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Bill O'Reilly reacts to a viral video of good samaritans saving a woman on a New York subway from a crazed maniac, and New York releasing the criminal. Learn more about your ad choices. Visit megaphone.fm/adchoices
Welcome to Part 3 of my mini-series answering your burning questions! Today, we're diving into the topic of verbal imitation.When it comes to verbal imitation and echoic goals, context is everything. These goals must be functional and meaningful to the individual child in order to support communication development.As an SLP collaborating with a BCBA, and vice versa, rely on assessment tools and an SLP's robust training in speech to identify and shape functional goals. It's crucial that we plan and program with intention—otherwise, we risk discouraging a child from verbalizingThe key? Collaborate early and often. Assess together. Plan together. Use resources like the Autism IEP Goal Bank (don't miss the freebie!). Then, have the SLP on the team focus on those targeted words and move into collaboratively supporting generalization into the natural environment for a robust bank of words.Looking ahead to 2026, we're excited to explore communication disorders more deeply over at ABA Speech Connection. Stay tuned—because sometimes, you don't know what you don't know. #autism #speechtherapy What's Inside:Summer mini-seriesStrategy to work collaboratively as BCBA and SLPsVerbal imitation goals Communication developmentMentioned In This Episode:Verbal Imitation Guide (Hack #19) Join our ethics course Speech Membership - ABA Speech ABA Speech: Home
Today I'm happy to chat with our patient Leslie who shares her successful journey with histamine intolerance healing. We'll go through how SIBO led to her histamine issues, the connection to low vagus nerve tone, as well as the low histamine diet and treatments such as dao enzymes. Tune in to learn how you can reduce histamine in the body naturally. Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/ Histamine Intolerance and Diet Guide: https://drruscio.com/guides/get-histamine-intolerance-guide/
ADHD isn't a defect— it's a brilliant survival strategy.Heather McKean and co-host Kent dive into the neuroscience (dopamine, DMN, hyper-vigilance), childhood ACEs, and school-system pressures that wire an “ADHD brain.” Then they show how Mind Change tools re-route those patterns—no shame, no labels.Inside this conversationWhy a hyperactive brain is often a hyper-vigilant brainDopamine “hunger” vs. true connectionHow compliance-based classrooms amplify symptomsRewiring steps that turn coping skills into super-powersHit ▶︎ to rethink everything you were told about ADHD—and grab the free resources at mindchange.com.Support this podcast at — https://redcircle.com/the-mind-change-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Dr. Wendy is talking to Dr. Eva Ritvo about AI and mental health. We are also talking to Dr. Timothy Fong about cannabis use disorder and what we can do. It's all on KFIAM-640!
In this episode, host Alyssa Watson, DVM, is joined by John M. Thomason, DVM, MS, DACVIM (SAIM), to talk about his recent Clinician's Brief article, “Top 4 Primary Immune-Mediated Disorders in Dogs.” In part 1 of this 2-part conversation, Dr. Thomason focuses on the diagnosis and management of IMHA and IMTP. You'll hear vital details for both conditions including the right way to handle blood smears and slide agglutination, which IMHA cases are hypercoagulable (spoiler: all of them), and if vincristine actually helps in IMTP (spoiler again: it does).Resources:https://www.cliniciansbrief.com/article/anemia-thrombocytopenia-immune-disorder-dogshttps://www.zoetisus.com/products/dogs/librelaContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
We hear much in Unity about Divine Order, which simply means Spirit guides your lives and circumstances by Her orderly process. Did you know God also guides you through disorder, stressful times when challenges abound. Can you allow yourself to be subject to divine guidance during those inevitable times of chaos and disorder? Let's talk about this on Sunday.
I see a lot of health educators throw their weight around saying that they have more then a few decades of experience working one on one with clients, and then selling you the idea that acting based on your symptoms is just mimicking the allopathic pharma way of thinking. But what if we acknowledged our symptoms and used them as guiding lights instead of lab tests? Or you could do both. Natasha Snoeijer focuses on thyroid, hormone and metabolic optimization. She joins me to bring that "what about both?" energy to the health discussion. What if high dose supplementation can create long term healing? One vitamin did that for her. She shares her thoughts on the sugar diet, how to use your bowel movements to assess your health status, how to supplement thyroid properly, why she isn't a fan of hair tissue mineral analysis tests and what she likes instead, why candida cleanses don't work, and lots more. Work with Natasha: https://www.natashabwellness.com My website: www.matt-blackburn.com Mitolife products: www.mitolife.co Music by Nicholas Jimenez: https://spoti.fi/4cte2nD
Mix up a mocktail and settle in for another addition to our ADHD & addiction series. This episode, we're on a mission to bring back fun, lighthearted conspiracy theories before diving into the Meat, where Kristin is teaching us about Alcohol Use Disorder (AUD). She's covering the diagnostic criteria for AUD, how alcohol affects the brain and body, why ADHDers are especially drawn to it, and some judgment-free suggestions for reducing your use. Resources: Alcohol Use Disorder: Screening, Evaluation, and Management - StatPearls - NCBI Bookshelf Alcohol use disorders and ADHD - ScienceDirect Increased Sensitivity to the Disinhibiting Effects of Alcohol in Adults with ADHD - PMC ADHD and Alcohol Use: What's the Link? | Psych Central ADHD & Alcohol: Exploring the Connection and Overcoming Challenges The Clinically Meaningful Link Between Alcohol Use and Attention Deficit Hyperactivity Disorder - PMC Alcohol Use Disorder: A Comparison Between DSM–IV and DSM–5 | National Institute on Alcohol Abuse and Alcoholism (NIAAA) Effects of Alcohol on the Brain, Animation, Professional version. Alcohol and Neurotransmitter Interactions - PMC Associations between childhood ADHD, gender, and adolescent alcohol and marijuana involvement: A causally informative design. - Abstract - Europe PMC Faye Lawrence - ADHD, Grey Area Drinker & Behaviour Change Coach Atomoxetine treatment of adults with ADHD and comorbid alcohol use disorders - ScienceDirect Common Nightingale - YouTube
Visit Project Mindfully Outdoors to learn more Save 15% on all your 1st aid needs at My Medic.com by using Promo Code PROJECTOUTDOORS15 In this captivating episode of Mindful Trails, we embark on an epic journey to tackle a growing concern in our fast-paced world: Nature Deficiency Disorder (NDD). While not a clinically recognized ailment, NDD reflects our disconnection from the natural environment, leading to a host of physical and mental health challenges. Join us as we delve into the signs and symptoms of this modern malaise—like increased anxiety, lethargy, and diminished creativity—and discover practical strategies to reclaim your bond with nature. From daily outdoor activities to nurturing green spaces at home, we'll explore actionable tips that can transform your life. Learn how to harness technology to deepen your connection with the environment and why advocating for local green spaces is vital for our well-being. Whether you're seeking solace in your backyard or yearning for grand adventures in the wild, this episode is your call to action. Let the great outdoors rejuvenate your spirit, enhance your creativity, and restore balance in your life. Tune in, breathe deeply, and step into the wilderness—your journey to a healthier, more mindful existence begins now!
Psychiatrist Carolyn Rodriguez studies hoarding disorder and says that all of us have attachments to our possessions. But for many, these attachments can disrupt daily life and even pose health risks. For those with loved ones who struggle with hoarding disorder, she says treatments exist, including cognitive behavioral therapy (CBT). Lately, she's been studying how virtual reality can augment CBT through virtual discarding practice and ways brain stimulation may improve symptoms. But, Rodriguez says, never underestimate the value of empathy for those in need of help, as she tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Carolyn RodriguezConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces Carolyn Rodriguez, a professor of psychiatry and behavioral science at Stanford University.(00:02:47) Motivation to Study Hoarding DisorderWhy Carolyn chose to focus her research on hoarding disorder.(00:03:44) Collecting Versus HoardingDistinguishing between normal behavior and clinically significant hoarding.(00:05:47) Prevalence of Hoarding DisorderThe universality and pervasiveness of hoarding disorder.(00:07:11) The Brain Science Behind HoardingEarly neuroscience findings on attachment and discarding behavior.(00:08:47) Dopamine and Excessive AcquisitionThe connection between hoarding and potential dopamine reward pathways.(00:09:55) Risk Factors and Cognitive ChallengesPersonality traits, genetics, and processing difficulties involved in hoarding.(00:11:14) Gender Differences and Insight IssuesGender prevalence in treatment-seeking and the concept of anosognosia.(00:12:35) The “Why” Behind HoardingHow motivations and emotional attachments influence behavior.(00:13:50) Onset and Progression of DisorderTypical onset age, aging effects, and early warning signs.(00:15:05) Historical References to HoardingAccounts from ancient literature of hoarding-like behavior(00:17:16) Attachment to ObjectsThe emotional, aesthetic, and identity-based reasons people retain objects.(00:20:45) Current Treatment OptionsThe treatment landscape, including lack of medications and focus on CBT.(00:22:30) Chronic Nature of Hoarding DisorderFraming hoarding as a long-term condition with hopeful outcomes.(00:23:08) Virtual Reality for TreatmentA study on using VR to safely practice letting go of personal items.(00:25:58) Neuromodulation ResearchUsing non-invasive brain stimulation to reduce acquisition urges.(00:27:00) Advice for Individuals and FamiliesThe importance of empathy and self-care for individuals and caregivers.(00:28:47) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook
Recorded 2025-07-03 02:59:08
For too long, Alcohol Use Disorder (AUD) has been misunderstood as a failure of willpower—but science tells a different story. In this episode, we dive into the neurological basis of addiction, exploring how AUD rewires the brain and why overcoming it requires more than sheer determination. We'll debunk myths, highlight the role of medical and psychological support, and offer insight into what real recovery looks like. If you've ever wondered why quitting alcohol feels impossible for some, this episode is for you.Find out about the free resources and all our books available at winspress.com.******************************************************************************************References for today's episode:Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760-773. https://doi.org/10.1016/S2215-0366(16)00104-Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371. https://doi.org/10.1056/NEJMra151148Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: Neuroimaging findings and clinical implications. Nature Reviews Neuroscience, 12(11), 652-669. https://doi.org/10.1038/nrn311Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: A neurocognitive perspective. Nature Neuroscience, 8(11), 1458-1463. https://doi.org/10.1038/nn158McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689-1695. https://doi.org/10.1001/jama.284.13.168.Marlatt, G. A., & Donovan, D. M. (2005). Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. Guilford Press.
REGIME CHANGE AND DISORDER. GREGORY COPLEY, DEFENSE & FOREIGN AFFAIRS 1870 SIEGE OF PARIS
On this Out of the Loop, Jason Pack helps us understand what the conflict between Iran and Israel signifies, and where we can expect it to go from here.Welcome to what we're calling our "Out of the Loop" episodes, where we dig a little deeper into fascinating current events that may only register as a blip on the media's news cycle and have conversations with the people who find themselves immersed in them. Disorder podcast host Jason Pack is here to help us make sense of the recent escalation in conflict between Iran and Israel — how we got here, the dangers and opportunities of the moment, and what we need from world leadership to keep the problem contained.Full show notes and resources can be found here: jordanharbinger.com/1177On This Episode of Out of the Loop:Israel launched surprise attacks on Iran's nuclear program and leadership, setting back its nuclear capabilities by months to years while demonstrating complete intelligence penetration.The US brokered a ceasefire between Iran and Israel, but this only addresses symptoms — the underlying regional conflicts and proxy wars remain unresolved.Iran announced it's accelerating its nuclear program in response to the attacks, following the "Libya lesson" that nuclear weapons provide protection from regime change.The current moment presents a unique opportunity for comprehensive Middle East peace due to weakened Iranian proxies and shifting regional power dynamics.Success requires multilateral diplomacy involving Qatar, Europe, Gulf states, and addressing root causes — not just ceasefire management but genuine conflict resolution through shared interests.And much more!Connect with Jordan on Twitter, on Instagram, and on YouTube. If you have something you'd like us to tackle here on an Out of the Loop episode, drop Jordan a line at jordan@jordanharbinger.com and let him know!Connect with Jason Pack on Twitter or on LinkedIn, and be sure to subscribe to his newsletter and check out his Disorder podcast!And if you're still game to support us, please leave a review here — even one sentence helps! Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors:Boulevard: 10% off first year: joinblvd.com/jordanIDEO U: 15% off: ideou.com/jordanOpenPhone: 20% off 1st 6 months: openphone.com/jordanAirbnb: airbnb.com/hostHomes.com: Find your home: homes.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
If you've ever felt like you're moving through life with your head wrapped in cotton—unable to think clearly, focus, or find the right words—you're not alone. In this episode of Grounded: The Vestibular Podcast, we dive into one of the most frustrating and misunderstood symptoms of vestibular disorders: brain fog. We explore what brain fog really is, how it's connected to conditions like vestibular migraine, PPPD, and inner ear dysfunction, and why it's more than just “being tired.” You'll learn about the neurological and physiological causes behind this cognitive cloudiness—from sensory overload and poor vestibular compensation to medication side effects and chronic stress. But we won't leave you hanging in the haze. We're also sharing 10 practical strategies to help lift the fog and reclaim mental clarity—ranging from diet and hydration tips to pacing, vestibular rehab, and cognitive tools that actually work. Whether you're newly diagnosed or years into your vestibular journey, this episode is here to remind you: you're not broken, and you're not alone. Tune in for science, support, and strategies that ground you. Links/Resources Mentioned: Vestibular Group Fit (code GROUNDED at checkout!) More Links/Resources: The 4 Steps to Managing Vestibular Migraine The PPPD Management Masterclass What your Partner Should Know About Living with Dizziness The FREE Mini VGFit Workout The FREE POTS - safe Workouts Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) Connect with Dr. Madison: @TheVertigoDoctor @TheOakMethod @VestibularGroupFit Connect with Dr. Jenna @dizzy.rehab.therapist Work with Dr. Madison 1:1, Vestibular Rehabilitation Therapy Vestibular Group Fit Small Group Coaching (offered throughout the year, sign up for our email list to learn when!) Why The Oak Method? Learn about it here! Love what you heard? Reviews really help us out! Please consider leaving one for us. This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here.
This conversation explores the complexities of addiction treatment through the perspectives of two professionals, Heather and Josh, who share their personal journeys and insights into the stigma, politics, and treatment approaches surrounding addiction. They discuss the importance of understanding the underlying causes of addiction, the role of choice, and the need for comprehensive education and support systems to effectively address addiction in society. Know more about Josh & Heather's work: Addiction2recovery Podcast Book "Trauma's Worth" by Heather Bell Know more about Sathiya's work: JOIN DEEP CLEAN INNER CIRCLE Got a Question? Submit It Anonymously Through This Form Get A Free Copy of The Last Relapse, A Blueprint For Recovery Watch Sathiya on Youtube For More Content Like This Chapters: (00:00) Introduction to Addiction Medicine (01:53) The Journey into Addiction Treatment (10:11) Personal Stories of Addiction and Recovery (14:00) The Stigma Surrounding Addiction (23:05) Is Addiction a Choice? (29:46) Predictors of Addiction (37:15) The Role of Support Systems (46:29) Addressing Co-occurring Disorders (54:44) The Future of Addiction Treatment (1:00:50) Conclusion and Resources
Today, Dr. Monica Gray, Dr. Pradip Kamat, and Dr. Rahul Damania discuss two real-life pediatric cases of hyponatremia in the PICU. They talk through a case of a six-month-old baby with severe sodium depletion and a teenager dealing with cancer-related hyponatremia. The team breaks down the pathophysiology, walks us through the diagnostic workups, and discusses the careful management needed for these cases. They emphasize the importance of correcting sodium levels gradually and addressing the root cause of the problem. They share practical tips for intensivists and highlight why staying vigilant and following evidence-based care is so crucial when managing critically ill kids with electrolyte disturbances. Tune in to hear more!Show Highlights:Discussion of hyponatremia in pediatric patients, particularly in the PICUPresentation of two case studies illustrating different presentations of hyponatremiaExamination of the pathophysiology of hyponatremia, including its classification into hypovolemic, euvolemic, and hypervolemic typesOverview of diagnostic investigations for hyponatremia, including volume status assessment and serum/urine electrolyte measurementsManagement strategies for hyponatremia, emphasizing the importance of gradual correction of sodium levelsRisks associated with rapid correction of hyponatremiaImportance of fluid management in different types of hyponatremiaRole of pharmacological interventions in specific cases, such as SIADHClinical presentation and symptoms associated with hyponatremia in pediatric patientsEmphasis on continuous monitoring of sodium levels and clinical status during treatmentReferences:Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 71. Fluid and electrolyte issues in pediatric critical illness. Evans I, Joyce E. Page 866-872Rogers' textbook of Pediatric Intensive Care Chapter 108: Disorders of Water, Sodium and Potassium homeostasis: Schneider J & Glater-Welt L. Pages 1868-1880Harrison's Principles of Internal Medicine Volume 1. Chapter 53: Fluid and Electrolyte Disturbances. Mount D. Pages 338-347
The Real Truth About Health Free 17 Day Live Online Conference Podcast
Subscribe in a reader Living With a Narcissist During Divorce is a phrase that sadly describes what many of my coaching clients—and I personally—have lived through. This is emotional warfare at its worst. Whether it's financial limitations, court mandates, or custody issues, being forced to cohabitate with a narcissist during divorce can be dangerous, exhausting, […] The post Narcissist During Divorce: How to Survive Living Together appeared first on Narcissist Abuse Support.
Episode 196: Bipolar Disorder. Learn about the diagnosis and management of bipolar disorder, presented by medical students Jennifer, Targol, and Tyler. Written by Jennifer Burnham, OMS III; Targol Mehrazar, OMS III; and Tyler Richins, OMS III. Western University of Health Sciences. Comments and editing by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.
We catch up with Professor Jan Kirschner!Gene therapy for childhood onset disability from neuromuscular disorders: What lessons have you learned from gene therapy in neuromuscular disorders, and how do you see this approach evolving in the future?Another brilliant interview with researchers from EACD / IAACD 2025 at Heidelberg Germany!
We catch up with Keynote speaker: Professor Jill ZwickerDCD and ADHD keynote: How do developmental coordination disorder and ADHD intersect, and what are the implications for diagnosis and treatment?Join us for another brilliant conversation with a brilliant researcher - live from the EACD / IAACD Conference 2025, in Heidelberg Germany!
Puck's newest author and resident A.I. expert, Ian Krietzberg, makes his podcast debut with guest host Julia Alexander for a rollicking conversation about the disruptive promise—and misconceptions—of artificial intelligence. Ian unpacks what we're getting right and wrong about A.I. panic, then turns to break down the major implications of a recent court ruling in a landmark case against Anthropic, one of the biggest A.I. companies in the world, in which a judge found that using copyrighted books to train A.I. models constitutes fair use. 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
Learn more about your ad choices. Visit megaphone.fm/adchoices
Is your child a picky eater, or is it something more serious — and how can you tell? Avoidant/restrictive food intake disorder (ARFID) goes far beyond food preferences. It's driven by deep-seated fears of choking, vomiting, or other anxieties that can lead to dangerous nutritional deficiencies. In this episode, Gabe Howard sits down with ADAA member expert Dr. Jacqueline Sperling, a clinical psychologist and Harvard Medical School professor, to break down the signs of ARFID, outline how it differs from typical picky eating, and mention when parents should seek professional help. Learn how to spot the red flags, understand the role of anxiety in food avoidance, and discover ways to support kids managing this lesser known eating disorder. If mealtimes are a battle in your home, this episode is a must-listen! Special thanks to the Anxiety and Depression Association of America for sponsoring this episode. “They could have different obsessions of what might happen should they eat any of those foods. Some could have a fear that there's contamination. Some can have a fear that it's cooked all the way. Some can have a concern that something separate from the food, but a negative consequence may happen if they eat those foods. It can also happen that someone is worried about having IBS symptoms in public, so they don't want to eat certain foods. And so they limit the foods that they eat, or even when they're at home because they're worried about when they go out in public afterward.” ~Jacqueline Sperling, PhD Our guest, Jacqueline Sperling, Ph.D., is a clinical psychologist, assistant professor in psychology at Harvard Medical School, and the co-founder and co-program director of the McLean Anxiety Mastery Program at McLean Hospital. She is the author of the young adult nonfiction book “Find Your Fierce: How to Put Social Anxiety in Its Place” and a contributor for Harvard Health Publishing. Dr. Sperling specializes in implementing cognitive behavioral therapy with exposure and response prevention and working with youth with anxiety disorders and obsessive-compulsive disorder. She also focuses on caregiver guidance, such as by using behavioral parent training, to help families address children's internalizing and externalizing behaviors. In addition, Dr. Sperling is passionate about disseminating evidence-based information to the community, and she frequently speaks about the impact of social media use on mental health. Moreover, Dr. Sperling is committed to increasing access to care and participates in advocacy at state and federal government levels. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
MagaMama with Kimberly Ann Johnson: Sex, Birth and Motherhood
In this episode, Kimberly and Alex discuss his extensive background in working with children on the Autism Spectrum Disorder (ASD). He spent much of those years taking a non-traditional approach from just behavioral to prioritizing fun and community. This work led him to keenly understanding the importance of local agriculture, nutrition, and the gut-brain connection, and eventually he began working as an animal butcher and supporting his wife's work, The Wild Nutritionist. Aspects of their discussion are connected through the thread of the importance of holistic care for ASD individuals as well as local farming, nutrition, and the gut-brain connection. Bio Alex Johnson is a father, butcher, former autism specialist, husband of Kate Pope, The Wild Nutritionist, and long-term friend of Kimberly's. His background in theater studies, and then psychology, led him to working with children on the Autism Spectrum Disorder for over a decade. Understanding the needs of this population then helped him transition to regenerative agriculture and animal butchery. What He Shares: –Working with children on the Autism Spectrum Disorder –How and why ASD has changed in recent years –Harms and limitations of diagnoses and labels –Transitioning to regenerative agriculture and butchery –Prioritizing community through local farming What You'll Hear: –How Alex began working with kids –Studied theater and psychology –Role play and autism in 2010 –How insurance changed autism –In home and in community teaching to kids with ASD –Bringing families together with potlucks –DSM-5 refining definition of ASD –Disproportionately diagnosed in boys versus girls –Severity ratings (1, 2, 3) of ASD –Issues with self-diagnoses –Performative vulnerability –Challenges in diagnosing ASD –Social, Communication, and Behavior –Familial approaches to ASD and community –Neurodivergence and ASD labels –Limitations of checklists of diagnoses –Gut issues and ASD –Behavioral versus holistic and community care –Regenerative agriculture, nutrition, and ASD –Transitioning to animal butchery –Small-scale, mobile harvest operation –Mobile Harvest Truck –Art of animal butchery and carrying traditions –Politics and farming –Community care in farming and rural areas –Nutritional needs for families –Getting kids involved in family nutrition –Importance of local farmers markets –Talking to local farmers –Buying seasonal produce –Harms of individual priorities versus community –Returning to community care Resources Website: https://regenerativecookingschool.com/ IG: @wildnutrionist
Recorded 2025-06-26 03:03:56
The Mystery of Tooth Enamel Defects: A New Autoimmune Disorder DiscoveredBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/the-mystery-of-tooth-enamel-defects-a-new-autoimmune-disorder-discovered/Need CE? Start earning CE credits today at https://rdh.tv/ceGet daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
In Alex's penultimate episode as an official Disorder cohost, she and Jason discuss her decision to step back from co-hosting due to the overwhelming chaos in the world and the emotional toll it takes. Plus: they unpack the struggle to maintain empathy in a disordered world, the rising fear of deportation, cancellation, political violence, censorship, enemies lists, and their implications for democracy. And – as they Order the Disorder – they look at the importance of maintaining professional integrity, while dealing with emotional challenges. They also explore strategies for coping with the chaos of modern life. Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ Disorder on YouTube - https://www.youtube.com/@DisorderShow Show Notes Links: Read about Georgia's struggle for democracy and slide into authoritarianism and how it mirrors our own in the USA: https://euromaidanpress.com/2025/06/08/i-was-not-fierce-enough-georgian-activists-brutal-confession-as-democracy-collapses/ Watch Why Regime Change in Iran is Impossible - https://www.youtube.com/watch?v=UlX5_mp1JWc Read ‘Donald Trump's Los Angeles Military Deployment Is an Assault on American Democracy' - https://bylinetimes.com/2025/06/10/donald-trump-los-angeles-military-deployment-assault-on-american-democracy/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Jarratt Pytell stops by the show to discuss his recent article featured in the Journal of Addiction Medicine titled Post Void Residuals: Medications for Opioid Use Disorder, Patient Outcomes, and How Not to Get Fooled by Urine Toxicology Results - Article Link: Void Residuals: Medications for Opioid Use Disorder, Patient Outcomes, and How Not to Get Fooled by Urine Toxicology Results
This week on "Something Offbeat", we round up weird news covered by KMOX's The Dave Glover Show, KMBZ's Dana and Parks Show and WCCO's Adam and Jordana.
This week on "Something Offbeat", we round up weird news covered by KMOX's The Dave Glover Show, KMBZ's Dana and Parks Show and WCCO's Adam and Jordana.
This week on "Something Offbeat", we round up weird news covered by KMOX's The Dave Glover Show, KMBZ's Dana and Parks Show and WCCO's Adam and Jordana.
Idiopathic intracranial hypertension (IIH), a condition of increased intracranial pressure (ICP), causes debilitating headaches and, in some, visual loss. The visual defects are often in the periphery and not appreciated by the patient until advanced; therefore, monitoring visual function with serial examinations and visual fields is essential. In this episode, Kait Nevel, MD speaks with John J. Chen, MD, PhD, and Susan P. Mollan, MBChB, PhD, FRCOphth, authors of the article “Treatment and Monitoring of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Chen is a professor of ophthalmology and neurology at the Mayo Clinic in Rochester, Minnesota. Dr. Mollan is an honorary professor of metabolism and systems science in the department of neuro-ophthalmology at University Hospitals Birmingham in Birmingham, United Kingdom. Additional Resources Read the article: Treatment and Monitoring 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: @IUneurodocmom Guests: @chenmayo, @DrMollan 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 Nevel: Hello, this is Dr Kate Nevel. Today, I'm interviewing Drs John Chen and Susan Mollan about their article on treatment and monitoring of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics. Drs Chen and Mollan, welcome to the podcast. And please, could you introduce yourselves to the audience? Dr Chen: Hello, everyone. I'm John Chen, one of the neuro-ophthalmologists at the Mayo Clinic. Thanks for having us here. Dr Mollan: Yeah, it's great to be with you here. I'm Susan Mollan. I'm a consultant neuro-ophthalmologist in Birmingham, England. Dr Nevel: Wonderful. So great to have you both here today, and our listeners. To start us off, talking about your article, can you share with us what you think is the most important takeaway from your article for the practicing neurologist out there? Dr Chen: Yeah, so our article talked about the treatment and monitoring of IIH. And I think one takeaway point is, IIH is becoming much more prevalent now that there's this worldwide obesity epidemic with obesity having- essentially being the largest risk factor for IIH other than female. It's really important to monitor vision because vision loss is often peripheral vision loss at first, which the patient may be completely unaware of. And so, it's important to pair up with an ophthalmologist so you can monitor the papilledema of the visual fields and make sure they don't get permanent vision loss. And in the article, we also talk about- there's been changes in the treatment of severe IIH, where traditionally, we used VP shunts; but there's been a trend toward using more venous sinus stenting in addition to the traditional surgeries. Dr Nevel: Great, thank you. I think probably most of our listeners or a lot of neurologists out there have a pretty good understanding of kind of the basics of the IIH. But can you kind of just go over a few key characteristics of IIH, and maybe some things that are less commonly known or things that are maybe just been kind of better understood over the past decade, perhaps? Dr Mollan: Yes, certainly. I think, as Dr Chen said, it's because this condition is becoming more prevalent, people recognize it. I think it's- we like to go back to the diagnostic criteria so that we're making a very accurate diagnosis. So, the patients may come in to the emergency room with, say, papilledema that's been identified elsewhere or crashing headaches. And it's important to go through that sort of diagnostic pathway, taking a blood pressure, taking a full blood count to make sure the patient is anemic, and then moving forward with that confirmation of papilledema into urgent neuroimaging, whether it's CT or MRI, but including venography to exclude a venous sinus thrombosis. And then if you have no structural lesion that's causing the raised ICP, it's moving forward with your lumbar puncture and carefully checking those pressures. But the patients may not only have crashing headache, they often have pulsatile tinnitus and neck pain. I think some of the features that we're now recognizing is the systemic metabolic effects that are unique to IIH. And so, there's an increased risk of cardiometabolic disease that's over and above what is conferred by obesity. Also, our patients have a sort of maternal health burden where they get impaired fertility, gestational diabetes and preeclampsia. And there's also an associated mental health burden, amongst other things. So we're really starting to understand the spectrum of the disease a bit more. Dr Nevel: Yeah, thank you for that. And that really struck me in your article, how important it is to be aware of those things so that we're making sure that we're managing our whole patient and connecting them with the appropriate providers for some of those other issues that may be associated. For the practicing neurologist out there without all the neuro-ophthalmology equipment, if you will, what should our bedside exam focus on to help us get maybe an early but accurate picture of the patient's visual function when we suspect IIH to be at play, perhaps before they can get in with the neuro-ophthalmologist? Dr Chen: Yeah, I think at the bedside you can still check visual acuity and confrontational visual fields, you know, with finger counting. Of course, you have to know that those are, kind of, crude kind of ways of screening. With papilledema, oftentimes the visual acuity is intact. And the confrontational visual fields aren't as sensitive as automated perimetry. Another important thing will be to do your direct ophthalmoscope and look at the amount of papilledema. If it's grade one or two papilledema on the more mild side, it's actually not vision threatening. It's the higher degrees of papilledema that can cause rapid vision loss. And so, if you look in and you see grade one papilledema, obviously you need to do the full workup, the MRI, MRV, lumbar puncture. But in terms of rapidly getting to an ophthalmologist to screen for vision loss, it's not going to be as important because you're not going to have vision loss at that low grade. If you look in and you see this rip-roaring papilledema, grade five papilledema, that patient is going to be at very severe risk of vision loss. So, I think that exam, looking at the optic nerve can be very helpful. And of course, talking to the patient about symptoms; is there decreased vision Is there double vision from a sixth nerve palsy? Are there transient visual obscurations which would indicate at least a higher degree of papilledema? That'd be helpful as well. Dr Nevel: Great, thank you. And when the patient does get in with a neuro-ophthalmologist, you talk in your article and, of course, in clinical practice, how OCT testing is important to monitor in this condition. Can you provide for the listeners the definition of OCT and how it plays a role in monitoring patients with IIH? Dr Mollan: Sure. So, OCT is short for optical coherence tomography imaging, and really the eye has been at the forefront of OCT alone. Our sort of cardiology colleagues are catching up on the imaging of blood vessels. But what it allows us to do is give us really good cross-sectional, anatomical-level changes that we can see both in the retina and also at the optic nerve head. And it gives us some really good measurements. It's not so good at sort of saying, is this definitely papilledema or not? That sort of lower end of disc elevation. But it is very good at ruling out what we call the pseudopapilledema. So, things like drusens or these other little masses we find underneath the optic nerve head. But in terms of monitoring, because we can longitudinally take these images and the reproducibility is pretty good at the optic nerve head, it allows us to see whether there's direct changes: either the papilledema getting worse or the papilledema getting better at the optic nerve head. It also gives us some indication of what's going on in the ganglion cell layer complex. And that can be helpful when we're thinking about sort of looking at structure versus function. So, ophthalmologists in general, we love OCT; and we spend much more time nowadays looking at the OCT than we really do the back of the eye. And it's just become critical for patients with papilledema to be able to be very accurate from visit to visit to see what's changing. Dr Nevel: How do you determine how frequently somebody needs to see the neuro-ophthalmologist with IIH and how often they need that OCT evaluation? Dr Chen: Once the diagnosis of IIH is made, how often they need to be seen and how frequent they need to be seen depends on the degree of papilledema. And again, OCT is really nice. You can quantify it and then different providers can actually use the same OCT numbers, which is super helpful. But again, if it's grade three papilledema or higher, or article thickness of 200 or higher, I tend to follow them a little bit more closely, trying to treat them more aggressively. Try to get the papilledema down into a safer zone. If it's grade one or two papilledema, we see them less frequently. So, my first visit might be three months out. They come with grade five papilledema, I'm seeing them within a few days to make sure that's papilledema's come down quickly because we're trying to decide, are they going to need surgery or not? Dr Nevel: Yeah, great. And that's a nice segue into talking a little bit about how we treat patients with IIH after the diagnosis is confirmed. And I'd like to just point out you have a very lovely figure in your article---Figure 5-6,---that I'd like to direct our listeners to read your article and check out that figure, which is kind of an algorithm on how we think about the various treatment options for patients who have IIH, which seems to rely a lot on the degree of presence of papilledema and the presence of vision disturbance. Could you maybe walk us through a little bit about how you think about the different treatment options for patients with IIH and when more urgent surgical intervention might be indicated? Dr Mollan: Yeah, sure. We always find it quite hard in any medical specialty to write these kind of flow diagrams because it's really an individual we're looking at. But these are kind of what we'd say is “broad brushstrokes” into those patients that we worry about, sort of, red disease in those patients, more amber disease. Now obviously, even those patients that may not have severe papilledema, they may have crashing headaches. So, they may be an urgent referral themselves because of that. And so, it's nice to try and work out which end of the spectrum you're working with. If we think of the papilledema, Dr Chen's already laid out the sort of lower end of the prison's scale---our grades one, our grades two---that we're less anxious about. And those patients, we would definitely be having discussions about medical management, which includes acetazolamide therapy; but also thinking about weight management. And it may well be that we talk a little bit further about weight management, but I think it's helpful to sort of coach those conversations after you've made a definite diagnosis. And then laying out the risk that's caused, potentially, the IIH in an individual. And then having a sort of open conversation with them about what changes they can have in their lifestyle alongside thinking about medical therapy. There's some patients with very low levels of papilledema that we decide not to put on medicines initially. As patients progress up that papilledema grade, we're definitely thinking about medical therapy. And our first line from the IIH treatment trial would be using acetazolamide, but we need to be thinking about using appropriate dosing. So, a lot of the patients that I see can be sent to me with very low doses that may be inappropriate for that person. In the IIHTT they used up to four grams daily in a divided dose. And you do need to counsel your patients when you're putting them on acetazolamide because of the side effects. You've got quite a nice table in this article about the side effects. I think if you get the patient on board, that they understand that they will experience side effects, that is helpful because they will expect it, and then possibly tolerate it a bit better. Moving through to that area where we're more anxious, that visual-threatening papilledema. As Dr Chen said, it's sort of like you look in and it's sort of “blood and thunder” in there. And you need to be getting on and encouraging the ophthalmologist to get a formal assessment of the visual field. It's very difficult to determine exactly the level at which- and we talk about the mean deviation in a lot of our research studies. But in general, it's a combination of things: the patient's journey to get to you, their symptoms, what's going on with the visual field, but what's also happening at the OCT. So, we look in and we see that fluid is seeping towards the fovea. We get very anxious, and those patients may not even have enough time for a rapid escalation of acetazolamide. It may well be at the first presentation, which we would term, like, fulminant; that we'd be thinking about surgical intervention. And I think before I stop, the other thing to say is, the surgical landscape is really changing. So, we're having some good studies coming out in terms of stenting. And so, there is a sort of bracket where it may well be that we are thinking about neuroradiological intervention in an earlier case. They may not quite be at that visual-threatening stage, but they may be resistant to medical treatments. Dr Nevel: Thank you for that. What do you think is a potential pitfall or a mistake to avoid, if you will, in the management of patients with IIH? Dr Chen: I think it's- in terms of pitfalls, I think the potential pitfalls I've seen are essentially patients where we don't necessarily create a good patient physician relationship. Where they don't have buy-ins on the treatment, they don't have buy-ins to come back, and they're lost to follow-up. And these patients can be dangerous, because they could have vision threatening papilledema and if not getting the appropriate treatment---and if they're not monitoring the vision---this can lead to poor outcomes. So, I've definitely seen that happen. As Dr Mollan said, you really have to tell them about the side effects from the medications. If you just take acetazolamide, letting them know the paresthesias and the changes in taste and some of these other side effects, they're going to immediately stop the medication. Again, and these medications do work, proven in the IIH treatment trial. So again, I think that patient-physician relationship is very important to make sure they have appropriate follow up. Dr Nevel: The topic of weight loss in this patient population can be tricky, and I know I talked with Susie in a prior interview about how to approach this topic with our patients in a sensitive and compassionate manner. Once this topic is broached, I find many patients are looking for advice on strategies for weight loss, or potentially medications or other interventions. How do you prioritize or think about the different weight loss strategies or treatments with your patients, and how do you think about the way that you recommend these different treatments or not? Dr Mollan: Yeah. I think that's a really great question because we sort of stray here into a specialty that we have not been trained in. One thing I definitely ask my patients: if they've been on a weight loss journey before, and what's worked for them and what's not worked for them. And within our different healthcare systems, we have access to different tiers of weight management approaches. But for the person sitting in front of me, that possibly there may be a long journey to access more professional care, it's about understanding. iIs there things that are free, such as, we have some apps in the National Health Service which are weight management applications where they can actually just start putting in their calories, their daily calorie intake. And those apps can be quite helpful and guiding in terms of targeting areas, but also informing the patient of what types of foods to avoid in their diet and what types of foods to include in their diet. And with some of the programs that are completely complementary, they also sometimes add on things about exercise. But I think it is a really difficult thing to manage as, say, an ophthalmologist or a neurologist, mainly because it's not our area of expertise. And I think we've all got to find, in our local hospitals and healthcare systems, those pathways where the patients may be able to access nutritional support, and sort of behavioral lifestyle therapy support, all the way through to the new medications for weight loss; and also for some people, bariatric surgery pathways. It's a tricky topic. Dr Nevel: So how should we counsel our patients about what to expect in the future in terms of visual outcomes? Dr Chen: I think a lot of that depends on the degree of papilledema when they present. If a patient comes in with grade five papilledema, that fulminant IIH that Dr Mollan had mentioned, these patients can have very severe vision loss. And even if we treat them very aggressively with high-dose medications and urgent surgical interventions, sometimes they can have permanent vision loss. And so, we counsel them that, you know, there's a strong chance that they're going to have a good amount of vision loss. But some patients, we're very surprised and we get a lot of vision back. So, we kind of set expectations, but we're cautiously optimistic that we can get vision back. If a patient presents with more mild papilledema like grade one or two papilledema, they're most likely not going to have any permanent vision loss as long as we're treating them, we're monitoring their vision, they're coming to their follow-ups. They tend to do very well from a vision perspective. Dr Nevel: That's great, thank you. And you know, ties into what you said earlier about really making sure that, you know, we create good- as with any patient, but good physician-patient relationships so that they, you know, trust us and they come to follow up so we can really monitor their vision appropriately. What do you think is going on in research in this area that's exciting? What do you think one of the next breakthroughs or thing that we need to understand the most about treatment and monitoring of IIH? Dr Chen: I think surgically, venous sinus stenting is going to probably take over the bulk of surgeries. We still need that randomized clinical trial, but we have some amazing outcomes with venous sinus stenting. And there's many efforts on randomized clinical trials for venous sinus stenting. So we'll have those results soon. From a medical standpoint, Dr Mollan can actually say, actually, more about this. Dr Mollan: I completely agree. The GLP-1 receptor agonists, the twofold prong approach: one is the weight loss where these patients, you know, have significant weight loss to put their disease into remission; and the other side of it is whether certain GLP-1s have the ability to reduce intracranial pressure. So, a phase 2 study that we undertook here in Birmingham did show that we were able to reduce intracranial pressure, but we don't think it's a class effect. So, I think the sort of big breakthrough will be looking at novel therapies like xenotide and other drugs that, say, work on the proximal kidney tubule. Are they able to reduce intracranial pressure directly? And I think we are on the cusp of a real breakthrough for this disease. Dr Nevel: Great. Thank you so much for chatting with me today. And I really learned a lot, appreciated the opportunity. I hope our listeners learned something today, too. So again, today I've been interviewing Drs John Chen and Susan Mollan about their article on treatment and monitoring 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 us today. 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.
Send us a textScott and John discuss the oft-mentioned dark lord's appearance in songs.Youtube: https://www.youtube.com/@narcissisticmusicdisorderJoin us on Facebook at NMD podcast group.nmdpodcast@gmail.com to contact us.Tell your friends!!Be sure to Like and Subscribe. Thanks for listening!
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A Couple of Multiples: The Reality of Living with Dissociative Identity Disorder
Drew & Garden System have an insightful and informative conversation with Dr. Alison Miller, the author of Demystifying Mind Control & Ritual Abuse: A Manual for Therapists. Dr. Alison Miller shares important signs that therapists should be aware of when assessing for ritual abuse in their clients with DID and provides education on overcoming the programming of mind control.Thank you to our amazing sponsors:Institute for Creative MindfulnessPetals of a RoseSend us a textFollow us on Instagram: @acoupleofmultiples, @note_to_selves, @seidi_gardensystem Follow us on TikTok: @seidi_gardensystem, @note_to_selves Follow us on Facebook: A Couple of Multiples - https://www.facebook.com/profile.php?id=61556823127239 Visit our website: acoupleofmultiples.com to sign up for our mailing list, join our private, on-line community Hearts Multiplied, register for peer coaching, consultations, and workshops!
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On this episode, Vision of Disorder vocalist Tim Williams discusses the creation of their 2001 single "Living to Die" from the album From Bliss to Devastation. Tim opens up about the deeply personal lyrics, written during a difficult time when he was dealing with his father's illness and his own inner struggles. He also reflects on working with producer Machine, whose boundless enthusiasm and creative energy—especially when it came to capturing vocal performances—made a lasting impact during the early days of his now-celebrated producing career. A powerful example of the band's musical evolution, "Living to Die" remains one of Vision of Disorder's most beloved songs and still hits just as hard today. Chris DeMakes A Podcast is brought to you by DistroKid, the ultimate partner for taking your music to the next level. Get 30% off your first YEAR with DistroKid by signing up at http://distrokid.com/vip/demakes For bonus episode of The After Party podcast, an extensive back catalog of past After Party episodes, early ad-free releases of new episodes of Chris DeMakes A Podcast, full video versions of episodes, and MUCH more, head to the Patreon at http://www.ChrisDeMakes.com Follow Chris DeMakes A Podcast on Instagram: https://www.instagram.com/chrisdemakesapodcast/ Join the Chris DeMakes A Podcast community on Facebook: https://www.facebook.com/groups/2643961642526928/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Lauren Henry Brehm joined the podcast to discuss her book The French Court: Essays from One Family's Legacy of Mental Illness and her journey through mental health, family trauma, and personal transformation.Opened up about her grandmother's undiagnosed OCD and its generational impactShared her own suicide attempt and living with Autism Spectrum DisorderReflected on her divorce after 29 years of marriageDescribed her experience in the psychiatric ER and ongoing therapyDiscussed psychiatric medications: Cymbalta, Buspar, Lamictal, TrazodoneMemorable quotes:“I don't want to escape my life, I just don't want it to hurt so much.”“A smile is the shortest distance between two people.”“I learned that I have something to offer everyone.”Purchase Book: https://tinyurl.com/French-Court Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.
I was invited, thanks to the magnificent and only-ever-positive internet, to give a lecture to colleagues in Nigeria. I'm kidding, a little—the internet can be rough. Ask a comment section of a YouTube video! However, it is also a technology that has brought the world closer together. One of those less absurd corners of the internet is LinkedIn—it's like the world's most boring dad and his boss decided to invite you to a global-scale compliance educational module. “So exciting, it's mandatory!”I am giving the internet a hard time. Sometimes it's a special kind of magic. Like, for example, today. Imagine you are a progressive hospital system in Lagos, such as Gracehill Hospital. Yes, that is in Nigeria. It's a progressive country, compared to the rest of the continent, but some of that progress is recent, as in 2023.A new Mental Health law was recently enacted in Nigeria to replace the Lunacy Ordinance of 1958. The passage of the new law was a major leap from the old. It was received with excitement because the former law was not only outdated but failed to address core issues such as the promotion of mental health and the protection of the rights of the mentally ill.If you're looking to move your healthcare system into the future, you might want to consider finding speakers for your grand rounds. With Zoom, it's easy to host hundreds of people. On LinkedIn, you can see professionals posting about what they are up to. And, if you're bold, you can simply ask one of those folks to speak. Which is what happened to me, and how I found myself drafting a lecture on Bipolar Disorder for an audience of Nigerian (and global—many people, both professionals, patients, and family members attend these seminars!).Nigeria has an estimated 250 practicing psychiatrists for a population of over 220 million (WHO, 2023), amounting to roughly one psychiatrist per 880,000 people. I probably spoke to 1/4 of them yesterday.There are substantial barriers to mental health care in Nigeria—much if it financial. According to the World Bank, Nigeria's Gross National Income (GNI) per capita in 2023 was $2,460 USD. Fewer than 10% of Nigerians have health insurance. Those plans cost $250+ a year, but mental health parity doesn't exist, and thus those services are only covered under yet more expensive plans.To draw a direct comparison, Nigeria has 0.11 psychiatrists /100,000 population. This is similar to Kenya (0.2/100,000) but with 400% more money budgeted to address the care of the population. The US has 13/100,000 and spends about 6.2% of its health budget on mental health care.The question, globally, is how to do more for our patients with less harm and at lower cost. One interventional treatment is considered essential—and its ECT. The WHO's keep an “essential medicines” list! Nigeria has access to ECT. Lithium is also an essential medicine. TMS is not on that list, yet. Maybe, I posit, it should be?What follows in this podcast is the talk I gave. Thanks for reading— and listening. A huge shout out to my gracious hosts at GraceHill, and their Partners, who make this series possible!The Frontier Psychiatrists is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.If you are interested in the Validation Institute's award for Best Mental Health Treatment in 2024, consider Radial. It's where I work, and with locations across the US already, we are working to bring the most advanced mental health care to everyone — and make it accessible. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe
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.
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