Podcasts about depersonalisation

In 2008 Nathan Dunne was night swimming in Hampstead Heath in the middle of winter when a psychological catastrophe struck him. He felt his sense of self split in two, and an unbearable pain overtook him. He couldn't work out what had happened to him, and neither could the doctors.CW: This discussion contains sensitive mental health details and mentions suicide.Nathan was driven to attempt suicide, and endured years of misdiagnoses from doctors and medications that didn't work.Nathan didn't have the words to describe the confusion, pain and splitting of self he was experiencing.For years, water was the symbol of his undoing.When Nathan returned home to Australia and his parents' care, his mum gave him a copy of his grandfather's war memoirs.Here, Nathan found a link that showed him the healing qualities and the beauty that were possible in water.Eventually, Nathan found a doctor who could explain his symptoms and finally give them a name — depersonalisation.Further informationIf you need help, you can phone Lifeline on 13 11 14.When Nothing Feels Real is published by Murdoch Books.Read more about dissociative disorders and depersonalisation on the NHS website.Read about dissociative disorders and depersonalisation specifically in relation to young people on the Orygen website.Find out more about the Conversations Live National Tour on the ABC website.Conversations' Executive Producer is Nicola Harrison. This episode was produced by Alice Moldovan.

Coco (43) leidet an Depersonalisation, einer dissoziativen Störung. Sie fühlt sich fremd im eigenen Körper, von der Welt abgetrennt und emotionslos. Lange glaubte sie, allein zu sein – bis sie vor fünf Jahren erkannte: Sie ist es nicht. Heute will sie andere Betroffene erreichen und aufklären.

Folge 330: In der neuen Folge Angst Unplugged (ehemals Einmal Burnout und zurück) spricht Christina mit Anna, einer Ex-Betroffenen, über ihre intensive Zeit mit Derealisation, Depersonalisation und täglichen Panikattacken. Ohne konkreten Auslöser kam alles schleichend: Es begann mit Schlafstörungen, später folgte die erste Panikattacke. Als Anna plötzlich das Gefühl hatte, keine Luft mehr zu bekommen und hyperventilierte, fuhr ihre Mama sie ins Krankenhaus – dort wurde klar, dass es eine Panikattacke war. In der schlimmsten Phase hatte Anna bis zu zehn Panikattacken am Tag. Trotzdem versuchte sie, nach außen hin normal weiterzuleben: Sie setzte eine Maske auf, arbeitete weiter, sprach vor Freund:innen und Kolleg:innen nicht über ihre Ängste. Die Symptome fühlten sich an „wie eine schwere Wolke“ – mental und körperlich kaum trennbar. Doch Anna hat ihren Weg zurück ins Leben gefunden: mit Körperübungen, einem stärkenden Mantra und dem Mut, trotz Angst wieder am Alltag teilzunehmen. Heute ist sie symptomfrei – und teilt ihre Geschichte, um anderen Hoffnung zu machen. In dieser Folge erfährst du:

Join Dr Annalene Weston and Dr Kiran Keshwara, dentolegal consultants at Dental protection as they discuss the issue of Burnout, one of the most pressing concerns for contemporary dental practitioners globally.Annalene is a champion for interventions that safeguard the needs of dental professionals and in this episode, she explains what Burnout is, how it feels and how it can present in ourselves, our colleagues and in our practice.Annalene and Kiran, also discuss the concept of a third space and how we can utilise this space that sits ‘in between' to our benefit.

Von 2011 bis Anfang 2016 litt Valerie unter Depersonalisation, Derealisation, Panikattacken und Zwangsgedanken, vor allem existenzieller Art. Hinzu kamen starke Körperliche Symptome wie Tinnitus, Schwindel und chronische Muskelschmerzen. Mir ging es vor ein paar Jahren ähnlich.  Wie wir nachhaltig wirklich genesen und somit frei von den leidvollen Zuständen werden können, erfährst du in dieser Folge.  Wir wünschen dir viel Freude beim lauschen.  Valerie findest du hier:  https://www.freeviebee.com/ oder auf Instagram:  https://www.instagram.com/freeviebee/    

Kat möchte Irrsinnig nutzen um über ihre Diagnose komplexe posttraumatische Belastungsstörung (kPTBS) zu erzählen und dadurch aufzuklären. Ihre Kindheit ist geprägt von traumatischen Erlebnissen, welche ihr heute die Lebensqualität rauben und sie im Alltag einschränken. Sie bringt eine Liste mit Symptomen mit, welche zur Diagnose gehören und welche sie alle auch selber erfährt. Von Flashbacks zu Depersonalisation gehören da noch mehr komplizierte Wörter dazu, welche Kat mit ihrer Geschichte verständlich erklärt. Was sonst noch auf der Liste steht und wie beeindruckend eloquent Kat über ihre Diagnose reden kann, erfahrt ihr im Podcast. Viel Spass beim Zuhören! Triggerwarnung: In dieser Folge geht es um verschiedene Formen von Gewalt, Trauma und Suizid. Falls diese Themen besonders belastend für dich sind, überspring diese Folge vielleicht oder höre sie mit einer lieben Person zusammen. Dir geht's grad nicht gut? Hier sind einige Hilfsangebote, die dir weiterhelfen können: Ein*e Psycholog*in finden: https://www.psychologie.ch/psychologensuche Hilfstelefon für Jugendliche & junge Erwachsene Tel: 147 Hilfstelefon für Erwachsene Tel: 143 Psychiatrischer Notfall: https://www.upd.ch/de/notfall Sponsoring von: mindbalance - Studierendeverein für Psychische Gesundheit an der Universität Bern

Depersonalisationssyndrom är en av våra mest förbisedda och underdiagnostiserade diagnoser. Det är ett plågsamt tillstånd som ofta bemöts med oförståelse och många drabbade vittnar om att det tar lång tid innan de får rätt diagnos.Wikipedia säger sitt om Depersonalisation. Hosted on Acast. See acast.com/privacy for more information.

Sapphire returns to the podcast to discuss about ANPs and EPs, and the primary, secondary, tertiary and quaternary levels of structural dissociation. Edit: The time of integration into the whole picture is 6-9 years old, not 9-12 years old. Note: I am not a therapist, psychologist or psychiatrist. Everything we say in this podcast is what works for us and the other people we know who claims what works for them. If you are in a crisis, call your local helpline for professional assistance. Please listen to this podcast at your own discretion and take good care of yourself. Research Links for this Episode ⁠Introduction to Structural Dissociation by CTAD Clinic ⁠ What is Structural Dissociation by Living Wellness Healing and Zen Centre ⁠ Structural Dissociation by DID Research Organisation⁠ The Theory of Structural Dissociation of the Personality by Dissociatedaze ANPs and EPs by DID Research Organisation Working with Structural Dissociation when Treating Trauma by the National Institute for the Clinical Application of Behavioural Medicine Understanding 'Parts' and their Treatment from a Structural Dissociation Perspective by EMDR Gateway Dissociation, Depersonalisation and Derealisation: A Trio of Trouble by Trans4Nation Photo Credits: Trans4Nation.Wordpress.com

Derealisation oder Depersonalisation? #hpadeutschland #dirkschippel #psychotherapie #derealisation #depersonalisationSubscribe to Traumberuf Heilpraktiker für Psychotherapie on Soundwise

Gefragt - getan. Das heutige Thema kommt von einer Zuhörerin. Passend dazu die Einstiegsfrage: was ist das eigentlich? Christian hat jedenfalls eine Menge dazu gelernt, also gleich reinhören und vielleicht lernst Du ja auch etwas Neues.---------------------Mehr zu Susanne Stocker findest du unter:www.susannestocker.at

In episode 30 I talk to fellow Melbournian Jake Evans from the Overcoming Within podcast, all about his anxiety story. Jake takes us through his experiences with panic attacks while driving, depersonalisation and derealisation, avoidance...and the trigger point that finally brought him to work to change his approach to panic. Jake talks about the practices that help him to create positive mindset shifts, the pattern of panic attacks and how the body responds to staying put, and his goals for the future. You can find Jake at https://podcasts.apple.com/de/podcast/overcoming-within/id1652819013 https://www.youtube.com/@overcomingwithin/featured ---------------------------------------------------------- If you would like to be a guest on the podcast and share your anxiety story, please get in touch with me at hello@iamlaurenrose.com. I would love to have you! iamlaurenrose.com instagram.com/laurenr_rose For all enquiries, please email me at "hello@iamlaurenrose.com" If you are struggling with an anxiety disorder, PLEASE don't be afraid to seek help. You can get help RIGHT NOW from Beyond Blue - call 1300 22 4636, or visit https://www.beyondblue.org.au/get-support/get-immediate-support?&gclid=CjwKEAjwkPS6BRD2ioKR7K245jASJAD1ZqHOKpibw-KeAuRr2anqlMlyC8Kg0qn04AeBkubgTE1xhBoCN0Xw_wcB

Depersonalisation-derealisation disorder (DDD) is often not well understood or recognised, despite its prevalence. In this podcast, Dr Howard Ryland, Deputy Editor of CPD eLearning, discusses the disorder with Dr Elaine Hunter and Prof Anthony David as well as Krishna, who shares her experiences of having been diagnosed with DDD.

97 -  Antoine Boivin and Ghislaine Rouly: Standardisation, depersonalisation and the impact this has on peoples health and wellness "My whole journey really as a physician has been to meet people in important moments of their lives, build relationships." - Antoine Boivin For many clinicians, the routine practice of medicine is unsatisfactory. Standardisation, depersonalisation, lack of emphasis on relationship and the impact this has on peoples health and wellness is often an obvious omission. Clinicians find ways of developing their practice to do what they can to close the gap. Listeners to Survival of the Kindest will be familiar with the Frome Model of enhanced primary care and compassionate communities and how this had a transformative impact on the whole population of Frome. This week's Survival of the Kindest podcast features Antoine Boivin and Ghislaine Rouly. Antoine is a practicing family physician and the Chairholder of the Canada Research Chair in Partnership with Patients and Communities. Working as a family physician in the community of Center-South Montreal, he completed his M.Sc. and Ph.D. in health services research in the United Kingdom and Netherlands. He found an excellent partner in Ghislaine Rouly, in bridging the gap between professional care and a more personalised, relationship approach. Ghislaine Rouly has been a patient since birth, living with two orphan genetic diseases. Ghislaine has always been working in the health sector and has acquired a unique level of experiential knowledge. For the past five years, at the Faculty of Medicine of the University of Montreal, she has been working within the Patient Partnership Collaboration Directorate team, where patient partnership has become her passion. She participates in mentoring, ethics courses, the courses on collaborative practices and also sits on the expert patient committee.

FREE Grounding Skills Course here: https://courses.therapyinanutshell.com/grounding-skills-for-anxiety-stress-and-ptsd Do you ever feel numb? Detached? Like you're completely separate from your body or like you're floating above it, watching yourself like you aren't even real? Or does the world around you sometimes feel foggy? Dreamlike? Or like time is moving super fast or super slowly? These are all signs of dissociation, derealization, or depersonalization. These three terms all have some overlap in symptoms.  In this podcast, you'll learn to identify the triggers and internal signs leading up to dissociation and when you have a framework to understand why dissociation happens, then you can be more gentle with yourself and learn skills to manage overwhelming situations more adaptively and flexibly and be more resilient. I have worked with many clients who've experienced dissociation or depersonalization. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co... Support my mission on Patreon: https://www.patreon.com/therapyinanut... Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=YouTube Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c... If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

 In this episode Dr. Campbell and Dr. Hohn chat with Jordan Hardgrave. He is a coach and is the founder of the Trauma Free Academy. Jordan shares with us his own experience of depersonalisation, what types of treatment helped him overcome it, and how he works with clients who currently suffer from it. During the episode we explore how trauma responses affect the body. We examine the importance of releasing our emotions and unpacking the root cause of trauma so we can undo certain triggers. We also learn how to identify forms of gaslighting, how distance yourself from people with narcissistic traits and more.    TOPICS: Jordan's personal journey with trauma (00:45) Approaching trauma through the body (12:12) Dealing with the root of trauma (20:57) Depersonalisation and derealisation (30:27) Crying (36:39) Narcissism (45:45) Link between narcissists and empaths (51:45) More from Jordan (01:08:00) MORE FROM THE HEALTH BABES:   Did you know? You have a chance to win 1 of 2 prizes, with a giveaway in every episode! Leave a review to win, and don't forget to subscribe for future episodes!   Follow Jordan Hardgrave on Instagram @traumafreeacademy Check out his YouTube channel HERE  Sign up for the free Trauma Healing Masterclass   Find more from Dr. Becky Campbell and Dr. Krystal Hohn at DrBeckyCampbell.com Consult with us one on one HERE   Follow Dr. Becky and Dr. Krystal on Instagram @drbeckycampbell and @drkrystalhohn, follow the Health Babes Podcast @healthbabespodcast Find us on Facebook, on Pinterest, and on YouTube   Get resources on how best to support your thyroid HERE Wondering if you have histamine intolerance? Take THIS QUIZ and receive a free histamine guide Get answers to your health questions HERE

Depersonalisationssyndrom är en av våra mest förbisedda och underdiagnostiserade diagnoser. Det är ett plågsamt tillstånd som ofta bemöts med oförståelse och många drabbade vittnar om att det tar lång tid innan de får rätt diagnos.Wikipedia säger sitt om Depersonalisation. Hosted on Acast. See acast.com/privacy for more information.

This week, Chris and Ethan share a conversation with Sarah-Jayne Riedel of London-based Dutch Mustard. Listen along and hear the origin story of one of London's best and most passionate up-and-coming champions of the next generation of guitar-driven rock. The trio discuss SJ's inspirations, talents, and experiences in the music industry, as well as the genesis of SJ's current project, Dutch Mustard, including Dutch Mustard's debut EP, 'An Interpretation of Depersonalisation.' Follow SJ and Dutch Mustard on Instagram: https://www.instagram.com/dutchmustard_/  Support SJ's Patreon: https://www.patreon.com/Dutchmustard   Dutch Mustard streaming links: https://linktr.ee/DutchMustard   If you are enjoying our show, becoming a Patron is the most helpful way to support us. If you have gotten more than $2 of satisfaction from this show, click the link here :) https://www.patreon.com/grunge_bible  Support the show, buy some merch! https://grungebible.creator-spring.com/ 

DISSOCIATION. DEPERSONALISATION. INSTAGRAM FILTER OVER THE EYES. You know what I mean? This week Jamie and I are discussing extreme, prolonged anxiety and the power of self awareness. Hosted on Acast. See acast.com/privacy for more information.

In this weeks episode Mathilda interviews her brother who is an Accredited Linden Method Coach, helping clients fully recover from their anxiety disorders. Joss talks about his own journey having suffered severely and fully recovered via the Linden Method from OCD, Pure O, Agoraphobia, Derealisation and Depersonalisation and how the Linden Method has changed his life, leading him on the path of coaching others to recovery. They discuss what an anxiety disorder manifests as and how is usually mistaken as being tied in with depression. They also touch on how we can be supporting our loved ones with their anxiety, especially the men in our lives, so we can hold space for open communication & support. Please do not struggle alone. If you need support then you can find out more about the Linden Method - https://www.thelindenmethod.direct or contact Joss directly on Instagram - @joss_heenehan. Both Joss & myself's door is always open so please don't hesitate to reach out. You can find out more about my upcoming events & offerings, as well as how to work with me 1:1 via Instagram - @mathildaheenehan or @wakingupinwonderlandpodcast. As always every download, review & share goes a long way in spreading the word. Thank you for your continued support.

Heute habe ich Sarina zu Gast. Sarina ist eine ehemalige Betroffene einer Zwangserkrankung und konnte diese mit den richtigen englischsprachigen Ressourcen zum großen Teil aus eigener Kraft überwinden.   Das besondere an Sarina ist, dass sie neben einigen anderen Zwängen vor allem an der Hyperbewusstseins-Zwangsstörung litt. Bei dieser Form der Zwänge (manchmal auch somatosensorische oder neutrale Zwänge genannt) leiden Betroffene daran, dass sie bestimmte Sinneseindrücke wie Geräusche oder Körperfunktionen (bspw. Atem, Schlucken, Blinzeln, Herzschlag) ständig wahrnehmen und an kaum mehr etwas anderes denken können. Wie es von einem simplen Schluckauf zur Entwicklung einer Zwangsstörung ging, erzählt Sarina im heutigen Podcast.   Daneben unterhalten wir uns auch über die Angst, schizophren zu werden, existenzielle Zwangsgedanken, Derealisation und Depersonalisation, Panikattacken, Depressionen, Schlafstörungen und einiges mehr. Besonders interessant wird es am Ende der Folge, wo Sarina erzählt, wie Akzeptanz ihr ganz konkret geholfen hat, ihren Zwang zu überwinden.    Sarinas Instagram-Profil zu Zwangsstörungen: https://www.instagram.com/zwangsbefreit/   Sarinas YouTube-Video: https://www.youtube.com/watch?v=Wqbl12aWJXU   Erfahrungsgericht von Sarina auf OCD Land: https://ocdland.com/betroffenenberichte/meine-hyperwusstseins-zwangsstoerung-und-wie-ich-sie-ueberwunden-habe   Blog-Artikel zur Hyperbewusstheit-Zwangsstörung auf OCD Land: https://ocdland.com/blog/hyperbewusstheits-zwangsstoerung   Erwähnter Spiegel-Artikel zur Therapiesituation: https://www.spiegel.de/gesundheit/psychologie/konfrontationstherapie-psychotherapeuten-meiden-wirksamstes-verfahren-a-1229792.html   Mehr von OCD Land (Community, Experten-Blog, Betroffenenberichte, Instagram, Podcast, YouTube): https://ocdland.com/tree   Hinweis: Unser Angebot ist kein Ersatz für eine Therapie. Solltest du an einer psychischen Erkrankung leiden, wende dich bitte an einen Arzt oder Psychotherapeuten.

Wie hat Beat Stocker die Anhörung vor dem Zürcher Zwangsmassnahmengericht (ZMG) erlebt? Wie das Warten im dortigen Abstand? Im Kopf werde es extrem laut, weil es draussen plötzlich so still sei. Wie den Gefangenentransport? Man habe nicht das Gefühl, dass man das selbst sei, der da sitze. Beat Stocker schildert gegenüber Duri Bonin Entfremdungserlebnisse und Unwirklichkeitsgefühle. Diese Depersonalisation ist ein Abwehrmechanismus des Körpers, der dazu dient, das Überleben zu sichern. Was gäbe es für eine bessere Gelegenheit, als den Strafprozess und die Arbeit der Staatsanwaltschaft, der Verteidigung, der Privatkläger und des Gerichts anhand des Vincenz-Prozesses zu besprechen? Duri Bonin und Gregor Münch pausieren deshalb mit ihrer Besprechung der Strafprozessordnung und begleiten den Prozess in der Causa Raiffeisen vor Ort. Links zu diesem Podcast: - Anwaltskanzlei von Duri Bonin: http://www.duribonin.ch - Anwaltskanzlei von Gregor Münch: https://www.d32.ch/personen - Titelbild bydanay: https://www.instagram.com/bydanay/ - Lernhilfen für die Anwaltsprüfung: https://www.duribonin.ch/shop/ Die Podcasts "Auf dem Weg als Anwält:in" sind unter https://www.duribonin.ch/podcast/ oder auf allen üblichen Plattformen zu hören

Thu, 31 Mar 2022 14:00:00 +0000 https://ichstark.com/47-tinnitusexperte-und-hno-arzt-dr-uso-walter/ 54ccfa5ec1f71055b70bb78139cf8c88 Autor von „Zu viel um die Ohren“ und Begründer der Kalmeda Tinnitus-App Tinnitus wird häufig falsch behandelt. Nämlich nicht auf dem Stand der Wissenschaft. Die weiß, dass Medikamente nur in seltenen, speziellen Fällen wirken. Aber was dann? Welche Therapie wird Tinnituspatienten empfohlen? Und was sind die wirklichen Ursachen? Dr. Uso Walter erlebte vor über einem Vierteljahrhundert, dass er mit dem Wissen aus dem Studium vielen seiner HNO-Patienten nicht helfen konnte. Er hat sich der Herausforderung gestellt und eine Reihe von Angeboten entwickelt: Die Wirksamkeit seiner Kalmeda-App ist klinisch bestätigt, die Kosten werden von der gesetzlichen Krankenkasse übernommen. Auf dem YouTube-Kanal Tinnitus-Sprechstunde gibt Dr. Walter hilfreiche Tipps und in seinem neuen Buch geht er aufs Ganze: „Zu viel um die Ohren. Wie Stress das Hören verändert.“ „Darauf war ich nicht vorbereitet.“ – HNO-Arzt Dr. Uso Walter nach Abschluss von Studium und Facharztausbildung über die Behandlung von Tinnitus und aus Stress entstehenden Erkrankungen ♥♥♥ Danke an alle, die den Podcast teilen und bewerten! ♥♥♥ Bücher zum Thema Uso Walter, Lucia Schmidt: Zu viel um die Ohren: Wie Stress das Hören verändert Bei Amazon, auch als E-Book: https://amzn.to/3szPZOq (Affiliatelink) Bei Thalia, auch als E-Book: https://tidd.ly/3JYeHhS (Affiliatelink) Bei bücher.de, auch als E-Book: https://tidd.ly/3tQytWU (Affiliatelink) Bei Hugendubel, auch als E-Book: https://tidd.ly/3wPV9sj (Affiliatelink) Bei Weltbild, auch als E-Book: https://tidd.ly/3uDcq5j (Affiliatelink) Bei Buch24.de, auch als E-Book: https://tidd.ly/3uFuMTb (Affiliatelink) Christian Koch, Schluss mit Zähneknirschen: Bruxismus überwinden. Die besten Strategien gegen Kopfschmerzen, Erschöpfung und Tinnitus Im Shop von ichStark und Schluss mit Zähneknirschen: https://www.ichstark.com/buch Bei Amazon, auch als E-Book: https://amzn.to/2GQkQS3 (Affiliatelink) Bei Thalia, auch als E-Book: https://tidd.ly/3kv4uxI (Affiliatelink) Bei bücher.de, auch als E-Book: https://tidd.ly/3GqojQ3 (Affiliatelink) Bei Hugendubel, auch als E-Book: https://tidd.ly/34zcoBS (Affiliatelink) Bei Weltbild, auch als E-Book: https://tidd.ly/3B3AcKE (Affiliatelink) Bei Buch24.de, auch als E-Book: https://tidd.ly/34wcZEq (Affiliatelink) Links zur heutigen Episode ichStark-Interview mit dem „ZwangsNeurotiker“ Sebastian Ehmke über Tinnitus, Depersonalisation und Derealisation: https://ichstark.com/16 HNO-Praxis Walter & Zander in Duisburg: https://www.hno-praxis-duisburg.de/ Dr. Uso Walter bei Youtube: https://www.youtube.com/channel/UCwimdU14vHgAotqAuBFrOmA Tinnitus-App Kalmeda: https://www.kalmeda.de/tinnitus-app Angebote von Christian Koch Bücher vieler Interviewgäste im Shop: https://ichstark.com/shop Mein Bruxismusblog: https://schluss-mit-zaehneknirschen.de/ Texter B2B: https://texter-psychologie-und-gesundheit.de/ Onlineseminare Bruxismus/ Schlaf, Stressmanagementkurs mit Krankenkassenzuschuss: https://ichstark.com/kurse Schlafberatung: https://www.ichstark.com/schlafberatung ichStark im Web und in Social Media Website: https://ichstark.com/ Insta: ichstark.podcast Facebook: ichstark.podcast YouTube: https://ichstark.com/youtube Transparenzhinweise und Rechtliches Werbung: Zur Vorbereitung habe ich ein kostenfreies Rezensionsexemplar des besprochenen Buchs bekommen. Für die Aufnahme und Verbreitung des Interviews erhalte ich keine anderweitige Gegenleistung. Datenschutzerklärung: https://ichstark.com/datenschutzerklaerung/ Impressum: https://ichstark.com/impressum/ 48 full Autor von „Zu viel um die Ohren“ und Begründer der Kalmeda Tinnitus-App no Tinnitus,Ohrgeräusche,Zu viel um die Ohren,Stress,Dr. Uso Walter,Bruxismus,Tinnitusbehandlung,Gesundheit Christian Koch

Angst und körperlicher Beschwerden können zu einem Teufelskreis in der PTBS. Trauma -> Dissoziation  > Schutz vor traumatischer Erinnerung (Amnesie, Derealisation, Depersonalisation: „neben sich stehen)… + Angst, wieder ähnliche Situation zu erleben : Angst vor der Angst.1. Traumata sind körperlich/emotional. 2. Was uns  erschreckt ist im Körper spürbar. Darum können wir es nicht mit den Gedanken integrieren: es ist eine andere Ebene, es geht nur durch Emotionen. Wir können auch nicht Kälte mit Worten oder mit einem Bleistift vertreiben, sondern mit Wärme (auf der gleichen Ebene also). 3. Was tun? - Akzeptieren, dass unsere Psyche versucht, sich abzuspalten / zurückzuziehen, um uns zu schützen.4. Unsere Stärken erforschen: 1 Woche lang tgl auflisten, was wir an uns schätzen5. uns liebevoll wahrnehmen und ansehen (auf der anderen Seite vom Spiegel!)6. das Erlebte *in Begleitung * mit allen Sinnen erleben, erst nachdem wir Stärken erforscht haben! Geeignete Metoden: EMDR + Hypnotherapie : Affektbrücke, Rewind Technique. Hast Du Fragen? Rückmeldungen? Wünschst du dir, dass wir über ein bestimmtes Thema sprechen, liegt dir etwas besonders am Herzen? Ich freue mich auf deine Nachricht, hier unten, oder auf www.sanalucia.de/anfrage Motto: Wenn einer keine Angst hat, hat er keine Phantasie. Erich Kästner Musik: Musicfox.com

Ask Kati Anything! Your mental health podcast with Kati Morton, LMFT Episode 101 Audience Questions1. Hi Kati, what happens in the brain when you dissociate? Does it reduce blood flow to certain areas of the brain? What happens in the brain when you do coping techniques? I am really interested to hear what happens with neurotransmitters and blood flow and brain activation when dissociating and when trying to get out of this state. Also is there any research on the long term effects of regular dissociation for the brain? Thanks for creating these podcasts, they are interesting and eye-opening. (COMMENT: Also, does derealisation and depersonalisation impact the brain differently? Lastly, what does it look like in an MRI scan? Is it diagnosable just by looking at brain waves?)2. Epilepsy patient dissociation aura. posteromedial cortex PMC 3Hz firing (PMC part of DMN, involved in internally focused cognition like autobiographical memory). Ketamine causes dissociation - when they gave it to mice, the mice wouldnt withdraw paw from hot plate (dissociation). When they stimulated PMC 3 Hz it recapitulated this effect without ketamine 3. Hello Kati and Dr. Ben Rein, I'm curious to know more about neuroplasticity and what someone with C-PTSD can do to strengthen memory and learning skills? I'm a survivor of CSA and I find it's difficult for me to memorize and retain what I'm studying in school. Any advice? 4. How does developing a mental illness in childhood affect your brain long term? I had severe OCD when I was around 10 years old and I still deal with it as an adult. I know you can be symptom-free from certain disorders like OCD that may develop at any time in your life, but I...+++++Ben Rein, Ph.D. is a neuroscientist & postdoctoral fellow at Stanford University. Ben is currently studying how psychedelic drugs alter the way the brain processes social information. Ben ultimately intends to supervise his own research lab and serve as a professor at an academic institution.​Outside of the lab, Ben shares educational science videos on social media to a collective audience of more than 800,000 subscribers. In his videos, Ben shares breaking scientific discoveries, debunks "viral" videos containing misinformation, teaches fundamental neuroscience principles, and educates on the importance of scientific research. He also provides guidance to students through a video series called "Scientips"You can find more from Ben onTikTok @ dr.breinInstagram @ doctor.breinTwitter @ dr_brein+++++BooksTraumatized   https://geni.us/Bfak0j  -  0rder Yours TodayAre u ok?    http://bit.ly/2s0mULy  - In Stores NowAmazon Suggestionshttps://www.amazon.com/shop/katimortonOnline TherapyI do not currently offer online therapy.  My sponsor BetterHelp can connect you with a licensed, online counselor, please visit: https://betterhelp.com/katiPatreonDo you want to help me support the creation of mental health videos? https://www.katimorton.com/kati-morton-patreon/Opinions That Don't Matter! (my afterhours podcast)audio: https://opionstdm.buzzsprout.com/Business Contact  Linnea Toney  linnea@underscoretalent.com Mail1779 Wells Branch Pkwy #110B Box #353 Austin, TX 78728If you or someone you know is in immediate danger, please call a local emergency telephone number or go immediately to the nearest emergency roomSupport the show (https://www.patreon.com/katimorton)

A book that doesn't seem to get the attention it deserves, A Song of Wraiths and Ruin is a story that you have and haven't heard before in the absolute best way. The Solstasia Festival happens only once every 50 years and Princess Karina is in the center of it all. A beautiful exploration of grief and duty, love and ambition, the gods are real and active in Ziran and Malik can see them all. The book begins with the author listing the content and trigger warnings, in the print AND audio versions, and conversations are had and questions are raised. Join Laura Marie and Jessica Marie as they forever chant the praises of strong female characters AND delight in Malik being a different kind of male MC. *Websites Referenced: * https://triggerwarningdatabase.com/2020/07/03/a-song-of-wraiths-and-ruin/ https://bookandfilmglobe.com/author-stuff/authors-warn-about-content-warnings-in-books/ https://blackgirlnerds.com/a-song-of-wraiths-and-ruins-interesting-lore-but-slow-world-building/ TW / CW: Ableism & ableist language, Racism and racial slurs, Colonialism themes, Refugee experiences, Riots and stampede, Police brutality, Emotional & physical child abuse, Cheating mentioned, Anxiety, Panic attack, described in detail on-page, Hallucinations, Depersonalisation & derealization, Self-harm & self-harm ideation, Alcohol consumption, Emesis, Blood depiction, Grief & loss depiction (theme), Death of a father recounted, Death of a mother, on-page, Death of a sister recounted, Death in a fire recounted, Hostage situation, Kidnapping & attempted kidnapping, Knife violence & stabbing, Murder & attempted murder, Regicide, Whipping of feet mentioned, Animal cruelty, Animal death, including animal sacrifice For additional TW/CW information for your future reads, head to this site for more: https://triggerwarningdatabase.com/ Spoilers: Kingdom of Ash Mentions: Throne of Glass, Legendborn, The Folk of the Air series, Tower of Dawn *Thank you for listening to us! Please subscribe and leave a 5 star review and follow us on Instagram (https://www.instagram.com/acofaepodcast/) and on our TikToks! TikTok: ACOFAELaura : Laura Marie (https://www.tiktok.com/@acofaelaura?) ACOFAEJessica : Jessica Marie (https://www.tiktok.com/@acofaejessica?)

“I would get home at the end of my long shifts on the wards, and I would have nothing left. Nothing left for myself, nothing left for my spouse, nothing left for my children.”After another year of pandemic, the topic of physician burnout is more relevant than ever. On this episode of Quick Takes Dr. Gratzer speaks with award-winning medical educator and bestselling author Dr. Jillian Horton(of the University of Manitoba) about identifying signs of burnout and strategies to deal with it. The conversation is very personal – Dr. Horton, a practicing internist, talks about her own experiences.In this discussion with Dr. Horton, we talk about:• ways to identifying and combat burnout• how you may not fit the clinical mold for the definition of burnout, but you could still be experiencing it• the stigma around talking about burnout is gradually lifting• organisational and systemic factors are the primary drivers of burnout, period.Follow us on Twitter

Nachdem wir bereits in der 16. Episode ausgiebig über Depersonalisation und Derealisation gesprochen haben, setzen wir die Mental Health-Reise fort und widmen uns dem Thema der sozialen Phobie, den meisten wohl besser bekannt unter dem englischen Begriff "social anxiety". Menschen entwickeln Phobien zu allen erdenklichen Dingen. Typische Phobien sind unter anderem die gegen Spinnen, große Objekte oder Clowns. Was sie alle gemeinsam haben, ist, dass sie in unterschiedlichen Ausprägungen den Alltag von Menschen negativ beeinflussen. Die soziale Phobie stellt hierbei ein besonderes Beispiel dar, da sie gekoppelt ist an sozialen Interaktionen mit anderen Menschen und der menschliche Kontakt eine unumgängliche Tatsache im Leben ist. Die Betroffenen von sozialer Phobie werden demnach tagtäglich mit ihrer Angststörung konfrontiert, sei es durch Small Talk mit Freunden oder Arbeitskollegen, Anrufe beim Arzt oder das Teilnehmen an Haus-Partys, wo sich viele Personen zeitgleich befinden.Wir wollen in dieser Episode über unsere eigenen Erfahrungen mit der sozialen Phobie sprechen und mit euch teilen, was für uns soziale Phobie bedeutet, wie es unser Leben beeinflusst, welche Situationen uns am meisten "triggern" und welche Bewältigungsstrategien wir für uns mit der Zeit entdeckt haben.Wenn euch diese Folge gefallen hat, dann würden wir uns über eure Bewertungen auf euren Podcast-Apps sowie über Benachrichtigungen aller Art an uns sehr freuen!//Intro & Outro Musik by Marco Limantara:https://open.spotify.com/artist/7cs5b03ZvXvtxX6bwxJ7xP?si=asOrQuRDT3aWxG4LXEgvLQ//Unsere Website für noch mehr Content: www.saltandpressure.de//Instagram: www.instagram.com/saltandpressure.de

Depersonalisationssyndrom är en av våra mest förbisedda och underdiagnostiserade diagnoser. Det är ett plågsamt tillstånd som ofta bemöts med oförståelse och många drabbade vittnar om att det tar lång tid innan de får rätt diagnos.Wikipedia säger sitt om Depersonalisation. See acast.com/privacy for privacy and opt-out information.

Depersonalisation disorder involves feeling completely disconnected from yourself or from reality. It's among the most common yet under-recognised psychiatric conditions and as such is hard to diagnose. Joe Perkins whose new book Life on Autopilot charts his 14 year experience with the disorder, discusses his long journey on the road to formal diagnosis, the need for innovative treatments, and why this disorder is so little understood or discussed. City-wide air pollution has adverse effects on our heart and lungs, but there is now increasing evidence that air pollution isn't great for our brain either. Recent research shows that adults exposed to high levels of traffic-related air pollution are more likely to experience anxiety and mild depression. But could it also contribute to the course and severity after the onset of more serious mental illness? Claudia Hammond meets Ioannis Bakolis of Kings College London who in the first study of its kind, has examined the extent to which air pollution exposure leads to a more severe course of illness in people experiencing first episodes of psychotic disorders. And Claudia's studio guest Professor Daryl O' Connor discusses a new study into an effective way to counter the way disinformation spreads unchecked, and how inserting a counter-message, just once, into a close replica of a deceptive rival's message can undercut its persuasive effects. Producer Adrian Washbourne Produced in association with the Open University

Hello lovely listeners! Happy Thursday

Die Allermeisten haben es schon mal (unbewusst) erlebt, die Allerwenigsten können es aber tatsächlich beim Namen nennen: In dieser sehr persönlichen Episode von Salt 'n' Pressure möchten wir das ändern und sprechen über Depersonalisation und Derealisation, kurz DP/DR. Darunter verbergen sich die Phänomene der Entfremdung - von der eigenen Persönlichkeit sowie der Umgebung, in der man sich befindet. In solchen Momenten beschreiben Betroffene ein Gefühl der Losgelöstheit von dem eigenen Körper und den eigenen Emotionen. Die Umwelt wird durch eine Art Filter wahrgenommen und erscheint surreal, sodass letztlich der Bezug zum eigenen Selbst sowie zur Außenwelt verlorengeht. Dass eine Vielzahl von Menschen eine milde Form von DP/DR mindestens ein Mal erlebt haben, scheint dabei wenig überraschend. Denn durch Faktoren wie Stress, Müdigkeit oder geringe Flüssigkeitszufuhr können Symptome von DP/DR bereits auftreten. Wenn es sich jedoch um eine DP/DR-Störung handelt, erleben Betroffene jene Symptome intensiver, oftmals ohne konkrete Ursachen und häufig über längere Zeiträume. Eine ziemlich unangenehme Vorstellung, die wir euch mit unseren eigenen Erfahrungen näherbringen möchten.Wenn ihr ebenfalls solche Erfahrungen gemacht habt oder Leute kennt, die davon betroffen sind, dann meldet euch sehr gerne bei uns - wir sind an euren Storys sehr interessiert!//Intro & Outro Musik by Marco Limantara:https://open.spotify.com/artist/7cs5b03ZvXvtxX6bwxJ7xP?si=asOrQuRDT3aWxG4LXEgvLQ//Unsere Website für noch mehr Content: www.saltandpressure.de//Instagram: www.instagram.com/saltandpressure.de

In today's episode, I talk all about my experience with fear of going crazy - for me, this manifests as worry that I'm going to suddenly say or yell something out, or that I'm not really there, or that I'm going to lose control of my mind or body and not realise what's happening.  I discuss: how this feels for me when it happens, why it happens, and what I do to work through it and nurture and soothe myself. Mentioned in this episode: Pasta Grannies on YouTube To be a guest on the show, please get in touch with me via the website - iamlaurenrose.com    

"Wholehearted living is about engaging in our lives from a place ofworthiness. It means cultivating the courage, compassion, and connectionto wake up in the morning and think, No matter what gets done andhow much is left undone, I am enough. It's going to bed at night thinking,Yes, I am imperfect and vulnerable and sometimes afraid, but that doesn'tchange the truth that I am also brave and worthy of love and belonging."- Brene BrownIn this conversation, Jonny Say discussed with Dr. Z. his take on self-compassion, what's unique about Compassion Focused Therapy, what's behind our self-harsh criticism, and how we can learn different ways to relate to them.Jonny primarily uses Acceptance and Commitment Therapy and Compassion Focused Therapy in his client work and has created a number of resources on his YouTube Channel and Guided Meditation Library to support mental health and well-being. He believes passionately in the power of ACT and CFT for mental health recovery, having experienced his own challenges with Anxiety & Depersonalisation, OCD and Depression in the past. You can connect with Jonny and the Mindfulness Circle on:Instagram: https://www.instagram.com/mindfulnesscircle/Youtube: https://www.youtube.com/channel/UCvoYN3priYPLQ278FFu_J0wTwitter: https://twitter.com/mindfulcircle*Subscribe & review on itunes!Are you subscribed to my podcast? If you're not, I want to encourage you to do that today. I don't want you to miss an episode. I'll be adding a bunch of bonus episodes to the mix in the next couple of months and if you're not subscribed, you will them out. Click here to subscribeAnd if you have a minute, I welcome a review. I'll be very grateful if you leave a review on iTunes too! Those reviews are super helpful for others to find this podcast!Just select "ratings and reviews" and "write a review" and let me know your favorite part of the podcast! Many thanks! See acast.com/privacy for privacy and opt-out information.

Welcome to our 200th episode. A milestone that has truly crept up faster than we can explain… For this one we're joined by the mesmerising Joe Perkins to share his perspective on a Depersonalisation and Derealisation Disorder. We discuss why this condition isn't better know given its prevalence whilst getting granular about stigma and masking behaviours.  Here we go! Mental is the brain-child of Bobby Temps, who lives and thrives while managing his own mental health. Each Thursday we delve into a factor or condition that affects the mind and how to better manage it. Give The Michel Thomas Method a try with code ‘MENTAL' at michelthomas.com Find our new show ‘Dating Games - The Modern Relationships Podcast' HERE Petition to 'Get Mental Health Education on the School Curriculum' - Join us at bit.ly/MentalPetition Join the movement on: Facebook, Twitter & Instagram We also have a very blue website with loads of great resources HERE

Chris and Rowan discuss some strategies for dealing with depersonalisation, derealisation, and other dissociative disorders. We discuss a number of cases of people developing dissociation and share some of their tips for managing their experiences.

We discuss the symptoms of depersonalisation and derealisation that can occur with panic attacks. These symptoms are often under-recognised as being associated with panic and can lead people to feel as if they are losing their mind.In this episode, we discuss why these symptoms are not inherently dangerous as well as some strategies for managing symptoms of depersonalisation and derealisation associated with panic.

Drangsal spricht darüber, wie er im Dorf aufgewachsen ist und dabei auffallen wollte, aber doch auch den Wunsch hatte dazu zu gehören. Dem Musiker eilte jahrelang der Ruf voraus, jähzornig, cholerisch und unfreundlich zu sein. Wir gehen der Ursache auf den Grund und erfahren, was das mit Minderwertigkeitskomplexen zu tun hat, und wie er es geschafft hat sich zu ändern. Außerdem geht es um Kontrollzwänge, Panikattacken und Erfahrungen mit Derealisation und Depersonalisation. // Mehr Infos zum Podcast: www.wdr.de/k/dankegut

Du willst Heilpraktiker für Psychotherapie werden? Dann besuche jetzt unser kostenloses Online-Seminar (24 Stunden am Tag verfügbar) unter: https://www.online-heilpraktikerakademie.de/ ▶▶ Gefällt Dir das Video? ◀◀ Dann freuen wir uns über einen Daumen nach oben, einen Kommentar und wenn Du es an Menschen weiterleitest, denen es auch helfen kann. ► Kanal ABONNIEREN: http://bit.ly/HPA-ABONNIEREN ► Du interessierst dich für eine Ausbildung an unserer Heilpraktiker Akademie? Informiere dich hier oder starte direkt mit einem Kurs: https://www.online-heilpraktikerakademie.de/ ÜBER DIE HPA HEILPRAKTIKER AKADEMIE DEUTSCHLAND Die Heilpraktiker Akademie Deutschland ist Ausbildungsstätte für Heilpraktiker und Heilpraktikerinnen für Psychotherapie und nutzt das Wissen aus über 26-jähriger Erfahrung eines Schulbetriebs für eine effiziente und integrative Ausbildung. Die HPA Lübeck wird von Dirk Schippel geleitet. Dirk Schippel ist langjähriger und erfolgreicher Therapeut, Coach, Lehrbuchautor und Trainer. ► Folge uns auch hier... FACEBOOK: https://www.facebook.com/HPAinDeutschland/ INSTAGRAM: https://www.instagram.com/hpa_deutschland/ WEBSEITE: https://www.heilpraktiker-akademie.de/ WEBSEITE DIRK SCHIPPEL: https://www.dirk-schippel.de/Subscribe to Traumberuf Heilpraktiker für Psychotherapie on Soundwise

In this episode, Associate Professor in the Doctoral Program of Physical Therapy at Rutgers, Dr. Ellen Anderson, talks to Dr. Stephanie Weyrauch about burnout in physical therapy. Today, Ellen talks about her dissertation on burnout, the distinction between normal stress and burnout, and how these markers of burnout fit into the anecdotal accounts of burnout seen in blogs and magazines. Why is data so limited on burnout in physical therapy? Which settings within physical therapy experience the highest rate of burnout? Hear about the many factors impacting the number of therapists affected by burnout, how Covid-19 has affected recent graduates and students, and the causes of burnout, all on today’s episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “When people work with people who are in crisis, there are a lot of demands placed on them - very different than in other kinds of work, for example.” There are 3 categories in burnout: Emotional exhaustion. Depersonalisation. Personal Accomplishment. “When we think about just being stressed out, it’s hard to know what that means because everyone’s stressors are different.” “If a physical therapist has high perceived stress, that’s correlated with emotional exhaustion, which is a part of burnout, but not the full definition of burnout.” Researchers have suggested that there’s 2 ways to look at burnout: The Personal Approach. Make the person resilient, and they will be able to handle any kind of environment. The Work Environment. Make a nurturing environment that’s conducive to good work, and supporting people who are in crisis, then you’re supporting the workers and you’ll have less burnout. “Younger physicians have higher rates of burnout than do older practitioners.” “When people in healthcare feel as though they don’t have control of the situation, or they cannot contribute to good patient care, effectiveness, and efficiencies, that the burnout rates are higher.” “There needs to be an understanding on how stressful and difficult it is to work with people who are at risk and people who are in crisis.” “We need to be thinking about ways in which physical therapists can have some participation in systems that supports everyone in that work environment.” “One of the things that’s very detrimental when people share thoughts and ideas, is that the first response they get is ‘we cant’ or ‘no’ without any kind of real honest investigation into the suggestion or recommendation.” “Breathing practices and meditation are two strategies which help people be able to manage their stress effectively. The idea is that you practice those things so that when you need it, you can use it.”   More about Stephanie Weyrauch Dr. Stephanie Weyrauch is employed as a physical therapist at Physical Therapy and Sports Medicine Centers in Orange, Connecticut. She received her Doctorate in Physical Therapy and Master of Science in Clinical Investigation from Washington University in St. Louis. Dr. Weyrauch has served as a consultant for a multi-billion dollar company to develop a workplace injury prevention program, which resulted in improved health outcomes, OSHA recordables, and decreased healthcare costs for the company’s workforce. She has served on multiple national task forces for the American Physical Therapy Association (APTA) and actively lobbies for healthcare policy issues at the local, state, and national levels of government. Currently, she serves as Vice President of the American Physical Therapy Association Connecticut Chapter and is a member of the American Congress for Rehabilitation Medicine. Dr. Weyrauch is also the co-host for The Healthcare Education Transformation Podcast, which focuses on innovations in healthcare education and delivery. Dr. Weyrauch has performed scientific research through grants from the National Institutes of Health and National Science Foundation at world-renowned institutions including Stanford University and Washington University in St. Louis. Her research examining movement patterns and outcomes in people with and without low back pain has led to numerous local, regional, and national presentations and a peer-reviewed publication in Archives of Physical Medicine and Rehabilitation, a top journal in rehabilitation.   More about Ellen Anderson [caption id="attachment_9555" align="alignleft" width="150"] Rutgers School of Health Professions in Newark. 11/7/16 Photo by John O’Boyle[/caption] Ellen Zambo Anderson, PT, PhD is an Associate Professor in the Doctoral Program of Physical Therapy at Rutgers, The State University of New Jersey where her primary teaching responsibilities are in Therapeutic Exercise, Development Across the Lifespan and Clinical Inquiry. Dr. Anderson, a Board Certified Geriatric Clinical Specialist, earned a BS in Physical Therapy from West Virginia University, an MA in Motor Learning and Control from Columbia University and a PhD in Health Sciences from Rutgers University. She is the Assistant Director of the Rutgers Community Participatory Physical Therapy Clinic, a student-run, pro-bono clinic in Newark, NJ, and serves as the Special Olympics Global Advisor for Young Athletes. Dr. Anderson is the co-author of the textbook, Complementary Therapies for Physical Therapy: A Clinical Decision-Making Approach and has spoken internationally on physical activity, mental health, and complementary health practices. She is also co-owner of YogiAnatomy, a company that provides continuing education for rehabilitation professions on topics related to complementary approaches for managing well-being, health and function.   Suggested Keywords Physiotherapy, Research, PT, Health, Therapy, Healthcare, Education, Training, Stress, Burnout, Wellbeing, Mental Health, Stressors, Support, Covid-19, Exhaustion, Depersonalisation, Accomplishment, Environment,   To learn more, follow Ellen and Stephanie at: Website:          https://stephaniesandvickweyrauch.academia.edu                         https://ptsmc.com/stephanie-weyrauch                         https://www.yogianatomy.com Facebook:       Stephanie Sandvick Weyrauch Instagram:       @thesteph21 Twitter:            @thesteph21 LinkedIn:         Stephanie Weyrauch                         YogiAnatomy   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript:  Speaker 1 (00:07): Welcome to the healthy, wealthy, and smart podcast. Each week we interview the best and brightest in physical therapy, wellness, and entrepreneurship. We give you cutting edge information. You need to live your best life. Healthy, wealthy, and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now here's your host, Dr. Karen Litzy. Hey everybody. Speaker 2 (00:37): Welcome back to the podcast. I am your host, Karen Litzy and today's episode. We have our good friend of the podcast back, Dr. Stephanie Y rock, and she is interviewing Dr. Ellen Anderson all about burnout in the physical therapy profession. I'm not going to go into Dr. Anderson's bio because Stephanie reads that in the beginning of the podcast. We don't need to double up on that, but what you're about to hear, I'll give you some highlights is they talk about the three categories of burnout and does the research definition of burnout jive with the anecdotal accounts of burnout that we see on blogs and podcasts and things like that. They also talk about the difference between stress and burnout or perceived stress and burnout. The main causes of burnout in physical therapy, how COVID is affecting burnout. And Dr. Anderson talks about some things that perhaps you can do as an individual to help with your perceived stress. Speaker 2 (01:41): And she hypothesizes on some things that perhaps some businesses, some physical therapy businesses can do to help their employees with stress and burnout. So thanks to doctors why rock and Anderson and everyone enjoy today's episode. Hello everyone, and welcome to the healthy, wealthy and smart podcast. I'm your guest host today, Dr. Stephanie, why rock and, or once again, going to partner with the American physical therapy association, private practice section to discuss a topic that has been in the forefront in healthcare and that's burnout. This is an especially relevant topic. I think as COVID-19 pandemic continues to rage on, and I've actually been asked to write an article for PPS impact magazine on this. And so when I went to do some research on this topic, I of course found a lot of blog posts and opinion articles by physical therapists throughout the profession on this topic, but was really surprised to find that there's really not a lot of research in physical therapy on burnout. Speaker 2 (02:50): And I was surprised by that because it's so frequently discussed in our profession. So eventually my literature review led me to our guest today, Dr. Ellen Anderson. So Dr. Ellen Zombot Anderson is an associate professor in the doctoral program of physical therapy at Rutgers university in New Jersey where her primary teaching responsibilities are in therapeutic exercise development across the lifespan and clinical inquiry. Dr. Anderson is a board certified geriatric clinical specialist and earned a BS in physical therapy from West Virginia university, an ma in motor learning and control from Columbia university and a PhD in health sciences from Rutgers university. She is the assistant director of the Rutgers community participatory physical therapy clinic, which is a student run pro bono clinic in Newark, New Jersey, and serves as the special Olympics global advisor for young athletes. She's the coauthor of the textbook complimentary therapies for physical therapy, a clinical decision-making approach, and has spoken internationally on physical activity, mental health and complimentary health practices. She's co-owner of yoga, Yogi anatomy, a company that provides continuing education for rehabilitation professions on topics related to complimentary approaches for managing wellbeing, health, and function. So thank you so much Dr. Anderson for joining us today on our podcast. And again, I read your dissertation and I've, I found it really interesting that you decided to tackle burnout for your PhD dissertation. So maybe summarize your dissertation a little bit, tell our listeners a little bit about yourself and how you became interested in this area of research. Speaker 3 (04:38): Okay, great. Yes. It's a pleasure to be with you, Stephanie. Thank you very much. Initially I became very interested in complimentary therapies and through the work that I do with my colleague, Judy Deutsche, where we published a textbook in that area, I was interested in the application, the safety and the efficacy of complimentary therapies for patient populations. And that got me to realize, or helped me realize that there is a fair amount of data that suggests these complementary therapies can be useful for our patients, particularly in the areas of mood reduction of stress, as well as reduction of pain. And so that got me thinking about using approaches such as Reiki or yoga, meditation, breathing practices for self care as well as patient care from that point. However it was determined that we really didn't know what stress was in physical therapists or what burnout is in physical therapist, because as you've identified, a lot of people are talking about it, but there hasn't been a lot of research in that area. Speaker 3 (05:57): And so I started to embark on trying to get a handle on what is the stress and burnout in physical therapists. My focus took me to burn out. And the reason for that is because burnout was defined by fruit and burger back in 1975. And it was based on his observations in working with healthcare providers. And what he observed is that when people work with people who are in crisis, there are a lot of demands placed on them, very different than in other kinds of work, for example. And he began to categorize some behaviors that he saw in people who were becoming more and more stressed. And then it was Nass latch who developed the mass latch burnout inventory. And so what mass latch did was kind of support the observations of fruit and Berg by saying there are three categories that we need to look at in this thing called burnout, that there's emotional exhaustion, there's depersonalization and there's personal accomplishment. Speaker 3 (07:16): And so when we think about just being stressed out, it's hard to know what that means because everyone's stressors are different. So what stresses you out is different than what stresses me out, you know, when you kind of come to your work with a certain constitution about what keeps you even keel and what are your triggers? The burnout goes a little bit further because it's not just emotional responses. And in this case, emotional exhaustion is that sort of physical, mental exhaustion that many people might be feeling. That's just one part of burnout. So the next part of burnout is this deep personalization. And what that means is that you kind of begin to separate yourself out from your patients. And there's this phenomenon of, of I'm sick of thinking that the patient is to blame for their problems. You know, so they brought it on themselves and some psychologists and researchers suggest that perhaps this deep personalization is really kind of a protective mechanism because you're dealing with people in crisis all the time. And then you have the personal accomplishment and that's where you feel like your, a rat in a, in a maze or in a wheel. And you just keep going round and around and you ask yourself, finally, what am I doing this for? Am I really making a difference? So the, the, the curiosity for me is, was understanding the D the difference between just job stress and burnout, and that physical therapist in fact, would fall into a category of people working with people who are in crisis most of the time. Speaker 2 (09:28): I think that that's really interesting that, you know, we have a defined a true research definition of burnout. I'm wondering what your opinion is on how this definition fits with these anecdotal accounts of burnout that we're seeing in some of these blog posts that people post or that TA magazine has been posting about regularly. Speaker 3 (09:50): It doesn't really jive a very well, to be honest with you. So when, when I see comments about burnout, I just say to myself, well, people are stressed out and, and we should honor and respect the fact that people are very stressed out. That burnout technically from a research standpoint has a different definition. And what I found through my research is I did study and survey physical therapists, both using the mass latch burnout inventory, which has the three part, but I also included the perceived stress scale. And so the perceived stress scale, I think, is a very valuable tool because as I mentioned, previously, stressors for you are different than stressors for me. And the perceived stress scale has been used in thousands of studies. And it's looked to be sort of a gold standard if you will, to get a finger on the pulse of people's stress, because it is about perception of your stress. Speaker 3 (11:04): And, and so what I found in my, in my dissertation was that all, although physical therapist had better perceived stress scores than the national sample that I compared it to, there was a relationship between a high perceived stress score and burnout especially in the category of the emotional exhaustion piece. And so what we, what we saw was that if therapist had high emotional exhaustion, they were seven, seven times more likely to actually have burnout. So let me tell you what burnout is. According to those three parts is if you do the burnout scale, and you're very high where you're high in emotional exhaustion and you're high in deep personalization, and then you have low professional accomplishment, you fall into the category of burnout. And so what I found was that 29% of PTs are high in emotional exhaustion, and that is consistent with what people are talking about in the blogs related to being stressed. Speaker 3 (12:27): Okay. The other thing that I want to know is that in a lot of studies that are being done with physicians and nurses with burnout, sometimes the headline is 50% of physicians have burnout. And what they did was that they used the burnout scale, but they focus their, their headline on the fact that it was emotional exhaustion. And so there was recently a systematic review that looked at just that is the reporting of burnout and how it's a little bit of a mixed bag now where it traditionally had been the high score in exhaustion depersonalization on a low score in professional accomplishment. But now people are reporting even just on the emotional exhaustion. So when we think about PTs and what I found was that 29% had emotional exhaustion and then 12% had actual burnout. And so that's, that's really a concern because we're talking that we have a vulnerable PT workforce out there when it comes to stress and when it comes to burnout. Speaker 2 (13:56): So if somebody has, if a physical therapist has high perceived stress, that's correlated with this emotional exhaustion, which is a part of burnout, but not the full definition of burnout. Speaker 3 (14:09): You got it, it's perfectly stated. Speaker 2 (14:11): So do you think that we, that our research needs to maybe reassess the definition of burnout? Or do you think that people, that we just need to get the word out there about what burnout actually is and educate people that, you know, you're not quite burned out yet? You're, you're emotionally exhausted. Here are the steps that you can take to decrease this high emotional exhaustion to prevent burnout, or what, what's your kind of opinion on that? Speaker 3 (14:39): Well, it would be a wonderful thing if it was so simple. But the reason why it's not simple is because people have looked at well, what comes first is an emotional exhaustion, and that leads to depersonalization followed by lower professional accomplishment. And the answer is not clear. So there are different models that have been proposed and tested to show that it can be multi-directional. And so it's not easy to say that if we manage stress, as we know stress, the perceived stress that we will have made a dramatic effect on burnout, because if depersonalization is what drives emotional exhaustion or low self-efficacy kind of low personal accomplishment, low self-esteem that type of thing in your workplace, if that drives burnout, then managing stress may not have as dramatic effect on those areas. So I, I think it's, I think it is behooves us to think about the complexities of stress and that mirrors the complexities of burnout. Speaker 3 (16:04): But I think that the first step is to be thinking about what are those stressors in the workplace because researchers have suggested that there's two ways to look at burnout, and that is the personal approach, so that you're more resilient to that stress, to that emotional exhaustion. And then the other area of focus should be on the work environment and the, the experiences that a person has at work. So we see that there's both sort of schools of thought that you, you make a person resilient and they will be able to handle any kind of environment. And then the, and then the counter is that if you make a nurturing, caring environment, that's conducive to good work and supporting people who are in crisis, then by that you were supporting the workers and you'll have less burnout. Speaker 2 (17:14): I think that those are some very interesting points. You know, this is obviously a very popular topic in our profession. Why do you think there's then we had, we've talked about that. There's not a lot of data for this. And just so our listeners know, like there's maybe a few studies, including Al including Dr. Anderson's recent dissertation, which was published in 2014, there's a couple of articles that have been published since then, but most of the research has been, was done in like the eighties and the nineties. So it's like over 20 years old. Right. So why do you think that data regarding burnout is so limited in our profession? And is there really any research going on in this area right now in our profession today? Speaker 3 (18:00): Yeah, I I've thought about that quite a bit, and I'm not sure why there hasn't been much, much research in the area. You can imagine that when I was working on my dissertation, I was shocked that there wasn't anything that was substantial. Everything was very old, as you had mentioned. And it was done in very discrete populations. So one was in rehab inpatient facilities in Massachusetts. Another wasn't a head injury unit in the Pacific Northwest. So very specific, nothing quite as broad as a national sample. Why, I don't know. I, in general, though, the efforts in looking at burnout has been focused on nursing and in physicians and MDs. And the only thing that I could come up with is there's a difference in the way we think and do things if you're medicine versus when you're rehabilitation. And I think that in comparing some of my findings in, especially in the areas of deep personalization and personal accomplishment, is that PTs typically were scoring much lower than nurses and physicians in those two categories. Speaker 3 (19:24): And I speculate that perhaps it's because of the kind of relationships that we have with our patients, that because we spend more time with our patients, we get to know our patients, families, and a lot of instances that it's very hard for us to depersonalize when you really spend a lot of time with someone. And that may also contribute to the fact that PTs score better than people in medicine, in the area of personal accomplishment, because although things may be crazy in your, in your practice setting, the fact that you can see a difference in the individual clients and patients that you see may in fact be reinforcing for that personal accomplishment. Speaker 2 (20:16): So is your belief then based off of what you found in your research, that kind of the difference between say physical therapists and nurses and physicians, which are more studied than what our profession is that we have better really, you know, longer lasting relationships with our patients and get because of that, we get a lot more accomplishment. Whereas physicians and nurses are more short term relationships with their patients. And so kind of those better scores and deep personalization and in personal accomplishment kind of help us save us from being burnt out. Like maybe our physician and nursing colleagues is that a, Speaker 3 (20:57): That is my hypothesis, but I haven't tested it. But that in looking at some of the publications in physicians of, of all different practice settings they are scoring typically higher, interestingly, except for those in mental health fields. So that may be a situation, two fold. Number one, is that a person working in mental health may actually have more skills to deal with their own stress and burdens. But they also may be spending more time with their patients because of the kind of therapeutic relationship that would occur in, in mental health. Speaker 2 (21:44): I think that your hypothesis is a very logical one, because if you think about, so if we, if we look at those studies from 20 years ago, obviously our profession has changed a lot. I mean, healthcare in general is just always changing. So, you know, right now student loan is at an all student loan debt is at an all time high wages for physical therapists are basically the same as what they were in the nineties. And the two thousands, we continue to experience decreases in payment. We have rising productivity expectations in order to maintain that bottom line. And so a lot of these factors are kind of cutting into our ability to form these relationships, so to maintain those good scores and depersonalization, and to have that personal accomplishment. But I'm interested in potentially knowing your opinion on how you think these factors have impacted the number of physical therapists affected by burnout. Speaker 3 (22:43): Yeah, I think that it has one of the, one of the findings that I observed in my research and that others have observed in medical populations is that younger therapists, younger physicians have higher rates of burnout than do older practitioners. And it's speculated that it's because the more seasoned therapist or physician has learned how to manage, right. They've learned how to manage sort of the, the game, if you will. They've also learned strategies for self preservation. So that gets us into that twofold area again, right. The personal, you know, wellbeing, and then the institution as something separate, I think it be worth it to take a look now, even compared to five years ago, with all the things that you've described, they were occurring five years ago when I did my dissertation, but then along comes higher expectations for productivity. Speaker 3 (24:01): And now, you know, let's throw in a worldwide pandemic onto that. Right. And so I think that what we've, what we'll, what we will see is that institutional changes that people may not have been able to keep up with because it's happened so rapidly over time, or it's sorry, that's weird. It's happened so rapidly within a short period of time that I think it would be worth looking into what changes have occurred in perceived stress or burnout. Within the past couple of years in physical therapy, because I would predict that those numbers would be greater than they were back in 2014. Speaker 2 (24:51): Well, I mean, that leads me beautifully to my next question is how do you think COVID-19 has contributed to burnout in physical therapy amongst physical therapists? Speaker 3 (25:01): Right. So when, so, although I didn't ask the question in my survey about what's causing you to be burned out or, you know, identify things that are stressors in your life. What I know, what I know from the literature is that when people in healthcare feel as though they don't have control of the situation, or they cannot contribute to good patient care effectiveness and efficiencies that the burnout rates are higher. So there is something to be said about this time in COVID where in our physical therapy world, we went from non essential to essential. We went from, you know, not doing rehab to doing nursing care. I colleagues of mine who were sent to the Mork colleagues of mine who worked security desks because in order for them to keep their job, they needed to say I would do assigned duties. So if we know that having little say about your work environment, little, say about how much time you spend with patients or what your responsibilities are, or what responsibilities you can delegate to other people, we know that that's contributing to burnout then hello, because that's exactly what happened to the physical therapy profession during COVID. Speaker 2 (26:39): So you teach at Rutgers what types of what types of instances of burnout or stress have you experienced amongst your students who are now like fresh into our profession and the students that are maybe still in PT school? How have they reacted to this COVID-19 pandemic in relationship to burnout or perceived stress? Speaker 3 (27:04): Right. So I think that we, we probably have cooked two cohort of students, the ones that graduated in 2020, who did a big sigh of relief because, because of in our program, the amount of weeks and hours they had got in for clinical experiences was complete by the time that they started to be pulled out of their clinical rotations. So all of our students were able to reach a level of competency and entry level so that everyone graduated in 2020. So they were like, just so relieved the group that is scheduled to graduate in 2021 have been dealing with the stresses, the traumas that come with changing responsibilities and different expectations because of COVID. But I think that by and large, they've had excellent clinical instructors, so kudos to the physical therapy profession and that they have been able to take the challenges in stride in part, because of the support from the institutions and their clinical instructors. Speaker 3 (28:30): I think that the students that are engaged in academic work, their stressors come from the fact that they know that they are in a program that's delivering information very different than the previous year and their hands-on experience has been truncated. And, and that, despite the efforts of the faculty to give them all the experiences that they normally would have in person that we are limited by the COVID restrictions of our university. So what we've, what we've attempted to do is to speak about the virtues of tele-health. We have some testing opportunities for students to engage in tele-health and improve their skills with communication and observation. Also giving directions watching movement from like you and I are right now from across the screen. And I do think that that is something that many therapists are learning. There's many courses and, and many workshops that you can do for best practices in doing telemedicine. So I think some of our students will be better equipped coming out because they have had some work in that area. Speaker 2 (30:09): So we've talked a lot about some of the different stressors that potentially could lead to burnout, but do you think are the main causes of burnout amongst physical therapists? Speaker 3 (30:19): Yeah, I think number one, I think autonomy is, and, you know, we got out from under the physician prescription. But if you think about autonomy from many practices in which the productivity demands is so high that you feel as though you've lost some sense of autonomy, and that comes from not being able to perhaps schedule your patients based on their needs. So, you know, if 30 minutes session versus 45 versus an hour so that contributes to a decrease in, in autonomy, which we know is that, which is a stressor when it comes to burnout. The other thing that is a big factor is redundancy. And it can be primarily in documentation where, you know, we've all experienced that you fill out one form, then you fill out another, then you have to do this chart and so on and so forth. Speaker 3 (31:20): You have this information in four or five different places, and that contributes to burnout because what happens is you feel as though you've imparted your professional opinion and you've made your professional observations, and that should be good enough. And you know what, Stephanie, it probably should be good enough. The fact that we have to, you know, regurgitate it in three different ways for different purposes is, you know, sucking the life out of people. All right. So the other thing that happens is that acknowledgement of credentials and continuing education and bettering yourself when that is not honored and respected by an employer or by a setting that contributes to burnout. And so in the physician world, they talk about having their board certifications. And we could also think about that in physical therapy as well. So even if you've got staff that have qualified or are now OCS is, or sports, clinical specialists is they need time to maintain that expertise. Speaker 3 (32:35): They need to do continuing education. They need to see the right patient caseload. They need time to do some outcome measures so that they can maintain that level, that high level of expertise, and that needs to be respected and time needs to be given to those professionals. Otherwise you can see an erosion of professional accomplishment. So it, it's not from my, my work, but from the readings that I've done in other professions, you know, predominantly medicine and nursing, these are the institutional things that contribute to burnout. And I can see that how that can they can have a big role in physical therapy as well. Speaker 2 (33:23): So I recently did a very unreliable and bias social media study pool on this topic asking you know, what, which physical therapy setting is burnout most prevalent. And I had 147, a sample size of 147 on, and I was kind of surprised by the results, but here were the results. 48% said private practice, 23% said, hospitals, 24% said skilled nursing facilities, and 5% said home health agencies. Do you think based on kind of what your research showed and based off of what you've read and potentially what your alumni have said, do you think that there is a higher rate of burnout amongst physical therapists in certain settings? And if so, what settings do you hypothesize put people most at risk for burnout and how can leaders within those settings decrease the rate of burnout amongst their employees? Speaker 3 (34:25): Okay. So I don't have to hypothesize because I actually have the data that was not part of my dissertation. So I will share that with you now. All right. So the winner in the burnout rate is skilled nursing facilities at 24%. Okay. followed by home a home care at 14% closely followed by the hospital outpatient department at 13% and private outpatient at 12%. So 12, 13, 14%, you know, sort of in the ballpark, but the standard, our skilled nursing facilities. And in, in a statistical analysis that I even still don't remember or can explain the one that stands out is truly statistically significant difference are those people who practice in skilled nursing facilities. And I mean, I would have to say that that number is probably in a higher, I mean, look what our colleagues in skilled nursing facilities had to deal with with COVID. Speaker 3 (35:39): You know, people were not being able to have visitation by family members, right. Trainings for going home sometimes were done via zoom sometimes in person for maybe five minutes. But think about that, think about all of the subacute rehab, people who didn't have family support when they're, you know, they're following surgery. They've never been in that kind of situation before, and they had to do that totally alone. And the demands that were placed on the rehabilitation staff and the nursing staff to keep moving forward with subacute care, nevermind all of those residents in long-term care that needed attention. So it, it back several years ago, it was still ranking pretty high as a stressful burnout written place to be long-term care. And I think it's still gonna sort of be at that level if not higher, what can they do? Speaker 3 (36:50): I still, I still have to go back to having compassionate supervisory support that there needs to be an understanding on how stressful and difficult it is to work with people who are at risk and people who are in crisis. And with that compassionate understanding supervisor comes a system that optimizes the physical therapist clinical decision-making professional opinion and allows therapists to continue to impact people's lives as positively as we do and not be burdened or, you know block or have a blockade set up through unreasonable demands and expectations. I think that the other the other idea that I didn't speak about earlier also is this sense of fairness and justice, and that comes from also the supervisor and, and the institution, and that it appears that when there's good transparency by knowing what everyone's case load is by knowing what the expectations are and that everyone is contributing to a a great unit or a great facility and that there's rewards and acknowledgements. Speaker 3 (38:37): And sometimes it doesn't have to be an actual bonus or reward. Those are nice, but sometimes it's just the acknowledgement. And at the same time that there shouldn't be any kind of punitive action on people who are not able to accomplish the same benchmarks. So I'll give you an example of something that happens in medicine quite a bit is that physicians who work in clinics are, have their appointments, you know, done by a scheduler, and they will have an income based on bonus based on how many people that they see. But what happens is when people cancel, they don't see anyone and there's no one there to fill in that spot. So physicians are, who are in that situation, feel like I'm not pulling my weight, but it's no fault of my own. And now I'm also being penalized because I don't have that slots filled. So I can't generate a ticket if you will, in order for a charge to go in, and yet it's by no fault of their own. And so we need to be thinking about ways in which physical therapists can have some participation in systems that supports everyone in that work environment. Speaker 2 (40:17): Do you have any advice on any of those systems or any thoughts behind developing those systems? Speaker 3 (40:24): I don't actually, I think that those are for, for different minds than mine right now. And I bet that there's plenty of people in the private practice section who have looked into different types of systems that include participatory type management strategies. Speaker 2 (40:48): I think you're probably correct on that statement, Dr. Anderson and, you know, most physical therapy facilities, including private practice, we're moving towards using data to make decisions. So how, what advice would you give to private practice owners? How can they use data to measure burnout amongst their employees? Speaker 3 (41:09): Yeah, I mean, I think, I think one of the the easiest tools to use is actually the perceived stress scale. It's by Cohen, it's free, you know, there's plenty of places where you can find it online and know how to score it. And one of the reasons why I, this is because I've done the perceived stress scale with groups of therapists who take continuing education courses with my partner and me and they are often surprised at what their score is. So some who thought they would score really high on this perceived stress scale, realize that no, they really didn't. And those who thought, you know, they were getting along pretty okay. When they went through those questions, they're like, Oh, I didn't think I would score that high. And so it, it leads to a conversation about that personal side, right? So what are you think that your stress, but your perceived stress scale kind of comes out a little bit low. Speaker 3 (42:22): So what are you doing in your life? How do you approach your day? What are the things that you do to manage your health and wellbeing? And I think that facilities that make that part of the culture will do really well with being able to use some of that information from the perceived stress scale, not where they're collecting the data, but they're increasing the awareness of their employees and the people that work together. And it opens up the opportunity to have a conversation about the stressors at work, the stressors at home, and how people can support each other and how people are coping with their stressors. Speaker 2 (43:09): What advice or solutions do you have for private practice owners or any, or organizational leadership on managing burnout amongst their employees once they kind of figure out some of the data points that you mentioned previously? Speaker 3 (43:23): Yeah, I, I think that one of the things that has come out in some of the literature is the fact that when you're working with highly intelligent people. And so remember that burnout came from people who were working in healthcare, right? They, they are licensed healthcare providers. They often have advanced degrees. They often have specialties. One of the keys is to give people a voice regularly. And then what is also been found is that when people are given a voice and suggestions are made for changing in the environment or something that could help greater efficiency, that the response from the administration is that I will look into that and then come back with information to either support that idea or to say at this time, and in this situation, that idea won't work. And here are the reasons why, but one of the things that's very detrimental is when people share thoughts and ideas, is that the first response they get is we can't, or no, without any kind of real honest investigation into the suggestion or recommendation. And so I think that that's a very sound place to start and trying to have a clinic or a facility that is going to be resilient against all of these forces that are going on in healthcare and have a happy and healthier staff. Speaker 2 (45:23): What about employees? What type of advice do you have for employees who are maybe close to, or are experiencing burnout? Speaker 3 (45:32): Yeah. institutional change takes a very long time, and sometimes it can be really frustrating, particularly if you don't have those empathic caring supervisors who are going to sort of beat the drum for you. And so you have the chance to turn to yourself. And what we know from some work site studies that have focused on healthcare providers is that breathing practices and meditation are two strategies, which help people be able to manage their stress effectively. And the idea is that you practice those things so that when you need it, you can use it. So, you know, you could always think, well, like when I get really anxious or whatever, I just stop and I take some deep breaths. Oh, okay. That's great. But when do you, do you always have an opportunity to like, just stop, pause and like take your deep breaths? No, you, you have to anticipate that this is happening and you have to be really good at pulling that up very quickly. And that comes from a regular practice. And I think that in general, we know those practices are really good for managing the balance of the sympathetic and parasympathetic nervous system. We know that those practices help increase heart rate variability, decreased blood pressure, decreased heart rate. And so it's not, those are strategies that are not just great for managing stress, but they're also great for managing your overall health. Speaker 2 (47:27): Well, Dr. Anderson, this been a great conversation. I know that I have learned a lot and I'm really looking forward to using some of this information to write my article. One last question that I want to ask you, that we ask everybody on this podcast is knowing where you are now in your life and in your career. What advice would you give to your younger self? Speaker 3 (47:53): Huh. I think, I think to my younger self, well, Hmm. Okay. There's two, there's two sides to this sword. One is that if I wanted to be more accomplished, I would say in my career I would have focused earlier on, on a line of inquiry or a line of research. However, not having done that. I can't say that I have a lot of regrets and I have dabbled in a lot of things so that you, you saw from my bio, that I have a lot of different interests and I don't do anything with a half effort. So, you know, a lot of research went into the book. A lot of research went into my being the advisor for young athletes for special Olympics. You know, there's, there's, I haven't really ever fallen into anything. I feel as though I've put a lot of effort into that and, and all of those parts of who I am. I enjoy immensely and I wouldn't want to give anything up. So my advice is if I had a clear career trajectory, I should have focused more on one area. But I don't know if that was really me to begin with. Speaker 2 (49:34): Yeah, don't we all want to have one area that we want to focus on and have a very clear trajectory. I think of 2020 has taught me anything. It is, that is not something that's going to happen most of the time. Well, I want to thank you so much, Dr. Anderson for joining us today on the podcast, and thank you so much for your time. Thank you to our, thank you to our listeners for listening to another episode of healthy, wealthy, and smart, and hopefully you will stay healthy, wealthy, and smart. Speaker 1 (50:10): Thank you for listening. And please subscribe to the podcast at podcast dot healthy, wealthy, smart.com. And don't forget to follow us on social media.

“Den Tinnitus werden Sie nie wieder los“, sagte der Arzt. Damit war Sebastian nicht einverstanden. Er steckt hinter dem YouTube-Kanal ZwangsNeurotiker, auf dem er uns seit Jahren mit auf seine Reise hin zu mehr Gesundheit nimmt. Er hatte mehrfach mit Depersonalisation und Derealisation (DPDR) zu kämpfen und hat mit seinen Musikerohren zwischenzeitlich bis zu 14 Tinnitustöne unterscheiden können. Im heutigen Interview beschreibt er nicht nur, was er erlebt hat, sondern vor allem die Grundhaltung und Philosophie, die ihn da rausgeführt haben. Was hat er gemacht, welche Entscheidungen hat er getroffen? ♥♥♥ Danke an alle, die den Podcast teilen und bewerten! ♥♥♥ Timestamps 00:00:36 Wer ist der ZwangsNeurotiker? 00:07:50 Wenn Probleme zu Chancen werden 00:11:30 Traum oder Realität? Depersonalisation und Derealisation (DPDR) 00:16:21 Was hat der ZwangsNeurotiker für seine Heilung getan und welche Rolle hat das vegetative Nervensystem gespielt? 00:20:30 Das Hinterfragen von persönlichen Grundüberzeugungen und inneren Glaubenssätzen 00:23:20 Mit Angst und Stress ehrlich umgehen: Was man als Hypochonder „schaffen“ kann 00:27:01 Eine Alternative zum Katastrophendenken 00:29:33 Die Entscheidung, nicht mehr schlafen zu „müssen“ 00:34:33 Tinnitus: Warum der ZwangsNeurotiker sich dafür entschieden hat, nichts mehr „gegen“ den Tinnitus zu tun, und inwiefern der Tinnitus sogar als „Freund“ gesehen werden kann 00:45:50 YouTube-Kanal, Kontakt über Patreon und Selbsthilfegruppen bei Facebook: Angebote des ZwangsNeurotikers 00:55:19 Nächste Woche im Interview: Ulrich Bauer-Staeb über Biofeedback Links zur heutigen Episode Der ZwangsNeurotiker bei Youtube: https://www.youtube.com/channel/UCEsm1LsftBKz-OlRbfCjq6A Der ZwangsNeurotiker bei Facebook: https://www.facebook.com/ZwangsNeurotiker/ Der ZwangsNeurotiker im Gespräch mit HNO-Arzt Dr. Uso Walter: https://www.youtube.com/watch?v=NfvzdXfBNnE Allgemeine Links zum Podcast Website: https://ichstark.com/ Insta: https://www.instagram.com/ichstark.podcast/ Facebook: https://www.facebook.com/ichstark.podcast Bücher vieler Interviewgäste im Shop von ichStark und Schluss mit Zähneknirschen: https://schluss-mit-zaehneknirschen.de/shop/ Mein Bruxismusblog: https://schluss-mit-zaehneknirschen.de/ Transparenzhinweise und Rechtliches Keine Werbung: Für die Aufnahme und Verbreitung des Interviews erhalte ich keine Gegenleistung. Datenschutzerklärung: https://ichstark.com/datenschutzerklaerung/ Impressum: https://ichstark.com/impressum/

A brief introduction to depersonalisation and disassociation

During high school, Brooke struggled with depression and anxiety. After leaving an abusive relationship she was diagnosed with PTSD, dissociation and depersonalisation/derealization. Over the years Brooke has taken medication to try and help her along with her journey but found that talk therapy along with a good support system is what really helped her. Brooke is a big advocate for mental health and wants to help inspire people and let them know that it is okay not to always be okay. [00:01 - 4:30] Opening Segment Brooke Barnes tells us about her background and how she is an advocate for mental health. Brooke opens up about her struggle with her mental health after surviving an abusive relationship. Brooke tells us about how her past relationship has affected the relationships she has now. [4:31 - 12:18] Solutions Brooke tells us about her experience with medication and the side effects that came along with them. Brooke speaks about her positive experience with Cognitive Behavioural Therapy and the importance of speaking out. She also tells us how her therapist has helped her overcome some of her insecurities by using certain techniques. [12:19 – 14:54] Support System Brooke tells us who she relies on and how having a support system has benefited her. Brooke tells us the importance of having a good support system for mental health recovery. [14:55 – 19:19] Closing Segment Brooke talks about how she views the world now compared to when she did not struggle with her mental health problems. Brooke's social media information along with her blog that she updates regularly. Brooke's valuable advice to her younger self   Tweetable Quotes: ‘Your experiences are not what define you' – Brooke Barnes ‘Trust yourself that it is going to be okay and being okay when it's not okay' – Brooke Barnes ‘It's okay to have bad days, it's okay to be sad it is okay to express and feel all of those things' – Brooke Barnes ‘Being okay with not being okay is very powerful' – Stevon Mopal ‘It is not a weakness to lean on others' – Brooke Barnes ‘You can create the world that you want and your own life and surround yourself with the people who are willing to do that too' – Brooke Barnes   Follow Brooke's blog: www.asafetomorrow.com   SUBSCRIBE for updates when new episodes come out and please LEAVE A 5-STAR REVIEW to help the podcast grow.   If any of this content resonates with you please do show us some support through sharing any of our content or website.   If you or someone that you know have a story that they would like to share, get in touch with us through Instagram and Facebook or simply send us an email on realpeoplehonesttalk@gmail.com    ***DISCLAIMER***: A fair warning, topics may include triggering content regarding mental health, such as talks about depression, self-harm, or even suicide.  We are not specialists or advisers, use content at your own risk because the information on Real People, Honest Talks are based on personal experiences and the ideas should not be considered professional advice. P.A.V.E  is not responsible and does not verify for accuracy any of the information contained in these podcasts available for listening on this site. The primary purpose of these podcasts is to raise awareness, educate and inform. This podcast does not constitute medical or other professional advice or services.

Unlike other types of anxiety responses, derealisation and depersonalisation are stress responses which can make you feel like you are having an out-of-body or not-fully-lucid experience. Since anxious responses affect both the mind and body, experiences vary from person-to-person or relate to the situation you’re in. They are a result of stress, hyperventilating, or over-breathing over a long period of time. When something triggers an anxious response, it makes blood flow attend to the large muscles of our body (think fight, flight, freeze response behaviour in animals). There is increased blood pressure in the brain and blood oxygen levels. Derealisation means things may feel and look weird, and you can recognise your environment but it doesn’t feel like you’re there. You might even feel off-balance or have temporary tinnitus. Depersonalisation is when you feel like you are in a dream. You may “hear” your own voice louder, and have existential thoughts. Both derealisation and depersonalisation are harmless though the feelings that arise from the body’s response can feel scary. Dissociation is a response to trauma. People with PTSD may dissociate when they feel like they are back in their traumatic situation. This reaction is our minds’ way of experiencing less trauma by blocking out the experience we find ourselves in, even if the situation is only triggering a memory. Dissociation may be when we have a flashback whether we want to or not. As discussed in this episode, vasovagal syncope is a similar but different body response. Similar to a panic episode like derealisation, depersonalisation, or dissociation, vasovagal syncope can happen simply by being triggered by a conversation or image. In some circumstances it can also be triggered by dehydration or constipation, and it may cause people to faint. Unlike derealisation, depersonalisation, or dissociation, vasovagal syncope decreases blood pressure in the brain, opens blood vessels in the calves and lower body, and is unique in that it is triggered specifically by the sight or graphic description of blood or injury. If you feel like it is coming on, your only injury may come from fainting, so it is advised to sit down or stabilise yourself against a wall. We hope you found this episode informative and encourage you to share it with a friend you know who has experienced a dramatic body response, especially if they are unsure what it was. Thanks for reaching out to us at talk@thepanicroom.co.uk or following us on instagram @thepanicpod or facebook @thepanicpod. All our episodes are available at thepanicroom.com

Given the year we had in 2020, I thought it only made sense to address a topic that would resonate with us all - Stress and Mental Health. Stress and Burnout can affect all of us. It is not a matter of IF but WHEN we'll find ourselves in a stressful situation. Whilst stress can't be avoided completely, gaining a better understanding of what stress and burnout actually are can allow us to identify it in our own lives and hopefully equip us to deal with it better. Dr. Annalene Weston knows all about stress: In her role as dento-legal consultant for DPL Annalene regularly assists dentists who find themselves in very stressful situations. This interview was incredibly eye opening for me on multiple levels and I'm sure you'll learn a lot from our chat as well. We touch on topics of Burnout, Moral Distress, Moral Injury, and how to recognise and potentially prevent them occurring. Annalene's own story gives us a lot of insight into these concepts and really helps us to breakdown these issues. Whether you are a dental practitioner or not, Annalene's insights will benefit all!Thanks Annalene for joining us on the show!TIME STAMPS00:00:00 - Introduction00:01:42 - From English Literature to Dentistry (Annalene's Story) 00:03:10 - NHStress00:05:50 - Adventures in Regional Victoria00:07:30 - Feeling Lucky with Google (Journey to Dento-Legal Advisor)00:10:28 - Annalene asks about my own journey to dentistry 00:15:21 - Stress in Dentistry 00:16:10 - Burnout00:17:20 - Emotional Exhaustion, Depersonalisation, Decreased Sense of Personal Accomplishment (Components of Burnout)00:19:37 - Burnout is Dangerous (Mashlach's Triad)00:21:35 - Burnout now recognized by the World Health Organisation (WHO)00:25:20 - Breaking the Burnout Cycle (Changing the Workplace Environment)00:29:19 - Recognising your own Burnout, Take a Break00:32:04 - Preventing Burnout00:40:14 - Moral Distress and Moral Injury 00:52:50 - Developing Resources and Teaching 01:00:39 - Talking about Failures 01:09:40 - Communication and Developing Soft Skills01:13:13 -  Tricky Complaint Situations 01:17:08 - Valid Consent 01:24:10 - Final words for dentists considering a change of career

Third Round posts are short audio clips taken from Round 3 comments offered in the online Logopraxis Life Group meetings. The aim is to keep the focus on understanding the Text in terms of its application to the inner life along with reinforcing any key LP principles that have been highlighted in the exchanges.

On today’s episode is rap artist Elro whose rap career blew up after going viral with an SBTV freestyle back in 2011. It wasn’t long after that that he was signed to a label and it seemed like all of his dreams were coming true. However, Elro began suffering with depersonalisation - a mental condition that can cause you to lose the human connection with everything around you, making everything seem foreign or strange. The record label he was signed to also folded soon after and Elro found himself at rock bottom and drinking to numb the pain of the mental illness. After years of suffering, by going sober Elro managed to get himself out of the hole he was in and is now living a much happier life which isn’t dictated by the condition. I’m also personally pleased to say that he’s making new music again and we can expect to hear some of that soon.I hope you enjoy the episode and don't forget to subscribe to stay tuned for more interviews!---Follow/subscribe to all Elro's channels by clicking the links below!Instagram: https://www.instagram.com/elroraps/Twitter: https://twitter.com/ElroRapsFacebook: https://www.facebook.com/ElroRaps---Follow me on social media!Instagram: https://www.instagram.com/backontrackpodcast/Twitter: https://twitter.com/BackOnTrackPodFacebook: https://www.facebook.com/backontrackpod

Episode Notes www.Patreon.com/SpokenbyElswyth -- You're missing sessions, find them here. You're also missing chat, polls, downloadable files, check-ins and more if you don't belong. Limit of 50 Patrons. Follow the schedule here: www.SpokenbyElswyth.com Session Notes Your breath catches and heartbeat speeds up as the music begins. You feel that stirring, the tingles along the nape of your neck, and you know you're about to go under again. Under where you'll be breathing deeply, your body relaxed, and mind opens for training. Be captivated, captured, a willing victim of the best kind. Contained by words. Some of my episodes don't make it to the podcast. Unlock all of them here. Bottom tier gives you complete access to all patron-only content Mistress Elswyth is a trained hypnotherapist and lifestyle Mistress. You'll experience an authentic hypnosis trance experience. She rewards all of her followers with similar pet treatment she gives her everyday life partners -- plenty of mind-melting and pleasurable sensations blended in with aftercare and re-rebuilding you. Support Spoken By Elswyth - Erotic Mistress Hypnosis Sessions by donating to their Tip Jar: https://tips.pinecast.com/jar/spoken-by-elswyth-erotic-femdom-hypnosis

SaniTEA Season 1: Episode 7. || REACH OUT! See how online therapy can help you: https://betterhelp.com/sanitea || Nin & Jeremy talk about their experiences with Depersonalisation and Derealisation and how to cope! Trigger Warnings: Talk of dissociation and trauma. SaniTEA is a brand new mental health podcast hosted by two of Youtube's popular DID (Dissociative Identity Disorder) Systems; DissociaDID and Team Piñata! Don't forget to tweet us at Sanitea Podcast with your weekly good news, and you could be featured in our #GoodTEA segment! SaniTEA is hosted by the leading Dissociative Identity Disorder YouTubers; DissociaDID and Team Piñata! || Watch the uncut filming of SaniTEA || www.youtube.com/channel/UC6SYhjLUJ5z9F6hVbfoLelw || Tweet in to be featured in GoodTEA! || www.twitter.com/SaniteaPodcast || Follow the making of SaniTEA! || www.instagram.com/saniteapodcast www.facebook.com/saniteapodcast Www.twitter.com/SaniteaPodcast || Our YouTube channels: || Www.youtube.com/DissociaDID Www.youtube.com/teampinata www.youtube.com/channel/UC6SYhjLUJ5z9F6hVbfoLelw

Is there such a thing as good stress? If so, at what point does it become bad? Let’s dive into the topic of eustress and distress in this Insights episode. Visit https://www.bodyshotperformance.com/topic/podcasts/ for the complete show notes of every podcast episode. Topics Discussed in this Episode: Eustress vs distress Examples of eustress Examples of distress The burnout spectrum Symptoms of overtraining or overexertion Prioritising recovery Key Takeaways: Eustress is a positive form of stress. An example of this is exercise. Moving from eustress to distress is when good stress becomes bad stress, and it’s all about the dose. Stress is hormetic. It can be beneficial to us in moderate amounts but not good for us if it’s prolonged, elevated, and sustained. We’re built to withstand and endure certain amounts of stress. Physiologically, we do really well coping with stress provided we get that adequate recovery. The 12 steps of the burnout spectrum: The compulsion to prove oneself. Working harder. Neglecting one’s needs. Displacement of conflicts. Revision of values. Denial of emerging problems. Withdrawal. Odd behavioural changes. Depersonalisation. Emptiness. Depression. Burnout syndrome. Action Steps: Prioritise recovery. When you put yourself under an incredible amount of stress, make sure to get adequate recovery. Think about what you do for recovery. Question yourself: Do any of the overtraining symptoms ring true for you? Do you recognise yourself on that burnout spectrum? If so, sit and think about how much time you spend recovering. Leanne said: “It’s not the weight of what you’re carrying, it’s how long you’re carrying it for. And that’s the thing with stress. You need to put that load down, you need to get adequate recovery.” “Burnout at its worst or overtraining can lead people literally to a total mental and physical collapse, a complete nervous breakdown. It’s a horrendous thing.” If you’re interested in finding out what your health IQ is, take the Health IQ test to find out, and get a free 39-page report built around our six signals, which are sleep, mental health, energy, body composition, digestion, and fitness. If you’ve enjoyed what you’ve heard on this episode and it’s added value to you, share the episode with someone you think could benefit from it. And don’t forget to leave a rating or a review and subscribe to us on Apple Podcasts. More from Leanne Spencer: Bodyshot Performance Bodyshot Performance Limited Facebook page Remove the Guesswork BOOK by Leanne SpencerRise and Shine BOOK by Leanne Spencer Leanne’s Email Twitter: @BodyshotPT   Instagram: @bodyshotperformance

Denna veckan tar vi upp det MYCKET önskade ämnet overklighetskänslor. Eller, Derealisation och Depersonalisation vilket är två tillstånd som är vanligt vid psykisk ohälsa. Det är en känsla av att vara avskuren ifrån verkligheten. Lite som att man är en robot som går på autopilot. Det kan dock förklaras som en försvarsmekanism som kroppen tar till för att helt stänga av när ångesten liksom tar över. Med oss har vi Maja, som själv levt med overklighetskänslor. När det var som värst höll känslan i sig i flera månader. Det finns otroligt lite kunskap om det här ämnet, även inom vården, vilken Maja tydligt fick erfara när hon sökte hjälp, men vi hoppas att det här avsnittet kan hjälpa någon där ute som själv upplevt detta och som kanske inte riktigt har kunnat sätta ord på det tidigare.

Känslan av att drabbas av depersonalisation beskrivs ibland som att vara ett spöke eller som en film. Hur hårt personen i fråga än anstränger sig, känner hon/han en distans till världen, och den drabbade kan inte förnimma sig själv som normal. Medan den drabbade försöker sitt bästa för att känna sig själv och omgivningen som normal, är det en del i individen som inte orkar kämpa längre. Det är en förändring i förnimmelsen eller erfarenheten från jaget, så att jaget känns som overkligt. Personen som är drabbad känner sig frånkopplad från verkligheten eller sin egen kropp. I detta avsnittet så möter vi Liam som delar med sig utav hur det är och har varit att leva med Depersonalisation i snart 12 år. och hur vi längst med vägen märker att vi alla 3 har mycket mer gemensamt än vad vi kunde ana. Tack Liam för att du är med och delar din historia! (Det blir bättre ljudkvlite fr avs 8)

"I know my left hand is mine, but i don't feel like it is". That's not the "normal" type of thing you would expect to hear out of the mouth of Sarah Daffy - a smart successful young business woman with the world at her feet - living with one of the least common or talked about mental health issues. Depersonalisation is a natural defence mechanism of the mind, and a symptom of many mental ill health conditions, however it is also a standalone disorder for the rare few who experience it's crippling impairments in it's most intense form. A mix of extreme anxiety, panic attacks, obsessive compulsive disorder, health anxiety, and depression all resulting in a form of dissociation that feels like you are permanently going insane and living in a world that feels un-real, foggy and robotic. Mitch the founder of HOMS has also been through this, and talks to Sarah about her journey living, accepting and thriving in a real way. See acast.com/privacy for privacy and opt-out information.

Depersonalisation (derealisation) hit me at the peak of my high anxiety. It is the scariest symptom of anxiety but, be reassured, it has a positive meaning.

This week we're talking about Dp/dr, a mental health issue that isn't talk about much! I hope you take this podcast and go research...be educated!! --- Support this podcast: https://anchor.fm/hytrax/support

Portia Conn is an incredibly talented singer and songwriter and is the front woman for the amazing electronic pop duo 'Mauwe'. They are so bloody good, check them out! That's All and Strangers are songs that you simply MUST hear.Today we dive into vulnerability, her past celebrity relationship, anxiety, depersonalisation and more. Huge love to Portia for allowing me into her fascinating brain!We upload new episodes every other Monday!Social media:Portia: @portiaconn Kate: @katemcgillPodcast: @wedivedeeperSupport the Podcast: www.patreon.com/katemcgillSupport the show (http://www.patreon.com/katemcgill)

Amy Louise Jones has experienced Depersonalisation Disorder. She and her husband, Ben Jones, chat to Yvette about what it is, how Amy deals with it, and how her partner, Ben, can support her. Stay in touch with Mentally Yours on Twitter and our private Facebook group.

Join Kelsey and George as they explain what dissociation, depersonalisation and derealisation is and how you can recognise it. Sources: http://www.thepanicroom.co.uk/the-symptoms-of-anxiety/derealisation/ http://www.sane.org.uk/how_you_can_help/blogging/show_blog/681 Songs: December - JB Anime Piano (https://www.youtube.com/watch?v=15WC44rR9Kw&list=PL8EXv1r4s7WI6fuDB4-cC-6HLiXSJ3PSz&index=5) One More Time - Hunter Nelson (https://soundcloud.com/hunter_nelson/one-more-time) Karlie Goya - Oh Na Na (https://www.youtube.com/watch?v=Q48N_PpmORY)

Transient symptoms of depersonalisation and derealisation - feeling detached from the world, and feeling as if you are watching events at a remove - are common. However for some, persistent symptoms can make the disorder extremely distressing. In this podcast, Kate Adlington is joined by Elaine Hunter, consultant clinical psychologist, Anthony David, professor of cognitive neuropsychiatry, and by Jane Charlton and Fiona Godlee - who have both experienced depersonalisation/derealisation over a number of years. Read the full education article: http://www.bmj.com/content/356/bmj.j745

Einsichten und Überlegungen zu Depersonalisation. Simples und Komplexes zum Thema Depersonalisation als Teil des Esoterik Podcast. Dies ist die Tonspur eines Videos aus dem Youtube Esoterik-Kanal. Autor und Sprecher ist Sukadev Bretz, Gründer von Yoga Vidya. Diese Hörsendung ist erstellt worden als Diktat für einen Artikel im Yoga Wiki Bewusst Leben Lexikon von Yoga Vidya. Sukadev interpretiert hier das Wort bzw. den Ausdruck Depersonalisation aus dem Geist der spirituellen Entwicklung. So kommt er zu einigen interessanten, auch diskussionswürdigen Gedanken. Depersonalisation ist zu verstehen im Kontext mit Esoterik, Psychologie, Psychotherapie, Psychiatrie. Seminare zum Thema Vegetarischer Kochkurs. Infos zu Ganzheitliche Massage Therapie Ausbildung. Wir wünschen dir viel Freude und Inspiration mit diesem Esoterik-Vortrag zum Thema Depersonalisation.

In this episode I talk about my personal feelings on something I have lived with on and off through out most of my life, Depersonalization disorder. I recently found out about the name and what it is so I feel somewhat better knowing that I'm not crazy nor am I alone. Many people have this but it's not a very popular topic so it's not being addressed very often at all. I pray that this episode brings hope to somebody out there who is dealing with this and feels like their all alone. I also ask that if any Christians know anything about this and is helping to cure it please contact me. I really would like to have it cared for by a fellow Christian and not a worldly mental health doctor who only gives new age spiritual advice and mind numbing drugs. Here is my contact info: fringianityunderground@mail.comThis episode is my most personal show so please bear with me as I give my analysis of this hard to describe disorder. Also here is the video link from this episode:https://youtu.be/kxAN2dhBy_8If you need prayer or want to get in contact with me here is the show email: fringianityunderground@mail.comIf you like the show please leave a review on iTunes Also feel free to like the fringianity underground podcast page and group. And share my episodes if you feel led.I hope you enjoy my show Thank you and God bless you for listening

HR news and analysis, including: Latest youth unemployment figures and what employers are doing to remedy the situation Court of appeal ruling on the status of TUPE in pre-pack administration Depersonalisation of CVs Presenter Tara Craig is joined by John Charlton. Produced by Tara Craig.