Podcasts about disorders

Media freedom around the world has never been more embattled. A rise in violence perpetrated against journalists and media proprietors has been accompanied by a significant surge in the use of 'lawfare', frivolous but destructive lawsuits designed to silence and intimidate. To discuss this crisis, the Law & Disorder team are joined by Caoilfhionn Gallagher KC, a leading lawyer representing accused or imprisoned journalists or bereaved families, and Sebastien Lai, the son of Jimmy Lai, a Hong Kong businessman and media entrepreneur who has been imprisoned by authorities. Caoifhionn and Sebastien discuss their own struggle to free Jimmy Lai from where he is being held in solitary confinement, a case which illuminates the current assault on the rights and safety of those who hold the powerful to account.If you have questions, criticisms, praise or other feedback, please do send your thoughts to us via lawanddisorderfeedback@gmail.com!Law and Disorder is a Podot podcast.Hosted by: Charlie Falconer, Helena Kennedy, Nicholas Mostyn.Executive Producer and Editor: Nick Hilton.Associate Producer: Ewan Cameron.Music by Richard Strauss, arranged and performed by Anthony Willis & Brett Bailey. Hosted on Acast. See acast.com/privacy for more information.

For some people who have profound difficulties speaking, alternative communications systems known as Facilitated Communication and Spelling to Communicate have been developed and the results appear miraculous. Jimmy Akin and Dom Bettinelli examine the methods, the claimed results, and the controversy surrounding them. The post Facilitated Communication & Spelling to Communicate (Autism, Autism Spectrum Disorder, Nonverbal) appeared first on StarQuest Media.

This week on Black on Black Cinema, the crew returns to discuss the Mike Leigh's 2024 Comedy-Drama film, "Hard Truths." The story follows the plight of a depressed and nay-saying woman (Marianne Jean-Baptiste) and the relationship with her jovial sister Chantelle (Michele Austin). Conversations on family trauma, generational impacts, and mental health are at the crux of this film, and our discussions around it.

For some people who have profound difficulties speaking, alternative communications systems known as Facilitated Communication and Spelling to Communicate have been developed and the results appear miraculous. Jimmy Akin and Dom Bettinelli examine the methods, the claimed results, and the controversy surrounding them.

Subscribe in a reader Check out my product recommendations for Narcissist Abuse Survivors! – https://www.amazon.com/shop/tracymalone *As an Amazon Associate I earn from qualifying purchases. Listen to my podcasts anytime by subscribing with your favorite provider! The post Through the Lens of Narcissistic Abuse and Control: Understanding Estrangement | Bree Bonchay appeared first on Narcissist Abuse Support.

Recorded 2025-06-19 02:51:06

Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/middle-eastern-studies

I spoke to Chris Coghlan, MP for Dorking and Horley and former diplomat and soldier about the unfolding crisis in the Middle East, the implications for European security and the wider political ramifications. Check out our Bookshop.org affiliate site behindthelines and please sign up for my substack at arthursnell.substack.com and/or follow me on Bluesky@snellarthur.bsky.social. You can sometimes find me on other podcasts - most often Disorder which I am involved with in partnership with RUSI, the Royal United Services Institute, the world's oldest think tank. Hosted on Acast. See acast.com/privacy for more information.

Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Trump promised to end the wars in Ukraine and Gaza, yet here we are – months later – and seemingly no real progress has been made towards peace in either regions. In the meantime, Trump and co were also seeking deals across the Middle East, including a new nuclear deal with Iran. How did that go? It ended in full scale War! Is the Art of the Deal dead? Is Trump a fool? Or is he more of a master negotiator than is immediately apparent? Did he actually manipulate the Iranians in a way that Biden never could have? To discuss this – and the intricate relationship between human psychology and the politics of negotiations – Jason was joined on June 10 by Ken Dekleva. A former senior US Dept of State physician-diplomat, CEO of Blackwood Advisory Solutions LLC, and Author of The Russian Diplomat's Wife. Ken and Jason discuss the role of human psychology in Trump's negotiations involving Ukraine, Russia, and Iran. Plus: they unpack the influence of Steve Witkoff within Trump's inner circle, the complexities of negotiations in the Middle East – and whether Team Trump is likely to get any sort of deal with powers like Iran who wish to appear uncompromising. Listening to this discussion post Israeli Attack on Iran is actually super interesting as it shows the interplay btw negotiations and war in that region. And as they Order the Disorder, they touch on the future of U.S.-China relations in the context of AI and global power dynamics, and the need for a strategic approach to negotiations. Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ Disorder on YouTube - https://www.youtube.com/@DisorderShow  Show Notes Links: Get Ken's Book, The Russian Diplomat's Wife - https://www.thecipherbrief.com/book-review/i-spy-a-love-story Listen to our previous episode with Ken - https://pod.link/1706818264/episode/94c9f3ec23902d3f606bffb43dc39928  Watch Does NATO Have A Future? https://www.youtube.com/watch?v=0ouF6cVUJjY  Read profile of Steve Witkoff https://www.theatlantic.com/politics/archive/2025/05/steve-witkoff-putin-russia-ukraine-diplomat/682805/  Read Arthur Snells Substack on the Ukraine drone attack - https://arthursnell.substack.com/p/operation-spiders-web-opening-pandoras?utm_source=substack&utm_campaign=post_embed&utm_medium=web  Learn more about your ad choices. Visit megaphone.fm/adchoices

Lydia Scarfò is a Physician Scientist at the B-cell Neoplasia Unit and an Assistant Professor at Università Vita-Salute San Raffaele, Milan, Italy.   She is involved in both clinical and pre-clinical studies, including being a co-investigator in over 20 clinical trials in haematological malignancies, including chronic lymphocytic leukaemia.  Timestamps:  0:00 – Introduction  1:14 – Quickfire questions  7:31 – Haematology inspiration  9:08 – STIL loss  11:42 – Splenic marginal zone lymphoma  13:03 – Novel targeted therapies for chronic lymphocytic leukaemia  17:35 – Covalent BTK inhibitors   19:30 – Chemo-free approach for hairy cell leukaemia  22:20 – Recent advances, challenges, and opportunities  25:58 – Three wishes 

Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Expert Panel: Amy Hobek, PhD, CCC-SLP, Fé González Murray, EdD, CCC-SLP, Vishnu KK Nair, Archie Soelaeman, Betty Yu and Reem KhamisTake ACTION HERE: Changes to 2020 certification standards feedback. Survey. (n.d.). https://www.surveymonkey.com/r/2020_Cert_ChangesThis episode will be available for 0.1 ASHA CEU on July 2Correction Note from Dr. Betty: “During the recording I referred to the executive order targeting associations with assets of $500 million or more. I thought ASHA met that criteria but actually ASHA's net assets are around $174 million.”In this episode, Michelle and Erin host an all start line up of colleagues from across the globe to discuss ASHA's Proposed Changes to the “2020 Certification Standards” and the long-term ramifications that these changes could have for our profession. This conversation is timely in that there are only a matter of days, roughly 3 weeks or less, for audiologists and speech-language pathologists (including students) to write in and advocate to ASHA on whether the proposed changes to the 2020 Certification Standards should be accepted… changes that remove key words and language that were hard fought to obtain. Be informed that this conversation does address political rationale behind the changes and offer a plethora of resources for individuals to grow their knowledge regarding the long-term ramifications of these proposed changes… but it ends with resources on how to make your voice heard! So, come join the ladies of “First Bite” and ADVOCATE!About the Panel: Amy Hobek, PhD, CCC-SLP is an Associate Professor of Communication Sciences and Disorders at the University of Cincinnati. Her teaching and scholarship focus on equity and inclusion, with an emphasis on valuing and legitimizing cultural and linguistic variations in these areas within individuals, families, and communities. She is also a licensed speech language pathologist providing clinic supervision of graduate students in a culturally and linguistically diverse preschool setting on UC's campus. She is a co-chair of the Cultural Humility Task Force of the National Black Association of Speech Language and Hearing. She is a topic co-chair of Equity, Inclusion, and Cultural-Linguistic Diversity for the ASHA 2025 Convention. Professor Reem Khamis (also known as Reem Khamis-Dakwar) is Professor Emerita at Adelphi University and Chair of the Department of Communication Sciences and Disorders at Long Island University (LIU) Brooklyn. Her expertise centers on language development, processing, and clinical services within the sociolinguistic context of diglossia and diverse populations. Dr. Khamis is co-founder of the Journal of the Critical Study of Communication and Disability (JCSCD) and a co-founding member of the Speech, Language, and Hearing Scientists Equity Action Collective. She currently serves as Language Section Editor for the Journal of Speech, Language, and Hearing Research (JSLHR). She received the Excellence in Diversity Award in 2020 from the Council of Academic Programs in Communication Sciences and Disorders (CAPCSD). Fé González Murray, EdD, CCC-SLP is an Associate Clinical Professor in the Department of Communication Sciences and Disorders at Northern Arizona University. Prior to joining the NAU faculty, she worked for 25 years as an English/Spanish bilingual speech-language pathologist in various settings, most notably in public schools serving Indigenous American, migrant, and immigrant populations. In addition to teaching and supervising clinical rotations, she facilitates workshops nationally and internationally on topics related to responsive practice with culturally and linguistically diverse individuals and their families, including multilingualism and collaboration with interpreters. Vishnu KK Nair is a lecturer in the School of...

Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression.  In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics.  Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri.  It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

In this CME podcast episode, Dr. Andrew Cutler interviews Dr. Phillip Coffin, Director of the Center on Substance Use and Health in San Francisco, CA, about the management of stimulant use disorders. They explore the challenges of treatment and highlight the importance of harm reduction strategies to enhance patients' quality of life.  CME credit is available to NEI Members only.   Target Audience: This activity has been developed for the healthcare team or individual prescriber specializing in mental health. All other healthcare team members interested in psychopharmacology are welcome for advanced study. Learning Objectives: After completing this educational activity, you should be better able to: Summarize pharmacologic and behavioral treatment strategies for stimulant use disorders, particularly methamphetamine and cocaine Evaluate the evidence base for current and investigational medications used in clinical trials and real-world settings Apply harm reduction principles and integrated care models to improve outcomes for patients with stimulant use disorders in diverse clinical settings Accreditation: In support of improving patient care, this activity has been planned and implemented by HMP Education and Neuroscience Education Institute (NEI). HMP Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Activity Overview: This activity is available with synchronized audio and is best supported via a computer or device with current versions of the following browsers: Mozilla Firefox, Google Chrome, or Safari. A PDF reader is required for print publications. A post-test score of 70% or higher is required to receive CME/CE credit.   Estimated Time to Complete: 1 hour Released: June 18, 2025*   Expiration: June 17, 2028 *NEI and HMP Education maintain a record of participation for six (6) years. CME/CE Credits and Certificate Instructions: After listening to the podcast, to take the optional posttest and receive CME/CE credit, click: https://nei.global/POD25-02.  Credit Designations: The following are being offered for this activity: Physician: ACCME AMA PRA Category 1 Credits™ HMP Education designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: ANCC contact hours This continuing nursing education activity awards 1.00 contact hour. Provider approved by the California Board of Registered Nursing, Provider #18006 for 1.00 contact hour. Nurse Practitioner: ACCME AMA PRA Category 1 Credit™ American Academy of Nurse Practitioners National Certification Program accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. The content in this activity pertaining to pharmacology is worth 1.00 continuing education hour of pharmacotherapeutics. Pharmacy: ACPE application-based contact hours This internet enduring, knowledge-based activity has been approved for a maximum of 1.00 contact hour (.10 CEU). The official record of credit will be in the CPE Monitor system. Following ACPE Policy, NEI and HMP Education must transmit your claim to CPE Monitor within 60 days from the date you complete this CPE activity and are unable to report your claimed credit after this 60-day period. Ensure your profile includes your DOB and NABP ID. Physician Associate/Assistant: AAPA Category 1 CME credits HMP Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with the AAPA CME Criteria. This internet enduring activity is designated for 1.00 AAPA Category 1 credit. Approval is valid until June 17, 2028. PAs should only claim credit commensurate with the extent of their participation. Psychology: APA CE credits Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. This activity awards 1.00 CE Credit. Social Work: ASWB-ACE CE credits As a Jointly Accredited Organization, HMP Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this internet enduring course receive 1.00 general continuing education credit. Non-Physician Member of the Healthcare Team: Certificate of Participation HMP Education awards hours of participation (consistent with the designated number of AMA PRA Category 1 Credit™) to a participant who successfully completes this educational activity. Peer Review: The content was peer-reviewed by an MD, LFAPA specializing in psychiatry, forensic, addiction to ensure the scientific accuracy and medical relevance of information presented and its independence from commercial bias. NEI and HMP Education takes responsibility for the content, quality, and scientific integrity of this CME/CE activity. Disclosures: All individuals in a position to influence or control content are required to disclose any relevant financial relationships. Any relevant financial relationships were mitigated prior to the activity being planned, developed, or presented. Disclosures are from the original live presentation, unless otherwise noted. Faculty Author / Presenter Andrew J. Cutler, MD Clinical Associate Professor, Department of Psychiatry and Behavioral Sciences, Norton College of Medicine, State University of New York Upstate Medical University, Syracuse, NY Chief Medical Officer, Neuroscience Education Institute, Malvern, PA Consultant/Advisor: AbbVie, Acadia, Alfasigma, Alkermes, Axsome, Biogen, BioXcel, Boehringer Ingelheim, Brii Biosciences, Cerevel, Corium, Delpor, Evolution Research, Idorsia, Intra-Cellular, Ironshore, Janssen, Jazz, Karuna, Lundbeck, LivaNova, Luye, MapLight Therapeutics, Neumora, Neurocrine, NeuroSigma, Noven, Otsuka, Relmada, Reviva, Sage Therapeutics, Sumitomo (Sunovion), Supernus, Takeda, Teva, Tris Pharma, VistaGen Therapeutics Speakers Bureau: AbbVie, Acadia, Alfasigma, Alkermes, Axsome, BioXcel, Corium, Idorsia, Intra-Cellular, Ironshore, Janssen, Lundbeck, Neurocrine, Noven, Otsuka, Sumitomot (Sunovion), Supernus, Takeda, Teva, Tris Pharma, Vanda Data Safety Monitoring Board (DSMB): COMPASS Pathways, Freedom Biosciences Faculty Author / Presenter Phillip Coffin, MD, MIA Director of Center on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA No financial relationships to disclose. The remaining Planning Committee members, Content Editors, Peer Reviewer, and NEI planners/staff have no financial relationships to disclose. NEI and HMP Education planners and staff include Gabriela Alarcón, PhD, Ali Holladay, Andrea Zimmerman, EdD, CHCP, Brielle Calleo, Stephen Daniels and Bahgwan Bahroo, MD, LFAPA. Disclosure of Off-Label Use: This educational activity may include discussion of unlabeled and/or investigational uses of agents that are not currently labeled for such use by the FDA. Please consult the product prescribing information for full disclosure of labeled uses. Cultural Linguistic Competency and Implicit Bias: A variety of resources addressing cultural and linguistic competencies and strategies for understanding and reducing implicit bias can be found in this handout—download me. Accessibility Statement For questions regarding this educational activity, or to cancel your account, please email customerservice@neiglobal.com. Support: This activity is supported solely by the provider, NEI.

In this episode we consider the diagnostic criteria and evidence-based treatments for Hoarding Disorder. Dr. Frost also gives advice for family members with loved ones who hoard. Marnie again volunteers to share a video with our audience, this time she walks us through a part of her treatment. This video will be uploaded to our Instagram, @lets.get.psyched, so be sure to follow us!Hosts: Al, Toshia, EyrnGuest: Randy Frost, PhD, MAReferences: Frost, R.O. & Steketee, G. (2010). Stuff: Compulsive Hoarding and the Meaning of Things. Mariner Books edition 2011.Rodriguez, C.I. & Frost, R.O. (2022). Hoarding Disorder: A Comprehensive Clinical Guide. American Psychiatric Association Press.Steketee, G. & Frost, R.O. (2014). Treatment for Hoarding Disorder: Therapist Guide (2nd Ed). Oxford University Press.Tolin, D.F., Frost, R.O., & Steketee, G. (2014). Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding. Oxford University Press.

Intermittent explosive disorder is a mental health diagnosis that is characterized by repeated and sudden episodes of impulsive, aggressive, violent behavior or angry verbal outbursts which involve reactions that are too extreme for the situation. Join Dave and Greg as they discuss the disorder, how it impacts those who experience it, and take a look at the controversy of the validity of the diagnosis.

Over the weekend, waves of missiles were launched back and forth by Iran and Israel – killing civilians, damaging oil refineries, and causing tremendous humanitarian disaster. Iran willy nilly lobbed bombs at population centres while the Israelis targeted key bits of infrastructure. In either case, the international community stood by – seemingly unable to stop the Disorder. So what can be done? In this episode, Jason Pack and Jane Kinninmont recap the weekend's events – exploring what role the key international actors like, Trump, the G7, or India can play in providing an off ramp. Jane and Jason discuss the contradictions in Trump's stance, the role of the G7 and India as potential mediators, and the risks associated with a full regime change in Iran. Plus: could Israel actually lose this war or its population tire of being confined to bomb shelters at night?  Then as they Order the Disorder, Jane and Jason provide their predictions on how it all might end. They disagree agreeably on whether Israel's war aims of destroying the enrichment facility at Fardow now need to be achieved first or if it is possible to go back to the negotiating table directly. Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ Disorder on YouTube - https://www.youtube.com/@DisorderShow  Show Notes Links: Sohrab Ahmari - Iran's Devastating Hubris - https://unherd.com/2025/06/irans-devastating-hubris/  Analysis for Ynet by Raz Zimmt who is one of Israel's leading experts on Iran, at INSS - https://www.ynetnews.com/opinions-analysis/article/rj6csjsqeg  Richard Nephew: Can Israel Destroy Iran's Nuclear Program? Foreign Affairs - https://www.foreignaffairs.com/israel/can-israel-destroy-iran-nuclear-program  An initiative by 21 Iranian and Israeli scholars, writers and artists calling for a ceasefire - https://docs.google.com/forms/d/1DmH16adeqbmc3FO1596QVYf0PnVYfr_TDG2pc2njobk/edit  Israel-Iran War: 10 Dead, Around 200 Injured In Iranian Strikes - https://www.youtube.com/watch?v=zKsJQW4uWxY  Will The U.S. Deal Iran its Final Blow - https://podcasts.apple.com/gb/podcast/call-me-back-with-dan-senor/id1539292794?i=1000713035101 Explainer: what we know so far in the Israel-Iran conflict - https://www.theguardian.com/world/2025/jun/16/israel-iran-conflict-what-we-know-so-far-explainer   Markets are shrugging off the Israel-Iran conflict. Some strategists warn of complacency - https://www.cnbc.com/2025/06/16/markets-could-be-underpricing-risks-of-israel-iran-conflict.html  Learn more about your ad choices. Visit megaphone.fm/adchoices

Have a comment or question? Click this sentence to send us a message, and we might answer it in a future episode.Welcome to Season 5, Episode 22 of Winning Isn't Easy. In this episode, we'll dive into the complicated topic of "Living with a Voice Disorder: Sue Payne on Spasmodic Dysphonia, the Disability Process, and Finding New Purpose."Thinking your voice doesn't matter? Think again. In this powerful episode, disability law expert Nancy L. Cavey sits down with advocate and community leader Sue Payne - a Board Member of Dysphonia International and a force for change in the voice disorder community. Diagnosed with spasmodic dysphonia and cervical dystonia in 2017, Sue's life took a turn she never expected. But rather than retreat, she stepped up. With a background in public health, education, and corporate leadership, Sue shares how she navigated the loss of her literal voice - and the identity shifts that came with it. From applying for Long-Term Disability to organizing Walk for Talk events, mentoring others, and pushing for awareness and research, Sue offers a deeply personal look at what it means to turn a medical challenge into a mission. We explore what it's like to advocate for yourself in a system that doesn't always understand, how to find community when your voice feels silenced, and what real resilience looks like. Whether you're living with a chronic condition, facing a disability claim, or just in need of some perspective, Sue's story is a reminder: losing your voice doesn't mean losing your power. Let's dive in.In this episode, we'll cover the following topics:One - Sue's Story and Advocacy WorkTwo - Living With Spasmodic Dysphonia and Cervical DystoniaThree - Long-Term Disability and Life Beyond WorkWhether you're a claimant, or simply seeking valuable insights into the disability claims landscape, this episode provides essential guidance to help you succeed in your journey. Don't miss it.Listen to Our Sister Podcast:We have a sister podcast - Winning Isn't Easy: Navigating Your Social Security Disability Claim. Give it a listen: https://wiessdpodcast.buzzsprout.com/Resources Mentioned in This Episode:LINK TO ROBBED OF YOUR PEACE OF MIND: https://mailchi.mp/caveylaw/ltd-robbed-of-your-piece-of-mindLINK TO THE DISABILITY INSURANCE CLAIM SURVIVAL GUIDE FOR PROFESSIONALS: https://mailchi.mp/caveylaw/professionals-guide-to-ltd-benefitsFREE CONSULT LINK: https://caveylaw.com/contact-us/Need Help Today?:Need help with your Long-Term Disability or ERISA claim? Have questions? Please feel welcome to reach out to use for a FREE consultation. Just mention you listened to our podcast.Review, like, and give us a thumbs up wherever you are listening to Winning Isn't Easy. We love to see your feedback about our podcast, and it helps us grow and improve.Please remember that the content shared is for informational purposes only, and should not replace personalized legal advice or guidance from qualified professionals. 

Listen to today's Laugh Again with Phil Callaway, "Disorder in the Court." Enjoy!

The Social Fray - Understanding Crime and Social Disorder in Alberta Learn more about your ad choices. Visit megaphone.fm/adchoices

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We're joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh).  Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME! Credits Producer, Show Notes, Infographics: Carolyn Chan MD, MHS Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD Reviewer: Payel Jhoom Roy MD, MSc Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Jessica Merlin MD, PhD, MBA Sponsor: JournalFeed Try JournalFeed free for 7 days — and get 20% off your first year with code CURB25 at journalfeed.org/curb. Sponsor: Freed Usecode: CURB50 to get $50 off your first month when you subscribe at freed.ai Sponsor: Mint Mobile Get your summer savings and shop premium wireless plans at MINTMOBILE.com/CURB

Dr Erin Louise Bellamy founded Integrative Ketogenic Research and Therapies which uses principles of Metabolic Psychiatry to provide remote, highly personalized 1:1 Metabolic Therapy for both psychiatric conditions and overall metabolic health. Dr. Erin Bellamy has a PhD in Psychology, specializing in Ketogenic Diets & Depression from the University of East London. She also has an MSc in Psychiatric Research from the Institute of Psychiatry at King's College London. She is a Chartered Psychologist, an Associate Fellow of the British Psychological Society and an accredited member of the Society of Metabolic Health Practitioners. In this episode, Drs. Brian and Erin talk about… (00:00) Intro (01:36) How Dr. Erin became interested in Metabolic Psychiatry (05:38) Ketogenic diets and psychiatric conditions (15:39) Fasting and mental clarity (18:12) The areas in which clinical psychology is deficient in helping patients (23:46) Adverse childhood events, PTSD, and metabolic health (28:24) Binge eating, stress, and support groups (40:00) Food addiction and ketosis (43:59) Schizophrenia, autism, and ketosis (01:00:46) Outro/plugs For more information, please see the links below. Thank you for listening! Links: Please consider supporting us on Patreon: https://www.lowcarbmd.com/ Resources Mentioned in this Episode: Dr. Erin Bellamy on the Life's Best Medicine Podcast: https://lifesbestmedicine.com/podcast/episode-248-dr-erin-bellamy/ Dr. Erin Bellamy: Instagram: https://www.instagram.com/erinlouisebellamy/ X: https://x.com/erinlbellamy Integrative Ketogenic Research & Therapies: https://www.ikrt.org Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

"Beneath the Lilypad" is singer-songwriter Alexandra Savior's third album, but her first in five years. Several years ago, she was diagnosed with bipolar disorder, type 1. That's a condition marked with manic highs that can last for weeks or months as well as crushing lows of depression, she's had both, you'll hear about that. She's also dealt with psychosis, and has spent time in an in-patient facility. That mental health journey has informed her work as a songwriter and a musician and inspired the songs on the new album. She just turned 30 but she's been performing since high school when she was more or less discovered on YouTube by Courtney Love who helped launch her career.Thank you to all our listeners who support the show as monthly members of Maximum Fun.Check out our I'm Glad You're Here and Depresh Mode merchandise at the brand new merch website MaxFunStore.com!Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Depresh Mode is on BlueSky, Instagram, Substack, and you can join our Preshies Facebook group. Help is available right away.The National Suicide Prevention Lifeline: 988 or 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlines

In this episode, Dr. K'dee Crews and Jonathan Edens discuss different disorders that are associated with depression.__

Dr. Casey Grover explores the history, neuroscience, and treatment approaches for methamphetamine use disorder, highlighting how methamphetamine releases more dopamine than any other known substance.• Methamphetamine was widely used during World War II by German, Japanese, and Allied forces to enhance performance• Modern meth production shifted from ephedra to P2P method, creating cheaper, more potent meth with worse psychiatric effects• Meth causes dopamine release up to 1,400 ng/dL of dopamine compared to cocaine (400), sex (200), and food (150), severely damaging reward centers• Many methamphetamine users have undiagnosed ADHD and are inadvertently self-medicating• Effective medications include bupropion, topiramate, atomoxetine, viloxazine, guanfacine, and mirtazapine• Contingency management (reward-based incentives) shows significant efficacy for methamphetamine addiction treatment• Combination therapies using bupropion with naltrexone show promise for reducing meth use• Treating underlying mental health conditions and providing housing/social support remains essential for recoveryTo contact Dr. Grover: ammadeeasy@fastmail.com

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We're joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh).  Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME! Credits Producer, Show Notes, Infographics: Carolyn Chan MD, MHS Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD Reviewer: Payel Jhoom Roy MD, MSc Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Jessica Merlin MD, PhD, MBA Sponsor: JournalFeed Try JournalFeed free for 7 days — and get 20% off your first year with code CURB25 at journalfeed.org/curb. Sponsor: Freed Usecode: CURB50 to get $50 off your first month when you subscribe at freed.ai Sponsor: Mint Mobile Get your summer savings and shop premium wireless plans at MINTMOBILE.com/CURB.

In this episode, I'm joined by a good friend and former colleague, Dr. Naga “Satish” Bodapati, MD — a double board-certified psychiatrist specializing in child, adolescent, and adult psychiatry. With over seven years of experience, Dr. Bodapati brings a wealth of clinical and leadership expertise, shaped by his work as Medical Director at Sunshine Behavioral Health Services, his involvement with the Department of State Hospitals' Incompetent to Stand Trial Program, and his advisory role with NAMI Kern County.Together, we dive into a wide-ranging and meaningful conversation—covering everything from ADHD and Bipolar Disorder to cultural identity, stigma, and the complex realities of mental health care. We explore how our personal backgrounds inform our professional paths and discuss the importance of culturally responsive care, advocacy, and access to treatment.Whether you're a mental health professional, student, or someone curious about the many layers of psychiatry and wellness—this episode offers deep insight, honest reflections, and important takeaways.

Elliot Ditton is a writer and performer whose BDD came into full force following a chance sighting of himself in a mirror on the way to a Beyoncé concert. In this episode, he discusses the early signs of his condition, the triggers that exacerbated it, and his path to recovery.

Join Tom Bilyeu and his co-host Drew as they tackle hot-button issues—from national protests and government response to the growing concerns of political polarization and economic instability. As the headlines scream about cities on fire and rumors of civil war swirl, Tom and Drew challenge each other's perspectives, debating how much of our current climate is real versus media-fueled overdramatization. They'll share their unique “inside the car vs. drone's-eye view” approach to understanding how local experiences and national trends collide. In this episode, they break down the waves of protest in LA, the government's response, and the political strategies at play—especially in the context of Trump's and Newsom's public standoff. Plus, they don't shy away from the hard questions: Are we witnessing the early signs of a larger societal unraveling? How do personal freedoms, law and order, and economic distress fit into the bigger picture? And what can history—and thinkers like Ray Dalio—teach us about what might come next? SHOWNOTES 00:00 Stuck in a Recurring Cycle 06:36 National Guard's Role in Riots 11:45 Managing Conflict in Tense Situations 16:02 Overreaction and De-escalation Challenges 21:50 "Addressing Riots and Armed Response" 28:42 Debate on Borders and Civil Order 35:08 Marxism Critique and Popularity Debate 40:36 "Avoidance: Theory vs. Practice" 46:20 State Moves Highlight Political Dynamics 51:48 "China's Economic Gamble at Risk" 55:22 "Disproportionate Rewards Drive Innovation" 01:02:44 Government Seizure of Bitcoin 01:04:31 "AI-Driven Reality Verification" CHECK OUT OUR SPONSORS Vital Proteins: Get 20% off by going to ⁠https://www.vitalproteins.com⁠ and entering promo code IMPACT at check out ButcherBox: New users that sign up for ButcherBox will receive their choice between steak tips, salmon, or chicken breast in every box for a year + $20 off their first box at ⁠https://butcherbox.com/impact⁠ Monarch Money: Use code THEORY at ⁠https://monarchmoney.com⁠ for 50% off your first year! Shopify: Sign up for your one-dollar-per-month trial period at ⁠https://shopify.com/impact⁠ iTrust Capital: Use code IMPACTGO when you sign up and fund your account to get a $100 bonus at ⁠https://www.itrustcapital.com/tombilyeu⁠  Jerry: Stop needlessly overpaying for car insurance - download the Jerry app or head to ⁠https://jerry.ai/impact⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

PREVIEW: Colleague Jeff Bliss of Pacific Watch reports that the seventh night of disorder in LA and other cities, including Las Vegas, was subdued and absent looting. More. 1900 POTLAND

Amanda Stern, author of the memoir "Little Panic: Dispatches from an Anxious Life," shares her story of growing up with an undiagnosed and unsupported panic disorder. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The situation in LA continues to escalate as the US invades the US, Trump expands his authoritarian takeover, Democrats suck (what's new), and the birthday military parade looms. If you enjoyed the show, make sure to check out the Patreon, leave a 5-star review on Apple, and follow our other socials!Pride HITO Merch fundraiser!: https://headintheoffice.com/ Check out Jeremy on Point of Disorder: https://linktr.ee/pointofdisorderpod Patreon: https://www.patreon.com/headintheofficepodGet 40% off Ground News: https://check.ground.news/headintheoffice YouTube: https://www.youtube.com/channel/UC4iJ-UcnRxYnaYsX_SNjFJQTikTok: https://www.tiktok.com/@headintheoffice?lang=enInstagram: https://www.instagram.com/headintheoffice/Twitter: https://twitter.com/headintheofficeBluesky: https://bsky.app/profile/headintheoffice.bsky.social Discord: https://discord.gg/hito Collab inquiries: headintheofficepod@gmail.comSeen on this episode:The LA protests continue - https://apnews.com/article/los-angeles-protests-ice-national-guard-9dfd2d025070bb6060d908dd3cf9b1f0 https://www.independent.co.uk/news/world/americas/us-politics/la-protests-trump-newsom-ice-los-angeles-curfew-map-live-updates-b2767709.html https://www.nbcnews.com/news/us-news/anti-ice-protests-held-coast-coast-l-unrest-national-movement-grows-rcna211980 National Guard in Texas -https://abcnews.go.com/US/gov-greg-abbott-deploy-texas-national-guard-anticipation/story?id=122721800Democrats glaze ICE - https://www.govtrack.us/congress/bills/119/hres488/text https://www.newsweek.com/75-democrats-house-antisemitism-resolution-ice-gratitude-2083177 DNC boosts Hogg & Ken Martin is pathetic - https://www.cbsnews.com/news/david-hogg-leaving-dnc-leadership/ https://www.thedailybeast.com/leaked-audio-reveals-dnc-chair-ken-martin-in-despair-over-dem-civil-war-with-david-hogg/

Law & Disorder: The Destructive Dem Agenda, Interview with Mike Davis | TRIGGERED Ep.249 Live from Rumble Studio Go to http://www.HenryUSA.com for a free catalog and decals and to learn more about this great American company! --- Just visit http://allfamilypharmacy.com/DONJR and use code DONJR10 for 10% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices

Law & Disorder: The Destructive Dem Agenda, Interview with Mike Davis | TRIGGERED Ep.249 Live from Rumble Studio Go to http://www.HenryUSA.com for a free catalog and decals and to learn more about this great American company! --- Just visit http://allfamilypharmacy.com/DONJR and use code DONJR10 for 10% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join us for an episode dedicated to aging with hemophilia, with several stories from our community. We hear from Jeffrey Moualim & Barb Forss, and Patrick sits down with Prisilla Oren, while Hanna chats with Walter Justus. It's a special episode to celebrate the strength of our community. Presenting Sponsor: Takeda, visit bleedingdisorders.com to learn more.   Segment is brought to you by Genentech: Visit www.hemashort.com to watch the short film. Show Notes: Subscribe: The BloodStream Podcast   Connect with BloodStream Media: BloodStreamMedia.com BloodStream on Facebook  BloodStream on X/Twitter  BloodStream on Instagram BloodStream on LinkedIn BloodStream on TikTok  

While there are studies that show cannabis may be useful in alleviating pain, nausea, and other symptoms associated with certain medical conditions, some doctors and researchers are seeing a rise in unexpected and serious health problems linked to its use – including cannabis use disorder, cannabis hyperemesis syndrome, and even psychosis. In this episode, Dr. Rachel Wightman, an emergency physician who has been at the forefront of treating patients affected by these conditions joins Dr. Philip Chan to help us understand these emerging issues. 

Come to a Dehoarding Accountability Zoom Session: http://www.overcomecompulsivehoarding.co.uk/ticket Subscribe to the podcast: https://www.overcomecompulsivehoarding.co.uk/subscribe Podcast show notes, links and transcript: http://www.overcomecompulsivehoarding.co.uk/  Today I'm looking at what happens if we forgive ourselves for past hoarding behaviours, why we maybe should, and how we can actually use that insight to make better choices and move forward. I talk honestly about the shame and guilt that keeps so many of us stuck. There's some reflection on the roots of hoarding, the importance of self-compassion, and why hating ourselves into action just doesn't work -  plus a few practical suggestions for anyone trying to make a change, no matter where you're starting from. Buy your copy of Everything You Need to Know About Hoarding by Dr Lynne Drummond at cambridge.org/EverythingHoarding, and get 20% off with the discount code HOARDING20. #ad Forgiving Ourselves but Doing Better Exploration of guilt and shame related to hoarding and feeling overwhelmed. Reflection on self-blame, regret, and paralysis it can cause. Catholic upbringing: Confession, forgiveness, and the importance of genuine intent to change. Recognition that hoarding often stems from trauma, loss, fear, anxiety, or neurodivergence. Discussion of cause and effect - influences behind hoarding behavior. Emphasis that hoarders are not lazy or bad people, but in a complex situation. The cycle of self-judgement and the importance of self-compassion as an antidote to shame. Practical advice: Treat oneself with the compassion you'd offer others, challenging negative self-talk. How self-criticism can demotivate and hinder progress. Comparison: Encouraging someone else is more effective than berating oneself. Understanding mistakes, taking responsibility, and making amends when possible. The importance of learning from past experiences and committing to doing better. Practical Strategies for Moving Forward Suggestions for emotional and action-oriented progress: Journalling or talking to someone about feelings. Looking back with compassion to identify patterns and triggers. Start dehoarding by breaking tasks into small steps. Avoiding perfectionism; celebrating any progress. Reference to "towards and away moves" from episode 182 with Dr. Jan Eppingstall. Identifying values and making choices that align with them. Finding support from therapists, friends, family, support groups, or accountability sessions. Acknowledgement that forgiving oneself is challenging but necessary for progress. Emphasising persistence, compassion, and learning from mistakes. Encouragement and Validation Recognition of listeners at various stages of their journey - starting, struggling, making progress, or just listening for now. Assurance that small steps count and everyone is doing their best. Emphasis that listeners are not alone. Links Podcast ep 181: Past influences and future possibilities: cause and effect and hoarding disorder (plus Podcasthon) Podcast ep 95: Shame and hoarding with Professor Luna Dolezal Podcast ep 182: What are “towards and away moves” and what on earth do they have to do with hoarding recovery? With Dr Jan Eppingstall The Gray Area podcast Come to a Dehoarding Accountability Zoom session: Accountability Booking Form Website: Overcome Compulsive Hoarding Become a Dehoarding Darling Submit a topic for the podcast to cover Questions to ask when dehoarding: https://www.overcomecompulsivehoarding.co.uk/podquestions Instagram: @thathoarderpodcast Twitter: @ThatHoarder Mastodon: @ThatHoarder@mastodon.online TikTok: @thathoarderpodcast Facebook: Overcome Compulsive Hoarding with That Hoarder Pinterest: That Hoarder YouTube: Overcome Compulsive Hoarding with That Hoarder Reddit: Overcome Compulsive Hoarding with That Hoarder subreddit Help out: Support this project Sponsor the podcast Subscribe to the podcast Subscribe to the podcast here

Overnight, Israel attacked several of Iran's nuclear sites and killed the Islamic Republic's top military leaders, as well as assassinating the Supreme Leader's key advisor on nuclear issues, Ali Shamkhani. This comes two days before the US and Iran were supposed to resume direct talks on finding a diplomatic agreement to curb Iran's nuclear programme, which Shamkhani had publicly supported. Jane Kinninmont and Jason discuss why has war come now, in the middle of Trump and Witkoff's diplomacy? Jason explains: it is likely because surprise and going on the offensive are more beneficial now than they have been in the last century. The duo break down the big picture implications of how the recent Ukrainian strikes on Russian nuclear planes and the ongoing Israeli strikes on Iran showcase how warfare has just rapidly changed from a period which favours static and prepared defense (the Cold War and Post-Cold War periods) to a period (The Enduring Disorder) in which warfare has changed to favours creative and imaginative offense. Our current military technology and intel (esp AI) will promote more instability and favour aggression over defense. Also the key thing to keep in mind is that the Israelis had prepared this attack for years and had actually delayed it and felt they needed to get it done before it was too late. Jason also predicts Iranians will have to asymmetrically retaliate... could be against US or Sunni Gulfi targets in the region (refineries/embassies) or Jewish/Israeli targets in Europe/the Globe. In short, we are entering a new phase of the Wars of Disorder. Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ Disorder on YouTube - https://www.youtube.com/@DisorderShow  Show Notes Links: For the NYT's coverage of kinetic developments and Overviews: https://www.nytimes.com/live/2025/06/12/world/israel-iran-us-nuclear  For an excellent audio overview of what sites were attacked and why now-- Emergency Episode: ISRAEL AT WAR WITH IRAN - With Ronen Bergman: https://podcasts.apple.com/gb/podcast/call-me-back-with-dan-senor/id1539292794?i=1000712721731 This attack has been long prepared: CIA analyst who leaked Israeli military plans gets three years in prison - The Washington Post https://apple.news/ABFn0haZjROuV8HqU_Ezsug Why can't we just have global order, and civility on the Tube: https://www.ft.com/content/cfb73bfe-fb42-4fd1-8b73-a125fd35e1a0?accessToken=zwAGN3LKTcoYkdPPtzv--0JP0dOLc6El_TXhoA.MEQCIG07rU5VCnoJ70yjPQ85Yr2K3YVq65g_R1jNE0NXa1dyAiBuosNEkyWwxJu499tazJwRojNLWZgq9iJmfvfLfBN5tQ&sharetype=gift&token=8dc84b36-5e95-4856-9c28-e6d884595132 Learn more about your ad choices. Visit megaphone.fm/adchoices

As seen on Gutfeld!, Greg mocks the latest attempts of Democrats trying to distance themselves from wokeism. Plus, Greg calls Democrats for continuing to downplay the LA riots. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This episode explores the psychological and financial side of retirement planning through the lens of entropy. Don and Tom dive into an article from Kiplinger that cleverly compares retirement to the second law of thermodynamics: left unmanaged, both money and purpose tend toward chaos. Only 4% of retirees say they're "living the dream"—and the duo explores why that number is so shockingly low. From maintaining routine and finding meaning to avoiding common money traps like over- or under-spending, this episode is packed with practical insights and sardonic banter. Plus, listener questions on Roth conversions for low-income parents and generating sustainable income in retirement portfolios. 0:04 Why we're talking thermodynamics on a money show1:40 The "Second Law" of Retirement: Life drifts toward chaos2:15 Only 4% of retirees say they're "living the dream"3:06 Why retirement can be scary—even for us4:44 Do something in retirement... but get paid for it?6:09 Volunteering vs. purposeful work (and airplane nostalgia)7:03 Retirement spending traps: splurging or hoarding8:09 The danger of financially supporting adult children9:43 Composer John Williams and the myth of retirement11:24 Three keys to a better retirement: social, purpose, activity12:04 Paul Merriman, semi-retirement, and finding meaning13:23 It all still comes down to money—and the freedom it brings14:42 Steve Martin's quote on money and dumb stuff15:30 Listener question: Tax-efficient Roth conversions for elderly parents20:07 Listener question: Income generation with ETFs vs. income funds22:51 Junk bonds, Franklin Income Fund risk, and total return25:48 Strategy tip: Keeping a year of cash to smooth out volatility26:11 Upcoming events and Apollo's July 9th appearance27:37 Free portfolio review offer and purpose in helping others28:51 Tom's boat motor saga and 1-star review nightmares Learn more about your ad choices. Visit megaphone.fm/adchoices

Recorded 2025-06-12 02:58:08

Subscribe in a reader Men divorcing a narcissist often encounter unique legal and emotional challenges that are rarely discussed openly. We're diving deep into how female narcissists operate during divorce and the unique challenges men face, including being falsely accused, alienated from their children, and financially manipulated. John and I discuss how toxic narratives hurt […] The post The Hidden Struggles Men Divorcing a Narcissist Face | Interview with John Nachlinger appeared first on Narcissist Abuse Support.

Why Obsessive Thinking Is a Symptom, Not the Real DisorderObsessive thinking isn't the disorder—it's a coping response. Learn how to break the anxiety loop and heal at the root with insights from Matt Codde.

In the 8 AM hour, Larry O'Connor and Julie Gunlock discussed: Continued Lawlessness and Disorder in Los Angeles Unhinged Wealthy, White Leftist Women WMAL GUEST: Kennedy Center Spokesperson Roma Daravi on Les Miserables' Opening Night Where to find more about WMAL's morning show: Follow Podcasts on Apple, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Wednesday, June 11, 2025 / 8 AM HourSee omnystudio.com/listener for privacy information.

This week, Axe and Heilemann are joined by Marc Short—former Chief of Staff to Vice President Mike Pence and Director of Legislative Affairs under President Trump—for a jam-packed conversation. From his front-row seat in the Trump administration, Short reflects on what feels like a political Groundhog Day: National Guard troops on the ground in California. He opens up about working with Stephen Miller, hints at what Mike Pence might have planned next, and weighs in on the future of the Republican brand in a post-Trump era. Plus, the Hacks take on the national debt, the GOP's tug-of-war between cultural and economic messaging, Elon Musk's latest pivots, and peek into the crystal ball for today's primaries.

#PACIFICWATCH:POTUS DIRECTS US MARINES TO SUPPLEMENT CALIFORNIA NATIONAL GUARD AND LAPD  THE FOURTH NIGHT OF DISORDER IN LA.   @JCBLISS  1900 LA ALLIGATOR FARM 

424. Living with Bipolar Disorder: Cameron Esposito Stand-up comedian, actor, writer and friend, Cameron Esposito joins us for a conversation about being diagnosed and living with bipolar disorder. -Cameron takes us inside a manic episode and shares what it really felt like-The beauty and heartbreak of loving someone with a mental illness-What it means to be a witness to your own pain and your life-How comedy changes on and off medication for Cameron  Cameron Esposito is a standup comic, actor & writer. A nationally and internationally touring headliner, Cameron has released three specials, including the culture-shifting Rape Jokes, and three albums, the award-winning Same Sex Symbol amongst them. As an actor, Cameron has been seen on Netflix, Max, Prime Video, Hulu & many more, as well as in big budget movies & Sundance indies.  Cameron is the author of the bestselling book, Save Yourself, about growing up very religious and very gay and hosted the long-running podcast, Queery.Cameron will be on tour with their next hour of standup in select cities this year before it debuts at Chicago's famed Steppenwolf Theater in the fall. Cameron Esposito released their newest standup special, Four Pills—about being diagnosed with bipolar disorder at 40 – on comedy streaming service Dropout to broad acclaim; it was featured in Variety, the LA Times and People. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices