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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 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!
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!
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.
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!
Teen with a rare, unnamed condition can’t eat food—his body reacts to all food as a virus, baffling doctors. This means he will never know the taste of bacon or pizza. Plus, here is a list of the best companies in DFW to work for. See omnystudio.com/listener for privacy information.
Dr. Jessica Eccles surveys the growing body of research that points to an association between neurodivergence, joint hypermobility, chronic pain, and anxiety. Learn why certain physical symptoms are more common in people with ADHD and autism, and about treatment options. Joint Hypermobility, Pain, & Neurodivergence: Additional Resources Read: ADHD at the Center: A Whole-Life, Whole-Person Condition Read: How ADHD Can Intensify Physical Health Conditions Read: ADHD, Autism, and Neurodivergence Are Coming Into Focus Read: The Gut-Brain Axis Could Accelerate Autism Understanding Watch: The Surprising Association Between ADHD & Inflammation Access the video and slides for podcast episode #560 here: https://www.additudemag.com/webinar/joint-hypermobility-adhd-autism-inflammation-pain/ This episode is sponsored by the podcast Sorry, I Missed This. Search for “Sorry I Missed This” in your podcast app or find links to listen at https://lnk.to/sorryimissedthisPS. Thank you for listening to ADDitude's ADHD Experts podcast. Please consider subscribing to the magazine (additu.de/subscribe) to support our mission of providing ADHD education and support.
Episode Overview:In this episode, host Cali Werner welcomes special guest Jelani Daniel, a seasoned clinician specializing in anxiety and related disorders. Together, they explore the complexities of hoarding disorder, its psychological impacts, and the importance of compassion and understanding in supporting those affected. They discuss common misconceptions about hoarding, the distinctions between hoarding and collecting, and share valuable resources for both individuals struggling with hoarding and their loved ones.Key Insights:What is Hoarding Disorder? Defined by persistent difficulty in discarding possessions, regardless of their value, which can severely impact living spaces.Misconceptions: The portrayal of hoarders in media, especially reality TV, often emphasizes extreme cases and does not represent the average experience.Hoarding vs. Collecting: Important distinctions exist; collectors are organized and display items, whereas hoarding presents a cluttered living environment without utility.Support for Family Members: Encouragement for family and friends to seek their own support while navigating the challenges of living with or supporting someone who hoards.Notable Quotes:"Hoarding can look a lot of different ways." – Cali Werner"Cleanouts do not treat the individual; they treat the house." – Jelani Daniel"Not all clutter is hoarding, and not all clutter is due to hoarding disorder." – Jelani DanielTimestamps:[00:00:00] - Introduction to the episode and hosts[00:01:10] - Introduction of guest Jelani Daniel[00:05:00] - Discussion on what defines hoarding disorder[00:10:09] - Impact of hoarding on individuals and families[00:16:45] - Misconceptions about hoarding vs. collecting[00:24:38] - Understanding the psychological aspects of treatment[00:39:40] - Resources for family members and support groups[00:43:01] - Conclusion and call to actionRelevant Resources:Houston OCD Support: houstonocdsupport.orgFamily as Motivators: gregchasson.comNational Alliance on Mental Illness (NAMI): nami.orgCall to Action:If you found insights in this episode beneficial, please subscribe to our podcast on your favorite platform, leave us a review, and share your thoughts or questions on social media! Connect with us on Instagram @theanxietysocietypod or visit our website at anxietysocietypodcast.com to engage with our growing community.
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!
As Lenin apparently never said, ‘There Are Decades Where Nothing Happens and Weeks Where Decades Happen'. We are clearly living through the latter. Arthur and Jason attempt to untangle the latest: from the Iranian attack on the US airbase in Qatar to Trump's declaration of forever peace to end what he is cleverly calling the 12 Day War.Arthur and Jason rally in violent unity for Mega Ordering -- whether you advocated for Obama's ‘Iran Deal' or supported Trump's tearing it to shreds, whether you love Benjamin Netanyahu or think he is an evil genius, whether you supported Trump's Beautiful Bunker Busting against Fordow or see it as an illegal and reckless gamble, all sane centrists must now advocate for Western unity in ending the wars in Gaza and Iran. The power balance of the Middle East has been fundamentally reconfigured. It is uniquely favourable for peace. As Arthur and Jason try to Order the Disorder, they discuss if the Europeans can help get us there and why Bibi appears hellbent on spoiling his own achievements.Producer: George McDonaghSubscribe to our Substack - https://natoandtheged.substack.com/Disorder on YouTube - https://www.youtube.com/@DisorderShow Show Notes Links:Iran fires missiles at US base in Qatar, Trump calls for peace: https://www.reuters.com/world/middle-east/iran-weighs-retaliation-against-us-strikes-nuclear-sites-2025-06-23/Watch How The Iran Israel War Could End - https://www.youtube.com/watch?v=fymBJbsBDfI Arthur's excellent substack Time to learn about Iran's separatist movements: https://substack.com/home/post/p-166505834 And our Substack, Were the Iranians forewarned? why are the markets so placid? What happens if Hormuz is closed? https://natoandtheged.substack.com/publish/posts/detail/166535764?referrer=%2Fpublish%2Fhome Alia Brahimi on the questionable legality of the strikes https://foreignpolicy.com/2025/06/23/iran-war-israel-us-trump-preventive/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.
As Lenin apparently never said, ‘There Are Decades Where Nothing Happens and Weeks Where Decades Happen'. We are clearly living through the latter. Arthur and Jason attempt to untangle the latest: from the Iranian attack on the US airbase in Qatar to Trump's declaration of forever peace to end what he is cleverly calling the 12 Day War. Arthur and Jason rally in violent unity for Mega Ordering -- whether you advocated for Obama's ‘Iran Deal' or supported Trump's tearing it to shreds, whether you love Benjamin Netanyahu or think he is an evil genius, whether you supported Trump's Beautiful Bunker Busting against Fordow or see it as an illegal and reckless gamble, all sane centrists must now advocate for Western unity in ending the wars in Gaza and Iran. The power balance of the Middle East has been fundamentally reconfigured. It is uniquely favourable for peace. As Arthur and Jason try to Order the Disorder, they discuss if the Europeans can help get us there and why Bibi appears hellbent on spoiling his own achievements. Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ Disorder on YouTube - https://www.youtube.com/@DisorderShow Show Notes Links: Iran fires missiles at US base in Qatar, Trump calls for peace: https://www.reuters.com/world/middle-east/iran-weighs-retaliation-against-us-strikes-nuclear-sites-2025-06-23/ Watch How The Iran Israel War Could End - https://www.youtube.com/watch?v=fymBJbsBDfI Arthur's excellent substack Time to learn about Iran's separatist movements: https://substack.com/home/post/p-166505834 And our Substack, Were the Iranians forewarned? why are the markets so placid? What happens if Hormuz is closed? https://natoandtheged.substack.com/publish/posts/detail/166535764?referrer=%2Fpublish%2Fhome Learn more about your ad choices. Visit megaphone.fm/adchoices
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.
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
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. 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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.
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.__
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
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 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.