Podcasts about Dorsal

We're back with a brand new series, and I'm so excited to share it. In each episode, we're unpacking the 5 nervous system states, uncovering why you're in each state, exploring the thoughts, feelings, and behaviours associated with each state, and educating you on the separation between your personality and your nervous system. Today we're diving into dorsal shutdown. If this resonates, leave a comment below! 

SYNOPSIS:What if the autonomic nervous system is more than a mechanism to regulate – and part of the extraordinary way our bodies are in relationship with one another?In this expansive conversation, dance/movement therapist, human rights psychotherapist and author Dr. Amber Elizabeth Gray joins Ali Mezey to explore the autonomic nervous system through the lenses of Polyvagal Theory, movement, trauma, relationship and the lived intelligence of the body. Drawing on nearly three decades of work with survivors of torture, war and human rights abuses – as well as her long collaboration and exchange of ideas with Stephen Porges – Amber takes the conversation beyond simplified notions of sympathetic “bad,” parasympathetic “good,” and regulation as the goal. Instead, she invites listeners into a nervous system that protects, mobilizes, settles, connects, plays, dances, loves – and continually responds to the bodies and world around it. Ali and Amber explore the vagus nerve and the promises and controversies of Polyvagal Theory; why “safety” isn't equally available to every body; the danger of privileging particular nervous-system states; and what changes when survival responses are understood not as failures, but as expressions of an organism doing its best to remain whole. Amber also shares how movement became central to her work with profoundly traumatized people, and how her own embodied inquiry has led her toward a practice of restoration, reclamation and resistance. Along the way, the conversation wanders – as bodies do – through whales and dolphins, evolution, intuition, pattern recognition, the natural world, and the possibility that our nervous systems may be far less individual than we imagine. Ultimately, this is a conversation about relationship: within our bodies, between bodies, and between ourselves and the larger living world. What becomes possible when we stop trying simply to “regulate” the nervous system and begin listening to the complexity, creativity and intelligence of what it is already doing?To subscribe now, click hereTo be an angel to the podcast, click here To read more about the podcast, click here FOR MORE ALI MEZEY:Website: https://www.alimezey.comPersonal Geometry® and the Magic of Mat Work Course information:FREE Guided Body Mapping Taster: Heart/Sexuality SplitFive-films series (made by Ali Mezey) on renowned Family Constellation Facilitator, Stephan Hausner's work with transgenerational influences on illnessFOR MORE DR AMBER ELIZABETH GRAY: BIO: Dr. Amber Elizabeth Gray is an award-winning dance movement therapist, human rights psychotherapist, and Continuum teacher. She has worked for 29 years with survivors of human rights abuses, war, torture, natural disasters,  and historical and intergenerational trauma. Equally artist, advocate, author, educator, poet, mystic and therapist, she, her clients, Ancestors and mentors co-create, ongoing, survivor- & Spirit-centered, Polyvagal-informed approaches to DMT for trauma and resilience  that are holistic and emergent. A lover of all things wild, Amber regularly facilitates eco-somatic and movement retreats for survivors  and caregivers. She brings her RightToEmbody human rights and  BodyOfChange planetary rights work to survivors, therapists, educators, change agents and advocates worldwide.  Her book, Polyvagal-Informed Restorative Movement Psychotherapy: Roots, Rhythm, and Reciprocity will be released August 11, 2026.CLAIM YOUR DISCOUNTED COPY HERE AMBER SOCIALS:Website: | https://ambergray.com/Facebook: | Amber Elizabeth Gray YouTube: | Amber Gray@ambergray127LinkedIn: | Dr. Amber Elizabeth L. GrayInstagram: | Restorativeresources PREVIOUS TBBP EPISODES WITH AMBER:Trauma and the Body with Amber Gray: Regulation, Restoration, & The Patience of Whales...REPRISEDTrauma Healing, Somatic Psychology, and Human Rights Advocacy: LIVE AUDIENCE Q&A RECORDING W/ AMBER GRAYEarth Body Meditation: Rooting into Beloved Ground w/ AMBER GRAYDEFINITIONS, RESOURCES & INSPIRATION:Nervous System & Polyvagal TheoryAutonomic nervous system (ANS): The part of the nervous system that largely regulates involuntary bodily functions – including heart rate, blood pressure, digestion, breathing patterns, temperature regulation and sexual arousal. It continually responds to conditions inside and outside the body, helping us mobilize, rest, protect ourselves, connect and adapt.Somatic nervous system: The part of the peripheral nervous system primarily involved in voluntary movement and in carrying sensory information between the body and central nervous system. It allows us to consciously move skeletal muscles and perceive sensations such as touch, pressure, temperature, pain and body position.Sympathetic and parasympathetic nervous systems: Two major divisions of the autonomic nervous system that work together to continually adjust bodily functions. The sympathetic nervous system is often associated with mobilization and action, while the parasympathetic is often associated with rest, digestion and restoration. These are not simple opposites or “on/off” systems; both participate dynamically in healthy functioning, movement, relationship and responses to our environment.Ventral vagal: Within Polyvagal Theory, a term for vagal pathways associated with the nucleus ambiguus in the brainstem and with social engagement, connection, physiological flexibility and the capacity to remain engaged with others in conditions of relative safety.Dorsal vagal: Within Polyvagal Theory, a term for vagal pathways associated with the dorsal motor nucleus of the vagus in the brainstem. The theory associates these pathways wit...

For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course.  As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman answers practical questions about fractured root tip retrieval, bone removal, surgical extraction technique, patient positioning, and extraction site closure. He explains why adequate bone removal can make root retrieval safer and more predictable, and why trying to move a root with excessive force can create unnecessary risk—particularly when extracting mandibular first molars in small dogs with significant periodontal bone loss. What You'll Learn in This Episode

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Karin G. Johnson, MD, FAAN, who served as the guest editor of the August 2026 Sleep Neurology issue. They provide a preview of the issue, which publishes on August 3, 2026. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Johnson is a Professor in the Department of Neurology at the University of Massachusetts Chan School of Medicine–Baystate and the Sleep Medicine Division Chief at Baystate Medical Center in Springfield, Massachusetts Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum 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: @LyellJ Guest: @drsleepykarin  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 subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast.  Dr Albin: All right, welcome all. For the first time ever in the history of Continuum Audio, we are coming to you live from Chicago here at the AAN annual meeting. And now over to your host, the one and only editor-in-chief, Dr. Lyell Jones.  Dr Jones: Welcome, everybody. My name is Lyell Jones, editor-in-chief of Continuum, and I'm here today with Dr. Karin Johnson, and we're interviewing Dr. Johnson for the upcoming and recently published issue of Continuum on Sleep Neurology. We have been doing Continuum Audio for a while, but we're doing something different this time. As our listeners online can tell, we are recording this for the first time ever with a live studio audience at the American Academy of Neurology annual meeting in Chicago, Illinois. So, this is a fun experience for us. I hope it's been fun so far for you, Dr. Johnson.  Dr Johnson: Great to be here.  Dr Jones: It's great to have you. So, before we get into the interview, I do wanna introduce our team here for the live recording of the podcast. You've already heard Dr. Casey Albin's voice. Dr. Casey Albin is an associate professor of neurology at Emory University. Also serves as one of our associate editors at the journal and one of our Continuum Audio interviewers. So, she's going to be working the crowd today. Let's have a round of applause for Dr. Albin. And our guest of honor today is Dr. Karin Johnson. Dr. Johnson is a professor of neurology at UMass Chan Medical School and, Baystate Medical Center in Massachusetts. She is a world-renowned expert in sleep neurology and is the guest editor for the most recent issue of Continuum on Sleep Neurology. Dr. Johnson, welcome. Why don't you introduce yourself to our audience?  Dr Johnson: You did a great introduction, but I'm a clinical sleep medicine specialist. Spend my days seeing patients, taking care of people with narcolepsy, sleep apnea, restless legs, everything that comes my way. And then I have a side interest in doing sleep medicine advocacy, especially for permanent standard time.  Dr Jones: And we may get to that. I mean, that might be part of our conversation today. So, you've now read all of the articles in this issue, and it's a really great issue. There's a lot of new developments in sleep neurology. There are some updates for clinicians, people who see patients with sleep disorders that I think are, are timely and important updates. You have this unique view because you have just read all of these articles, really good articles by expert authors. When you read through these, Dr. Johnson, what was the biggest, what was the biggest thing that surprised you?  Dr Johnson: I think the biggest surprise for me is just so many changes in, in all of these articles. I realized how easy it was for us to make a journal that is so different from a few years ago. Whether it's Dr. Stahl's obstructive sleep apnea and new ways to think about endotyping sleep apnea that is gonna have treatment implications or the new treatments that are out there like tirzepatide, the changes that we're having with restless leg treatment. I particularly wanted to have a chapter on circadian neurology that Dr. Abbott did a great job really highlighting how if we think about the timing of when we give meds, the timing of when we eat, how that really can help neurological health, brain health, overall health, as well as mental health and cognition, especially as the AAN thinks about brain health as a whole, not just treating our patients, but how we can treat the population of people by improving sleep. I like how we hit on all these different areas in this issue.  Dr Jones: And I don't know how you managed to do it. They're just a small number of articles. We cover a lot of existing territory with well-characterized diseases, with new advances. But there's a lot of new stuff in sleep, and so somehow, it's all packed in there. It's really impressive. One of the things I was gonna ask you about was an evolution, and this has been a number of years now in how we manage restless leg syndrome. When I was training, it was all about dopamine agonists, and that was your first line. And over time, the evidence has supported moving away from that, and now we have more recent guidelines that have come out, and it's really the alpha-two delta-one calcium channel antagonists. How is that transition going? Do you still see people in practice who come in on dopamine agonists? How is that going? How's the field responding to that?  Dr Johnson: That's one of my most frequent restless leg consults. So even though it's been years since I have really initiated dopamine agonists in my patient, every day we get in people often on very high doses of dopamine agonists, and their doctors have just been escalating and escalating these meds over the years, and they come in with horrible augmentation. Their symptoms are much worse than they used to be, happening earlier in the day. And so, trying to get these patients off of these meds that are addictive, the way I like to teach about it is these dopamine agonists are the Fioricets of the sleep world. We know they work great, but in the long run, the patients are gonna be worse overall. And so, it's so hard to get people off these dopamine agonists, just like it's so hard to convince a headache patient that they don't need their Fioricet and that they're gonna be better off if we can get them off of it. What I think has really changed is we have more options to use. So, the alpha-delta-like agonists like gabapentin are now considered first line, but there's a lot of patients who they just don't work well enough with or they don't tolerate. And so, what do you do in that case? It's easy when that works, but and, when that doesn't work, we are being much more aggressive these days with iron replacement, potentially even trying to push ferritin levels in refractory patients up to three hundred, and using IV iron rather than just oral iron to get over the absorption issues to get the brain levels high enough. Motor stimulators, little cuffs that kind of go around the leg and stimulate the peroneal nerve in a certain way that not only can give people immediate relief, but also some data that suggests that over time it actually lessens their restless legs. We have agents like dipyridamole that work on the adenosine system in a sort of new novel pathway at addressing restless legs. And then the opiates, often meds like methadone or Suboxone can be used in some patients. But as we're getting more of these other options, often we don't need to go to those levels because we do have more to work with.  Dr Jones: So, the key point is lots of options. We're not starting with dopamine agonists anymore. And I think the fact that you're still seeing a lot of patients who have been initiated on that probably tells us there's an education gap field that we need to work on. So, another thing that I noticed reading through the issue was, and this feels like a change over the last few years, is the availability and the tendency to use in-home sleep apnea testing as opposed to formal, traditional in-lab. And that feels like a great new option, and maybe that increases and improves availability for patients who need access to the test. But how do you work through that?  Dr Johnson: So, I love in-home testing. We've been using it for over a decade. Other parts of the country where insurances didn't sort of mandate it are now being more mandated. I think the real change happened for a lot of places over the pandemic when labs closed down. But I think it's good because it brings a lot more patients to us. They get tested, they get tested quicker. People who would say, "I would never go into a lab. Oh, I'll do a home study." So, it just does bring more people in, and it gets them to treatment that they need that can really be life-changing. But it's not for everybody. The biggest people are people that have other bad pulmonary issues. If you're on oxygen therapy, you should not be getting a home study. That really should be a group of people that come in the lab. Similarly, if you have bad COPD, you probably should be getting a full in-lab study, so we can get more monitoring. Central sleep apnea is an interesting one. It can be very hard in some cases to differentiate the centrals and obstructive nature as well on a home study. Doesn't mean you can't do a home. So, if it's a person that just can't get an in-lab study easily, maybe you start with the home. If it looks purely obstructive, and you're all set, then you got an answer, and you can move on. But if you get back a home study that looks questionably central, they're gonna need to come into that lab. So, if you already know they're high risk because they're on narcotics, cause they have congestive heart failure, it's usually worth going straight to the lab. But again, you may consider a home study based on the patient. Patients that really cannot use the equipment can also be an issue. So, if they've had a debilitating stroke and have no one to help them put on that device, or cognitively they just can't handle the device, they're gonna be someone who's gonna benefit from coming into the lab and getting the help from the techs. So, those are the big populations that you might go starting for a home. And then the other thing that confuses a lot of people, the home is only for diagnostics. It really isn't for treatment. So, I have patients that say, "Oh, like, you can just titrate my CPAP with a home study." No. So if it's a treatment decision where they're not doing well on treatment, or I need to figure out do they need CPAP or BiPAP or IVAPS or one of these more complicated treatments, those are people that are gonna need to come into the lab to get that treatment portion of the evaluation.  Dr Jones: What a great summary. That's like everything I needed to know about who do I need to bring into the lab and who do I think maybe could do an at-home study. Really great. And speaking of devices, I think all of us who see patients in the room here and our listeners out there online have experienced patients, and this feels like a very recent phenomenon to me, are coming in with their commercial at-home wearable device. And they have printouts sometimes, and they show me their phone, and they give me some numbers that I don't really know how to interpret. Reading through this issue, I learned a couple of great new words. I learned about orthosomnia, right? So, people who become so preoccupied with their sleep, it keeps them awake at night, literally, right? I mean, it's a complete paradox. I learned about nearables, so things that aren't necessarily wearables that are just in the room while the patient is sleeping that monitor proxies for sleep quality, sleep stage, and other things. And I frankly, I'm not really sure what to tell patients. So, what do you tell patients who come in with all the data? Like, or how do you tell patients to use these?  Dr Johnson: I think these devices can go both ways. So, I do kind of say the pros and cons of these devices. I think for a lot of patients, they're empowering. It's getting them to think about sleep, to wanna know how good their sleep is. Are they getting enough sleep? So, if it's used in those ways, it's gonna be very helpful. I actually had a patient last week, and they noted that they're having big desats all night and could show me essentially an overnight oximetry data rather than me having to order it, and I had days of data, which sometimes can be too much. But in this case, it's like, oh, when he was on his side that night, he looked a lot better, so I can use that to give advice to the patient about particular treatments. He actually went down to Mexico, and a doctor friend gave him oxygen therapy while he was there randomly. And we could see on the nights that he had the oxygen therapy, it did really help his central sleep apnea pattern. And so that pushed us towards saying, "Let's qualify you for that up here in the States." So, I think in some cases it can give really important data. Now, I saw a posting on social media the other day of someone saying, "Can I get advice on how to improve my REM sleep? My tracker says I have no REM sleep, and I need to do something about it." There's really not data to support needing to do something about it. And so, I do think it can get some people on these wild goose chases, trying to get to a certain percentage of sleep. And these trackers, they're good in a lot of ways, but they're not perfect. He could be getting REM sleep that the tracker on him does not show. You want to relate it to what symptoms are they having. I think they can be very good for trying something out. So, let's say someone, has their tracker telling them they get five hours of sleep, and they try this intervention, and that helps them show that they got the seven hours of sleep, or they went from no REM to REM and it goes in the right direction. It can help give them that positive feedback that something they're trying, is working. But the absolutes for any given patient, it's hard to over-- What does it mean if it says you've got a 50% score versus a 70% score? That may or may not be meaningful in any given person, but again, they can compare themselves to themselves. If they were a lower score and now they're a higher sleep score because they did something that was meaningful, and that goes along with them feeling better, that can help give them that positive feedback to do something good.  Dr Jones: So, a little bit of a mixed picture.  Dr Johnson: Yeah.  Dr Jones: Sometimes they help. Sometimes they distract. Hopefully- Dr Johnson: And as a provider, sometimes it can be overwhelming because they're like, "Come look at my year's worth of data." And you're like, "No."  Dr Jones: Yeah.  Dr Johnson: You know, let me see one page or two pages of data and be like, "Yep, okay, I get it." Dr Jones: Just show of hands in the audience, who in the room wears a sleep device at night, like a ring or a, some kind of sleep monitoring app? That's about half the audience.  Dr Johnson: This is why they're here.  Dr Jones: So that's really helpful, and I think it is. You want to be supported by the data. You want to be supported by evidence and high-quality biometric evidence. Another big trend, and this has been a number of years in the making, is the understanding, Dr. Johnson, of the relationship between sleep physiology and neurodegenerative disease. One of the things I love about neurology is there's still so much left to learn about the normal physiologic functioning of the brain. So glymphatics and other aspects of sleep physiology that we didn't know about a decade or two ago. When you think about how that relationship has developed, sleep physiology, maybe sleep disorders and neurodegenerative disease, how has that changed your approach to talking to patients? Do you counsel patients differently now because of what we understand better about that?  Dr Johnson: Yeah, I mean, we are still limited with our data. We have so many studies that show the associations between whether it's not enough sleep, too much sleep, or having a sleep disorder like obstructive sleep apnea, and that being a risk factor for stroke or Alzheimer's or Parkinson's. But we still sort of lack the treatment trials that necessarily say, "If you treat obstructive sleep apnea, you're gonna have less dementia," or, "You're gonna be less likely to have that stroke." So, we have a lot of physiological studies, a lot of reasons why it makes sense, but we don't have that final, nail in the coffin to say, "If you do this, you'll definitely be better." So, we know certain groups are more at risk. If you have obstructive sleep apnea and you are symptomatic, you seem to have higher cardiovascular risk. If you have a person who's had a stroke and we find a milder case of sleep apnea, and they're someone that's totally asymptomatic. They say, "I sleep fine. I feel fine." There's not great data to say, "If you treat your sleep apnea, you're gonna be less likely to have a stroke." Now, if they come in and they're sleepy and their sleep apnea is really severe, and they have more hypoxic burden, which is also more connected with a lot of these risks, I'm going to say, "I think you are in the higher risk group of sleep apnea people who it's probably gonna be more likely to help your cardiovascular risk, your dementia risk." We can counsel them, and then it's really a personal decision. Some people are like, "No way. I'm never gonna use a CPAP machine, ever." And other people are like, "You know, my mom had a stroke. My dad had Alzheimer's. I want to do every possible thing I can to make it less likely that I have this outcome that I want to avoid." And so, you're going to take that in to, you know, do you want to try this treatment or not? It's a lot easier when you have outcomes that you can follow, like, "If I try CPAP, does my blood pressure get better? Do I stop having AFib attacks?" It's a lot harder when, will I or not get Alzheimer's ten years down the road or have that stroke?  Dr Jones: It's hard to get people to do things for kind of an abstract prevention down the road, but could be important. Are there trials going on that are going to assess this data?  Dr Johnson: Yeah. We currently have a big trial getting people right away, right after their stroke, on CPAP, and not only looking at prevention, but also looking at recovery outcome. It's been running for several years. Hopefully, we'll get enough data to close out the study coming up.  Dr Jones: We'll look forward to that.  Dr Johnson: Yeah.  Dr Jones: So, I'm really excited to get to our audience here, but before we do that, I do want to ask Dr. Johnson one more question. Dr. Johnson is famous for her advocacy for sleep in general, but specifically related to Standard Time. So, let's do a little experiment here. I didn't warn Dr. Johnson about this, so we'll see how she does. She does a ton of advocacy. She's a pro. So, pretend like we're in DC, and I'm a senator, and we just got in an elevator. You're going to give me your elevator pitch on what we should do.  Dr Johnson: So, you know, sleep is one of the few essential things in life. We need to eat, we need to drink, we need to have clean air, and we need to sleep and when we improve sleep, we can improve basically every outcome, whether it's academics, whether it's productivity, whether it's our physical health, our mental health. And the problem is we structure our lives in a way that really keep people, and especially our teenagers, from getting the sleep they need. And one of these structural things we do is permanent daylight savings time. Essentially, what you're doing is you're putting the sun out later, makes it harder to go to bed. I was just talking to someone, the sun's going down at 9:00, and you need to get your kid to sleep at 7:30, 8:00 so they can get the amount of sleep they need. That is almost an impossible task because their circadian rhythms are being pushed later, they can't fall asleep on time. Then you're setting their clocks an hour earlier, so when that alarm clock is going off at 6:00 AM in the morning, it's actually 5:00 AM in the morning. You're squeezing sleep from both sides, and it's basically impossible to get enough sleep. A lot of people think the only problem with daylight savings time is twice a year with the changes, and there are certainly harms related to that. So, a lot of people think if we went to permanent daylight savings time it would be better, and we got rid of those changes. What they don't realize is that permanent circadian misalignment by setting the sun more ahead, at 1:00 to 2:00 instead of at noon causes the sleep and circadian disruption all year round that leads to increased incidents of strokes, of heart attacks, of obesity, of cancer, of suicides, of depression, of worse academic grades. Again, pretty much every outcome you have there that relates to brain health, we have now data that shows that it's worse. And so, we can improve our lives if we can go to permanent Standard Time.  Dr Jones: You convinced me. How about that? If there were any skeptics in the room, I doubt there are any left. We only went to like the fifth floor there, and she... I'm like, "I'm voting for this. Whatever, whatever this bill is, I'm gonna vote for it." So, I'm excited to get to the audience here. Before we get to questions and answers, and we want you to get your questions ready for Dr. Johnson. I do have a couple of trivia questions. And we've been doing this for a little while now on the podcast. The first trivia question actually relates to arts and culture.  Dr Jones: What famous artist used transitions between sleep and wake states to inspire his art? Anybody know?  Guest Speaker 1: Is it Van Gogh?  Dr Jones: Not Van Gogh that I know of. There in the back.  Guest Speaker 2: Picasso.  Dr Jones: Picasso, not that I know of. Right here.  Guest Speaker 3: Salvador Dali.  Dr Jones: Salvador Dali. We have a winner. Thank you for your answer. So apparently, I read this. Salvador Dali would sit in a chair holding onto a metal key and wait until he fell asleep, and it would fall out of his hands and drop into a bowl, and it would wake him up. So, then he would pick it back up, and he would go in and out of sleep trying to generate hypnagogic hallucinations, basically, and he would use that to inspire his art. And you think about his art, maybe that kind of makes sense. All right, now I've got a neurology trivia question. Okay, so maybe we're a little more comfortable with the neurology trivia in here. What is the center in the brain that is responsible for REM sleep atonia?  Guest Speaker 4: The receptor is for erection in the lateral hypothalamus.  Dr Jones: That is not correct. REM sleep atonia. Right here.  Guest Speaker 4: Emilio Malgona, Hyannis, Massachusetts. Dorsal raphe nucleus.  Dr Jones: We'll give you credit for that. Very good. Excellent. So, the-  Dr Johnson: Well, no. That's actually the serotonin. He's talking about another one.  Dr Jones: Oh, I thought I heard, I thought I heard-  Dr Johnson: You heard dorsal  Dr Jones: ... I heard dorsolateral tegmental nucleus of the pod.  Dr Johnson: Not quite.  Dr Jones: You get a prize anyway, sir, just for, just for answering. Thank you very much. All right. So, we're all warmed up here. So, Dr. Albin, what do you think? Should we get some questions from the audience?  Dr Johnson: All right, we've got some questions.  Guest Speaker 5: I have a statement and a question.  Dr Jones: Please tell the podcast your name again, sir.  Guest Speaker 5: Steve Spar, New York City. The tyranny of the morning people. You don't want people, you don't want the sun to go down too late because it'll keep people up longer. I spent my whole life fighting people like you. I am a nighttime person. Why do I have to go to sleep earlier? I want to go to sleep later. I want to wake up later. I don't want to wake up at 7:00 in the morning. I want to wake up at 10:00. There's a certain tyranny that we must use circadian rhythms of the majority, and it persecutes people like me who are night people.  Dr Johnson: So that is a great question.  Guest Speaker 5: What say you?  Dr Johnson: What say me is actually the harms of daylight savings time are actually to the night owls, and don't really affect the morning people. I can still go to sleep on time and get up on time without that pressure of needing to go to work. The night owl people, they can't fall asleep until later. They want to sleep in earlier, but we're forcing them to get up an hour earlier for work and school. And because we're doing daylight savings time, you're not getting the morning light you need, you're getting too much light at night, and you are more sensitive to a delay in your circadian rhythm, which makes you even more of a night owl and increase the degree of social jet lag. So, we actually see that the harms and risks of things like depression, cardiovascular risks are much greater in night owls than they are in normal people or morning larks. And this is again why the risks are the highest for our teenagers, who are essentially all night owls. You're making it harder for them to fall asleep on time. You're making them more and more of a night owl that it becomes more out of line with our standard social schedule. So, what we can do for a night owl is say to our schools, say to life that we want to change our society norms of getting up early. But that has nothing to do with daylight savings time. That has to do with how we make our schedule Dr Jones: All right, next question. And introduce yourself to the audience.  Guest Speaker 6: Sure. I'm Sanjay Rathi from New Haven area, Neurology. Movement disorders, Parkinson's disease, sleep disruptions, sleep-regulating REM, RBD issues, what are your recommendations? And as things get worse, what additional intervention should we do?  Dr Johnson: Yeah, I think it's hard with a lot of our neurodegenerative disorders, it's a two-way sleep. The disorders themselves often worsen sleep quality, have decrease in their sort of circadian amplitudes, and so that can affect sleep ability. And so, trying to do the things that promote sleep, like getting lights down in the evening, keeping things dark and quiet, doing cognitive behavioral sort of therapies if that's needed can all be helpful. Very high incidence of obstructive sleep apnea or other sleep-disordered breathing, whether it's Parkinson's or other neurodegenerative disorders, so evaluating and treating that if need be. And some of these people, especially as they get later on, you may end up considering medication for insomnia because their underlying disorders was causing it and there's, and you're not going to CBTI your way out of it. We do have the new orexin antagonist sleep agents, which are more recommended for older people and probably safer agents than your Z drugs and some of the other sleep meds out there. So, some people should be on some of those meds if their sleep is so disrupted. I've seen some sleep studies where it's basically like wake, sleep, wake, sleep, wake, sleep all night long. And it's like, wow, you really cannot sustain sleep, and we think it's not just a behavioral thing. I think it is part of their underlying Parkinson's and underlying disorders that can really cause major sleep disruption.  Dr Jones: It's a great question. Before we get more from the audience here, Dr. Albin, I'm just curious, you know, you got some questions from online. Don't know if any of those stood out to you. And the other thing is, I think about your practice, Dr. Albin, as a neurointensivist, there's some great content in this issue on how to maintain an adequate sleep environment in the hospital and the importance of that for the acute episode, maybe for some long-term outcomes. When I was reading the article, I didn't really didn't think about the ICU setting. That must be-- what do you do in the ICU?  Dr Albin: Well, we happen to have a question about just that. Dr Jones: Well, there you go  Dr Albin: From Dr. Manners of Baltimore, Maryland. "What meds should I be giving patients in the ICU or the inpatient setting to preserve or recalibrate their sleep-wake cycles? Is there anything that we can do besides just getting them out of bed during the day?"  Dr Johnson: Meds are always hard cause as sleep doctors, we're usually the last one to recommend meds. But there are situations and scenarios where meds may be appropriate. I can't say what's one better than the other, and some of the meds we have probably aren't even available as options in the hospital. So, the, you know, again, the orexin antagonist may be a good class to try to use, but they may not be an option. There was a good study that looked at empowering the patient and whether or not the ICU patients are empowerable. But they give a card to the patients in the hospital and say, "Tell your nurse to turn off my TV and my lights. Do I need all the blood draws all throughout the night, or can it be put off to the morning?" And trying to empower the patient to ask for these things and do some of the behavioral things. And they found that doing that did improve the duration of sleep, did reduce some of the number of awakenings that people ended up having at night. So, I think the ICU is a very particular population where there's a lot of things you can't get rid of. But certainly, turning on the lights, turning off the lights, and trying to limit noises as much as you can, in those night hours, trying to give some sense of a 24-hour day. The other thing is feeding is really important to circadian rhythms. I had a patient that had a brain bleed and, after it, she just her circadian rhythms were just off, and part of it was she was getting tube feeds through the night. So, one of the very first interventions we did was to move her timing of her feeding so that it wasn't in sleep, and that really did help make a difference in getting her back on a pattern, along with light therapy and other behavioral techniques as well.  Dr Jones: It's a great question.  Dr Albin: Absolutely. I mean, I think that validates just that we spend a lot of time actually asking like, "Can we feed people during the day?" Or, "Can we, can we limit the amount of baths that are happening at 3:00 in the morning?" We also had another one from the audience that came from Dr. Lavina Singla of Mississippi, and I think a lot of our patients are asking this question. Is melatonin addictive?  Dr Johnson: Is melatonin safe? Is melatonin addictive? I think with any sleeping aid, people become addictive to what they perceive is the outcome. So, if they said, "This got me to sleep, and now I'm sleeping great, I don't want to come off of it." And so, you get this to meds that are truly addictive, but even meds that aren't felt to have that addiction, there is certainly a behavioral change. And that's a lot of what cognitive behavioral therapy is working with these patients on, is challenging that belief of maybe it isn't the med, maybe it's your internal belief and your worry about doing this. One thing about sleep is sleep happens when you are relaxed and calm and not worried. When you're worried about thinking that thing you're worried about is whether or not you're getting sleep, then you don't sleep. In terms of melatonin, if you don't need to use it, I wouldn't use it. If you are gonna use it, I'd try to use as low doses as possible. Do we know all the risks? We don't know. And especially I think there are potentially more risks in a growing child than, maybe someone who isn't having the same sort of hormonal, needs and growth needs. But then again, if you have, let's say, a kid with autism and melatonin helps him sleep, I'd much rather use melatonin than a lot of other agents, and if that really changes their functionality, that probably is very good for them and better than having them not get sleep. So, I think you have to weigh each individual situation and combine it, especially with the behavioral approaches so that hopefully this is not a long-term addictive thing you're on.  Dr Jones: So, it's complicated. Sounds like it.  Dr Albin: Not a straightforward answer.   Dr Jones: I thought that was gonna be just this hard no, but I guess it is something you have to think about. So, I want to really take a minute here to thank Dr. Karin Johnson, who has been our interviewee for this episode of the Continuum Audio Podcast sleep issue just came out. Really want to encourage our subscribers, our listeners, and our studio audience here to enjoy it. Thank you, Dr. Johnson, for joining us today. I want to give a big round of applause to Dr. Casey Albin for managing this crowd. Thank you to our listeners. Thank you to our subscribers. Thank you to you all for coming 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. Thank you for listening to Continuum Audio.   

Aqualad's feeling blue (and also a little horny) but don't worry, Aqua-Girl's here to save the day on both counts! Unfortuantely Dr. Dorsal has other plans! The most sensational new character find of 1967 is right here, in Aquaman #33! Chapters (00:00:00) - Oh, My!(00:00:17) - Aquaman(00:02:51) - Are You Ready to Camp?(00:05:06) - The Little Mermaid(00:06:55) - Aquaman and Aquagirl Go Berserk(00:09:33) - Aquaman The Little Mermaid(00:13:13) - Freddie in Street We Live(00:14:22) - Aquaman and Aqualid: The Movie(00:18:03) - Mermaids in the Ocean(00:21:42) - The Secret to Dancing Under the Sea(00:24:06) - Dr. Dorsal(00:28:57) - Heist Kids: Aqualid the Diving Horse(00:34:17) - Aquaman rescues frightened kids from the ocean(00:36:41) - The Scarecrow and the Shaggy Man(00:40:31) - Spy in the Sea: Writing on waterproof paper(00:42:10) - Amino vs Aquaman(00:46:43) - The Case of the Aqua Kids(00:47:59) - Dear Editor, I Think Aquagirl Should Be the Girlfriend(00:50:52) - Little House in the Prairie Reboot

Sometimes the body's answer to too much isn't panic, it's the opposite: going quiet, going numb, wanting to disappear. That's shutdown, the bottom of the Polyvagal ladder, and it's where a lot of what gets called depression actually lives. Here's what it feels like from the inside, why your body would ever reach for it, and the slow, gentle way back up. No pushing through, no forcing it.

Dr. Kiran Patel shares a story of a post-surgical continued spine pain patient that gets relief after having a dorsal root ganglion stimulation procedure. Kiran V. Patel, MD is a global leader in neuromodulation and interventional pain, widely recognized for advancing dorsal root ganglion (DRG) stimulation in clinical practice and physician education. She is board-certified in Anesthesiology and Pain Medicine and serves as Director of Pain Medicine at Lenox Hill Hospital in New York City and Founder and CEO of the NYC Neuromodulation Center of Excellence. Dr. Patel also leads the ACGME-accredited Pain Medicine Fellowship at the Zucker School of Medicine at Hofstra/Northwell, where she is dedicated to training the next generation of interventional pain specialists. Her work focuses on advancing precision-based, function-driven care through targeted therapies and innovation in neuromodulation. A nationally and internationally sought-after educator, Dr. Patel trains physicians in advanced pain procedures and neuromodulation techniques across the globe. She also leads a robust portfolio of clinical research in neuromodulation and the integration of artificial intelligence to improve patient selection, outcomes, and care delivery. Dr. Patel serves as a Director-at-Large for the International Neuromodulation Society and has previously served on the Executive Board of the North American Neuromodulation Society (NANS) as well as the American Association of Pain Program Directors (AAPD). Her leadership has focused on advancing physician education, training standards, and the evolution of neuromodulation practice. Resources: Neuromodulation Abbott Clinic Locator Show Sponsor: The Cox 8 Table by Haven Medical

Uma conversa com um grande nome da ficção científica brasileira e uma mente capaz de materializar mundos, visualizar futuros e carregar mensagens vindas de outras dimensões. Com o escritor, pesquisador, tradutor, músico, compositor, poeta, blogueiro e governante de Campinoigandres: Braulio Tavares.*Apoie o podcast: alinevalek.com.br/apoieParticipe do Clube de Leitura Bobagens Imperdíveis: alinevalek.com.br/clubedeleituraAssine nossa newsletter: alinevalek.substack.com*Links relacionadosLivro “A espinha dorsal da memória", de Braulio Tavares https://link.amazon/B06iDF68vBlog Mundo Fantasmo https://mundofantasmo.blogspot.com/Acompanhe a newsletter de Braulio Tavares https://brauliotavares.substack.com/Livro “O que é a ficção científica?”, de Braulio Tavares https://www.goodreads.com/pt/book/show/18621614-o-que-fic-o-cient-ficaFanzine Somnium: https://somnium.clfc.com.br/Livro “A Máquina Voadora” https://link.amazon/B0i12joRGLivro “O Mundo Fantasmo” https://link.amazon/B059lJ3fA“The Swords of Lankhmar”, de Fritz Leiber http://lankhmar.co.uk/swords-of-lankhmar/Álbum “Voz, violão e verso", de Braulio Tavares: https://open.spotify.com/intl-pt/album/764CVzyM4i7CInLCJBcOA8?si=DIGIBmLbQA-gAFXfHe3b0Q“O dia em que faremos contato", música de Lenine com Braulio Tavares: https://www.youtube.com/watch?v=05kjZbUIsT4Ursula Le Guin e o taoísmo: https://www.ursulakleguin.com/lao-tzu-the-tao-te-chingLivro “Kalpa Imperial”, da argentina Angélica Gorodischer https://link.amazon/B02dIsGo5Livro “O Livro do Juizo Final”, de Connie Willis https://link.amazon/B04mbiJq9Livro “O clube de leitura de Jane Austen”, de Karen Joy Fowler: https://link.amazon/B0gwgIMv4Oficina Clarion West https://www.clarionwest.org/Livro “Fanfic", de Braulio Tavares: https://link.amazon/B02EEYcgoLivro “Solaris", de Stanislaw Lem: https://link.amazon/B0dHeG7vSLivro “O informe de Brodie”, de Jorge Luiz Borges: https://link.amazon/B0dtlEPnFLivro “O livro de areia", de Jorge Luiz Borges: https://link.amazon/B0dtlEPnF

⁠Assessoria esportiva online e cursos⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠E-book "Dieta Inteligente - Para Perder Gordura e Ganhar Massa Muscular" – só R$ 39,90⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Treino – Monte seu próprio treino ainda hoje⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Emagrecimento – Como emagrecer e nunca mais engordar ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso Sobre Esteroides Anabolizantes – Não use esteroides antes de fazer este curso ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Suplementação para Praticantes de Musculação⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Grupo do Telegram com promoções⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Growth⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Oficialfarma⁠

Imagine the pain he must have been in with two nerve entrapments that hit around the same time! How I assessed and treated to confirm the issues (resolved both in about 10 minutes)   Online Courses: https://richardhazel.podia.com IG: @richhazel  

⁠Assessoria esportiva online e cursos⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠E-book "Dieta Inteligente - Para Perder Gordura e Ganhar Massa Muscular" – só R$ 39,90⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Treino – Monte seu próprio treino ainda hoje⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Emagrecimento – Como emagrecer e nunca mais engordar ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso Sobre Esteroides Anabolizantes – Não use esteroides antes de fazer este curso ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Curso de Suplementação para Praticantes de Musculação⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Grupo do Telegram com promoções⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Growth⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Oficialfarma⁠

Overcome Loneliness & Build Deep, Meaningful Connections. Start Here: https://offer.personaldevelopmentschool.com/loneliness-promo?utm_source=podcast&utm_campaign=overcoming-loneliness&utm_medium=organic&utm_term=OJvRD9IPNhs&utm_content=pod-05-02-26&el=podcast Fearful Avoidants don't just shut people out… they often shut themselves out, too. What looks like emotional distance is often something much deeper happening inside the nervous system. Episode Summary In this episode, Thais Gibson explains why Fearful Avoidant Attachment Styles self-numb and shut down and what's really happening beneath the surface. You'll learn how self-numbing is a dissociative coping strategy, why past wounds are stored in the subconscious mind, and how these unresolved triggers can create cycles of emotional overwhelm followed by shutdown. Thais also breaks down how this leads to dorsal vagal shutdown, where individuals feel emotionally flat, disconnected, and unable to engage and shares how healing requires both subconscious reprogramming and nervous system regulation. Key Takeaways ✔️ Fearful Avoidant self-numbing is a protective coping strategy ✔️ Past wounds are stored and shape present reactions ✔️ Emotional triggers can create cycles of overwhelm and shutdown ✔️ Numbing behaviors are attempts to escape dysregulation ✔️ Dorsal vagal shutdown leads to emotional disconnection ✔️ Healing requires both reprogramming and regulation ✔️ Awareness is the first step to breaking the cycle Timestamps 00:00 – Fearful Avoidants Don't Just Shut People Out 00:38 – 1. Self-numbing is a Dissociative Coping Strategy 01:57 – 2. Our Minds Are Wired to Store Past Wounds as a Protective Strategy 03:34 – 3. This Can Lead Them to End Up in a Self-Numbing Cycle 04:19 – 4. Dorsal Vagal Shutdown Mode Puts One in a State of Emotional Flatness 05:04 – Overcoming Loneliness & Creating Fulfilling Connections Course 06:16 – How to Heal 07:42 – Like, Share, and Subscribe for More Meet the Host Thais Gibson is the founder of The Personal Development School and a world leader in attachment theory. With a Ph.D. and over a dozen certifications, she's helped more than 70,000 people reprogram their subconscious and build thriving relationships. Helpful Resources:

La estrella española de la NBA analiza, junto a Dani Garrido, la actualidad del baloncesto.

The atlas also offers up molecular and cellular targets for new pain therapies.

⁠Assessoria esportiva online e cursos⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠E-book "Dieta Inteligente - Para Perder Gordura e Ganhar Massa Muscular" – só R$ 39,90⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Curso de Treino – Monte seu próprio treino ainda hoje⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Curso de Emagrecimento – Como emagrecer e nunca mais engordar ⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠Curso Sobre Esteroides Anabolizantes – Não use esteroides antes de fazer este curso ⁠⁠⁠⁠⁠⁠⁠⁠| ⁠⁠⁠⁠⁠⁠⁠⁠Curso de Suplementação para Praticantes de Musculação⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Grupo do Telegram com promoções⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Growth⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠Oficialfarma⁠

Información al día de EL COMERCIO, Platinum y Radio Quito este viernes 19 de diciembre de 2025Velorio de Rodrigo Borja ya tiene hora y fecha; Una mujer es detenida por presunta vinculación con el asesinato de Mario Pineida; Se desarrolla audiencia de formulación de cargos contra Tannya Varela; ¿Cuánto dura el ‘calentadito' de Navidad y de Fin de Año? Esto dicen los expertos; Barcelona SC retira el dorsal de Mario Pineida tras su fallecimientoGracias por escuchar este podcast, un producto de Grupo EL COMERCIO

Jan Winhall is a psychotherapist, author, educator, and the developer of the Felt Sense Polyvagal Model (FSPM), a groundbreaking framework that integrates trauma therapy, polyvagal theory, and embodied focusing to understand and treat addiction and trauma. Over more than four decades of clinical work, Jan has specialized in supporting survivors of sexual violence, complex trauma, and addiction with a deeply de-pathologizing, feminist, and body-based lens. She is the founder of the Felt Sense Polyvagal Model Institute, teaches internationally, and collaborates closely with leaders in the polyvagal community to bring more compassionate, somatically grounded approaches into trauma and addiction treatment. In this powerful and deeply validating conversation, Clarissa and Molly sit down with trauma and addiction therapist Jan Winhall, creator of the Felt Sense Polyvagal Model (FSPM). Jan weaves together feminist therapy, trauma theory, polyvagal theory, and embodied practice to completely reframe how we understand addictive behaviors like binging, purging, and compulsive eating: not as "problems" or "defects," but as adaptive state-regulation strategies that the body uses to survive overwhelming experiences. Jan shares how early work with incest survivors revealed the harms of pathologizing, top-down psychiatric approaches—and how safety, dignity, and deep listening became the foundation for her model. Together, we explore how nervous-system states, shame, trauma, ADHD, and body image intersect with ultra-processed food addiction, and how recovery becomes possible when we work with the body instead of against it. This episode is for clinicians, helpers, and anyone living with food addiction who has ever wondered: "What if nothing about me is broken—and my body has been trying to keep me alive all along?" In This Episode, We Explore: • Jan's Origins in Trauma Work o Running groups for young women who were incest survivors in a small Ontario hospital o Seeing firsthand the limitations and harm of traditional psychiatric models o How feminist therapy and the work of Judith Herman and Sandra Butler helped de-pathologize survivors   • From "What's Wrong With You?" to "What Happened to You?" o Why behaviors often labeled "manipulative" or "attention-seeking" (e.g., binging, purging, self-harm) are actually survival strategies o Understanding these behaviors as ways to regulate overwhelming nervous-system states, not moral failures   • The Felt Sense & Polyvagal Theory – Explained Accessibly o What "felt sense" really means (beyond just "sensation") o How neuroception constantly scans for safety and danger below conscious awareness o The three main autonomic states:  Ventral vagal – safety, connection, social engagement  Sympathetic – fight/flight, agitation, urgency  Dorsal vagal – shutdown, collapse, numbness, shame o How addictive behaviors help the body shift between these states to survive   • Addiction as a Trauma Feedback Loop o Why the body cannot stay in high sympathetic arousal or deep shutdown forever o How food, substances, sex, and other behaviors become "jolts" that move us between states o The idea of a "trauma feedback loop" where trauma, dysregulation, and addiction constantly reinforce each other   • Working with Trauma Without "Fishing" for It o Why Jan no longer goes "hunting" for trauma stories o The importance of Phase 1 work: establishing safety before uncovering trauma o How to help people gently reconnect with the body (starting at the edges: fingertips, earlobes, etc.) before approaching the more overwhelming inner experiences   • Shame, Addiction, and Liberation o Why shame is so central to trauma and addiction—and why Jan actually loves working with it o Reframing shame: "This is what bodies do under threat; you are not uniquely broken." o How truly believing this (in our own bodies) changes how we show up for clients o Using groups, co-regulation, and shared stories to create "moments of liberation"   • Food & Sex Addiction, Early Trauma, and Access o Why food and sex are often the earliest available forms of self-soothing for children in unsafe environments o How early masturbation and secret eating can evolve into entrenched patterns over decades o The stigma that keeps men with food addiction silent and unseen   • ADHD, Neurodivergence & Addiction o How neurodivergent folks are especially vulnerable to regulation difficulties and shame o The clash between ADHD time perception and linear, "on-time" culture o The dopamine-driven ping-pong between shame (dorsal) and activation (sympathetic), and how this sets up classic addictive pathways o The "neuroplastic paradox" – getting stuck in ruts, and how intentional practice can build new pathways   • Body Image, Misogyny & Reclaiming the Body o Why so many clients experience their body as "the enemy" o How misogyny, hyper-masculinity, and purity culture shape body hatred and silence around food addiction o The role of our own relationship with our bodies as therapists and helpers—how we co-regulate clients through our presence, not just our words   • Receiving Love & Positive Feedback as a Trigger o Why compliments, affection, and warmth can feel more threatening than criticism for many addicted bodies o How to normalize this, slow it down, and help the nervous system "update" that it is safe enough now o Using group moments of discomfort as live material to work with neuroception and triggers   • Self-Disclosure, Accessibility & Doing Our Own Work o Why Jan believes safe, boundaried self-disclosure can create powerful safety o Steve Porges' idea that "the greatest gift you can give is your accessibility" o Why clinicians must apply these models to their own lives first, so that their belief in the body's wisdom is genuine   • Changing the Addiction Treatment Paradigm o The trauma of addiction treatment itself—shaming, punitive, expensive models o Jan's commitment to bringing compassionate, somatic, polyvagal-informed approaches into 12-step spaces and beyond o The importance of connecting communities (like Sweet Sobriety and FSPM) to shift the field together   Follow Jan and the FSPM Institute: https://www.fspminstitute.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

This conversation revolves around the nervous system and its impact on the way that we connect. Dr. Alexandra is joined by Deb Dana, the leading translator of Dr. Stephen Porges' scientific work on Polyvagal Theory to the public and mental health professionals. As just one example of her huge impact, a term she coined, glimmers, has gone viral on TikTok. You'll hear Deb take us through Polyvagal Theory, explaining the three principles of neuroception, hierarchy of response, and coregulation. You'll learn about the states our nervous systems go between - how those states feel and the types of thoughts and sensations that go alongside each state. You will learn that our ability to connect with the people around us is dictated by our biology. It's not cognitive. And it's certainly not random.  Through the lens of Polyvagal Theory, helping our nervous systems and the nervous systems around us feel safe becomes the goal, and you'll learn how that perspective has shaped Deb Dana's life and how it can shift how you approach your relationships, as well. And of course, you'll hear about glimmers, including how to integrate a simple glimmer practice into your routine, in order to further help the nervous system feel safe and primed for connection, curiosity, and creativity.Resources worth mentioning from the episode:Read Deb Dana's “A Beginner's Guide to Polyvagal Theory”: https://dralexandrasolomon.com/wp-content/uploads/2025/12/Beginners-Guide-Presentations-1.pdfLearn more about Deb Dana and her work: https://www.rhythmofregulation.com/Anchored: How to Befriend Your Nervous System Using Polyvagal Theory by Deb Dana: https://bookshop.org/p/books/anchored-how-to-befriend-your-nervous-system-using-polyvagal-theory-deb-dana-lcsw/2dcb315349927ae6Continue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn from Dr. Alexandra (E-courses: Intimate Relationships 101 or Can I Trust You Again?): https://dralexandrasolomon.com/learn-from-alexandra/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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Clinical psychologist and bestselling author Dr. Lisa Miller joins us to reveal the groundbreaking neuroscience that connects spirituality with mental health, purpose, and human flourishing. Drawing from decades of research at Columbia University, she shares how spiritual awareness literally changes the brain — rewiring us for resilience, compassion, and meaning. From the awakened brain to the power of awe, Lisa bridges empirical science with lived spirituality, showing how we are biologically built for connection with something greater than ourselves.www.bioptimizers.com/knowthyselfUse code KNOWTHYSELF for 15% off!https://livemomentous.com and use code KNOWTHYSELF for up to 35% off the best creatine in the gameAndrés Book Recs: https://www.knowthyselfpodcast.com/book-list___________00:00 Intro03:40 What Is the Awakened Brain?07:10 How Spirituality Changes the Brain10:50 Depression as a Doorway to Awakening14:25 The Biology of Faith and Meaning18:05 The Parietal Lobe and the Sense of Oneness22:00 From Egoic Mind to Spiritual Awareness26:15 Dorsal vs. Ventral Attention Networks Explained30:10 How Prayer and Meditation Rewire the Brain34:00 The Neuroscience of Love and Connection38:25 What Happens in the Brain During Awe42:10 Synchronicity and the Science of Guidance46:00 Raising Spiritually Connected Children50:20 Addiction, Recovery, and the Search for Spirit54:35 The Brain as an Antenna for Consciousness59:15 Science Meets Mysticism: Where They Overlap1:03:30 The Future of Mental Health and Spirituality1:07:40 Reawakening the Innate Spiritual Brain1:12:00 Living with Awe, Service, and Gratitude1:16:10 Closing Reflections___________Episode Resources: https://www.lisamillerphd.com/https://www.instagram.com/dr.lisamiller/https://www.instagram.com/andreduqum/https://www.instagram.com/knowthyself/https://www.youtube.com/@knowthyselfpodcasthttps://www.knowthyselfpodcast.com

Santi Giménez y Santi Ovalle desgranan toda la actualidad del FC Barcelona antes de disputar el Joan Gamper.

¿Con qué jugador del Athletic identificas al dorsal 21?

¿Quien es pora tí el '20' del Athletic?

Have you ever wondered why some clients struggle to stay present during class? Or why certain movements, even when modified, feel like “too much” for someone? You might be seeing more than just tight hips or shallow breath—you might be witnessing a nervous system response. In this episode, Katie Crane invites you into a deeper understanding of the Polyvagal Theory, a game-changing framework developed by Stephen Porges that explains how our nervous system responds to safety, threat, and connection. Katie shares how learning about the vagus nerve reshaped her approach to teaching. It's not just about alignment and muscle engagement—it's about seeing the whole person, understanding their internal state, and using movement and breath to create safety and healing.     In This Episode, You'll Learn: The three autonomic nervous system states: • Dorsal vagal (shutdown/freeze) • Sympathetic (fight/flight) • Ventral vagal (connection/safety) How these states show up in Pilates sessions—and what we can do as teachers to meet clients where they are Why language, tone, and choice matter more than we think How breath and stillness can be just as therapeutic as movement How to create a space that invites trust, empowerment, and nervous system regulation   Why It Matters: Pilates isn't just about better movement—it's about better connection. When we understand the nervous system, we realize that offering someone a sense of safety in their body is one of the most profound gifts we can give. This episode is a gentle nudge to look beyond the exercise and into the human experience—to teach from a place of compassion, curiosity, and consciousness.    

De Marcos, con un  45% de los votos, ha sido el escogido por la audiencia de Radio Bilbao

¿Con qué jugador del primer equipo masculino relacionas el dorsal dieciséis? 

Andoni Iraola arrasa con más de un 95% de los votos de la audiencia de Radio Bilbao

Análisis y debate del mercado de fichajes rojiblanco

Buscamos con qué jugador de la primera plantilla del Athletic relacionas el dorsal catorce

'Entre dorsales': ¿Con qué jugador del Athletic relacionas el dorsal nueve? 

¿Con qué jugador del Athletic relacionas el dorsal siete? 

EL PRÓXIMO FICHAJE del REAL MADRID | LA DECISIÓN del BARÇA con el DORSAL de LAMINE YAMAL

Noticias de fútbol, rumores, fichajes y mucho más en este nuevo Post News.

In this episode of Homebody, Anna delves into the Polyvagal Theory, explaining the three primary states of the autonomic nervous system: dorsal vagal shutdown, sympathetic activation, and ventral vagal safety. She emphasizes the importance of understanding these states and how to navigate them effectively, especially during trauma healing. Anna provides practical tools for transitioning between these states and building resilience, encouraging listeners to approach their healing journey with patience and self-compassion. takeaways The Polyvagal Theory outlines three primary states of the autonomic nervous system. Dorsal vagal shutdown is a state of collapse and disconnection. Sympathetic activation is the fight or flight response. Ventral vagal state is where we feel safe and connected. Healing often involves uncomfortable middle steps. Understanding transitions helps avoid shame around in-between states. Each state is a response to how safe our nervous system feels. Gentle movements can help transition from dorsal vagal to sympathetic. Building resilience involves daily routines of safety and connection. Noticing glimmers can enhance our sense of joy and safety. Chapters 00:00 Understanding the Polyvagal Ladder 02:55 Navigating the States of the Nervous System 05:23 Transitioning Between States 08:26 Building Resilience and Safety

Free group parent workshop The Rooted Relationship Program Youth Rising Coaching Website InstagramButterfly Tap VideoBook: Befriending Your Nervous System- by Deb DanaUnderstanding Teen behavior is often just the "tip of the iceberg" visible to parents. Underlying the behavior are emotions, thoughts, and nervous system statesBehavior is a communication of needs, wants, or fears.Nervous System Ventral state: Calm, safe, socially engaged ("sunbathing elephant")Sympathetic state: Fight/flight, high energy ("cheetah in action")Dorsal state: Shut down, disconnected ("bear in hibernation")Freeze state: High energy but immobilized ("deer in headlights")States are automatic protective responses, not consciously controlledTechniquesYoga: Combines mindfulness, breathing, body awarenessLonger exhales help activate the parasympathetic systemPhysical touch: Hand on chest, self-hug, weighted blanketsTapping: Butterfly taps or other bilateral stimulationMindfulness: Non-judgmental awareness of present moment sensationsCo-regulation: Connecting with a calm person to help regulate Parenting StrategiesPractice regulation techniques regularly, not just in stressful momentsCreate a "safety sandwich" Stay regulated yourself to co-regulate your teenOffer connection and validation, even when teens are dysregulatedUnderstanSend us a textSupport the showClick below to make a one time donation and help "Monday Mindset With ISHA WARRIORS" bring peace & empowerment to more teens all over the world!Donate Here

Disputado en el punto más bajo de la tierra, el Dead Sea Marathon se celebra desde hace 30 años en el lado israelí del Mar Muerto. La prueba era una de las que los valencianos Iván Penalba y Carmen Pérez tenían como objetivo desde hace años y el pasado 7 de febrero pudieron finalmente participar. Carmen Pérez e Iván Penalba saldaron con enorme éxito su viaje a Israel y su participación en la distancia ultra de 50 kilómetros del Dead Sea Marathon, venciendo ella en categoría femenina y él siendo segundo en masculina. Un viaje especial, más que una participación una cita con la historia, que Carmen e Iván resumen en Sweet Home Alabama.

We're in Season 2 titled “Awakening the Heart.” In episode 4, Josh and Christi explain the nervous system and why its primary purpose in our lives — to protect our connection, belonging, and dignity — can actually shut down the heart.A deeper understanding of how our bodies were created to survive can lead to deeper levels of empathy for yourself and those you love. Josh and Christi tells stories from their own marriage that highlight how the nervous systems puts up guardians around our hearts, but how also how we can become attuned to what happened and resolve it well so that our hearts remain open and alive to all that's happening within and around us.  Time Stamps:0:00 Introduction1:21 It's Christmas time4:26 Introduction to the nervous system6:14 A neurobiological understanding of the heart and nervous system10:21 How the nervous system functions14:35 The ladder of the nervous system20:00 Where the complicated relationship comes into play25:38 How your body gets rid of survival energy30:45 The bottom rung of the nervous system ladder32:18 A biblical application to calming your system and healing your heart38:00 An understanding of stuck “energy” 41:33 Taking the first stepShow Notes: Men, interested in The Field Experience? Sign up for Cohort 1 before December 31: https://www.famousathome.com/thefieldexperienceSign up for the January 2025 Tender & Fierce Cohort! Sign up here. https://www.famousathome.com/tenderandfierce Download NONAH's brand new single Find My Way Home by clicking here: https://bellpartners.ffm.to/findmywayhome The Famous at Home podcast is made possible by listeners like you. We'd be honored to have you partner with us in helping bring revival to today's family. Click here to donate. https://newhorizonsfoundation.com/project/single-project/2504/

Dorsal. Sympathetic. Ventral. It's all about your nervous system's sense of safety. Links: Vagus Nerve Exteroception Interoception Our Polyvagal World: How Safety and Trauma Change Us by Stephen W. Porges and Seth Porges Deb Dana's website - includes definitions of Polyvagal Theory terms Glimmers Borders Books and Music (RIP) FSP2020 episode 58: How to Listen to Your Body, Part One (of four) website : podcast feed FSP2020 episode 49: How to Dreams website : podcast feed

Justin Sunseri shares an inspiring story from Macy to demonstrate effective self-regulation out of the Polyvagal state of shutdown. He explores Macy's experiences of navigating through states of immobilization—shutdown, freeze, and stillness—using music and movement to manage sympathetic activation. Justin also discusses why unexpected memories may pop into consciousness when practicing self-regulation.00:00 Introduction to Self-Regulation Story00:42 Macy's Experience with Shutdown and Freeze01:11 Understanding Different States of Immobility02:52 The Role of Safety in Self-Regulation06:36 Macy's Journey to Mobilization07:18 Welcoming Sympathetic Activation08:41 Macy's Memory and Co-Regulation09:11 Macy's Roundabout Memory10:25 Understanding Self-Regulation12:04 Present Moment Focus14:52 Handling Sympathetic Activation15:29 Upcoming Courses and Community16:53 Invitation to Stucknaut Collective18:05 Disclaimer

Are you transitioning from a shutdown state to sympathetic mobilization? I address the common emotions of frustration, irritation, and anger as positive indicators of moving up the Polyvagal ladder. 01:32 Teagan's Journey: From Shutdown to Stillness02:03 The Importance of Permitting Defensive States03:29 Imagery and Irritation: Teagan's Experience04:39 The Role of Fight Activation in Self-Regulation07:41 Movement and Sympathetic Activation09:31 Validating and Normalizing Fight Activation11:00 Embracing Self-Compassion11:20 Understanding Defensive States12:27 Navigating Shutdown and Activation13:57 The Role of Stillness in Self-Regulation15:11 Managing Frustration and Anxiety16:29 Sustaining Energy and Mobility19:16 Harnessing Frustration for Growth20:46 Invitation to the Stucknaut Collective21:58 Disclaimer and Final Thoughts

What supports do real people in shutdown find the most helpful? And how many supports do they try? This is part 4 of the Shutdown Experiences Survey results.

Join therapist and coach Justin Sunseri as he delves into emotional validation and its role in self-regulation. Learn the first lesson from his course, Shutdown to Stillness, which focuses on compassionately validating and acknowledging your emotions as a critical step towards inner peace and self-regulation. Validation can lead to normalization and even permitting your emotions to be.00:00 Introduction to Emotional Invalidation01:27 Understanding Shutdown and Stillness01:47 The Autonomic Nervous System Overview04:35 Experiences of Shutdown05:21 The Importance of Stillness06:04 Combining Safety and Shutdown07:50 Validating Shutdown13:44 Self-Reflection15:31 Conclusion and Course Information

Calen presents to physical therapy with difficulty grasping a glass. Upon examination, the patient has diminished joint mobility at the 2nd MCP and difficulty performing abduction of the digit. Which of the following glides is the MOST effective? A. Volar glide B. Dorsal glide C. Radial glide D. Medial glide LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

How to manage stress, build a calmer state of mind and create a foundation for growth and autonomy. Polyvagal Theory is an intriguing sounding term that holds a lot of answers to how the body perceives threats and gives a surprising amount of actionable take homes that we can use in our everyday lives. Join Sam Webster in this episode of the Growth Mindset Psychology Podcast as he dives deep into the fascinating world of fear, security, emotional intelligence and neuroscience. There are three main states in which our nervous system operates: Sympathetic (fight or flight) Parasympathetic (rest and digest) Dorsal vagal (shutdown) They impact our reactions, mental health, and ability to engage with the world. We'll learn how the body controls itself without conscious control and how to build techniques that give us the freedom to choose our own state and outcomes. This is essential listening for anyone with experience of trauma or attachment injuries but it is also fundamental for creating the security we need to have a growth mindset. Sponsors:

Join therapist and coach Justin Sunseri as he addresses a key question from his private community about transitioning from dorsal vagal shutdown to sympathetic flight fight activation. In this episode of 'Stuck Not Broken,' Justin delves into the Polyvagal Theory, explaining how to safely navigate these states without reinforcing a shutdown pattern. He also provides insights into his upcoming book and exclusive cohort 'Shutdown to Stillness.' Learn how to live with more calm, confidence, and connection while enhancing your self-regulation skills.00:00 Introduction and Welcome00:57 Understanding Shutdown and Sympathetic Activation03:12 The Role of Safety in Navigating Shutdown07:50 Practical Steps to Move from Shutdown to Mobilization10:42 Addressing Concerns and Misconceptions15:42 Updates on the Book and Future Plans20:25 Conclusion and Final ThoughtsNational Suicide Prevention Hotline - 1 (800) 273-8255National Domestic Violence Hotline -1 (800) 799-7233LGBT Trevor Project Lifeline - 1 (866) 488-7386National Sexual Assault Hotline - 1 (800) 656-4673Crisis Text Line - Text “HOME” to 741741Call 911 for emergencyThis and other content produced by Justin Sunseri (“JustinLMFT”) (i.e; podcast, YouTube, Instagram, etc.) is not therapy, not intended to be therapy or be a replacement for therapy. Nothing in this creates or indicates a therapeutic relationship. Please consult with your therapist or seek for one in your area if you are experiencing mental health symptoms. Nothing should be construed to be specific life advice; it is for educational and entertainment purposes only.Justin Sunseri is a Licensed Marriage & Family Therapist registered in the State of California (#99147).

Justin Sunseri continues his exploration of the Shutdown Experiences Survey, this time discussing the results of how dorsal vagal shutdown affects people on a daily basis. How effective do people feel they are coping? How do they alter their daily lives?National Suicide Prevention Hotline - 1 (800) 273-8255National Domestic Violence Hotline -1 (800) 799-7233LGBT Trevor Project Lifeline - 1 (866) 488-7386National Sexual Assault Hotline - 1 (800) 656-4673Crisis Text Line - Text “HOME” to 741741Call 911 for emergencyThis and other content produced by Justin Sunseri (“JustinLMFT”) (i.e; podcast, YouTube, Instagram, etc.) is not therapy, not intended to be therapy or be a replacement for therapy. Nothing in this creates or indicates a therapeutic relationship. Please consult with your therapist or seek for one in your area if you are experiencing mental health symptoms. Nothing should be construed to be specific life advice; it is for educational and entertainment purposes only.Justin Sunseri is a Licensed Marriage & Family Therapist registered in the State of California (#99147).

In this episode of the I Can't Sleep Podcast, fall asleep learning about seahorses. Sure, they look cool on National Geographic and other nature documentaries. However, contrary to their fascinating appearance, learning about seahorses can be quite mundane. Happy sleeping! Ad-Free Episodes Want an ad-free experience? Follow this link to support the podcast and get episodes with no ads: https://icantsleep.supportingcast.fm/ ProLon Go to ProlonLife.com/ICANTSLEEP for 10% off the 5-day nutrition program.  Factor Head to FACTORMEALS.com/icantsleep50 and use code icantsleep50 to get 50% off. DoorDash Get 50% off up to $20 and zero delivery fees on your first order when you download the DoorDash app and enter code ICANTSLEEP. BetterHelp Visit BetterHelp.com/icantsleep today to get 10% off your first month HelloFresh Go to HelloFresh.com/50icantsleep and use code 50icantsleep for 50% off plus 15% off the next 2 months. Jupiter CBD Oil Save 20% off your first purchase by entering GETSLEEP upon checkout, or click here: https://www.getjupiter.com/share/icantsleep SleepPhones Follow this affiliate link to purchase headphones you can fall asleep with: https://www.sleepphones.com/?aff=793 then enter the code ICANTSLEEP10 at checkout to receive a discount. This content is derived from the Wikipedia article Seahorses, available under the Creative Commons Attribution-ShareAlike (CC BY-SA) license. The article can be accessed at https://en.m.wikipedia.org/wiki/Seahorse, https://en.wikipedia.org/wiki/Pipefish, and https://en.wikipedia.org/wiki/Dorsal_fin. Learn more about your ad choices. Visit megaphone.fm/adchoices