Ph.D., et al. 11:17   Kathleen T. Brady, M.D., Ph.D., discusses "High-Potency Cannabis Use and Health: A Systematic Review of Observational and Experimental Studies" by Stephanie Lake, Ph.D., et al. 15:35   David A. Lewis, M.D., discusses "20 Years of Aberrant Salience in Psychosis: What Have We Learned?" by Philip R. Corlett, Ph.D., and Kurt M. Fraser, Ph.D. 17:27   William M. McDonald, M.D., discusses "Psychedelics for the Treatment of Psychiatric Disorders: Interpreting and Translating Available Evidence and Guidance for Future Research" by Roger S. McIntyre, M.D., F.R.C.P.C., et al. 24:04   Daniel S. Pine, M.D., discusses "Cognitive Behavioral Therapy and Lisdexamfetamine, Alone and Combined, for Binge-Eating Disorder With Obesity: A Randomized Controlled Trial" by Carlos M. Grilo, Ph.D., et al. 26:06   Carolyn Rodriguez, M.D., Ph.D., discusses "Randomized Controlled Trial of the Effects of High-Dose Ondansetron on Clinical Symptoms and Brain Connectivity in Obsessive-Compulsive and Tic Disorders" by Emily R. Stern, Ph.D., et al. 30:26   Sean T. Lynch, M.D., discusses "From Medical Practice to Mass Incarceration: A Historical Analysis of Racial and Ethnic Targeting in U.S. Drug Policy" by Rathisha Pathmathasan, D.O., et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org  

Dr. Riz Ahmad could have been diagnosed with social anxiety, autism spectrum, and depression as a teenager. Instead, he became one of the most talented psychologists I've ever worked with.In this episode, Riz shares his journey from fear-driven perfectionist—completely fused with his mind and disconnected from his body—to an eight-week stay at a Zen Buddhist monastery that changed everything. What happened when his mind finally went quiet? And what does his story reveal about the dangers of how we label and treat human suffering today?A radically genuine conversation about ego, consciousness, and what mainstream psychology is missing. Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

Dr. Bryan Denny joins us to further our understanding of emotional regulation research, particularly research that combines traditional diagnostic approaches with neurobiology. Bryan is a tenured Associate Professor in the Department of Psychological Sciences at Rice University and Director of the Translational Social Cognitive and Affective Neuroscience Lab. Bryan 's research is a fascinating complement to our book this month: Ethan Kross's SHIFT: MANAGING YOUR EMOTIONS SO THEY DON'T MANAGE YOU.Bryan's research seeks to understand the psychological and neurobiological mechanisms that underlie successful and unsuccessful emotion regulation across a spectrum of healthy and clinical populations. He is interested in utilizing the results of basic investigations into these processes in order to design and examine novel interventions focused on improving real-world emotion regulation outcomes in a variety of contexts. Bryan tells us what emotion regulation is and then explains some of the evidence-based techniques used to do so, citing Ethan Kross' book and also the work of James Gross and Lisa Feldman Barrett. He compares the cognitive basis of emotional regulation to the behaviorist tradition that once dominated psychology.Bryan tells us about his work combining cognitive research and neurobiology. Neurobiology uses technologies, such as fMRIs, to show how the brain is operating. Bryan believes there will always be a place for cognitive counseling and its techniques, such as Cognitive Behavioral Therapy, but that the addition of neuroscience opens up new ways of understanding emotions and creating interventions.Bryan conducts longitudinal emotion regulation research at his lab, and has recently been focusing on populations such as caregivers and bereaved persons.We loved this episode and all the information Dr. Denny shared with us. We are hopeful listeners won't be too distracted by the sometimes poor audio.

Matt delves into insomnia, defining it as a persistent struggle to sleep despite having the opportunity. He presents "Cognitive Behavioral Therapy for Insomnia" (CBTI) as the scientifically validated gold standard, and details the five pillars: stimulus control to rebuild the bed-sleep association, time-in-bed restriction to boost efficiency, sleep hygiene, cognitive restructuring, and relaxation. These strategies retrain the brain to treat the bed as a sanctuary, deactivating the psychological triggers of wakefulness.The episode also addresses the physiological impacts of caffeine, alcohol, and nighttime rumination. Walker contrasts traditional "Z-drugs," which may hinder glymphatic housekeeping, with newer "DORAs" that target the orexin system like a dimmer switch. While discussing tools like Trazodone, he emphasizes that CBTI's aim is to restore the body's innate sleep signals. These evidence-based interventions offer a lasting payoff by aligning behavior with our deep biological needs.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Clean biological living requires precision. Podcast partner Caraway's non-toxic ceramic cookware eliminates deleterious "forever chemicals" for a seamless, slide-off-the-pan cooking experience. Save $190 on sets plus 10% off at Carawayhome.com/mattwalker. Caraway. Non-Toxic kitchenware made modern.In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.As always, if you have thoughts or feedback you'd like to share, please reach out to Matt:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

In Episode 111, we kick off 2026 with a powerful conversation featuring Drs. Julian Barling and Simon Rego, co-authors of The Cognitive Behavioral Therapy Workbook for Leaders. Together, they explore how evidence-based psychological strategies can help leaders manage stress, burnout, anxiety, and other mental health challenges that undermine leadership effectiveness.Key insights include:* Why mental health isn't just personal—it's professional, and how leaders' emotional states shape organizational culture.* Practical, science-backed tools from therapy to improve resilience and decision-making.* How leaders can use this workbook to build skills privately, cost-effectively, and sustainably.* Why focusing on leaders' well-being is critical for team performance and psychological safety.* The surprising gap in research on leaders' mental health—and what needs to change.You can find Dr. Barling at https://julianbarling.com/You can find Dr. Rego at https://www.simonrego.com/You can purchase their book from the publisher here:https://www.newharbinger.com/9781648484773/the-cognitive-behavioral-therapy-workbook-for-leaders/?srsltid=AfmBOorV2FnZrax04gQ-Q-3ToPAaNfiQycuNWq890eHfcb5CrdTq5bNe This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthywork.substack.com

Episode Notes This week on Live Like the World is Dying, we have another re-run episode. Margaret and Smokey talk about ways to go about mental first aid, how to alter responses to trauma for you self and as a community, different paths to resiliency, and why friendship and community are truly the best medicine. Host Info Margaret can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. Publisher Info This show is published by Strangers in A Tangled Wilderness. We can be found at www.tangledwilderness.org, or on Twitter @TangledWild and Instagram @Tangled_Wilderness. You can support the show on Patreon at www.patreon.com/strangersinatangledwilderness. Transcript LLWD:Smokey on Mental First Aid Margaret 00:15 Hello and welcome to Live Like the World is Dying, your podcast are what feels like the end times. I'm your host, Margaret killjoy. And, this week or month...or let's just go with 'episode'. This episode is going to be all about mental health and mental health first aid and ways to take care of your mental health and ways to help your community and your friends take care of their mental health, and I think you'll like it. But first, this podcast is a proud member of the Channel Zero network of anarchists podcasts. And here's a jingle from another show on the network. Margaret 01:52 Okay, with me today is Smokey. Smokey, could you introduce yourself with your your name, your pronouns, and I guess a little bit about your background about mental health stuff? Smokey 02:04 Sure, I'm Smokey. I live and work in New York City. My pronouns are 'he' and 'him.' For 23 years, I've been working with people managing serious mental illness in an intentional community, I have a degree in psychology, I have taught psychology at the University level, I have been doing social work for a long time, but I've been an anarchist longer. Margaret 02:43 So so the reason I want to have you on is I want to talk about mental health first aid, or I don't know if that's the way it normally gets expressed, but that's the way I see it in my head. Like how are...I guess it's a big question, but I'm interested in exploring ways that we can, as bad things happen that we experience, like some of the best practices we can do in order to not have that cause lasting mental harm to us. Which is a big question. But maybe that's my first question anyway. Smokey 03:12 I mean, the, the truth is bad things will happen to us. It's part of living in the world, and if you are a person that is heavily engaged in the world, meaning, you know, you're involved in politics, or activism, or even just curious about the world, you will probably be exposed on a more regular basis to things that are bad, that can traumatize us. But even if you're not involved in any of those things, you're going to go through life and have really difficult things happen to you. Now, the good news is, that's always been the case for people. We've always done this. And the good news is, we actually know a lot about what goes into resilience. So, how do you bounce back quickly and hopefully thrive after these experiences? I think that is an area that's only now being really examined in depth. But, we have lots of stories and some research to show that actually when bad things happen to us, there is an approach that actually can help catalyst really impressive strength and move...change our life in a really positive direction. We also know that for most people, they have enough reserve of resiliency that....and they can draw upon other resiliency that they're not chronically affected by it, however, and I would argue how our society is kind of structured, we're seeing more and more people that are suffering from very serious chronic effects of, what you said, bad things happening, or what is often traumatic things but it's not just traumatic things that cause chronic problems for us. But, that is the most kind of common understanding so, so while most people with most events will not have a chronic problem, and you can actually really use those problems, those I'm sorry, those events, let's call them traumatic events, those traumatic events they'll really actually improve your thriving, improve your life and your relationship to others in the world. The fact is, currently, it's an ever growing number of people that are having chronic problems. And that's because of the system. Margaret 06:19 Yeah, there's this like, there was an essay a while ago about it, I don't remember it very well, but it's called "We Are Also Very Anxious," and it it was claiming that anxiety is one of the general affects of society today, because of kind of what you're talking about, about systems that set us up to be anxious all the time and handle things in... Smokey 06:42 I think what most people don't understand is, it is consciously, in the sense that it's not that necessarily it's the desire to have the end goal of people being anxious, and people being traumatized, but it is conscious in that we know this will be the collateral outcome of how we set up the systems. That I think is fairly unique and and really kind of pernicious. Margaret 07:17 What are some of the systems that are setting us up to be anxious or traumatized? Smokey 07:23 Well, I'm gonna reverse it a little bit, Margaret. I'm going to talk about what are the things we need to bounce back or have what has been called 'resilience,' and then you and I can explore how our different systems actually make us being able to access that much more difficult. Margaret 07:47 Okay. Oh, that makes sense. Smokey 07:49 The hallmark of resiliency, ironically, is that it's not individual. Margaret 07:57 Okay. Smokey 07:57 In fact, if you look at the research, there are very few, there's going to be a couple, there's gonna be three of them, but very few qualities of an individual psychology or makeup that is a high predictor of resiliency. Margaret 08:20 Okay. Smokey 08:21 And these three are kind of, kind of vague in the sense they're not, they're not terribly dramatic, in a sense. One is, people that tend to score higher on appreciation of humor, tends to be a moderate predictor of resiliency. Margaret 08:46 I like that one. Smokey 08:47 You don't have to be funny yourself. But you can appreciate humor. Seems to be a....and this is tends to be a cross cultural thing. It's pretty low. There are plenty of people that that score very low on that, that also have resiliency. That's the other thing, I'll say that these three personality traits are actually low predictors of resiliency. Margaret 09:13 Compared to the immunity ones that you're gonna talk about? Smokey 09:16 So one is appreciation of humor seems to be one. So, these are intrinsic things that, you know, maybe we got from our family, but but we hold them in ourselves, right? The second one is usually kind of put down as 'education.' And there tends to be a reverse bell curve. If you've had very, very low education, you tend to be more resilient. If you've had extreme professionalization, you know, being a doctor, being a lawyer, well, not even being a lawyer, because that's the only...but many, many years of schooling, PhD things like that, it's not what you study. There's something about... Smokey 10:10 Yeah, or that you didn't. They're almost equal predictors of who gets traumatized. And then the the last one is kind of a 'sense of self' in that it's not an ego strength as we kind of understand it, but it is an understanding of yourself. The people that take the surveys, that they score fairly high....So I give you a survey and say, "What do you think about Smokey on these different attributes?" You give me a survey and say, "Smokey, how would you rate yourself on these different attributes?" Margaret 10:11 It's that you studied. Margaret 10:32 Okay. Smokey 10:59 So, it's suggesting that I have some self-reflexivity about what my strengths and weaknesses are. I can only know that because they're married by these also. Margaret 11:11 Okay. So it's, it's not about you rating yourself high that makes you resilient, it's you rating yourself accurately tohow other people see you. Smokey 11:18 And again, I want to stress that these are fairly low predictors. Now, you'll read a million books, kind of pop like, or the, these other ones. But when you actually look at the research, it's not, you know, it's not that great. So those..however, the ones that are big are things like 'robustness of the social network.' So how many relations and then even more, if you go into depth, 'what are those relationships' and quantity does actually create a certain level of quality, interestingly, especially around things called 'micro-social interactions,' which are these interactions that we don't even think of as relationships, maybe with storepersons, how many of these we have, and then certain in depth, having that combined with a ring of kind of meaningful relationships. And meaningful meaning not necessarily who is most important to me, but how I share and, and share my emotions and my thoughts and things like that. So, there's a lot on that. That is probably the strongest predictor of resilience. Another big predictor of resilience is access to diversity in our social networks. So, having diverse individuals tend to give us more resiliency, and having 'time,' processing time, also gives us more...are high predictors of resiliency, the largest is a 'sense of belonging.' Margaret 13:14 Okay. Smokey 13:15 So that trauma...events that affect our sense of belonging, and this is why children who have very limited opportunities to feel a sense of belonging, which are almost always completely limited, especially for very young children to the family, if that is cut off due to the trauma, or it's already dysfunctional and has nothing to do with the trauma, that sense of belonging, that lack of sense of belonging makes it very difficult to maintain resilience. So. So those are the things that, in a nutshell, we're going to be talking about later about 'How do we improve these?' and 'How do we maximize?' And 'How do we leverage these for Mental Health First Aid?' We can see how things like the internet, social media, capitalism, you know, kind of nation state building, especially as we understand it today, all these kinds of things errode a lot of those things that we would want to see in building resilient people. Margaret 14:28 Right. Smokey 14:28 And, you know, making it more difficult to access those things that we would need. Margaret 14:34 No, that's...this...Okay, yeah, that makes it obvious that the answer to my question of "What are the systems that deny us resiliency?" are just all of this. Yeah, because we're like....most people don't have...there's that really depressing statistic or the series of statistics about the number of friends that adults have in our society, and how it keeps going down every couple of decades. Like, adults just have fewer and fewer friends. And that... Smokey 15:00 The number, the number is the same for children, though too. Margaret 15:05 Is also going down, is what you're saying? Smokey 15:07 Yes. They have more than adults. But compared to earlier times, they have less. So, the trend is not as steep as a trendline. But, but it is still going down. And more importantly, there was a big change with children at one point, and I'm not sure when it historically happened. But, the number of people they interacted with, was much more diverse around age. Margaret 15:39 Oh, interesting. Smokey 15:40 So they had access to more diversity. Margaret 15:43 Yeah, yeah. When you talk about access to diversity, I assume that's diversity in like a lot of different axis, right? I assume that's diversity around like people's like cultural backgrounds, ethnic backgrounds, age. Like, but even like... Smokey 15:56 Modes of thought. Margaret 15:58 Yeah, well, that's is my guess, is that if you're around more people, you have more of an understanding that like, reality is complicated, and like different people see things in different ways. And so therefore, you have a maybe a less rigid idea of what should happen. So, then if something happens outside of that, you're more able to cope, or is this...does... like, because I look at each of these things and I can say why I assume they affect resiliency, but obviously, that's not what you're presenting, you're not presenting how they affect resiliency, merely that they seem to? Smokey 16:34 Yeah, and I don't know, if we know exactly how they affect, and we don't know how they...the effect of them together, you know, social sciences, still pretty primitive. So they, they need to look at single variables, often. But you know, we know with chemistry and biology and ecology, which I think are a little more sophisticated...and physics, which is more sophisticated. The real interesting stuff is in the combinations. Margaret 17:09 Yeah. Okay. Smokey 17:10 So what happens when you have, you know, diversity, but also this diverse and robust social network? Is that really an addition? Or is that a multiplication moment? For resiliency. Margaret 17:23 Right. And then how does that affect like, if that comes at the expense of...well, it probably wouldn't, but if it came at the expense of processing time or something. Smokey 17:33 Exactly. Margaret 17:35 Or, like, you know, okay, I could see how it would balance with education in that, like, I think for a lot of people the access to diversity that they encounter first is like going off to college, right, like meeting people from like, different parts of the world, or whatever. Smokey 17:49 I forgot to mention one other one, but it is, 'meaning.' Meaning is very important. People that score high, or report, meaning deep, kind of core meaning also tend to have higher resiliency. That being said, they...and don't, don't ever confuse resiliency with like, happiness or contentment. It just means that the dysfunction or how far you're knocked off track due to trauma, and we're, we're using trauma in the larger sense of the word, you know, how long it takes you to get back on track, or whether you can even get back on track to where you were prior to the event is what we're talking about. So it's not, this is not a guide to happiness or living a fulfilled life. It's just a guide to avoid the damage. Margaret 19:01 But if we made one that was a specifically a 'How to have a happy life,' I feel like we could sell it and then have a lot of money.Have you considered that? [lauging] Smokey 19:11 Well one could argue whether that's even desirable to have a happy life. That's a whole philosophical thing. That's well beyond my paygrade Margaret 19:22 Yeah, every now and then I have this moment, where I realized I'm in this very melancholy mood, and I'm getting kind of kind of happy about it. And I'm like, "Oh, I'm pretty comfortable with this. This is a nice spot for me." I mean, I also like happiness, too, but you know. Okay, so, this certainly implies that the, the way forward for anyone who's attempting to build resiliency, the sort of holistic solution is building community. Like in terms of as bad stuff happens. Is that... Smokey 19:58 Community that's...and community not being just groups. Okay, so you can, I think, you know, the Internet has become an expert at creating groups. There lots of groups. But community, or communitas or the sense of belonging is more than just a shared interest and a shared knowledge that there's other like-minded people. You'll hear the internet was great for like minded people to get together. But, the early internet was really about people that were sharing and creating meaning together. And I think that was very powerful. That, you know, that seems harder to access on today's Internet, and certainly the large social media platforms are consciously designed to achieve certain modes of experience, which do not lend themselves to that. Margaret 21:06 Right, because it's like the...I don't know the word for this. Smokey 21:10 It's Capitalism. Like, yeah, we're hiding the ball. The ball is Capitalism. Margaret 21:14 Yeah. Smokey 21:14 And how they decided to go with an advertising model as opposed to any other model, and that requires attention. Margaret 21:21 Yeah. Because it seems like when you talk about a robust social network, I mean, you know, theoretically, social network, like social networks, you know, Twitter calls itself a social network, right? And is there anything in the micro social interactions that one has online? Is there value in that? Or do you think that the overall...I mean, okay, because even like looking at... Smokey 21:46 I think there has to be value, I think, yeah, they did. I was reading just today, actually, about research, it was in England, with...this one hospital decided to send postcards to people who had been hospitalized for suicidal attempts. Margaret 22:09 Okay. Smokey 22:10 Most of them ended up in the mental health thing, some of them didn't, because they they left beyond, you know, against medical advice, or whatever. But, anyone that came in presenting with that a month, and then three months later, they sent another postcard just saying, "You know, we're all thinking about you, we're hoping you're all you're doing, alright. We have faith in you," that kind of thing like that, right. Nice postcard, purposely chosen to have a nice scene, sent it out. And they followed up, and they found a significant reduction in further attempts, rehospitalizations of these people, so that's a very, you know, there's no, it's a one way communication, it's not person-to-person, and it had some impact on I would guess one could argue the resiliency of those people from giving into suicidal ideation. Right. Margaret 23:13 Yeah. Smokey 23:14 So I think this is to say that, you know, we'd be...unplugging the internet, you know, that kind of Luddite approach doesn't make sense. There is a value to answer your question to the the internet's micro social interactions. It's just we...it's complicated, because you can't just have micro-social interactions unfortunately, but you need them. Margaret 23:44 Yeah. No, that that's really interesting to me, because yeah, so there's, there is a lot of value that is coming from these things, but then the overall effect is this like, like, for example, even like access to diversity, right? In a lot of ways, theoretically, the Internet gives you access to like everything. But then, instead, it's really designed to create echo chambers in the way that the algorithms and stuff feed people information. And echo chambers of thought is the opposite of diversity, even if the echo chamber of thought is like about diversity. Smokey 24:16 Yeah, I mean, it's set up again, almost as if it were to kind of naturally organically grow, we would probably have just as chaotic and and people would still just be as angry at the Internet, but it probably would develop more resilience in people. Because it wouldn't be stunted by this need to attract attention. The easiest way to do that is through outrage. Easiest way to do that is quickly and fast, so it takes care of your processing time. And relative anonymity is the coin of these kinds of things, you know, that's why bots and things like that, you know, they're not even humans, right? You know, they're just...so all these kinds of things stunt and deform, what could potentially be useful, not a silver bullet, and certainly not necessary to develop resiliency, strong resiliency. You don't need the internet to do that. And there are certain...using the internet, you know, there's going to be certain serious limitations because of the design, how it's designed. Margaret 25:42 Okay, well, so hear me out. If the internet really started coming in latter half of the 20th century, that kind of lines up to when cloaks went out of style.... Smokey 25:54 Absolutely, that's our big problem. And they haven't done any research on cloak and resiliency. Margaret 26:00 I feel that everyone who wears a cloak either has a sense of belonging, or a distinct lack of a sense of belonging. Probably start off with a lack of sense of belonging, but you end up with a sense of belonging So, okay, okay. Smokey 26:15 So I want to say that there's two things that people confuse and a very important. One, is how to prevent chronic effects from traumatic experiences. And then one is how to take care of, if you already have or you you develop a chronic effect of traumatic experiences. Nothing in the psychology literature, sociology literature, anthropology literature, obviously, keeps you from having traumatic experiences. Margaret 26:52 Right. Smokey 26:54 So one is how to prevent it from becoming chronic, and one is how to deal with chronic and they're not the same, they're quite, quite different. So you know, if you already have a chronic traumatic response of some sort, post traumatic stress syndrome, or any of the other related phenomena, you will approach that quite differently than building resilience, which doesn't protect you from having trauma, a traumatic experience. It just allows you to frame it, understand it, maybe if you're lucky, thrive and grow from it. But at worst, get you back on track in not having any chronic problems. Margaret 27:48 Okay, so it seems like there's three things, there's the holistic, building a stronger base of having a community, being more resilient in general. And then there's the like direct first aid to crisis and trauma, and then there's the long term care for the impacts of trauma. Okay, so if so, we've talked a bit about the holistic part of it, you want to talk about the the crisis, the thing to do in the immediate sense as it's happening or whatever? Smokey 28:15 For yourself or for somebody else? Margaret 28:18 Let's start with self. Smokey 28:20 So, self is go out and connect to your social network as much as you can, which is the opposite of what your mind and body is telling you. And that's why I think so much of the quote unquote, "self-care" movement is so wrong. You kind of retreat from your social network, things are too intense, I'm going to retreat from your social network. The research suggests that's the opposite of what you should be doing, you should connect. Now, if you find yourself in an unenviable situation where you don't have a social network, then you need to connect to professionals, because they, they can kind of fill in for that social Network. Therapists, social workers, peer groups, support groups, things like that they can kind of fill in for that. The problem is you don't have that sense of belonging. Well, with support groups, you might. You see this often in AA groups or other support groups. You don't really get that in therapy or or group therapy so much. But that is the first thing and so connect to your group. Obviously on the other side, if you're trying to help your community, your group, you need to actively engage that person who has been traumatized. Margaret 29:33 Yeah, okay. Smokey 29:35 And it's going to be hard. And you need to keep engaging them and engaging them in what? Not distractions: Let's go to a movie, get some ice cream, let's have a good time. And not going into the details of the traumatic experience so much as reconnecting them to the belonging, our friendship, if that. Our political movement, if that. Our religious movement, if that. Whatever that...whatever brought you two together. And that could be you being the community in this person, or could be you as Margaret in this person connecting on that, doubling down on that, and often I see people do things like, "Okay, let's do some self care, or let's, let's do the opposite of whatever the traumatic experience was," if it came from, say oppression, either vicarious or direct through political involvement let's, let's really connect on a non-political kind of way. Margaret 31:19 Ah I see! Smokey 31:21 And I'm saying, "No, you should double down on the politics," reminding them of right what you're doing. Not the trauma necessarily not like, "Oh, remember when you got beaten up, or your, your significant other got arrested or got killed by the police," but it's connecting to meaning, and bringing the community together. Showing the resiliency of the community will vicariously and contagiously affect the individual. And again, doesn't have to be political could be anything. Margaret 32:01 Yeah. Is that? How does that that feels a little bit like the sort of 'get right back on the horse kind of thing.' But then like, in terms of like, socially, rather than, because we 'get back on the horse,' might mean might imply, "Oh, you got beat up at a riot. So go out to the next riot." And that's what you're saying instead is so "Involve you in the fundraising drive for the people who are dealing with this including you," or like... Smokey 32:28 And allowing an expectation that the individual who's been traumatized, might be having a crisis of meaning. And allowing that conversation, to flow and helping that person reconnect to what they found meaningful to start with. So getting right back on the horse again, it's reminding them why they love horses. Margaret 33:02 Yeah. Okay, that makes sense. Okay, I have another question about the the crisis first aid thing, because there's something that, you know, something that you talked to me about a long time ago, when I was working on a lot of like reframing. I was working on coping with trauma. And so maybe this actually relates instead to long term care for trauma. And I, I thought of this as a crisis first aid kind of thing, is I'll use a like, low key example. When I was building my cabin, I'm slightly afraid of heights, not terribly, but slightly. And so I'm on a ladder in the middle of nowhere with no one around and I'm like climbing up the ladder, and I'm nailing in boards. And I found myself saying, "Oh, well, I only have three more boards. And then I'm done. I can get off the ladder. "And then I was like, "No, what I need to do is say, it's actually fine, I am fine. And I can do this," rather than like counting down until I can get off the ladder. And so this is like a way that I've been working on trying to build resiliency, you can apply this to lots of things like if I'm on an airplane, and I'm afraid of flying or something I can, instead of being like, "Five more hours and then we're there. Four more hours and then we're there," instead of being like, "It's actually totally chill that I'm on an airplane. This is fine." And basically like telling myself that to reframe that. Is this....Am I off base with this? Is this tie into this, there's just a different framework? Smokey 34:27 That is what the individual should be trying to do is connect the three different things, keeping it simple. One, is to the community which gives them nourishment. On a plane or on your roof, that's not going to happen. Margaret 34:44 Yeah. Smokey 34:45 Though, actually, to be honest. If you're nervous and you have...go back to your roof example, which I think is a pretty good one. Let's say that you had more than three boards. Let's say it was gonna take you a couple hours to do that. But it's something you're nervous about, connecting to somebody in your social network, whether you, you have your earphones on, and you're just talking to them before or during...after doesn't help. That does one way. Or the other is connecting to what you were doing, which is connecting to kind of reframing or your own internal resilience. I've done something similar like this before. This is not something that is going to need to throw me, it is what's called pocketing the anxiety. Margaret 35:45 Okay. Smokey 35:45 Where you're other-izing it, being like, it's coming from you too, right? being like, "Hey, you could fall. This plane could go down," right? That that's still you, you're generating that. You're not hearing that over to, and you're saying, "Okay, but I'm going to try, you know, give primacy to this other voice in my head. That is saying, "You've got this, it's all right, you've done things like this before."" So that's the second thing. And that's what you were doing. So you could connect to your community, you could connect to kind of a reserve of resiliency. And to do that is allow that one to be pocketed. But be like, "Hey, I want to hear from what this core thing has to say. I want to hear from what the positive person on the front row has to say." You're not arguing with that one. You're just listening. You're changing your, your, what you're attuned to. And then the third one is, if you can, you connect to the meaning. What is the meaning of building the house for you? Where are you going on your flight? And why is it important? Margaret 37:03 Yeah. Okay, Smokey 37:05 And that anxiety and the fact that you're doing it, you want to give again, the primacy to the importance, that "Yeah, I'm really nervous, I'm really freaked out about this, but this thing is so important, or so good for me, or so healthy for me to do this. This must mean it's going to be really important. And I'm connecting to why it's important and focusing on that. So those are the three things that the individual can do. The helping person or community is engagement. The second one is the same, reconnecting to the meaning. Why did you love horses in the first place? Okay, don't have to get back on the horse. But let's not forget horses are awesome. Margaret 37:58 Yeah. Smokey 37:58 And Horseback riding is awesome. Margaret 38:01 Yeah. Smokey 38:01 And you were really good at it before you got thrown. But you know, you don't have to do it now, but let's, let's just let's just share our love of horses for a moment and see how that makes you feel. And then the third one is that kind of drawing upon, instead of drawing upon the individual resilience, which you were doing, like, "Hey, I got this," or the plane, you know, you were, you're hearing from other people, you're drawing upon their individual resilience. "Smokey, tell me about the time you did this thing that was hard." And I tell ya, you're like, "Well, Smokey can fucking do that I can do it. You don't even think...it doesn't even work necessarily consciously. Margaret 38:50 Right. Smokey 38:51 So you could see that what you're doing individually, the helper or the community is doing complementary. Margaret 38:59 Yeah. Smokey 39:00 And now you can see why a lot of self care narrative, a lot of taking a break a lot of burnout narrative, all these things, at best aren't going to help you and at worst, in my opinion, are kind of counterproductive. Margaret 39:17 Well, and that's the, to go to the, you know, working on my roof thing I think about...because I've had some success with this. I've had some success where I....there's certain fears that I have, like, suppressed or something like I've stopped being as afraid of...the fear is no longer a deciding factor in my decision making, because of this kind of reframing this kind of like, yeah, pocketing like...And it's probably always useful to have the like, I don't want to reframe so completely that I just walk around on a roof all the time, without paying attention to what I'm doing, right?Because people do that and then they fall and the reason that there's a reason that roofing is one of the most dangerous jobs in America. So a, I don't know I yeah, I, I appreciate that, that you can do that. And then if it's a thing you're going to keep doing anyway, it becomes easier if you start handling it like, carefully, you know? Smokey 40:17 Well, you don't want to give it too much. So why do we? Why is it natural for us to take anxiety or fear and focus on it? It's somewhat evolutionary, right? It's a threat, right? It's supposed to draw your attention, right? It's supposed to draw your attention. And if you're not careful, it will draw your attention away from other things that are quieter that like that resiliency in the front row you need to call on, because they're not as flashy, right? So I don't think you have to worry about threat....You're right. You don't want to get to the point where you and that's why I say 'pocket it,' as opposed to 'deny it, suppress it, argue with it. demolish it.' I think it's good to have that little, "Beep, beep, beep there's a threat," and then being like, "Okay, but I want to continue to do this. Let's hear from resiliency in the front row. What? What do you have to tell me too?" You have to not...what happens is we go into the weeds of the threat. Oh, so what? "Oh, I fall off and I compound fracture, and I'm way out here in the woods, and no one's going to get me. My phone isn't charged." That's not what the original beep was. Original beep like, "You're high up on a ladder, seems unstable. This seems sketchy," right? Okay. Got that. And then resilience is, "Yeah, you've done lots of sketchy stuff. You've written in the back of a pickup truck. That's sketchy, so seatbelt there, nothing, you know, let me remind you that that you can overcome." And, but by going into the anxiety, going into the fear, you're forcing yourself to justify the thing. And then it becomes more and more elaborate, and it gets crazier and crazier very quickly. You know, all of sudden, you're bleeding out and you're cutting your leg off with a pen knife. It's like, "Wow, how did all this happen?" Margaret 42:38 Yeah, well, and that's actually something that comes up a lot in terms of people interacting with the show and about like preparedness in general. Because in my mind, the point of paying attention to how to deal with forest fire while I live in the woods, is not to then spend all of my time fantasizing and worrying about forest fire. But instead, to compare it to this ladder, if I get this "Beep, beep, the ladder is unstable." I climb down, I stabilize the ladder as best as I can. And then I climb back up and I do the thing. And then when I think about like, with fire, I'm like, "Okay, I have done the work to minimize the risk of fire. And so now I can stop thinking about it." Like, I can listen to the little beep, beep noise and do the thing. And now I can ignore the beep beep because just like literally, when you're backing up a truck and it goes beep, beep, you're like, yeah, no, I know, I'm backing up. Thanks. You know, like, Smokey 43:35 Yeah, it's good to know, it's good to know, you're not going forward. Margaret 43:39 Yeah, no. No, okay. That's interesting. And then the other thing that's really interesting about this, the thing that you're presenting, is it means that in some ways, work that we present as very individual in our society, even in radical society, is actually community based on this idea, like so conquering phobias is something that we help one another do, it seems like, Smokey 44:02 Absolutely. I mean, the best stuff on all this stuff is that people reverse engineering it to make people do dangerous, bad things. The military. Margaret 44:18 Yeah, they're probably pretty good at getting people to conquer phobias. Yep. Smokey 44:21 They have a great sense of belonging. They have a great sense of pulling in internal resilient, group resilient, connecting to meaning even when it's absolutely meaningless what you're doing. It's all the dark side of what we're talking about, but it's quite effective and it literally wins wars. Margaret 44:47 Yeah, that makes sense. Because you have this whole... Smokey 44:50 Literally it changes history. And so, the good news is, we can kind of reclaim that for what I think it was originally purposed to do, which is to protect us from the traumas that we had to go through in our evolutionary existence. So we couldn't afford to have a whole bunch of us chronically disabled. Meaning unable to function, you know, they've just taken it and, and bent it a little bit, and learned very deeply about it, how to how to use it for the things that really cause, you know, physical death and injury. And, and, you know, obviously, they're not perfect, you have a lot of trauma, but not, not as much as you would expect for what they do. And every year they get better and better. Margaret 45:51 Hooray. Smokey 45:53 We have to get on top of our game. Margaret 45:56 Yeah. Smokey 45:57 And get people not to do what they do. I'm not suggesting reading...well maybe reading military, but not...you can't use those tools to make people truly free and resilient. Margaret 46:17 Yeah. Smokey 46:18 In the healthy kind of way. Yeah. Margaret 46:22 Okay, so in our three things, there's the holistic, prepared resiliency thing, then there's the immediate, the bad thing is happening first aid. Should we talk about what to do when the thing has, when you have the like, the injury, the mental injury of the trauma? Smokey 46:42 Like with most injuries, it's rehab, right? Margaret 46:45 Yeah. No, no, you just keep doing the thing, and then hope it fixes itself. [laughs] Smokey 46:53 My approach to most medical oddities that happen as I get older, it's like, "It'll fix itself, this tooth will grow back, right? The pain will go away, right?" Yeah, just like physical rehab, it does require two important aspects for all physical, what we think of when someone says I have to go to rehab, physical rehab, not not alcohol rehab, or psych rehab, is that there's two things that are happening. One, is a understanding, a deep understanding of the injury, often not by the person, but by the physical therapist. Right? That if they know, okay, this is torn meniscus, or this is this and I, okay, so I understand the anatomy, I understand the surgery that happened. Okay. And then the second is, short term, not lifelong therapy, not lifelong this or that. Short term techniques to usually strengthen muscles and other joints and things around the injury. Okay. And that's what, what I would call good recovery after you already have the injury. It's not after you've had the traumatic experience, because traumatic experience doesn't necessarily cause a chronic injury, and we're trying to reduce the number of chronic injuries, but chronic injuries are going to happen. chronic injuries already exist today. A lot of the people we know are walking around with chronic injuries that are impacting their ability to do what they want to do and what in my opinion, we need them to do, because there's so much change that needs to happen. We need everybody as much as possible to be working at their ability. So wherever we can fix injury, we should. So so one is where do I get an understanding of how this injury impacts my life? And I think different cognitive psychology, I think CBT, DBT, these things are very, very good in general. Margaret 49:22 I know what those are, but can you explain. Smokey 49:22 Cognitive Behavioral Therapy, Dialectical Behavioral Therapy. These all come out of cognitive psychology from the 50s. Our techniques, but most therapists use versions of this anyway. So just going to therapy, what it is doing initially, is trying to, like the physical therapist, tell you, "This is the injury you have. This is why it's causing you to limp, or why you have weakness in your arm and wrist. And what we're going to do is we're going to give you some techniques to build up, usually the muscles, or whatever else needs to be built up around it so that you will be able to get more use out of your hand." And that is what we need to do with people that have this chronic injury. So, one, is you need to find out how the injury is impacting. So, I'm drinking more, I'm getting angry more, or I'm having trouble making relationships, or I'm having, and there's a series of, you know, 50 year old techniques to really kind of get down and see, okay, this injury is causing these things, that's how it's impacting me, and I don't want to drink more, or I want to be able to sleep better, or I want to be able to focus, or I want to be able to have meaningful relationship with my partner or my children or whatever, whatever that is, right? And then there are techniques, and they're developing new techniques, all the time, there's like EMDR, which is an eye thing that I don't fully understand. There DBT, dialectical behavioral therapy, has a lot of techniques that you kind of practice in groups. As you know, we have mutual aid cell therapy, MAST, which is also a group where you're sharing techniques to build up these different things and resilience. So, community, and meaning, and all those...reframing all those kinds of things. So, but they shouldn't, despite the length of the injury, how long you've been injured, how long you've been limping, and how much it's affected other parts of your psychic body in a way. These are things that still should be able to be remediated relatively quickly. Smokey 49:31 That's exciting. Yeah. Smokey 50:10 But this is not a lifelong thing. Now, that doesn't mean, if you're traumatized as a child for example, it's sort of like if you've completely shattered your wrist bone, and they've put in pins and things like that, that wrist, may never have the flexibility, it did, the actual wrist bone, you know, the bones in the wrist. But by building muscles, and other things around it, you could then theoretically have full flexibility that you had before, right? But it's not the actual wrist bone, but that that injury is still there. You've built up...Sometimes it's called strength-based approach or model where you're building up other strengths, you have to relieve the impact that that injury, so like, a common thing with with trauma is trust. My trust is very damaged. My ability to trust others, or trust certain environments, or maybe trust myself, right, is completely damaged. So if, if my...and that may never fully heal, that's like my shattered wrist bone. So then, by building up, let's say, I don't trust myself, I did something, really fucked up myself, you know, psychologically, traumatically, but by building up trust in others, and then in the environment, or other things, that can mediate that damage or vice versa. Margaret 53:53 You mean vice versa, like if you? Smokey 53:59 Like, if my problem is a trust of others, or trust with strangers, or trust with friends, you know, I've been betrayed in a really traumatic way by my mother, or my father or uncle or something like that then, you know, building up my friendships to a really strong degree will reduce and eventually eliminate, hopefully erase the impact of that injury on the rest of my life. I'm not doomed to have dysfunctional relationships, lack of sleep, alcoholism or whatever are the symptoms of that traumatic event, that chronic traumatic event. Margaret 54:54 Okay, so my next question is, and it's sort of a leading question, you mentioned MAST earlier and I kind of want to ask, like, do we need specialists for all of this? Do we have people who both generalize and specialize in this kind of thing? Are there ways that, you know, we as a community can, like, get better at most of this stuff while then some of it like, you know, obviously people specialize in and this remains useful? Like... Smokey 55:22 You need. I wouldn't say...You need, you do need specialists, not for their knowledge, per se so much as they're there for people that the injury has gone on so long that the resiliency, all those other things, they don't have a social network, they haven't had time, because the damage happened so early to build up those reserves, that that person in the front row, the front row, the seats are empty. That is, it's really great we live...Now, in other cultures, the specialists were probably shamans, religious people, mentors, things like that, that said, "Okay, my role is to," all therapy is self therapy. That was Carl Rogers, he was quite correct about that. The specialist you're talking about are the kind of stand in for people who don't have people to do that. I would argue all real therapy is probably community therapy. It's relational. So if you have friends, if you have community, if you have a place, or places you find belonging, then theoretically, no, I don't think you need....I think those groups, and I think most specialists would agree to actually, those groups, if they're doing this can actually do a much better job for that individual. They know that individual and there's a natural affinity. And there there are other non specifically therapeutic benefits for engaging in re engaging in these things that have nothing to do with the injury that are just healthy, and good to you. So sort of like taking Ensure, Ensure will keep you alive when you're you've had some surgery, you've had some really bad injury, or if you need saline solution, right? But we're not suggesting people walk around with saline bags. There are better ways to get that, more natural ways to get that. I'm not talking alternative, psychiatric or, you know, take herbs instead of psychiatric medication. But there are better ways to do that. And I think, but I'm glad we have saline. Margaret 58:08 Yeah, Smokey 58:08 I think it saves a lot of people's lives. But, we would never give up the other ways to get nutrients because of other benefits to it. You know, sharing a meal with people is also a really good thing. Margaret 58:21 And then even like from a, you know, the advantages of community, etc. I'm guessing it's not something that's like magically imbued in community. It's like can be something that communities need to actually learn these skills and develop like, I mean, there's a reason that well, you know, I guess I'm reasonably open about this. I used to have like fairly paralyzing panic attacks, and then it started generalizing. And then, you know, a very good cognitive behavioral therapist gave me the tools with which to start addressing that. And that wasn't something I was getting from....I didn't get it from my community in the end, but I got it from a specific person in the community, rather than like, everyone already knows this or something. Smokey 59:03 Well, I think what we're doing right here is, is....I mean, people don't know. So they read....People were trying to help you from your community. Undoubtedly, with the right. intentions, and the right motives, but without the information on what actually works. Margaret 59:27 Yep. Smokey 59:28 And that's all that was happening there. Margaret 59:30 Yeah, totally. Smokey 59:31 So, it's really, you know, as cliche as it sound. It's really about just giving people some basic tools that we already had at one time. Margaret 59:44 Yeah. Smokey 59:45 Forgot, became specialized. So you know, I'm throwing around CBT, DBT, EMDR. None of that people can keep in their head. They will....The audience listening today are not going to remember all those things. And nor do they have to. But they have to know that, you know, reconnecting to the horse, but not telling people to get back on the horse, that kind of tough love kind of thing isn't going to work, but neither is the self care, take a bubble bath... Margaret 1:00:19 Never see a horse again, run from a horse. Smokey 1:00:21 Never see a horse, again, we're not even going to talk about horses, let's go do something else, isn't going to work either. And I think once we...you know, it's not brain science...Though it is. [laughs] It is pretty, you know, these are, and you look at how religions do this, you know, you look at how the military does this, you look at how like, fascists do this, you know, all sorts of groups, communities can do this fairly effectively. And it doesn't cost money. It's not expensive. You don't have to be highly educated or read all the science to be able to do that. And people naturally try, but I think a lot of the self help kind of gets in the way. And some people think they know. "Okay, well, this is what needs to happen, because I saw on Oprah." That kind of thing. " Margaret 1:01:26 Yeah, Well, I mean, actually, that's one of the main takeaways that's coming from me is I've been, I've been thinking a lot about my own mental health first aid on a fairly individual basis, right? You know, even though it was community, that helped me find the means by which to pull myself out of a very bad mental space in that I was in for a lot of years. But I still, in the end was kind of viewing it as, like, "Ah, someone else gave me the tools. And now it's on me." It's like this individual responsibility to take care of myself. And, and so that's like, one of the things that I'm taking as a takeaway from this is learning to be inter-reliant. Smokey 1:02:06 There isn't enough research on it, again, because of our individualistic nature, and probably because of variables. But there's certainly tons of anecdotal evidence, and having done this for a long time talking to people and how the place I work is particularly set up, helping others is a really great way to help yourself. Margaret 1:02:30 Yeah. Smokey 1:02:31 it really works. It's very, I mean, obviously, in the Greeks, you know, you have the 'wounded healer,' kind of concept. Many indigenous traditions have said this much better than the Western. And I believe they have...and they needed to, but they had a much better kind of understanding of these things that we're we're talking about. You know, it. So, where people can...and I've heard this podcast, your podcast too, talking about this ability to be, you know, have self efficacy. But it's more than self efficacy. It's really helping others. Margaret 1:03:22 Yeah. Smokey 1:03:23 And that, that is really powerful. And there's not enough research on that. And I think that's why support groups, I think that's why, you know, AA, despite all its problems, has spread all over the world and has been around for, you know, 75 years, and is not going to go away anytime soon. Despite some obvious problems, is there's that there's that... they hit upon that they they re discovered something that we always kind of knew. Margaret 1:03:59 Yeah. Okay, well, we're coming out of time. We're running out of time. Are there any last thoughts, things that I should have asked you? I mean, there's a ton we can talk about this, and I'll probably try and have you on to talk about more specifics in the near future. But, is there anything anything I'm missing? Smokey 1:04:15 No, I think I think just re emphasizing the end piece that you know, for people that have resources, communities, meaning, social network, you know, that is worth investing your time and your energy into because that's going to build your...if you want to get psychologically strong, that is the easiest and the best investment, Put down the self help book. Call your friend. You know, don't search Google for the symptoms of this, that, or the other thing. Connect to what's important to you. And then lastly, try to help others or help the world in some way. And those are going to be profound and effective ways to build long lasting resilience as an individual. As a community, we should design our communities around that. Margaret 1:05:35 Yeah. All right. Well, that seems like a good thing to end on. Do you have anything that you want to plug like, I don't know books about mutual aid self therapy or anything like that? Smokey 1:05:46 I want to plug community. That's all I want to plug. Margaret 1:05:50 Cool. All right. Well, it's nice talking to you, and I'll talk to you soon. Smokey 1:05:54 Yep. Margaret 1:06:00 Thank you so much for listening. If you enjoyed this podcast, please tell people about it. Actually, I mean, honestly, if you enjoyed this episode, in particular, like think about it, and think about reaching out to people, and who needs to be reached out to and who you need to reach out to, and how to build stronger communities. But if you want to support this podcast, you can tell people about it. And you can tell the internet about it. And you can tell the algorithms about it. But, you can also tell people about it in person. And you can also support it by supporting the, by supporting Strangers In A Tangled Wilderness, which is the people who produce this podcast. It's an anarchist publishing collective that I'm part of, and you can support it on Patreon at patreon.com/strangersinatangledwilderness. And if you support at pretty much any level, you get access to some stuff, and if you support a $10 you'll get a zine in the mail. And if you support at $20, you'll get your name read at the end of episodes. Like for example, Hoss the dog, and Micahiah, and Chris, and Sam, and Kirk, Eleanor, Jennifer, Staro, Cat J, Chelsea, Dana, David, Nicole, Mikki, Paige, SJ, Shawn, Hunter, Theo, Boise Mutual Aid, Milica, and paparouna. And that's all, and we will talk to you soon, and I don't know, I hope you all are doing as well as you can. This podcast is powered by Pinecast. Try Pinecast for free, forever, no credit card required. If you decide to upgrade, use coupon code r-69f62d for 40% off for 4 months, and support Live Like the World is Dying.

In this episode of Your Health University, Jamie sits down with Dr. Jimmie Williamson, Chief Behavioral Health Officer at Your Health, to break down why behavioral health belongs inside primary care—not outside it. Jimmie explains how telehealth lowered stigma, how mental health diagnoses (“F codes”) often correlate with frequent ER use, and why Your Health moved from intuition to data-driven referral models using tools like Power BI. They also map the full behavioral health ecosystem—from psych nurse practitioners to therapists to the psych pharmacist—and clarify when and how teams should refer patients for the right level of support. The takeaway is simple: earlier behavioral health intervention can improve lives, reduce hospital visits, and strengthen value-based care outcomes system-wide. www.YourHealth.Org

Chronic insomnia affects millions worldwide and raises risks for cardiovascular disease, mental illness, and cognitive decline. Effective nondrug treatments are essential for restoring sleep and protecting long-term health Cognitive behavioral therapy for insomnia (CBT-I) is the leading behavioral treatment for chronic insomnia. It uses structured therapy to change sleep-disrupting thoughts and habits A study directly compared tai chi with CBT-I for chronic insomnia, using the same treatment length, standardized instruction, and identical measures to evaluate sleep outcomes CBT-I led to faster improvements early on, while tai chi reached similar results by 12 months and showed higher rates of continued practice after the formal intervention ended Both approaches improved sleep duration, reduced nighttime awakenings, and eased anxiety and depression, offering different but sustainable options for managing chronic insomnia without medication

Send us a textS6 E113 - Top Sleep Breakthroughs & Sleep Takeout's Year in Review!Join Dr. Michelle Zetoony and Dr. Daniel Baughn as they count down the top 3 sleep breakthroughs of the year on this exciting episode of Sleep Takeout! From behavioral treatments inspired by Cognitive Behavioral Therapy for Insomnia to the surprising winner in sleep confidence, this year-in-review episode is packed with valuable insights and practical advice. Discover the game-changing sleep insights, the most viewed episodes, and the impactful changes they brought into the sleep community. Thank you, Sleep Nation, for five incredible years! Here's to a restful and enlightening 2026 with Sleep Takeout! 00:00 Introduction and Year in Review01:03 Podcast Milestones and Listener Engagement03:21 Deep Dives and Special Series04:01 Community Events and Feedback07:37 Future Plans and Goals12:37 Top Three Breakthroughs of the Year14:13 Conclusion and Looking Forward✨ Real rest isn't just about falling asleep, it's about feeling at ease again. I'm Dr. Daniel Baughn, sleep psychologist and co-host of Sleep Takeout. I help professionals and high-achievers who seem to have everything together on the outside but can't quite turn off their minds at night.

We examined the psychology of imposter syndrome (the imposter phenomenon) and explored strategies to help overcome it to create more confident employees. In this Episode: Dr. Heather Morton, Tom Bradshaw, Lee Crowson, LindaAnn Rogers, Nic Krueger, Emi Barresi, Dr. Martha Grajdek, Rich Cruz, Cam Dunson, Dr. Amanda Shelton, Alexander Abney-King, Dr. Matt Lampe   Visit us https://www.seboc.com/ Follow us on LinkedIn: https://bit.ly/sebocLI Join an open-mic event: https://www.seboc.com/events   References: Arciniega, L. M., Servitje, A., & Woehr, D. J. (2021). Impacting the bottom line: Exploring the effect of a self‐efficacy oriented training intervention on unit‐level sales growth. Human Resource Development Quarterly, 32(4), 559–576.  https://doi-org.libauth.purdueglobal.edu/10.1002/hrdq.21433   Carey, M. & Forsyth, A. (2009). Teaching tip sheet: Self-efficacy. American Psychological Association (APA).  https://www.apa.org/pi/aids/resources/education/self-efficacy  Chrousos, G. P., & Mentis, A. F. A. (2020). Imposter syndrome threatens diversity. Science, 367(6479), 749-750.   Gallagher, M.W. (2012). Encyclopedia of Human Behavior (Second Edition). Self-efficacy. Via ScienceDirect:  https://www.sciencedirect.com/topics/psychology/self-efficacy-theory   Locke, E. A., & Latham, G. P. (2019). The development of goal setting theory: A half-century retrospective. Motivation Science, 5(2), 93–105.  https://doi-org.libauth.purdueglobal.edu/10.1037/mot0000127   Sheykhangafshe, F. B., Nouri, E., Niri, V. S., Choubtashani, M., & Farahani, H. (2024). The efficacy of Cognitive Behavioral Therapy on mental health, self-esteem and emotion regulation of medical students with imposter syndrome. Educational Research in Medical Sciences, 13(1).   Recommended scales: Eysenck Self-esteem Scale (ESES) Imposter Syndrome Scale

The Story Science Forgot: Why Psychotherapy Needs Narrative More Than Ever by Joel Blackstock LICSW-S MSW PIP no. 4135C-S | Dec 15, 2025 | 0 comments Joseph Campbell is arguably one of the most influential intellectuals of the twentieth century. If you have watched a Marvel movie or read a modern fantasy novel or sat in a screenwriter's workshop you have encountered his fingerprints. George Lucas explicitly credited Campbell's The Hero with a Thousand Faces as the structural backbone of Star Wars. Every major Hollywood studio has copies of his work floating around their development offices. Even filmmakers who actively deconstruct his monomyth model still have to be in conversation with Campbell to do so. You cannot escape him if you are telling stories in the Western tradition. But here is the thing about Joseph Campbell that we need to hold in our minds when we think about what psychology has become. He was a showman. He was a legitimate scholar but also someone who understood that the truth sometimes needs a little theatrical assistance. The Showman and the Bear Bones One of Campbell's favorite presentation techniques involved showing an image of ancient bear bones that were perhaps two million years old and discovered in a cave. The bones had been arranged in a particular way with pieces shoved back into the bear's mouth. Campbell would present this with his characteristic gravitas and explain that the ancients understood that nature must eat of itself. They knew that to take life is to participate in a cyclical loop of giving and receiving. The bear consuming itself was a ritual recognition that we are all food for something else. It is a beautiful interpretation. It is probably even partially true. We know through depth psychology and early anthropology that prehistoric humans were almost certainly trying to make meaning of existential realities. Ritual practices around death and consumption are well documented across cultures. Campbell was not fabricating this from nothing. But also come on Campbell. These are two million year old bones shoved in a hole. Maybe the jaw just collapsed that way. Maybe soil shifted. Maybe an animal disturbed them centuries after burial. He did not know. He could not know. And yet he presented it with the confidence of revealed truth. Here is why this matters. Campbell's influence is incalculable despite his methodological looseness. He told a story that resonated so deeply with something in the human psyche that it became the invisible architecture of our entire entertainment industry. He was not objectively right about those bear bones but he was pointing at something real about how humans make meaning. The story he told about that meaning making was more powerful than any peer reviewed paper could have been. We need to remember this when we think about psychotherapy and what it has become. The Dream I Had and the World I Found When I first entered the field of psychotherapy I had a fantasy. I thought I was going to be Joseph Campbell. I was going to find my way to someplace like Berkeley and immerse myself in the grand conversation between psychology and mythology and anthropology and philosophy. I imagined something like the Esalen Institute in the 1970s where Fritz Perls developed Gestalt therapy and where researchers and mystics and clinicians sat together in hot springs and argued about the nature of consciousness. Those places barely exist anymore. What I found instead was a competitive model built on H-indexes and impact factors. I found academic departments that had been siloed into increasingly narrow specializations. Each department defended its territorial boundaries against incursion from neighboring disciplines. The institute model where a psychologist might spend an afternoon talking to an anthropologist about ritual has been systematically dismantled. What we have instead are specialists who do not read outside their sub specialty and researchers whose entire careers depend on defending one narrow hypothesis. We have an incentive structure that actively punishes the kind of cross pollination that leads to genuine discovery. The Hollow Room: How the Biomedical Model Fails This is not just an academic inconvenience. It is a catastrophe for the human sciences and for the actual treatment of patients. There is a reason Freud stuck around. It is not because psychoanalysis was rigorously validated through randomized controlled trials. It is because as the science writer John Horgan observed old paradigms die only when better paradigms replace them. Freud lives on because science has not produced a theory of and therapy for the mind potent enough to render psychoanalysis obsolete once and for all. The biomedical model promised us a better story. It told us that humans are biological machines and that suffering is just a mechanical malfunction. It promised that if we could just find the right neurotransmitter or the right gene we could fix the machine. But look at what that looks like in practice. It looks like the 15 minute medication management appointment. A person comes in with their life falling apart. They are grieving a divorce or wrestling with the trauma of their childhood or facing a crisis of meaning. And the doctor looks at a checklist. They ask about sleep. They ask about appetite. They ask about energy levels. They treat the symptoms like check engine lights on a dashboard. They prescribe a pill to dim the lights and they send the person away. It looks like manualized Cognitive Behavioral Therapy. This is the gold standard of evidence based treatment. But in the vacuum of a manual it becomes absurd. A patient might be crying about the loss of a child and a therapist who is strictly adhering to the protocol has to redirect them to the agenda for Module 3 which is identifying cognitive distortions. The model has no room for the tragedy of the situation. It only has room for the erroneous thought that the patient is having about the tragedy. The result is that by most measures we are not actually helping people more effectively than we were fifty years ago. To understand the depth of this failure, we must look at the “smoking gun” of the psychiatric establishment: the STAR*D study. For nearly two decades, this massive, taxpayer-funded study was held up as the irrefutable proof that the “medication merry-go-round” worked. It cost $35 million and was cited thousands of times to justify the idea that if a patient didn't get better on one antidepressant, you simply switched them to another, and then another. The study claimed a “cumulative remission rate” of 67%. It told us that two-thirds of people would be cured if they just complied with the protocol. This was a lie built on methodological quicksand. A forensic re-analysis of the data (Pigott et al., 2023) revealed that the researchers had inflated their success rates through a series of stunning methodological sleights of hand. The original design called for the Hamilton Rating Scale for Depression (HRSD) to be the primary outcome measure. But when that scale wasn't showing the numbers they wanted, investigators switched to a secondary, unblinded, self-report questionnaire (the QIDS-SR) which painted a rosier picture. Furthermore, the re-analysis exposed that hundreds of patients who dropped out due to side effects were excluded from the failure count, effectively scrubbing the negative data. Even worse, over 900 patients who didn't even meet the minimum severity for depression were included to boost the numbers. When the data was re-analyzed using the study's original criteria and including all participants, the cumulative remission rate plummeted from 67% to 35%. But the most damning statistic is the sustained recovery rate. Of the 4,041 patients who entered the trial, only a tiny fraction achieved remission and actually stayed well. When accounting for dropouts and relapses over the one-year follow-up period, a mere 108 patients achieved remission and stayed well without relapsing. That is a sustained recovery rate of 2.7%. If a heart surgery or cancer treatment had a failure rate of 97.3%, it would be abandoned. Yet, this study was championed by investigators with deep financial ties to the pharmaceutical industry, and the results were codified into clinical guidelines that still rule the profession today. This is the indictment: we have built an entire system of care on a statistical fabrication, prioritizing the protection of the model over the healing of the human. I have big problems with Freud. I have big problems with classical psychoanalysis. I am more of a Jungian. But here is what the depth psychologists understood that the biomedical model forgot. Humans are not just biological machines. We are meaning making creatures who navigate the world through story. When you take away our stories you do not make us more rational. You make us lost. The Flock of Dodos This separation of science from narrative has hurt the researchers too. In his book The Ghost Lab journalist Matt Hongoltz-Hetling uses the flock of dodos metaphor to describe this phenomenon. He argues that specialized creatures that are perfectly adapted to narrow environments become extinct when conditions change. Academic science has become a flock of dodos. A neuroscientist studies one particular brain region. A psychologist studies one particular therapeutic intervention. An anthropologist studies one particular culture. Nobody is allowed to step back and ask what all of this means together. When you silo information into separate academic disciplines instead of organizing it into a holistic understanding you kill the narratives that are already there. You cannot see the story until you step back far enough to recognize the pattern. Heidegger and the AI Bubble One of the primary functions of a subjective narrative in an objective field like psychotherapy is that it lets us start with things we consider self evident. These are things that do not need evidence because they are the ground upon which evidence stands. Things like humanity is important. Things like we contain multiplicities and conflicting parts. Things like consciousness is a mystery. The biomedical model has no way to accommodate these self evident truths because they are not measurable. You cannot run a randomized controlled trial on human dignity. Martin Heidegger understood this trajectory. He warned that science and technology were becoming self justifying systems that asked only whether something could be done and never whether it should be done. We are watching this play out right now with Large Language Models and Artificial Intelligence. The tech industry is boiling seawater and consuming enormous amounts of our remaining resources to build ever larger systems. As Ed Zitron has documented the current AI boom is likely a bubble that will crash and burn. It may leave us with a Google monopoly on Gemini that will not actually help anybody. Should we be doing this? Should we be fundamentally restructuring our economy around technology whose benefits are speculative at best? The Heideggerian answer is that we are not even capable of asking these questions properly because we have lost the narrative framework within which “should” makes sense. When everything is reduced to capability and efficiency the concept of values disappears. The Perennial and the Possible Can we just recognize that having a livable planet is probably a self evidencing goal? Can we recognize that having a psychotherapy willing to engage with perennial philosophy might be more valuable than another meta analysis demonstrating small effect sizes for manualized interventions? This is what I mean by reintroducing narrative. I do not mean replacing evidence with myth. I mean recognizing that the facts do not speak for themselves. Data requires interpretation. Interpretation requires a framework. And frameworks are stories about what matters. The story science forgot is the story of science itself. It is the story of how inquiry emerged from human communities trying to understand their world. We can recover this story. We can rebuild the connections that the academic silos have severed. The path is there. It always has been. We just need to be brave enough to walk it. The Exodus of the Sick If academic science has become a flock of dodos clinical practice has become something arguably worse. It has become a reenactment of the Milgram experiment where the system plays the role of the authority figure and the patient plays the victim. We often remember Stanley Milgram's famous 1961 study as a lesson about the capacity for evil but its deeper lesson was about the capacity for distance. When the subject had to physically touch the victim compliance with the order to harm them dropped to 30 percent. The White Coat only retained its authority when it created a buffer between the human actions and their consequences.   Modern psychotherapy has built a massive administrative White Coat that separates the healer from the healed. This is not just a metaphor. It is a structural reality that is actively driving patients out of the profession and into the arms of pseudoscience. The Bureaucracy as Trauma For a patient in crisis the Evidence Based system often functions as a machine of exclusion. A study on healthcare administrative burdens reveals that the psychological cost of navigating billing and insurance denials and intake forms acts as a friction that hits the most vulnerable the hardest. We ask trauma survivors to retell their stories to three different intake coordinators before they ever see a therapist. This process is itself retraumatizing. When they finally reach a provider they are often met with the biomedical gaze which is a checklist driven assessment that reduces their complex narrative of suffering to a code for billing. As the Australian Psychological Society has noted the chemical imbalance theory and the medicalization of distress have failed to reduce stigma and have instead left patients feeling defective and unheard. The result is a profound Low Trust environment. Theodore Porter in his book Trust in Numbers argues that we only rely on strict mechanical numbers when we do not trust people. We use the DSM and manualized protocols because insurers do not trust clinicians to judge and clinicians do not trust themselves to deviate. The Great Split: Why Research and Practice Are Divorcing This creates a fundamental schism that explains why the profession feels like it is cracking in half. On one side you have the academic researchers who are incentivized by grant funding and publication metrics. To get these rewards they must isolate variables and create reproducible manualized protocols. This means they must strip away the very thing that makes therapy work which is the messy and unrepeatable human relationship. On the other side you have the clinicians who are incentivized by patient outcomes. They are in the room with the messiness. They see that the manualized protocol fails the complex trauma patient so they improvise. They integrate. They use intuition. The academic looks at the clinician and sees a cowboy who ignores the data. The clinician looks at the academic and sees a bureaucrat who has never treated a suicidal patient. This is why the research is no longer informing the practice. We have created two different languages. The researcher speaks in p-values and population averages while the clinician speaks in case studies and individual breakthroughs. Why Pseudoscience Wins the Trust War This low trust environment creates a vacuum that wellness influencers are all too happy to fill. We often mock the public for turning to unverified supplements and TikTok diagnosticians and quantum mysticism. But we have to ask what these influencers are providing that we are not. They are providing narrative. They are providing connection. They are providing a. parasocial yes but still, High Trust experience. A recent analysis suggests that wellness fads thrive not because people are stupid but because the influencers offer a feeling of personal validation that the medical system denies. Even AI chatbots are now being described by users as more humane than doctors because the AI listens to the whole story without looking at a watch or a checklist. When a patient is told by a doctor that their pain is idiopathic or psychosomatic because it does not show up on a lab test and then an influencer tells them I see you and I believe you and here is a story about why this is happening the patient will choose the influencer every time. The trust gap drives them away from care that might actually help and toward solutions that feel good but do nothing. The Clinician's Moral Injury This leaves the ethical psychotherapist in a state of moral injury. We are forced to participate in a system that we know is alienating the very people we are trying to help. We are trained to value the therapeutic alliance or the bond of trust above all else yet we work in a system designed to sever it with paperwork and time limits and standardized protocols. We have to put down the White Coat of administrative distance. We have to stop hiding behind the Evidence Based label when that label is being used to deny the reality of the person in front of us. Proposals for a Unified Future If we want to stop this exodus and heal the split we need specific structural changes. We cannot just hope for better insurance reimbursement. We need to change what we consider valid science. First we must re-legitimize the systematic case study. For a century the detailed narrative of a single patient was the gold standard of learning. We replaced it with the aggregate data of the randomized controlled trial. We need to bring it back. We need journals that publish rigorous detailed accounts of what actually happens in the room when a patient gets better. Second we need to build open source repositories for clinical observation. Currently the wisdom of the field is locked behind for profit paywalls or lost in the private notes of isolated therapists. We need a Wikipedia of Clinical Practice where thousands of clinicians can document what they are seeing in real time. If ten thousand therapists report that somatic processing helps complex trauma that is a data set that rivals any RCT. Third we need to teach philosophy and narrative in graduate school again. We are training technicians when we should be training healers. A therapist who knows how to read a spreadsheet but does not know how to understand a story is useless to a human being in crisis. If we do not offer a therapy that is human and narrative and deeply relational we will continue to lose our patients to those who do even if what they are offering is a lie. The Mirror and the Map: Why Math is a Story We often treat mathematics as if it were the bedrock of reality itself. We act as though a p-value is a piece of the universe, like a rock or a proton. But we must remember that math is not the thing itself. It is a representation of the thing. It is a map, not the territory. It is a mirror, not the face. Theodore Porter's work in Trust in Numbers reminds us that we reach for these mirrors when we do not trust our own eyes. But the mirror is useless without someone to look into it and interpret the reflection. Data by itself is pointless. It is a pile of bricks without an architect. It requires interpretation to become meaning, and interpretation is fundamentally a narrative act. When we try our best to make a purely objective study, we are still telling a story. We are saying, “These numbers represent this phenomenon.” Then another researcher comes along, looks at the same numbers, and tells a different story: “No, they represent that.” This conflict isn't a failure of science; it is science. The Storytellers of Science The greatest breakthroughs in history did not come from people who just crunched numbers. They came from people who could see the story the numbers were trying to tell. These stories are really damn interesting, often stranger and more beautiful than fiction. Consider August Kekulé. He didn't discover the structure of the benzene molecule by staring at a spreadsheet. He discovered it by dreaming of a snake eating its own tail—the Ouroboros. His subjective, narrative brain provided the image that unlocked the objective chemical reality. The data was there, but it needed a myth to make it intelligible. Look at Quantum Physics. The raw math of quantum mechanics is cold and abstract. But when physicists like Erwin Schrödinger or Werner Heisenberg looked at that data, they saw a story about uncertainty, about cats that are both alive and dead, about a universe that only decides what it is when it is observed. They didn't just calculate; they interpreted. They told a story about reality that was so radical it changed how we understand existence. Even in psychology, the data of the “talking cure” was messy and anecdotal until Freud and Jung gave us the language of the Unconscious and the Archetype. Were they objectively “right” in every detail? No. But they gave us a framework—a story—that allowed us to navigate the chaos of the human mind. They provided the map that allowed us to enter the territory. The Final Integration We have spent the last fifty years trying to strip this storytelling capacity out of our profession in a misguided attempt to be taken seriously by the “hard” sciences. In doing so, we have thrown away our most powerful tool. The brain is a story-processing machine. To treat it with checklists and spreadsheets is to deny its fundamental nature. We need to be brave enough to pick up the mirror again. We need to be brave enough to look at the data—whether it's the 2.7% recovery rate of STAR*D or the trembling pupil of a trauma patient—and ask, “What is the story here?” The path forward isn't about choosing between science and narrative. It is about realizing that science is a narrative. It is the grandest, most complex, most rigorous story we have ever tried to tell. And it is time we started telling it properly again.   More @ https://gettherapybirmingham.com/

In this episode of the Evolving Wellness Podcast, host Sarah Kleiner discusses the complexities of sleep and insomnia with sleep expert Molly Eastman. They explore the difficulties of maintaining sleep amidst life's stressors such as toddler care, shift work, and major life changes. Molly sheds light on the paradoxical relationship with sleep, particularly focusing on insomnia, and shares insights into cognitive behavioral therapy for insomnia (CBTI) and acceptance commitment therapy (ACT) for insomnia. They discuss the impact of stress and thoughts on sleep quality, the importance of circadian rhythm and environmental factors, and ways to build a robust sleep skillset. The episode also covers the risks and considerations of sleep medications, the new findings in sleep science, and practical tips to reduce sleep anxiety. Sarah and Molly emphasize a balanced approach and provide resources for further support.About Sleep is a Skill: Sleep Is a Skill is dedicated to helping people optimize sleep by treating it as a learnable, trainable skill—not a mystery or something left to chance. Founded by Mollie Eastman, the company combines science-backed sleep optimization, wearable data, lifestyle design, and personalized coaching to help individuals improve sleep quality, recovery, and overall performance. Their mission is to empower people to take control of their sleep so they can think clearer, feel better, and perform at their highest level—using practical tools, education, and measurable results rather than guessworkConnect with Mollie:www.sleepisaskill.comwww.instagram.com/mollie.eastman_________Sponsored By:→ Bon Charge | Go to https://boncharge.com/products/demi-red-light-device?rfsn=8108115.26608d & use code SARAHKLEINER for 15% off storewide.→ VivaRays | This episode is sponsored by VivaRays - VivaRays Blue - code YOGI https://vivarays.com/yogi_________Timestamp:00:00 Navigating Life's Sleep Disruptions01:37 Introduction to the Evolving Wellness Podcast05:17 Meet Molly Eastman: Sleep Expert06:39 Personal Sleep Struggles and Solutions09:50 Understanding Insomnia and Sleep Anxiety10:35 Cognitive Behavioral Therapy for Insomnia (CBTI)15:39 Acceptance Commitment Therapy for Insomnia (ACTI)18:56 The Role of Red and Infrared Light in Sleep22:31 The Impact of Sleep Aids and Medications30:56 The Evolution of Sleep Studies31:42 Glymphatic System and Brain Cleansing32:43 Modern Lifestyle's Impact on Sleep33:06 Circadian Rhythm Entrainment34:24 Chronopharmacology and Sleep Medications37:17 Blue Blockers and Circadian Rhythm38:44 Challenges in Medical and Functional Medicine41:37 The Importance of Nuance in Sleep Health42:40 Building the Skillset of Sleep50:18 High Performers and Sleep Optimization56:47 Conclusion and Resources——— This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free -  https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

What would it look like to renew your mind by allowing God to meet you in the thoughts you've been struggling to change on your own?In this thought-provoking episode of the Collide Podcast, we sit down with therapist Emily Weidlich, MA, LPC to talk about reframing negative thought patterns as we step into a new year. Emily shares how our internal narratives are often shaped by past experiences—and how, with compassion and curiosity, we can begin to understand and gently challenge those thoughts. Drawing from Cognitive Behavioral Therapy, Emotion-Focused Therapy, and self-compassion, she offers practical insight into noticing what we think, naming what we feel, and responding to ourselves with grace. Whether you're feeling stuck in cycles of self-criticism, longing for emotional clarity, or hoping to start the year with intention, this episode will remind you that change begins with awareness and kindness toward yourself.Meet Emily WeidlichEmily is a licensed professional counselor with a master's degree in counseling from Western Seminary and a psychology degree from Multnomah University. Born and raised in Portland, Oregon, she brings a grounded, relational approach to therapy that helps clients better understand their stories and inner world. Emily is passionate about creating a safe, supportive space where people can process the past, identify their needs, and develop healthier, more adaptive ways of thinking and responding to life.In This Episode, You'll LearnHow to recognize and reframe negative thought patterns without shameWhy understanding your past can bring freedom in your presentThe connection between thoughts, emotions, and unmet needsHow self-compassion can transform the way you relate to yourselfPractical ways to approach the new year with intention rather than pressureHow This Episode Will Encourage YouIf you've ever felt trapped by your own thoughts or frustrated by patterns you can't seem to break, this episode will help you feel seen and supported. You'll be reminded that healing doesn't require perfection—just honesty, curiosity, and compassion—and that you're allowed to move forward with grace, one thought at a time.Connect with Emily - WebsiteConnect with Willow - Website | Instagram | FacebookOrder Willow's New Book! Collide: Running into Healing When Life Hands You HurtFollow and Support Collide

Welcome to the Young Dad Podcast—whether you're mowing the lawn, grilling dinner, juggling dirty diapers, or just stealing five minutes for yourself—we're glad you're here. Grab your juice box, grab a snack, and let's jump into today's real and honest conversation.Our guest today is Austin Davis, a visionary leader in teen behavioral health and addiction recovery. He's the founder and CEO of Clearfork Academy, the go-to residential treatment center in Texas for teens battling mental health challenges and substance use. With over 15 years of hands-on experience, Austin combines counseling, ministry, and faith to guide teens and families toward healing and hope.If you're a parent, educator, or someone who cares about the next generation—this episode is for you.Visit ClearforkAcademy.com to learn more about their mission, programs, and how they're transforming lives through faith, structure, and care. If you're a parent or educator seeking support—this is the place to start.Visit the website for interactive activity guides and everything YDP- ⁠⁠www.youngdadpod.com Click the link for YDP deals (Triad Math, Forefathers, and more) - https://linktr.ee/youngdadpod Interested in being a guest on the Young Dad Podcast? Reach out to Jey Young through PodMatch at this link: https://www.joinpodmatch.com/youngdadLastly,consider making a monetary donation to support the Pod, https://buymeacoffee.com/youngdadpod.Chapters00:00 Introduction to Teen Behavioral Health01:03 Austin's Journey into Counseling03:42 Integrating Faith and Counseling08:43 Clear Fork Academy's Unique Approach11:29 Understanding Family Dynamics15:53 The Identity Crisis in Teens19:58 Cognitive Behavioral Therapy and Self-Perception24:53 Understanding Personal Accountability26:28 Recognizing Signs of Distress in Teens29:16 The Importance of Parental Involvement31:52 Success Stories from Clear Fork Academy36:30 The Journey of Healing and Identity39:19 A Call to Action for Families40:24 Lighthearted Moments in the Dad Zone

Key TakeawaysEveryone can be an investigator: Observing subtle changes in behavior, sleep, decision-making, or life management can reveal early signs of behavioral health needs.Integration matters: Combining behavioral and physical health care improves outcomes, prevents avoidable hospital visits, and reduces overall healthcare costs.Impact beyond the patient: Supporting behavioral health has ripple effects on families, caregivers, and communities, improving overall system well-being.Life transitions are critical points: Changes in living situations, cognitive decline, or significant life events are opportunities for early intervention.Collaboration is key: Cognitive behavioral specialists, nurses, primary care providers, and facility staff must work together to ensure timely and effective care.Innovation brings hope: Emerging research, new care models, and broader conversations about mental health as part of overall wellness are reshaping healthcare for the better. www.YourHealth.Org

Thais Gibson is the co-founder of The Personal Development School, a best-selling author, host of The Thais Gibson Podcast, Ph.D. recipient, and a recognized leader in the personal development field.  After earning her Ph.D. and completing over 13 certifications in disciplines such as Cognitive Behavioral Therapy, Hypnosis, Somatic Experiencing, and more, Thais spent nearly a decade running a high-demand client-based practice. Her ever-growing waitlist revealed a clear need: people from all walks of life needed more accessible and affordable tools to heal emotional wounds and overcome long- standing challenges.  This realization led to the creation of The Personal Development School ("PDS"). Since launching PDS, and with the backing of years of clinical experience and research, Thais has become a leading voice in the space of attachment trauma healing. The school has grown into a thriving global community with over 55,000 members in 145+ countries.   Timestamps (may vary by 2-4 minutes based on your podcast platform)   02:59 Introduction to Subconscious Mind and Goal Setting 05:00 Understanding the Subconscious Mind 07:15 Awareness as the First Step to Change 09:09 Identifying and Removing Blocks 11:13 Rewiring Beliefs for Success 15:23 The Importance of a Deep Why 17:58 Navigating Over-Analysis in Healing 26:54 The Cost of Not Doing the Work 34:53 Finding Healthier Comforts 39:07 Proactive vs Reactive Regulation 43:43 Understanding Core Wounds and Needs 46:10 Assessing Personal Needs 59:41 Connecting Goals to Subconscious Needs   Sponsored by the circle:  https://briankeanefitness.com/online-mastermind   (Previous Episode) #489:Psychologist Thais Gibson Ph.D. on Reprogramming Unsupportive Coping Mechanisms, Learning To Set Healthy Boundaries and Healing Your Old Core Wounds!   https://open.spotify.com/episode/6EOTimDICsjslRngxun2Yd?si=OAmyGeJgRkmQoOLeh032Mw   (Website) Personal Development School   (Instagram) www.instagram.com/thaisgibson/ www.instagram.com/thepersonaldevelopmentschool/   (Youtube) www.youtube.com/channel/UCHQ4lSaKRap5HyrpitrTOhQ/videos   (Facebook) www.facebook.com/ThePersonalDevelopmentSchool/   (Apple Podcasts) The Thais Gibson Podcast - Podcast - Apple Podcasts   (Tiktok) Personal Development School (@thaisgibson) | TikTok

Dr. Ben hosts Dr. Tricia to break down what works best for tinnitus relief. Cognitive Behavioral Therapy, sound therapy, and expert guidance come together. Learn the top strategies backed by science and clinical success.Get started with Treble Health:Schedule a complimentary telehealth consultation: treble.health/free-telehealth-consultation Take the tinnitus quiz: https://treble.health/tinnitus-quiz-1Download the Ultimate Tinnitus Guide: 2024 Edition: https://treble.health/tinnitus-guide-2025

What if the burnout you're feeling isn't just about your workload, but about the stories running on repeat in your mind?Psychotherapist Judith Belmont joins me to talk about cognitive behavioral therapy for healers, empaths, and sensitive practitioners who find themselves trapped in patterns of perfectionism, self-doubt, and exhaustion. With over 40 years of experience, Judith explains how automatic negative thoughts drain our energy, why self-compassion matters more than achievement, and how to use simple thought logs to rewrite the inner dialogue that's been holding you back.We discuss the "$20 bill" metaphor that reminds us we're worthy no matter how crumpled we feel, why comparing yourself to others steals your joy, and how healers can protect their energy by learning to catch and change destructive thinking patterns before burnout takes hold.If you've been working twice as hard for half the results, this conversation offers practical tools to help you stop giving your power away to thoughts that aren't even true.Find her book here: https://amzn.to/4s88JkZ. and her website here https://belmontwellness.com/Show notes at https://www.breakfreefromtheburnout.comGet your breakthrough quantum call: https://www.scientifichealer.com/quantum Liked this episode? Pay it forward and share it with a friend.Love the show? Write a 5-star review — even one sentence helps us keep bringing you the content you want to hear. More from Dr. Anastasia: Websites: https://www.healersu.com and https://www.scientifichealer.com LinkedIn: https://linkedin.com/in/drachopelas Facebook: https://facebook.com/dranastasiachopelas YouTube: https://youtube.com/c/dranastasiachopelas Some product links on this site are affiliate links, which means we'll earn a small commission for any affiliate purchases you make (at no additional cost to you). We only recommend products that we use and/or personally trust, so you can browse with confidence.

This week, clinical psychologist and CBT expert Dr. Seth Gillihan returns to the show for a third time to have a conversation about how our thoughts, behaviors, and physical health are deeply intertwined. Drawing on examples from everyday life, Dr. Gillihan explains how cognitive behavioral therapy helps people build a healthier relationship with their thoughts and make real, sustainable behavior change. The episode explores when therapy is most useful, when fundamental habits like sleep and exercise may matter more, and how CBT tools can bridge the gap between knowing what's good for us and actually doing it. You can find his book, Your Daily Reset, here and his podcast, Think Act Be, here. Hope you enjoy.

If you've ever spent the whole day dreaming about going to bed, only to climb under the covers and lie wide awake, this episode will feel like a deep exhale. I'm joined by sleep psychologist Dr. Shelby Harris to talk about the tired-but-wired cycle so many mothers fall into and why it's more common than you think. We unpack the real reasons your brain won't shut off at night, from revenge bedtime procrastination to the mental load that follows moms everywhere. Dr. Harris explains how habits, overstimulation, and our constant push to “catch up” all get in the way of rest, even when we're desperate for it. And most importantly, she shares the science-backed strategies that actually work for an overwhelmed parent who needs sleep but can't find the off switch. Whether you're dealing with the occasional rough night or months of broken sleep, this conversation brings clarity, relief, and doable steps that don't add more pressure to your already full plate. In This Episode, We Cover: ✔️ Why moms feel exhausted all day yet can't fall asleep at night ✔️ The psychology behind “tired but wired” ✔️ Revenge bedtime procrastination and why it hits mothers so hard ✔️ How over-stimulation and unfinished to-dos keep your brain awake ✔️ Simple sleep hygiene habits that truly help ✔️ What to do when your phone is sabotaging your nights ✔️ Cognitive Behavioral Therapy for Insomnia (CBT-I): who it helps and why ✔️ When to consider medication and what that process looks like ✔️ How our own sleep habits shape our kids' sleep long term Want more? Listen to the full, original episode. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-463 Overview: Listen in as we discuss how integrating behavioral therapies into the management of chronic back pain can improve function, reduce opioid use, and empower patients. Boost your clinical toolkit with evidence-based strategies that enhance outcomes while aligning with evolving guidelines for safer, multimodal approaches to chronic pain care. Episode resource links: Zgierska AE, Edwards RR, Barrett B, et al. Mindfulness vs Cognitive Behavioral Therapy for Chronic Low Back Pain Treated With Opioids: A Randomized Clinical Trial. JAMA Netw Open. 2025;8(4):e253204. doi:10.1001/jamanetworkopen.2025.3204 Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. MMWR Recomm Rep. 2022 Nov 4;71(3):1-95. doi: 10.15585/mmwr.rr7103a1. PMID: 36327391; PMCID: PMC9639433. Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Today, I'm speaking with Ayelet Polonsky, a Kabbalistic Manifestation Expert. She is the Creator of The Manifestation Method and a skilled, passionate and trauma-informed facilitator in the world of manifestation and healing. She's had quite a journey to get to this point in her life — after college she was led to the Amazon jungles of Peru, then India for six years and then finally to Israel where she spent eight years studying and teaching Jewish mysticism, known as Kabbalah. Ayelet now lives on the East Coast with her husband and two children.With the development of The Manifestation Method, Ayelet synthesizes Kabbalistic wisdom and modern psychology to help individuals heal their past traumas, and transform their dreams into reality. She is a trained expert in hypnosis, trauma healing, somatic experiencing and meditation. Ayelet's approach is a harmonious blend of Cognitive Behavioral Therapy, Narrative Therapy, EFT, and Somatic Experiencing, all combined with her signature hypno-visualization techniques. Manifestation is something I've been interested in for awhile and have been wanting to explore through a Jewish lens. I've learned a little bit about it in secular spaces and in this conversation with Ayelet, we really get to the root of what Jewish manifestation actually looks like. We speak about:-Ayelet's journey to getting to where she is today doing this work-How Jewish manifestation differs from the secular interpretation and some myths about it she's correcting-Why manifestation is a lifestyle — not just a singular practice and what that looks like-Her methodology and the specific goals she helps clients achieve-The power of our words and the way our conscious and subconscious brain works to create a new reality-What true faith and bitachon really feels like-How our trauma (whether it's with a big t or small t) informs the inner work we do today and what that trauma can be used for-Creating the vessel for the things we want in our lives to actually happen-The power of rituals-Seeing miracles in our everyday lives and how to manifest more of them-The unbelievable power we can all take from the Chanukah lights and bring into our everyday lives-How she manifested her husband…and SO MUCH MORE.Ayelet just takes my questions and brings them to a whole new level with her responses. She both elevates them and takes them deeper in a way that will change how you see the world, your relationship with Hashem and how you deal with the struggles in your life.To get in touch with Ayelet, visit ayeletpolonsky.com. Follow her on Instagram at @ayeletpolonsky.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-463 Overview: Listen in as we discuss how integrating behavioral therapies into the management of chronic back pain can improve function, reduce opioid use, and empower patients. Boost your clinical toolkit with evidence-based strategies that enhance outcomes while aligning with evolving guidelines for safer, multimodal approaches to chronic pain care. Episode resource links: Zgierska AE, Edwards RR, Barrett B, et al. Mindfulness vs Cognitive Behavioral Therapy for Chronic Low Back Pain Treated With Opioids: A Randomized Clinical Trial. JAMA Netw Open. 2025;8(4):e253204. doi:10.1001/jamanetworkopen.2025.3204 Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. MMWR Recomm Rep. 2022 Nov 4;71(3):1-95. doi: 10.15585/mmwr.rr7103a1. PMID: 36327391; PMCID: PMC9639433. Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

If you've ever spent the whole day dreaming about going to bed, only to climb under the covers and lie wide awake, this episode will feel like a deep exhale. I'm joined by sleep psychologist Dr. Shelby Harris to talk about the tired-but-wired cycle so many mothers fall into and why it's more common than you think. We unpack the real reasons your brain won't shut off at night, from revenge bedtime procrastination to the mental load that follows moms everywhere. Dr. Harris explains how habits, overstimulation, and our constant push to “catch up” all get in the way of rest, even when we're desperate for it. And most importantly, she shares the science-backed strategies that actually work for an overwhelmed parent who needs sleep but can't find the off switch. Whether you're dealing with the occasional rough night or months of broken sleep, this conversation brings clarity, relief, and doable steps that don't add more pressure to your already full plate. In This Episode, We Cover: ✔️ Why moms feel exhausted all day yet can't fall asleep at night ✔️ The psychology behind “tired but wired” ✔️ Revenge bedtime procrastination and why it hits mothers so hard ✔️ How over-stimulation and unfinished to-dos keep your brain awake ✔️ Simple sleep hygiene habits that truly help ✔️ What to do when your phone is sabotaging your nights ✔️ Cognitive Behavioral Therapy for Insomnia (CBT-I): who it helps and why ✔️ When to consider medication and what that process looks like ✔️ How our own sleep habits shape our kids' sleep long term Want more? Listen to the full, original episode. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

On average, you have over 6,000 thoughts a day. That's a lot – and about 80 percent of them are negative. Unsettling thoughts, lingering feelings of sadness or losing interest in activities you once enjoyed are all reasons to check in on your mental health with a trusted friend or your clinician.  If you're looking for options because something feels off or you know a loved one who is facing depression, you'll want to listen to the latest episode of The Healthiest You podcast. In Part One of our podcast series on major depression, you'll hear from psychiatrist Samantha Cerimele, MD, with Lehigh Valley Health Network, part of Jefferson Health. How can you break the cycle of negative thoughts? What causes depression? Which symptoms should not be ignored? Should you try transcranial magnetic stimulation (TMS) therapy? Can St. John's wort supplements help fight depression? We answer these questions and more on The Healthiest You podcast this month.Chapters:0:01 - Intro1:06 - Why women have a higher risk2:16 - What causes depression2:31 - Most common types of depression3:04 - Symptoms you should not ignore 4:33 - Take these first steps if you have symptoms5:35 - How depression is diagnosed6:16 - Treatment options7:15 - Nonmedication treatment options7:33 - Transcranial magnetic stimulation (TMS)8:49 - Side effects of TMS9:14 - Cognitive behavioral therapy (CBT) or talk therapy10:19 - Mental health toolkit11:39 - What to do when your thoughts are spiraling12:16 - Breathing exercise14:29 - St. John's wort supplement

Dr. Marisa T. Mazza is a clinical psychologist and founder of choicetherapy psychological services, inc.  Dr. Mazza is passionate about providing evidence-based therapies, such as Cognitive Behavioral Therapy, Exposure and Response Prevention, Acceptance and Commitment Therapy and Mindful Self-Compassion, to teens and adults struggling with OCD or Anxiety. She enjoys supporting individuals in learning new ways of interacting with thoughts and feelings. Her approach allows individuals to face their fears in a gradual and gentle way so they can get unstuck from thoughts and feelings and live meaningful lives. Dr. Mazza was formerly a board member of OCD SF Bay Area, the International OCD Foundation's local affiliate, and was the Vice President of the San Francisco Bay Area Association for Contextual Behavioral Science. She is also the author of The ACT Workbook for OCD which we discuss at points throughout this episode.Some of the topics we explore in this episode include:-Marisa's history of anxiety challenges -How it has helped her grow and be connected to values as a clinician-The role that shame plays in anxiety and OCD challenges-Common OCD related challenges faced postpartum-What lead to Marisa writing The ACT Workbook for OCD-How to use ACT skills and exposure exercises flexibly in specific contexts—————————————————————————Marisa's website: https://www.choicetherapy.net/The ACT Workbook for OCD: https://a.co/d/4QBveqc—————————————————————————Thank you all for checking out the episode! Here are some ways to help support Mentally Flexible:Sign up for PsychFlex through the Mentally Flexible link! PsychFlex.com/MentallyFlexibleYou can help cover some of the costs of running the podcast by donating a cup of coffee! www.buymeacoffee.com/mentallyflexiblePlease subscribe and leave a review on Apple Podcasts. It only takes 30 seconds and plays an important role in being able to get new guests.https://podcasts.apple.com/us/podcast/mentally-flexible/id1539933988Follow the show on Instagram: https://www.instagram.com/mentallyflexible/Check out my song “Glimpse at Truth” that you hear in the intro/outro of every episode: https://tomparkes.bandcamp.com/track/glimpse-at-truthCheck out my new album, Holding Space! https://open.spotify.com/album/0iOcjZQhmAhYtjjq3CTpwQ?si=nemiLnELTsGGExjfy8B6iw

In episode 512 I chat with Dr Steven Phillipson and Sarah. Steven is a licensed clinical psychologist who specialises in Cognitive-Behavioral Therapy for OCD. Steven is the Clinical Director at the Center for Cognitive Behavioral Psychotherapy in New York. He is joined by one of his patients, Sarah, who has kindly agreed to share her story. We discuss what is metaphysical themed OCD, what is metaphysical contamination OCD, trauma, Sarah's OCD story, her sticking points in recovery, getting the wrong diagnosis, how her husband supported her, and her therapy with Steve. Hope it helps. Show notes: https://theocdstories.com/episode/steve-sarah-512 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Saskia Van der Oord, Ph.D., and Michael Meinzer, Ph.D., discuss the efficacy of cognitive behavioral therapy (CBT) for ADHD, and how modern approaches should move from treating ADHD behaviors and impairments to empowering individuals. Behavioral Therapy for ADHD: Additional Resources Free Download: Everything You Need to Know About CBT Read: ADHD Therapy Comparison: CBT vs. ADHD Coaching Read: Why the ADHD Brain Chooses the Less Important Task — and How CBT Improves Prioritization Skills Read: Adult ADHD Treatment Options — an Overview Access the video and slides for podcast episode #582 here: https://www.additudemag.com/webinar/therapy-for-adhd-adapting-cbt/ Thank you for listening to ADDitude's ADHD Experts podcast. Please consider subscribing to the magazine (additu.de/subscribe) to support our mission of providing ADHD education and support.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3177: Rachael Link offers a grounded and compassionate guide for what to do after a binge, emphasizing recovery without guilt or extremes. With practical steps like rehydrating, practicing self-kindness, and returning to normal eating patterns, she helps readers avoid the binge-restrict cycle and build a healthier, more forgiving relationship with food. Read along with the original article(s) here: https://www.healthline.com/nutrition/what-to-do-after-a-binge Quotes to ponder: "One binge won't ruin your progress, but letting it spiral into an ongoing cycle can." "Try not to think of foods as ‘good' or ‘bad.' Instead, focus on how they make you feel." "Restricting yourself after a binge can increase cravings and the risk of bingeing again." Episode references: National Eating Disorders Association: https://www.nationaleatingdisorders.org/ Cognitive Behavioral Therapy for Eating Disorders: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534340/ Intuitive Eating: https://www.intuitiveeating.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

SHOW NOTES:In this insightful episode, Matt Zaun sits down with Morgan Adams, an insomnia and holistic sleep coach, to break down why so many high achievers are running on fumes and what to do about it.Morgan shares practical tools, mindset shifts, and behavioral strategies for those struggling with sleep maintenance, middle-of-the-night wakeups, and chronic insomnia. Whether you're a business leader burning the candle at both ends or someone simply trying to reclaim restful sleep, this episode unpacks the science and psychology behind sleep and how to improve it.In addition, they talk about:✅ The trifecta Morgan uses to help clients: Cognitive Behavioral Therapy for Insomnia (CBTI), behavior shifts, and mindfulness✅ How racing thoughts at 3 a.m. are biologically wired to feel catastrophic (and what to do about them)✅ How “constructive worry” sessions help offload anxiety before bed✅ The danger of social jet lag and how inconsistent wake-up times sabotage your circadian rhythm…and much more.BIOSMorgan Adams is a holistic sleep coach and former insomniac who helps ambitious professionals overcome sleeplessness without the use of sleep aids. She is a Certified Sleep Science Coach, has completed Brief Behavior Therapy for Insomnia (BBTI) certification, and holds a Health Coach Certification. Morgan helps clients rewire their habits and mindset to get the restorative sleep they need.Matt Zaun is an award-winning speaker and strategic storytelling expert who shows leaders how to inspire action and drive results through the power of story. He's the author of The StoryBank, a book that teaches people how to leverage strategic storytelling to build a vibrant company culture, boost sales, strengthen marketing, and become dynamic public speakers.

While we're making progress in TREATING cancer, worldwide cancer INCIDENCE is soaring, especially among young people; New guidelines for colon cancer screening urge earlier start at age 45; Rates of peanut allergy are declining as more parents follow revised advice to introduce nuts earlier to kids; What's with all the buzz about methylene blue? Legalization and stronger pot are creating an epidemic of ER visits for uncontrolled vomiting, debilitating abdominal pain; New smart toilet gives you a report card on your poop; When Zoloft doesn't work for anxiety.

Our guest this week is Michelle Niemeyer. After more than 30 years of law practice, Michelle found herself overweight, unhappy, unmotivated, divorced and dealing with a life threatening autoimmune diagnosis. She went back to school and became a certified health coach to learn about holistic health and stress management and studied motivation, wellness,  the science of happiness, neurolinguistic programming and positive psychology. It all led to “The Art of Bending Time,” a system to prevent burnout, increase productivity, and increase happiness.   Get free journal prompts to start your journey by texting the word CLARITY to 33777 See more about Michelle Niemeyer's at https://www.michelleniemeyer.com -------------- Support the Podcast & Help yourself with Hypnosis Downloads by Dr. Liz! http://bit.ly/HypnosisMP3Downloads Do you have Chronic Insomnia? Find out more about Dr. Liz's Better Sleep Program at https://bit.ly/sleepbetterfeelbetter Search episodes at the Podcast Page http://bit.ly/HM-podcast --------- About Dr. Liz Interested in hypnosis with Dr. Liz? Schedule your free consultation at https://www.drlizhypnosis.com Winner of numerous awards including Top 100 Moms in Business, Dr. Liz provides psychotherapy, hypnotherapy, and hypnosis to people wanting a fast, easy way to transform all around the world. She has a PhD in Clinical Psychology, is a Licensed Mental Health Counselor (LMHC) and has special certification in Hypnosis and Hypnotherapy. Specialty areas include Anxiety, Insomnia, and Deeper Emotional Healing. A problem shared is a problem halved. In person and online hypnosis and CBT for healing and transformation.  Listened to in over 140 countries, Hypnotize Me is the podcast about hypnosis, transformation, and healing. Certified hypnotherapist and Licensed Mental Health Counselor, Dr. Liz Bonet, discusses hypnosis and interviews professionals doing transformational work. Thank you for tuning in!

With a calcium score of zero, is there any fat in your diet?  Are there any recommended supplements for IBS?What is the safest and most appropriate dose of vitamin D3 for most seniors?

INFINITY Study on the timing of thyroid medication ingestionI have a growth near my eye that is changing in color and becoming crusty. What should I do?I've been suffering from hip pain for the last three years. Any suggestions on what to do?Could toxic exposures like mold cause conditions like low thyroid or autoimmunity?

Send us a textIt starts like a fairytale. They're charming, magnetic, and make you feel like the center of the universe. Then, slowly, the story changes. The compliments turn to criticism, your reality is questioned, and you start to feel like you're losing yourself. Sound familiar?In this crucial and eye-opening episode, host Lira Ndifon sits down with practical psychologist Zinaida, a specialist in Cognitive Behavioral Therapy, to pull back the curtain on one of the most confusing and damaging relationship dynamics: narcissism. This isn't just a clinical breakdown; it's a survival guide for anyone who has ever felt trapped in a toxic cycle and wondered, "Is it me?"Zina provides a powerful psychological roadmap, explaining that narcissistic behavior isn't about self-love but stems from deep childhood wounds. She demystifies the narcissist's playbook, from their masterful use of gaslighting to the "Four S's" they secretly seek in every relationship: Sex, Supply, Safety, and Service. This conversation will equip you with the clarity to see the red flags you might have missed and the strength to reclaim your power.This is a must-listen for anyone healing from a toxic relationship or wanting to understand the psychology of manipulation. You will discover:The Narcissist's Playbook: How to spot the subtle ways a narcissist tests your boundaries from the very beginning.The Science of Gaslighting: A simple, powerful phrase you can use to shut down gaslighting without engaging in a fight.The Addictive Cycle: The psychological reason why victims of narcissistic abuse often find themselves in similar relationships over and over again—and how to finally break free.The Path to Healing: A compassionate guide to rebuilding your self-worth, learning to set boundaries, and differentiating between love and abuse after a narcissistic relationship.This episode is a powerful message of validation and hope, reminding you that healing is possible and that you deserve a love that builds you up, not one that breaks you down.Support the showCall to Action: Engage with the Self-Reflection Podcast community! Like, follow, and subscribe on Spotify, Apple Podcasts, YouTube (Self-Reflection Podcast by Lira Ndifon), and all major podcast platforms. Share your insights and feedback—we value your contributions! Suggest topics you'd like us to explore. Your support amplifies our reach, sharing these vital messages of self-love and empowerment. Until our next conversation, prioritize self-care and embrace your journey. Grab your copy of "Awaken Your True Self" on Amazon. Until next time, be kind to yourself and keep reflecting.

Sleep struggles are one of the most common and painful side effects after betrayal. I know firsthand how exhausting it can feel to lie awake night after night—your mind racing, your body restless, and your heart heavy with unanswered questions. In this episode, I sit down with certified sleep coach Yana Vriesinga, who not only brings professional expertise in cognitive behavioral therapy for insomnia but also personal experience of navigating sleepless nights after infidelity. Yana shares her journey of turning her own struggle into a calling to help others, and she gives us practical, compassionate tools to reclaim restful nights. Together, we talk about why sleep matters so deeply in the healing process, the three “dials” you can adjust to improve your sleep, and how to shift from anxious, perfectionistic thinking into gentle, supportive habits that allow your body to rest. If you've been battling insomnia after betrayal, this episode is for you. Healing is possible—and peaceful sleep can return. Takeaways: Why insomnia is so common after infidelity The three dials that influence healthy sleep How to calm nighttime anxiety and surrender to rest Practical habits to gently reset your sleep rhythm If you're ready to find hope, rest, and resilience, reach out—I'd love to support you on your journey. YANA'S INFORMATION: Yana Vriesinga is a journalist turned certified sleep coach, specializing in helping people reclaim their nights after the shock of infidelity. She knows firsthand how betrayal can hijack the nervous system, leaving even the strongest sleepers among us wide awake at 3 a.m. Drawing on her own story, her background in health reporting, and certification in Cognitive Behavioral Therapy for Insomnia (CBT-I), Yana has developed a clear, compassionate approach to what she calls post-infidelity insomnia. Through her coaching and her free email course, ‘Sleep More, Heal Stronger', she equips betrayed partners with practical tools to calm their bodies, quiet their thoughts, and finally get the restorative sleep they need to stay resilient.  Join her free course at ResilientDays.com (https://www.resilientdays.com) and start sleeping better tonight.  More from me: October Virtual Retreat: Coming Home to Yourself - on October 7th - register at https://portal.andreagiles.com/offers/jL7m4zzd/checkout Please leave a rating and review if you like our podcast: https://ratethispodcast.com/healfrominfidelity Sign up for the $47 class "Decide: How to Commit to Staying or Going After Infidelity" here: https://portal.andreagiles.com/decide Apply to join the "Get Your Life Back After Infidelity" group program here: https://andreagiles.com/get-your-life-back/ Follow me on Instagram at: https://www.instagram.com/theinfidelitycoach/ Please click the button to subscribe so you don't miss any episodes! For transcripts and other available downloads, please visit my website at https://andreagiles.com/podcast/ © 2020 - 2025 Andrea Giles

We've all been there: tossing and turning, checking the clock, and stressing about not getting enough sleep. But what if the secret to a good night's rest isn't in a pill or a product, but in changing your mindset and daily habits? In this episode, we're joined by Dr. Sophie Bostock, a leading sleep scientist and founder of The Sleep Scientist. Sophie has dedicated her career to helping people understand the science of sleep and how to build lasting, healthy habits. We dive into what really happens when we don't get enough sleep, from the psychological effects on our willpower and relationships to the physiological impacts on our long-term health. Sophie debunks common myths about blue light, alcohol, and cheese, and explains the critical difference between occasional poor sleep and true insomnia. And introduces us to Cognitive Behavioral Therapy for Insomnia (CBT-I), explaining why it's a more effective long-term solution than sleeping pills. Finally, we walk through the simple, science-backed habits you can adopt right now to improve your sleep, starting the moment you wake up. Unlock the science of sleep