Podcasts about DSM

Forrest is joined by associate therapist and his fiancée Elizabeth Ferreira for an honest, personal conversation about what it's actually like to be in a relationship when one partner is living with trauma, complex PTSD, or another ongoing mental health challenge. Drawing on their experience together, they discuss supporting without enabling, avoiding power imbalances, managing resentment, dealing with moments of frustration, and the importance of reciprocity. Elizabeth has some thoughts about the DSM. Forrest shares about how Elizabeth has supported him. It's a good one. Key Topics:  0:00: Intro and Elizabeth's overview 5:50: How trauma shapes you 9:05: How Elizabeth found safety in her relationship with Forrest 11:12: How the relationship helped Forrest grow 15:44: Self-discovery through relationship 21:19: How to effectively support a partner with mental illness 33:42: Being ‘sturdy' 39:18: Navigating criticism 43:30: Communicating without resentment or shame 54:57: Avoiding stigma, and why Elizabeth wants to throw the DSM out the window 59:52: Not buying in to the smallest version of your partner 1:04:27: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show!Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Adam kicks off the episode beefin' with Gardettos and today's snack world. Adam then recaps his awesome weekend in DSM full of great food, arcade games and comedy! We list the best comedians we've ever seen then share this week's perfect song. The boys discuss the elite 8 of the kids show bracket and all of the upsets and chaos that has happened! In the meat, Mm!, we do a draft of Vegas Movies in honor of March Madness. Take a peak into a Viewmaster with us to close the show. Hut Hut! Love y'all

In this Hot Topic episode of The Neurodivergent Experience, Jordan James and Simon Scott respond to the controversial article “Uta Frith: why I no longer think autism is a spectrum.”Reading and reacting to sections of the interview, they unpack the claims that rising autism diagnoses are a problem and that the label of autism should be restricted to those diagnosed in early childhood with more significant support needs.They discuss how diagnostic frameworks like the DSM are still heavily based on studies of white boys, leaving many autistic women and late-identified people overlooked. The conversation explores the tension between scientific authority and lived experience — and why many autistic people feel that research about them is often conducted without their voices being heard.They also reflect on how media narratives and policy discussions can influence public perception, particularly when rising diagnoses are framed as a “problem” rather than evidence that more people are finally being recognised and supported.In this episode, they discuss:The article “Why I No Longer Think Autism Is a Spectrum”Scientific bias in autism researchThe history of autism research and diagnostic frameworksLate diagnosis and autistic womenMasking and overlooked presentations of autismMedia narratives about rising diagnosesAutistic lived experience vs academic authorityWhy autistic voices must be included in researchA passionate discussion about autism research, representation, and the ongoing tension between scientific narratives and neurodivergent lived experience.Our Sponsors:

In this episode, we sit down with trauma psychotherapist Dr. Janie Lacy to talk about a topic many women quietly struggle with—toxic relationships and love addiction. As therapists and women who've navigated our own relationship journeys, this conversation hits close to home as we unpack what truly defines a toxic relationship and why these dynamics can be so hard to recognize or leave.We also explore the roots of love addiction, trauma bonds, and attachment wounds—and why even strong, successful women can get stuck in painful relationship cycles. Dr. Lacy shares insights into the healing process and how women can rebuild self-worth, break unhealthy patterns, and move toward healthier relationships.Episode Highlights[0:00] – We welcome Dr. Janie Lacy and introduce today's conversation on toxic relationships, love addiction, and healing.[2:28] – Dr. Lacy explains what defines a toxic relationship—and why unhealthy behaviors often become normalized.[8:30] – We explore where the line is between normal relationship struggles and toxic patterns.[11:50] – A discussion on power imbalance and how attachment styles shape relationship dynamics.[15:04] – We discuss financial dependence, traditional roles, and whether economic imbalance creates unhealthy relationships.[21:21] – What love addiction is, why it's not in the DSM, and how obsessive thinking and fear of abandonment appear in relationships.[26:59] – Why we mistake intensity for intimacy—and how it keeps people stuck in painful cycles.[31:22] – The impact of gaslighting and how it makes people question their reality.[36:40] – Trauma bonds and why toxic relationships can feel chemically addictive.[37:22] – Dr. Lacy explains the difference between self-worth and self-esteem.[39:20] – Inside the Women Redeemed program and how group work and deep healing support recovery.Links & ResourcesDr. Janie Lacy WebsiteDr. Janie Lacy InstagramIf today's discussion resonated with you or sparked curiosity, please rate, follow, and share "Insights from the Couch" with others. Your support helps us reach more people and continue providing valuable insights. Here's to finding our purposes and living a life full of meaning and joy. Stay tuned for more!   Ever stayed quiet to keep the peace and felt yourself disappear? The Cost of Quiet is for anyone who avoids conflict and pays the price. Reclaim your voice, strengthen your relationships, and experience real peace. Order your copy and join the movement: https://www.colettejanefehr.com/new-book

Do you spend way too much time checking yourself in the mirror? Fixating on flaws that nobody else seems to notice? Canceling plans because you feel like you look "off" that day? You're not alone, and this isn't about vanity—this is about a real struggle that deserves understanding. Today we're diving into Body Dysmorphic Disorder (BDD) and how it shows up in eating disorder recovery. The statistics are eye-opening: while only 1 in 50 people in the general population experience BDD, 25-40% of people with eating disorders also struggle with body dysmorphic disorder. In this episode, you'll discover: What Body Dysmorphic Disorder actually is (beyond occasional insecurity) The shocking connection between eating disorders and BDD Real client story: How BDD stole years of living from a successful VP 6 practical tools to break free from obsessive body thoughts Why "your body is an instrument, not an ornament" How to practice body neutrality when body positivity feels impossible The difference between healthy awareness and destructive obsession This goes beyond the mirror—it's about reclaiming the mental energy that's been stolen from you and learning to live present in your own life. THE EYE-OPENING STATISTICS 1 in 50 people in general population experience Body Dysmorphic Disorder 25-40% of people with eating disorders also struggle with BDD This means: If you're struggling with disordered eating, there's a much higher chance you're also dealing with body dysmorphic disorder. WHAT IS BODY DYSMORPHIC DISORDER? BDD is classified in the DSM-5 under Obsessive Compulsive and Related Disorders. It's when thoughts about your appearance become all-consuming—when they start stealing your joy and limiting your life. This isn't about vanity. This is about genuine struggle that deserves compassion and understanding. Common signs include: Spending hours checking your appearance in mirrors Constantly comparing yourself to others (especially on social media) Avoiding social settings because you're convinced everyone is staring Taking dozens of photos from different angles to "capture what you really look like" Canceling plans when you feel you look "off" Fixating on specific body parts (face, stomach, skin, weight) CLIENT STORY: ELLA'S BREAKTHROUGH Ella was a VP at her company—successful, married, two kids. From the outside, everything looked perfect. But inside, she was crumbling. Ella spent hours fixating on what she perceived as facial asymmetry and "hating her stomach." She would: Cancel plans if her appearance didn't feel right Take dozens of selfies from different angles Hibernate in loose clothing when her stomach wasn't "flat enough" Miss out on living because she was trapped in the obsession The truth: When I looked at Ella, I saw an amazingly beautiful and confident woman. The things she fixated on weren't visible to me or anyone else in her life. Six months later, Ella shared: "For the first time in years, I went to my daughter's birthday party and I didn't think about my appearance. I was just there. I was present. I laughed, and I played and I connected. This is what living feels like." 6 TOOLS TO BREAK FREE FROM BODY OBSESSION 1. Practice Awareness Notice when you're engaging in checking behaviors Observe with compassion: "I notice I'm having thoughts right now" Technique: Set a timer when getting ready—when it goes off, walk away from the mirror no matter what 2. Challenge the Distortion Question absolute thoughts: "Everyone notices this about me" or "I look disgusting" Exercise: Write how you'd respond if your best friend shared the same concerns Remember: "Our minds distort our mirrors" 3. Reduce Comparison (Eliminate If Possible) Studies show increased social media correlates with worse BDD symptoms Action: Go on a social media detox or unfollow triggering accounts Replace scrolling time with something that feeds your soul 4. Redirect Your Focus Create a list of activities that fully engage your mind Have this list ready BEFORE the thoughts hit Examples: Reading, puzzles, nature walks, calling a friend 5. Practice Body Neutrality Focus on what your body can DO rather than how it looks "Can your legs carry you through the day? Can your arms hug people you love?" Remember: Your body is an instrument, not an ornament 6. Seek Help and Support BDD responds well to treatments like Cognitive Behavioral Therapy (CBT) Working with specialists in body image issues makes an enormous difference You don't have to heal from this alone THE TRUTH ABOUT YOUR BODY Your body was never meant to be your life's work. It was meant to champion you in doing your life's purpose and your life's work. You only have one precious life. You deserve to: Be present and laugh without wondering how your face looks Eat cake without worrying about your stomach afterward Connect deeply without background noise of how others view you Live without the mental prison of appearance obsession KEY QUOTES

To question a diagnosis today is to trigger a moral reaction.In contemporary psychiatry, diagnostic categories no longer function merely as clinical tools. They increasingly operate as moral identities, conferring legitimacy, status, and exemption from blame. When criteria are questioned, the response is often not clinical disagreement but moral accusation. Upgrade and join us this Saturday the 14th of March at 3 pm Eastern for the next Live Clinical Case Session on psychiatric medicationsIn this video, I trace how bipolar disorder transformed from a rare and unmistakable illness into a broad diagnostic spectrum, and how that transformation reshaped psychiatric practice itself. From Kraepelin's manic-depressive insanity, through DSM standardization, to the rise of the bipolar spectrum and the invention of the “bipolar child,” this is an account of how diagnostic boundaries eroded under cultural, institutional, and professional pressure.00:00 Diagnosis as Moral Status03:00 How Bipolar Became a Checklist04:50 The Spectrum Explosion09:50 The Bipolar Child14:50 The Cost of Inclusion This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

Mike is joined virtually by Jeremy Lelek to preview his Call to Council conference track on biblically unpacking mental health diagnoses. Jeremy explains the objective of engaging intimidating DSM categories by describing them from a psychiatric perspective while bringing Scripture to bear on what to do and how to interpret struggles through a biblical anthropology that includes spiritual realities without ignoring physiological and empirical data. The track will cover PTSD, borderline personality disorder, narcissistic personality disorder, generalized anxiety disorder, OCD and scrupulosity, and bipolar disorder, with sessions led by Beth Claes, Dr. Nate Brooks, and Dr. Matthew Lapine. They aim to equip licensed professionals, pastors, and laypeople with practical tools and confidence that God's Word speaks comprehensively to these issues.00:00 Podcast Welcome00:21 Meet Jeremy Lelek00:43 Track Overview02:06 DSM and Scripture03:28 Diagnoses Covered04:20 Track Team Spotlight07:41 Why This Matters08:21 Church Lens on Labels09:46 Biblical Anthropology10:59 Who Should Attend12:32 Final InvitationEpisode MentionsRegister for the Mental Health Track

This episode explains what it means to be diagnosed with a "personality disorder," including how psychologists understand what personality is, when it's pathological, and how clinicians diagnose it. Is "borderline personality disorder" or "narcissistic personality disorder" a fancy term for "toxic"? In this episode, Dr. Kibby dives deeper into the nuanced way psychologists understand personality pathology. She gives an overview of the history of personality disorders and their diagnostic criteria, peeling back the stigma to reveal what's really happening when someone gets diagnosed. She talks about why these conditions are about persistent, pervasive patterns that impact daily life, not character flaws or moral failures. In this episode, you'll hear:How clinicians differentiate between personality disorders and other mental health issuesThe evolution from categorical to dimensional models in modern diagnostics like the DSM-5The key features that make these patterns impairing and how they develop over timeWhy some people develop personality disordersWhy flexibility and adaptation are crucial for changePersonality disorders are not about being a bad person who can't change- they're about understanding how complex patterns shape us and learning how to rewire them. Resources:Krueger, R. F., & Hobbs, K. A. (2020). An overview of the DSM-5 alternative model of personality disorders. Psychopathology, 53(3-4), 126-132.Personality Inventory for DSM-5 If you're close to someone with a personality disorder and need support, book a free call with Dr. Kibby to learn more about KulaMind

Do you have a family member/loved one struggling with addiction? Join Our FREE WEBCLASS! https://familyreconnectprogram.com/optin-page Is your husband's alcoholism affecting your family? You're not alone — and you're not overreacting. In this video I'm going to give you three things: clarity on what you're actually dealing with, a real strategy based on who your husband is, and permission to start taking care of yourself. We cover the difference between problem drinking and alcohol use disorder, the 11 clinical signs from the DSM-5 in plain language, what actually works when talking to your husband (and what makes things worse), and how to protect yourself and your kids regardless of what he decides to do.  Whether you just started noticing something is wrong or you've been living this for years — this video is for you.

Graham Platner has never run for elected office before. He's a war veteran, an oyster farmer, and now he's running in a Democratic primary to eventually unseat Senator Susan Collins of Maine. He's ahead in the polls, but he's also been criticized for Reddit comments from his past and recently covered up a tattoo that looks suspiciously like a Nazi symbol (a connection he denies knowing about). Last week, before the recent attacks on Iran, Anna sat down with Graham to discuss his unlikely outsider campaign. They also talk about his upbringing in rural Maine, his military experience (and current anti-war stance), and what politicians need to do to actually help working people today. This episode was produced by Cameron Drews and Daisy Rosario. You can see a longer, video version of this interview at youtube.com/slate. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

Graham Platner has never run for elected office before. He's a war veteran, an oyster farmer, and now he's running in a Democratic primary to eventually unseat Senator Susan Collins of Maine. He's ahead in the polls, but he's also been criticized for Reddit comments from his past and recently covered up a tattoo that looks suspiciously like a Nazi symbol (a connection he denies knowing about). Last week, before the recent attacks on Iran, Anna sat down with Graham to discuss his unlikely outsider campaign. They also talk about his upbringing in rural Maine, his military experience (and current anti-war stance), and what politicians need to do to actually help working people today. This episode was produced by Cameron Drews and Daisy Rosario. You can see a longer, video version of this interview at youtube.com/slate. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

Graham Platner has never run for elected office before. He's a war veteran, an oyster farmer, and now he's running in a Democratic primary to eventually unseat Senator Susan Collins of Maine. He's ahead in the polls, but he's also been criticized for Reddit comments from his past and recently covered up a tattoo that looks suspiciously like a Nazi symbol (a connection he denies knowing about). Last week, before the recent attacks on Iran, Anna sat down with Graham to discuss his unlikely outsider campaign. They also talk about his upbringing in rural Maine, his military experience (and current anti-war stance), and what politicians need to do to actually help working people today. This episode was produced by Cameron Drews and Daisy Rosario. You can see a longer, video version of this interview at youtube.com/slate. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

ADHD is not a motivation problem. It is a skills and systems problem. Parenting a child with ADHD and executive function challenges can feel like living inside a never-ending loop of forgotten water bottles, missing homework, and mornings that go off the rails. It is easy to assume kids are not listening, not trying, or do not care. In this conversation, Gabriele and ADHD expert and parent coach Cindy Goldrich zoom out from "he is just lazy" and "she should know better by now" and look at what is really going on in the brain. Cindy explains executive function as "how you do what you intend to do," and why challenges in this area are about skills, not character. Together, they explore what it means to believe that kids do well when they can—and how that belief changes the questions we ask, the systems we build, and the way we respond when things go sideways. Key Takeaways Executive function is about doing, not knowing. Executive function includes working memory, processing speed, task initiation, planning, organization, emotional regulation, flexibility, and self-talk. It is the "how you do what you intend to do," not how smart you are. You cannot be diagnosed with "executive dysfunction," but it still matters. Executive function is not a DSM diagnosis. It is a description of how the brain manages tasks and emotions—and it can be assessed and supported even without a formal label. ADHD and executive function are deeply connected. If a child has ADHD, they will have executive function challenges by definition. The reverse is not always true, but it explains why "just try harder" never works for ADHD brains. There is no relationship between speed and intelligence. A child can have a very high IQ and very slow processing speed. When adults equate fast responses with intelligence, slower thinkers are often stressed, misunderstood, and underestimated. Stress shrinks the brain's thinking space. Cindy uses the image of a balloon to describe cognitive space. Stress, pressure, and time limits push the air out, making it harder for kids to access the skills they already have. "Kids do well if they can" changes everything. When a child is not following through, curiosity opens the door to problem solving. Blame slams it shut. Patterns are gold for problem solving. "He always" and "she never" are clues that a pattern exists. That is your cue to step back when things are calm and build better systems. Consequences without tools are not helpful. Punishment without skill-building is like asking a chain smoker to quit instantly without support. Boundaries matter, but tools and systems must come first. Inconsistency is part of ADHD. Kids with ADHD may succeed one day and struggle the next. That does not mean they are choosing to fail—their brain, energy, or environment has changed. Parents need compassion too. Many parents of ADHD kids also have ADHD themselves or years of internalized shame. Seeing ADHD as a brain difference creates room for healing on both sides. Free Resource from Cindy Cindy has put together a generous free resource for Complicated Kids listeners: https://ptscoaching.com/free-gifts/?utm_source=complicatedkids&utm_medium=podcast&utm_campaign=freegiftspdf On that page, you will find: The introduction to 8 Keys to Parenting Kids & Teens with ADHD: Supporting Your Child's Executive Function A curated set of practical PDFs and tools to help you parent with more confidence, clarity, and connection Direct links to support and training for both parents and professionals About Cindy Goldrich Cindy Goldrich, Ed.M., ADHD-CCSP, is a mental health counselor and internationally recognized expert in ADHD and executive function support. She is the founder of PTS Coaching and the author of 8 Keys to Parenting Kids & Teens with ADHD and ADHD, Executive Function, & Behavioral Challenges in the Classroom. Through her Calm and Connected parent workshops, ADHD Parent Coach Academy, professional trainings, and coaching programs, Cindy has helped thousands of families and educators build calmer, more connected relationships with children who learn and think differently. About Your Host, Gabriele Nicolet I'm Gabriele Nicolet—toddler whisperer, speech therapist, parenting life coach, and host of Complicated Kids. Each week, I share practical, relationship-based strategies for raising kids with big feelings, big needs, and beautifully different brains. My goal is to help families move from surviving to thriving by building connection, confidence, and clarity at home. Complicated Kids Resources and Links

Autism is a spectrum with unique stories for every child. In this episode, Dr. Grace Gengoux, PhD, Clinical Professor, Director of the Autism Intervention Clinic, and Well-being Director at Stanford University, guides us through the latest science behind autism, from diagnosis to everyday care. Learn how clinicians explain autism in clear, evidence-based terms, how families can access essential services, and practical strategies to support both children and caregivers. We also explore genetics, DSM-5 updates, and how to navigate care pathways with confidence and compassion. Read Transcript: https://mcdn.podbean.com/mf/web/95yi3fcayn9zbk5v/medcast_episode116.docx CME Information: https://stanford.cloud-cme.com/medcastepisode116 Claim CE: https://stanford.cloud-cme.com/Form.aspx?FormID=3810  

When a doctor hands your child a diagnosis, it can be a relief - finally, an explanation for their behavior! But sociologist Dr. Allan Horwitz has spent decades studying how psychiatric diagnoses are made, and what he's found raises serious questions about how much weight that label should carry. In this episode, Dr. Horwitz walks through how the Diagnostic and Statistical Manual (DSM) - the manual that defines every mental health diagnosis - was built less on scientific research than on professional politics, institutional pressure, and the practical needs of insurance companies.  He traces how depression went from a diagnosis given to a small fraction of the population to one of the most common diagnoses in the world, and explains exactly what happened to reliability when the DSM-5 was tested in real clinical conditions.  He also looks at how the same behaviors get labeled very differently depending on a child's age, race, class, and cultural background - and why that matters for every parent trying to figure out whether a diagnosis is actually helping their child. This episode won't tell you to reject diagnosis outright. But it will give you the critical knowledge to ask better questions when a label is offered for your child. Questions This Episode Will Answer What is the DSM and why does it matter for my child?  The DSM is the manual psychiatrists and psychologists use to diagnose every mental health condition. It determines what insurance will cover, what services your child can access, and what label follows them through school and into treatment. Who created the DSM and who controls it?  The American Psychiatric Association publishes the DSM, but its diagnostic criteria were largely shaped by a small group of people - predominantly white men with ties to pharmaceutical companies - whose process looked more like sausage-making than science. Why is DSM-5 criticized by researchers?  Field trials for DSM-5 showed reliability had actually declined from earlier editions. For some of the most common diagnoses, including major depression and generalized anxiety, agreement between clinicians was barely better than chance. Is a psychiatric diagnosis actually reliable?  Reliability means two different clinicians would give the same patient the same diagnosis. Research on the DSM-5 shows this is far less consistent than most parents assume - and a reliable diagnosis still isn't necessarily a correct one. Are children being overdiagnosed with mental health conditions?  Research shows that the youngest children in a classroom are significantly more likely to receive a psychiatric diagnosis than their older classmates, especially for ADHD - suggesting that what's being measured is developmental maturity, not a mental disorder. Does the DSM apply equally to children from different cultural backgrounds?  The DSM was built on a Euro-centric framework, and critics argue it pathologizes behaviors that are normal or valued in many Global Majority cultures. This has real consequences for how children from different backgrounds get diagnosed and treated. Why do mental health diagnoses focus on the individual instead of their circumstances?  The DSM is deliberately designed to identify disorders within a person rather than look at the conditions around them. It makes sense that a person going through a relationship breakup might feel sad, angry, and/or uncertain about the future.  That doesn't mean they're ‘depressed.'  Dr. Horwitz explains what that choice costs - and who pays the most. What You'll Learn in This Episode Why diagnosis serves the psychiatric profession and the insurance system in ways that don't always help the person being diagnosedHow the shift from psychoanalysis to the DSM-3 in 1980 dramatically expanded who could be diagnosed with depression - and why that shift was driven by professional rivalry, not new scienceWhat reliability and validity actually mean in psychiatric diagnosis, and why the numbers from DSM-5 field trials alarmed even people inside the systemHow the people who built the DSM criteria handled disagreements - and why the process Dr. Horwitz describes is so different from what most parents imagineWhy a child's birthdate relative to their classmates can predict their likelihood of receiving a psychiatric diagnosisHow socioeconomic status shapes not just whether a child gets diagnosed, but when they take their medication and whyWhat the removal of the bereavement exclusion in DSM-5 tells us about the direction the system is headingWhy the same behaviors that get a child diagnosed with ADHD in the US might get that child's family into therapy in the UK insteadWhat Dr. Horwitz thinks would actually make a difference for children's mental health - and why the most effective interventions are rarely the ones being offered Your Triggers Aren't a Diagnosis. But They're Worth Understanding. This episode makes the case that the mental health system focuses on only what's happening inside a person instead of looking at the broader circumstances around them - mostly to sell us more drugs.  In reality, our struggles are a combination of the challenges we've experienced in the past (and how we've learned to handle them), and our situation today.  We have to see both pieces to make sense of where we've been, and learn new tools for what's happening now. When your child's behavior sends you into a reaction you regret later, a diagnosis or prescription may not help as much as understanding what's underneath that reaction and where it came from.  That's exactly what the Taming Your Triggers workshop is built to help you do. In 10 weeks, you'll learn why you react the way you do, how to meet your own needs so you have more capacity for your kids, and how to respond from your values instead of your history. Enrollment is only open for a couple more days, until midnight Pacific on Wednesday, March 4. Click the banner to learn more Jump to highlights: 02:14 Introduction to today's episode 03:44 Why do we diagnose mental illness, and whose interests does the diagnostic system serve? Dr. Allan Horwitz explains that diagnoses maintain psychiatry's legitimacy and prestige as a medical profession, regardless of the knowledge behind each diagnosis. 05:10 Patients now often expect specific diagnoses before treatment even begins. 14:27 People experiencing sadness from job loss or relationship endings can benefit from medication, but to get prescriptions, you need a diagnosis of a disorder, even when the response is completely expectable given the circumstances. 15:39 The DSM locates suffering within individuals rather than examining broader social circumstances. 19:00 Wrapping up. 21:25 An open invitation to join the Parenting Membership.

Send a textAre veterans gaming the system, or are we trapped in a shallow debate that ignores the law, the medicine, and the lived reality of service? We dig into the difference between media narratives and VA standards with guest Jane Babcock—Army and Army Reserve retiree, former accredited county veteran service officer, and a relentless advocate who's helped file over 1,200 claims.We start by clarifying what disability compensation really is: payment for lost earning capacity tied to service-connected conditions, not a ban on work. From there, we break down presumptive conditions like ALS, the overlooked wartime pension, and why “equipoise” requires raters to side with veterans when evidence is evenly balanced. Jane shares a powerful case where MOS duties and OSHA data linked a young non-smoker's aggressive cancer to specific chemical exposure, proving how targeted research can win tough claims.The conversation then tackles the now-rescinded proposal to rate disabilities in a medicated state. We explain why symptom control isn't cure, how such a rule would punish adherence and invite churn, and how courts have already affirmed ratings must reflect unmedicated baselines. On mental health, we draw the line between stabilization and recovery, outline practical steps to secure DSM-5 diagnoses with Vet Center counseling and VA psychiatry, and stress the power of detailed buddy statements for incidents that never made it into records.We also spotlight the structural mess: VHA, VBA, and cemetery services run on different rails; community and contracted care don't always flow back; and older records can disappear. The fix on the veteran side is ownership—gather civilian files, align diagnoses to rating codes, and work with an accredited VSO who can flag special monthly compensation, aid and attendance, and survivor benefits. Even with OTH discharges, VA adjudication can reopen doors when the facts support service connection.If this conversation helps you or someone you love, share it with a fellow vet, subscribe for more candid guides, and leave a review so others can find it. Your voice keeps this community sharp, informed, and hard to ignore.Support the showVisit my website: https://thehello.llc/THERESACARPENTERRead my writings on my blog: https://www.theresatapestries.com/Listen to other episodes on my podcast: https://storiesofservice.buzzsprout.comWatch episodes of my podcast:https://www.youtube.com/c/TheresaCarpenter76

Eating disorder shapeshifting explained, therapy dissociation tips, no contact with adult child response, self-acceptance after weight gain, feeling unseen or outcast, skin picking dermatillomania, broken UK NHS mental health system, social anxiety in sessions, neurodivergent experiences, body image struggles, anxiety after injury, DSM vs ICD-11 differences, parasocial relationships advice. Licensed marriage and family therapist Kati Morton answers your real questions in this Ask Kati Anything episode—get expert insights on coping, recovery, and feeling seen. Shopping with our sponsors helps support Ask Kati Anything. Please check out this week's special offers: • Hero Bread is offering 10% off your order. Go to https://www.hero.co/ and use code KATI at checkout • Hers - visit https://www.forhers.com/kati for personalized, affordable weight loss plans with licensed medical support • Zocdoc - find and book top-rated doctors, therapists, or mental health providers near you in minutes. Go to https://www.zocdoc.com/kati Audience questions: 0:47 - Q1: Mind goes blank when therapist asks 'what do you need?' (social anxiety, dissociation) 6:16 - Q2: Why eating disorders shapeshift from restricting to bingeing (neurodivergent impact) 15:17 - Add-on: Self-acceptance vs weight loss first mindset in ED recovery (body image fears) 21:03 - Q3: Anxiety, depression after injury and loss of independence (positive mindset tips) 29:05 - Q4: Key differences between DSM and ICD-11 for diagnosing mental illnesses 34:05 - Q5: Feeling like an outcast or invisible - how to build inclusion and connections 43:20 - Q6: Dermatillomania (skin picking) - causes, tips, and tricks to stop 47:35 - Q7: Navigating broken mental health systems and feeling unhelpable 54:21 - Q8: Best response when an adult child goes no contact (with compassion and respect) 1:01:04 - Q9: Navigating parasocial relationships with content creators and celebrities MY BOOKS Why Do I Keep Doing This? https://geni.us/XoyLSQ Traumatized https://geni.us/Bfak0j Are u ok? https://geni.us/sva4iUY ONLINE THERAPY? Enjoy 10% off your first month: While I do not currently offer online therapy, BetterHelp can connect you with a licensed, online therapist: https://betterhelp.com/kati PARTNERSHIPS Nick Freeman | nick@biglittlemedia.co DISCLAIMER The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship. Ask Kati Anything ep. 303 | Your mental health podcast, with Kati Morton, LMFT Learn more about your ad choices. Visit megaphone.fm/adchoices

Free DNA Activation Masterclass + 21-Day Abundance Meditation: https://masterclass.samuelbleemd.com/dnaPeptides I use personally to regenerate, heal, and stay sharp: https://limitlesslivingIn this episode, Dr. Samuel B. Lee, MD sits down for a raw and unfiltered solo conversation about the hidden realities of modern psychiatry, the illusion of “chemical imbalance,” and the forgotten truth of the superconscious soul. From working inside elite institutions like Cedars-Sinai and the University of Washington Medical Center to witnessing firsthand the numbing of children and elders in psychiatric facilities, his story is a testament to courage, awakening, and spiritual integrity.Dr. Lee shares how going through his own diagnoses—major depression, anxiety, paranoia, addiction, even a manic episode that led him to call off his wedding became the very initiation that opened his awareness beyond the DSM-5 and into the spiritual dimensions of healing. This episode dives deep into the limitations of symptom-based psychiatry, the concept of the superconscious mind, and why true healing requires reconnecting to the soul not suppressing it.Sacred Truths & Lessons from This Episode:• You Are Not Your Diagnosis• The “Chemical Imbalance” Theory Was Never Proven• Numbing Symptoms Is Not the Same as Healing the Soul• Society May Be Sick Not the Child• Your Superconscious Mind Holds the Key to Transformation• Healing Begins When You Reclaim Your Spiritual SovereigntyDr. Lee vulnerably explores what happens when elders are medicated into numbness at the end of life, when children are labeled instead of understood, and when psychiatrists are pressured to prescribe instead of connect. He reveals why he walked away from a lucrative partnership at one of Los Angeles' largest psychiatric hospital firms and chose instead to speak from his soul.This is not just a critique of a system. It's a call to remember what psychiatry originally meant: healing the psyche the soul.

Dr. Roger McFillin argues that Western allopathic medicine and psychiatry have medicalized normal human suffering by reducing emotions to biological or chemical reactions, turning symptom checklists into fixed identities, and sustaining a drug-driven "sick care" system that creates lifelong customers. He contrasts this with viewing emotions as powerful energy meant to be moved into creation and transformation, cites psychoneuroimmunology, and warns that suppressing fear and distress with pharmaceuticals can worsen long-term outcomes. The conversation covers exposure-based approaches to unlearn fear, the role of media, social media, and advertising in provoking fear and keeping people in an unconscious "drift" state, and the importance of intentional stillness, solitude (distinct from loneliness), prayer or silent meditation, and reducing phone use—especially at the start of the day—to become more conscious and intentional.    McFillin discusses how diagnostic labels like depression and anxiety shape identity, limit choices, and contribute to chronicity and polypharmacy. He contrasts PTSD with post-traumatic growth, emphasizing processing trauma memories, facing avoided situations, challenging overgeneralized threat beliefs, and practicing forgiveness and self-compassion while also taking ownership where appropriate. They also discuss the perceived harms of the "toxic masculinity" concept, men's wellbeing, the loss of wise elders, and how men often bond and cope through shared activities. Dr. Roger McFillin is a clinical psychologist and trauma recovery expert who challenges the medicalization of normal human emotions. With a focus on emotional resilience and personal growth, he specializes in exposure therapy and psychoneuroimmunology, exploring the connection between mind, emotions, and immune health. Dr. McFillin advocates for self-regulation and transforming emotional energy into healing, critiquing the overuse of pharmaceuticals in modern mental health treatment. Through his Substack, Radically Genuine, and podcast, Dr. McFillin educates individuals on overcoming fear, achieving stillness, and reconnecting with their true selves. His work empowers people to shift from a victim mindset to one of active growth, using trauma as a catalyst for resilience and positive change.   Science & Medicine   Psychoneuroimmunology   Overview & science (NIH): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130991/   Exposure Therapy   Wikipedia overview: https://en.wikipedia.org/wiki/Exposure_therapy   Cleveland Clinic explanation: https://my.clevelandclinic.org/health/treatments/25067-exposure-therapy   Anxiety & OCD exposure-based approaches (IOCDF): https://iocdf.org/about-ocd/treatment/erp/   Heart Coherence   HeartMath Institute overview: https://www.heartmath.org/heart-coherence/   Psychiatric Diagnosis & DSM   Critique of DSM and diagnostic categories: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195174/   Psychiatric diagnosis controversies: https://www.apa.org/monitor/2013/04/diagnosis   Psychology & Healing   Post-Traumatic Growth vs. PTSD   Scientific overview of post-traumatic growth: https://www.apa.org/monitor/2014/01/psychological-recovery   Journal article on PTG vs PTSD: https://www.sciencedirect.com/science/article/abs/pii/S0272735814000412   Forgiveness and Healing   Psychology Today on forgiveness: https://www.psychologytoday.com/us/basics/forgiveness   Research evidence on forgiveness and wellbeing: https://journals.sagepub.com/doi/10.1177/1745691614568356   Self‑Healing Practices   Grounding / Earthing   What is grounding/earthing? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378297/   PEMF (Pulsed Electromagnetic Field) Therapy   Basics of PEMF therapy: https://www.health.harvard.edu/pain/pulsed-electromagnetic-field-therapy   Meditation & Stillness   Mindfulness & stillness research: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422583/   Psychology Today on solitude and healing: https://www.psychologytoday.com/us/blog/hide-and-seek/201209/finding-solitude-its-benefits-and-challenges   Cultural & Media Influence   Mind Control & Fear Provocation   The psychology of fear in media messaging: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.566245/full   Media influence and persuasion research: https://www.communicationtheory.org/agenda-setting-theory/   Toxic Masculinity   Research overview on toxic masculinity: https://www.apa.org/advocacy/health-men/guidelines   What toxic masculinity means: https://www.psychologytoday.com/us/blog/the-masculine-mind/201802/what-toxic-masculinity   Dr. Roger McFillin Content   Substack (Radically Genuine): https://drmcmillan.substack.com   Show Notes 00:00 Emotions as Energy 00:33 Medicalizing Suffering 02:44 Exposure Beats Suppression 05:18 Fear and Mind Control 10:21 Stillness vs Loneliness 14:47 Simple Stillness Practices 20:12 Morning Intention Rituals 25:56 Labels and Identity Traps 31:26 Systemic Treatment Harm 32:53 Depression Label Identity 35:08 Sadness Versus Pathology 36:10 PTSD And Growth 38:24 Processing Trauma Fully 41:44 Practical Recovery Steps 45:48 Forgiveness And Ownership 50:37 Toxic Masculinity Debate 56:12 Men Friendship And Elders 01:01:05 Closing Plugs Farewell 38:24 How PTSD Develops 41:44 Practical Trauma Recovery 45:48 Forgiveness and Ownership 50:37 Toxic Masculinity Debate 56:12 Male Friendship and Elders 01:01:05 Closing and Where to Follow   The Hart2Heart podcast is hosted by family physician Dr. Michael Hart, who is dedicated to cutting through the noise and uncovering the most effective strategies for optimizing health, longevity, and peak performance. This podcast dives deep into evidence-based approaches to hormone balance, peptides, sleep optimization, nutrition, psychedelics, supplements, exercise protocols, leveraging sunlight, and de-prescribing pharmaceuticals — using medications only when absolutely necessary. Beyond health science, we explore the intersection of public health and politics, exposing how policy decisions shape our health landscape and what actionable steps people can take to reclaim control over their well-being. Guests range from out-of-the-box thinking physicians such as Dr. Casey Means (author of "Good Energy") and Dr. Roger Sehult (Medcram lectures) to public health experts such as Dr. Jay Bhattacharya (Director of the National Institutes of Health (NIH) and Dr. Marty Mckary  (Commissioner of the Food and Drug Administration (FDA) and high-profile names such as  Zuby and Mark Sisson (Primal Blueprint and Primal Kitchen). If you're ready to take control of your health and performance, this podcast is for you.We cut through the jargon and deliver practical, no-BS advice that you can implement in your daily life, empowering you to make positive changes for your well-being.   Connect with Dr. Mike Hart Instagram: @drmikehart Twitter: @drmikehart Facebook: @drmikehart

In this episode of The Behavioral View, Nissa Van Etten, Olivia Teal, Elizabeth Barajas, and Yagnesh Vadgama discuss the evolution of outcomes-based care within applied behavior analysis (ABA). Drawing from extensive experience in both clinical practice and payer systems, Vadgama outlines the differences between traditional fee-for-service models and outcomes-based care frameworks. The panel explores how standardized assessments, aggregate data analysis, and empirically supported dosing recommendations can create greater alignment between providers and payers while maintaining individualized clinical decision-making. The discussion addresses administrative burden, prior authorization processes, value-based payment arrangements, caregiver involvement, social determinants of health, and interdisciplinary collaboration. Emphasis is placed on transparency, data-driven decision making, and protecting the integrity of behavior analytic practice while demonstrating measurable outcomes at both the individual and population levels. This course provides practical insight into how outcomes-based care models may shape the future of ABA service delivery. To earn CEUs for listening, click here, log in or sign up, pay the CEU fee, + take the attendance verification quiz to generate your certificate! Don't forget to subscribe and follow and leave us a rating and review. Show Notes:   References  Frazier, T. W., Youngstrom, E. A., Speer, L., Embacher, R., Law, P., Constantino, J., Findling, R. L., Hardan, A. Y., & Eng, C. (2014). Validation of proposed DSM-5 criteria for autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 28–40. https://doi.org/10.1016/j.jaac.2013.10.012  Frazier, T. W., Klingemier, E. W., Beukemann, M., Speer, L., Markowitz, L., Parikh, S., & Strauss, M. S. (2021). Development and validation of the Autism Impact Measure (AIM). Journal of Autism and Developmental Disorders, 51, 3407–3421. https://doi.org/10.1007/s10803-020-04795-1  Smith, P. C., Sagan, A., Siciliani, L., & Figueras, J. (2023). Building on value-based health care: Towards a health system perspective. Health Policy, 138, 104918. https://doi.org/10.1016/j.healthpol.2023.104918    AI.Measures Scientific Support   Ferguson, E. F., Frazier, T. W., Hardan, A. Y., & Uljarević, M. (2025). Challenging behavior domains in individuals with neurodevelopmental genetic syndromes: The role of psychological features. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 0(1), 1-12      Frazier, T. W., Huba, K., Frazier, A. R., Womack, R. A., Youngstrom, E. A., Chetcuti, L., Hardan, A. Y., & Uljarevic, M. (2025). Maximizing accurate detection of divergence from normative expectation in behavioral intervention outcome assessment. Research in Autism, 126, 202646.      Frazier, T. W., Youngstrom, E. A., Frazier, A. R., & Uljarevic, M. (2025). A critical appraisal of the measurement of adaptive social communication behaviors in the behavioral intervention context. Behavioral Sciences, 15(6), 722      Frazier, T.W., Helton, M., Akouri, C., Chetcuti, L., Uljarevic, M. (2025) Identifying Reliable Change In Outcome Assessments for Behavioral Intervention. Behavioral Interventions.      Frazier, T. W., Dimitropoulos, A., Abbeduto, L., Armstrong-Brine, M., Kralovic, S., Shih, A., Hardan, A. Y., Youngstrom, E. A., Uljarevic, M., Verbal Beginnings, T. (2024). Psychometric evaluation of the Autism Symptom Dimensions Questionnaire. Developmental Medicine and Child Neurology.      Frazier, T. W., Busch, R. M., Klaas, P., Lachlan, K., Jeste, S., Kolevzon, A., Loth, E., Harris, J., Speer, L., Pepper, T., Anthony, K., Graglia, J. M., Delagrammatikas, C., Bedrosian-Sermone, S., Beekhuyzen, J., Smith-Hicks, C., Sahin, M., Eng, C., Hardan, A. Y., & Uljarevic, M. (2023). Development of informant-report neurobehavioral survey scales for PTEN hamartoma tumor syndrome and related neurodevelopmental genetic syndromes. Am J Med Genet A, 191(7), 1741-1757. https://doi.org/10.1002/ajmg.a.63195      Frazier, T. W., Crowley, E., Shih, A., Vasudevan, V., Karpur, A., Uljarevic, M., & Cai, R. Y. (2022). Associations between executive functioning, challenging behavior, and quality of life in children and adolescents with and without neurodevelopmental conditions. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2022.1022700      Frazier, T. W., Dimitropoulos, A., Abbeduto, L., Armstrong-Brine, M., Kralovic, S., Shih, A., Hardan, A. Y., Youngstrom, E. A., Uljarevic, M., & Quadrant Biosciences - As You Are Team. (2023). The Autism Symptom Dimensions Questionnaire: Development and psychometric evaluation of a new, open-source measure of autism symptomatology. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.15497      Frazier, T. W., Dimitropoulos, A., Abbeduto, L., Armstrong-Brine, M., Kralovic, S., Shih, A., Hardan, A. Y., Youngstrom, E. A., Uljarevic, M., Womack, R., Wolf, D., Chappell, N., & Verbal Beginnings Team. (2024). Psychometric Evaluation of the Autism Symptom Dimensions Questionnaire (ASDQ). Developmental Medicine and Child Neurology.      Frazier, T. W., Hyland, A. C., Markowitz, L. A., Speer, L. L., & Diekroger, E. A. (2020). Psychometric evaluation of the revised child and family quality of life questionnaire (CFQL-2). Research in Autism Spectrum Disorders, 70. https://doi.org/https://doi.org/10.1016/j.rasd.2019.101474      Frazier, T. W., Khaliq, I., Scullin, K., Uljarevic, M., Shih, A., & Karpur, A. (2022). Development and psychometric evaluation of the open-source challenging behavior scale. Journal of Autism and Developmental Disabilities. https://doi.org/https://doi.org/10.1007/s10803-022-05750-5      Frazier, T. W., Krishna, J., Klingemier, E., Beukemann, M., Nawabit, R., & Ibrahim, S. (2017). A Randomized, Crossover Trial of a Novel Sound-to-Sleep Mattress Technology in Children with Autism and Sleep Difficulties. J Clin Sleep Med, 13(1), 95-104. https://doi.org/10.5664/jcsm.6398      Frazier, T. W., Busch, R. M., Klass, P., Crowley, E., Lachlan, K., Jeste, S., Kolevzon, A., Loth, E., Harris, J., Pepper, T., Anthony, K., Graglia, J. M., Helde, K., Delagrammatikas, C., Bedrosian-Sermone, S., Smith-Hicks, C., Sahin, M., Eng, C., Hardan, A. Y., . . . Uljarevic, M. (2024). Quantifying Neurobehavioral Profiles across Neurodevelopmental Genetic Syndromes and Idiopathic Neurodevelopmental Disorders. Developmental Medicine and Child Neurology. https://doi.org/https://doi.org/10.1111/dmcn.16112      Uljarevic, M., Cai, R. Y., Hardan, A. Y., & Frazier, T. W. (2022). Development and validation of the Executive Functioning Scale. Front Psychiatry, 13, 1078211. https://doi.org/10.3389/fpsyt.2022.1078211      Uljarevic, M., Spackman, E. K., Cai, R. Y., Paszek, K. J., Hardan, A. Y., & Frazier, T. W. (2022). Daily living skills scale: Development and preliminary validation.   Frazier, T. W., Helton, M., Akouri, C., Chetcuti, L., & Uljarevic, M. (2025). Identifying reliable change in outcome assessments for behavioral interventions. Behavioral Interventions, 40, e70007. https://doi.org/https://doi.org/10.1002/bin.70007    Resources  CentralReach. (n.d.). AI Measures (AIM). https://centralreach.com 

I'm recording this while driving to work because I'm a busy mom. Today I want to talk about diagnosis—what it means, why we do it, and what my particular take on it is. As a clinical psychologist, I was trained in the medical model alongside psychiatrists. We learned the DSM, the diagnostic manual that classifies psychiatric conditions into discrete categories like depression, anxiety, schizophrenia, bipolar. It's useful because it creates a common language for clinicians and allows us to study treatments and measure whether symptoms are reducing. But the DSM has pitfalls. It's inherently biased—mostly based on Western, predominantly American research and samples. In South Africa, for example, hearing voices might indicate psychosis according to the DSM, but for some cultural groups it's a sign someone is a sangoma, a traditional healer. We have to use the framework for what's useful and leave the rest. So why diagnose at all? For many people, especially women who've been told they're too sensitive or too emotional their whole lives, hearing "you're depressed" or "you have anxiety" is deeply validating. It's not you being difficult—it's a real condition that deserves treatment. I stay away from binaries like "is this real depression or just normal life stress?" If someone is struggling and their quality of life is reduced, they deserve help whether it's a temporary hormonal thing, lack of support, or a diagnosable disorder. The question is: does the diagnosis resonate with someone's lived experience? Adult ADHD diagnosis in women is a perfect example. Women weren't diagnosed as kids because they internalized symptoms, while boys bounced off walls physically. Now women are getting diagnosed in their 30s and 40s and feeling massive relief—finally someone understands what's happening inside their minds. That's when diagnosis is most useful: when it leads to self-compassion, not pathologizing, when it helps us scaffold support systems and treatment plans, not just slap on a label. Follow Carly on: Website: https://onthecouchwithcarly.com/ YouTube: https://www.youtube.com/channel/UCfBi56xQookfRGL3zvWVzCg Instagram: https://www.instagram.com/onthecouchwithcarly/?hl=en Facebook: https://www.facebook.com/onthecouchwithcarly/ TikTok: https://www.tiktok.com/@onthecouchwithcarly Apple Podcasts: https://podcasts.apple.com/za/podcast/on-the-couch-with-carly/id1497585376 Spotify: https://open.spotify.com/show/3t7A2FMnISQ2fz9D5p0Xuw

"We built institutions that were supposed to reflect reality. But the windows became mirrors." In the second century, the Gnostics believed our world was a false reality created by a confused lesser god known as the Demiurge. Today, we are trapped in a modern equivalent: a labyrinth of metrics, models, and algorithms that dictate our lives while entirely missing our humanity. In Part 7 of The Mirror World, we dissect the collapse of institutional sense-making and the profound psychological toll of living inside the "fake world." Drawing on the histories of standardized testing, the DSM, and economic modeling, we explore how disciplines retreated behind "mechanical objectivity" to defend against insecurity—and how the profit motive locked us inside these models. Ultimately, we confront the modern pinnacle of this trap: Large Language Models (LLMs). We examine why AI is not the solution, but rather the ultimate simulacrum—the ghost of the human archive that performs the gesture of understanding while severing us from the real. To escape the mirror, we turn to the late psychologist James Hillman. Reclaiming our soul's calling—our daimon—requires more than just new metrics or better prompts. It requires us to do the one thing the algorithm cannot: grieve.

In this powerful episode of the Experience Miracles podcast, Dr. Tony Ebel breaks down the three levels of autism and challenges common misconceptions about autism being "just different" or purely genetic. He shares the inspiring story of Luke, a child who overcame severe autism regression through Neurologically-Focused Chiropractic Care, and explains his "Perfect Storm" theory that identifies the real root causes of autism spectrum disorders.Dr. Ebel explains why traditional medical approaches often fall short and introduces his groundbreaking approach, which addresses nervous system dysfunction at its core. For families dealing with level 2 and level 3 autism, this episode offers hope and a clear path forward through understanding subluxation, dysautonomia, and the critical role of the nervous system in autism recovery.-----Links & ResourcesSign up for the FREE LIVE March 5th Kick the Sick Webinar: www.thepxdocs.com/kick-the-sickMore hope, answers, and help for autism in our free articles: https://pxdocs.com/autism/-----Key Topics & Timestamps01:00 Autism statistics and the neurodiversity misconception 03:00  Luke's story: A family's journey through autism regression 08:00 Breaking down the three levels of autism (DSM criteria) 11:00 Debunking the "purely genetic" myth of autism 13:00 Introduction to the Perfect Storm theory 15:00 Early warning signs and how they progress to autism 18:00 The importance of Insight scanning technology 20:00 How the nervous system holds the key to recovery-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click Here

In this episode, we are honored to welcome Dr. John Z. Sadler, one of the most influential figures at the intersection of psychiatry, ethics, and philosophy. For more than four decades, Dr. Sadler has shaped the intellectual and moral foundations of psychiatric diagnosis, values-based practice, and clinical ethics consultation.Dr. Sadler is the Daniel W. Foster, MD Professor of Medical Ethics and Professor of Psychiatry and Clinical Sciences at UT Southwestern Medical Center, where he directs the Program in Ethics in Science & Medicine and leads the Division of Ethics in the Department of Psychiatry. He has served on the Parkland Hospital Ethics Committee since 1985 and was its co-chair and clinical ethics consultant for three decades—bringing philosophical inquiry directly into the realities of patient care.A co-founder of the Association for the Advancement of Philosophy and Psychiatry and longtime co-editor of Philosophy, Psychiatry, & Psychology, Dr. Sadler has helped define an entire field of scholarship. He is the author of Values and Psychiatric Diagnosis and the recently published Vice and Psychiatric Diagnosis, co-author of The Virtuous Psychiatrist, and editor of multiple definitive reference works including the Oxford Handbook of Philosophy and Psychiatry, the Oxford Handbook of Psychiatric Ethics, and the Oxford Handbook of Psychotherapy Ethics.In this wide-ranging conversation, we explore why philosophy matters in everyday psychiatric practice, from how values shape diagnostic systems like the DSM and ICD, to the ethical tensions that arise in clinical care. Dr. Sadler reflects on the virtues essential to modern psychiatrists, how trainees can cultivate conceptual competence, and where the philosophy of psychiatry is headed globally. The result is both an intellectual masterclass and a thoughtful meditation on what psychiatry is, and what it ought to be.Music from #Uppbeat (free for Creators!):https://uppbeat.io/t/cruen/city-streetsLicense code: 2JJVCBQKEE2GJH5N

Send a textIn this episode of Behind the Stigma, I sit down with Jerome Wakefield, NYU Professor and originator of the influential “harmful dysfunction” theory of mental disorder. We explore what makes something truly pathological, the fuzzy boundary between normal suffering and disorder, and the philosophical foundations shaping modern psychiatry.We also discuss the DSM and it's removal of the bereavement exclusion in depression, evolutionary perspectives on neurodiversity movements and his work on harmful dysfunction. This conversation asked a central question: when does human distress become a mental disorder, and does that distinction matter?About Jerome WakefiedDr. Wakefield is an NYU University Professor and Professor at NYU Silver, known internationally for his groundbreaking work at the intersection of philosophy, psychiatry, and psychology. He has authored over 300 publications on the conceptual foundations of mental health theory.He is best known for developing the influential “harmful dysfunction” analysis of mental disorder, the most cited framework for distinguishing true disorder from normal distress. His work has shaped debates on DSM diagnoses, grief, depression, anxiety, and the boundary between pathology and everyday suffering. He is also the coauthor of the award-winning books The Loss of Sadness (2007) and All We Have to Fear (2012), and has contributed major analyses in psychoanalysis, social work theory, and evolutionary perspectives on mental health. Google Scholar: https://scholar.google.com/citations?user=NkiWM10AAAAJ&hl=enPaper on Harmful Dysfunction analysis: https://pmc.ncbi.nlm.nih.gov/articles/PMC2174594/Paper on the Theory of generativity: https://psycnet.apa.org/record/1998-07139-005Books: https://www.amazon.com/Loss-Sadness-Psychiatry-Transformed-Depressive-ebook/dp/B001CHRHHOhttps://www.amazon.com/All-Have-Fear-Psychiatrys-Transformation/dp/0199793751Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

NEED HELP FOR AN EATING DISORDER? Call: 888-364-5977 or head to: https://emilyprogram.com/begin-recovery/ Host Lindsey Elizabeth Cortes interviews Dr. Jillian Lampert (Vice President of Strategy and Public Affairs at The Emily Program), who explains eating disorders as mental health diagnoses that disrupt a person's relationship with food and negatively impact life, and outlines diagnoses including anorexia nervosa (including that it can occur without visible underweight), bulimia nervosa, binge eating disorder, ARFID, and OSFED; she notes orthorexia is not currently a DSM diagnosis. They discuss why athletes are at higher risk (temperament traits like persistence, rule-focus, and high standards combined with sport pressures), warning signs such as secrecy, defensiveness, and constant preoccupation with food, and serious health consequences including RED-S impacts, cardiac risk (especially with purging and electrolyte disruption), GI issues, bone and endocrine effects, and dental damage. Dr. Lampert describes The Emily Program's full continuum of care (inpatient through outpatient, including virtual options), emphasizes individualized treatment for athletes (including decisions about training/competition), and shares Jessie Diggins' public story of treatment, recovery, relapse, and ongoing support; the episode closes with encouragement to seek help by calling or requesting contact through emilyprogram.com. Dr. Jillian Lampert, PhD, MPH, RD, LD, FAED, is the Vice President of Strategy and Public Affairs for The Emily Program, a national eating disorder treatment company. She completed her doctorate degree in Nutrition and Epidemiology and Master of Public Health degree in Public Health Nutrition at the University of Minnesota. She earned a Master of Science degree in Nutrition at the University of Vermont and completed her dietetic internship at the University of Minnesota Hospital and Clinics. She has an expansive range of policy, clinical, research, education, teaching, and program development experience in the area of eating disorders. Episode Highlights: 01:22 Sponsor Break: WaveBye for Period Pain & Cycle Support 03:00 Eating Disorder Help Resources (NEDA + Emily Program) 04:00 Meet Dr. Jillian Lampert + Why Awareness Week Matters 06:26 Eating Disorders 101: What They Are (and Aren't) 08:31 Types of Eating Disorders: Anorexia, Bulimia, Binge Eating, ARFID, OSFED 12:21 Where Orthorexia Fits + When “Healthy Eating” Becomes Harmful 15:25 Why Athletes Are Higher Risk: Temperament, Perfectionism & Pressure 17:25 Crossing the Line: Red Flags Like Secrecy, Defensiveness & Isolation 21:21 The “Iceberg” of ED Thoughts + How Much You Think About Food 25:02 Sponsor Break: RED-S Quiz + Recovery Membership & Coaching 27:34 Physical Consequences: RED-S, Heart Risk, Electrolytes & GI Damage 34:43 Why you should still talk to a doctor (even if they're not ED-trained) 35:24 From consequences to recovery: the real goal is feeling good again 36:02 Inside The Emily Program: levels of care from inpatient to outpatient 37:59 What makes The Emily Program different: all levels, nationwide, long-term support 40:32 Athletes & recovery goals: using your drive without expecting a quick fix 41:54 Jessie Diggins' story: treatment, relapse, and staying on the team 43:00 Can you keep training in treatment? How athlete care is individualized now 51:45 Recovery is possible: skills that last, hope after relapse, and being your best self 55:28 How to get help today: website, phone call, and don't wait 59:03 Final takeaway + where to find resources and support Resources and Links: For more information about the show, head to work with Lindsey on improving your nutrition, head to: http://www.lindseycortes.com/ Join REDS Recovery Membership: http://www.lindseycortes.com/reds WaveBye Supplements – Menstrual cycle support code LindseyCortes for 15% off: http://wavebye.co Previnex Supplements – Joint Health Plus, Muscle Health Plus, plant-based protein, probiotics, and more; code CORTES15 for 15% off: previnex.com Female Athlete Nutrition Podcast Archive & Search Tool – Search by sport, condition, or topic: lindseycortes.com/podcast Female Athlete Nutrition Community – YouTube, Instagram @‌femaleathletenutrition, and private Facebook group Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, Ben sits down with Dr Shyamal Mashru, Consultant Psychiatrist and Medical Lead for Adult ADHD, for a clear and compassionate deep dive into Rejection Sensitive Dysphoria (RSD).Often misunderstood or dismissed as being “too sensitive,” RSD is explored here as a real, neurological experience - one that can hijack rational thought, flood the body with emotional pain, and quietly shape relationships, work, and self-worth. Dr Shyamal explains what RSD is (and isn't), how it shows up differently across people, and why ADHD brains may be especially vulnerable.They unpack the science, the role of trauma and hormones, why RSD isn't currently in the DSM, and what actually helps when rejection hits hard.If rejection feels overwhelming, confusing, or deeply personal - this conversation offers clarity, relief, and language for what you may have been carrying alone.Join us at hidden20.org/donate.________Host: Ben BransonProduction Manager: Phoebe De LeiburnéVideo Editor: James ScrivenSocial Media Manager: Charlie YoungMusic: Jackson GreenbergHead of Marketing: Kristen Fuller00:00 Introduction01:00 Dr Shyamal Mashru's ADHD Background & Clinical Work03:15 What Surprises Clinicians About ADHD Assessments04:41 Rejection Sensitive Dysphoria Explained: What RSD Is & Why It Hurts09:16 RSD Coping Mechanisms: Shutdown, People-Pleasing & Avoidance11:44 Is It RSD or Something Else? How to Tell the Difference15:05 The Neuroscience of RSD: Why Rational Thinking Switches Off17:27 RSD in Romantic Relationships & Attachment21:33 How to Support a Partner With Rejection Sensitive Dysphoria22:50 How Aware Is Society of RSD?24:38 RSD, Hormones & ADHD: Menstrual Cycle, Perimenopause & Menopause26:33 Is There an Upside to RSD? Emotional Depth & Sensitivity29:56 Can Non-ADHD People Experience RSD?31:55 RSD vs Trauma & Fear of Failure34:46 Why RSD Is More Than “Not Handling Rejection”36:15 Why Rejection Sensitive Dysphoria Isn't in the DSM40:00 How RSD Shows Up in Children41:29 Early Signs & Patterns Clinicians Look For42:59 How Common Is RSD in ADHD — and When It Appears46:20 Treating RSD: Therapy, Medication & Regulation56:18 The One Thing Dr Shyamal Would Change About RSD AwarenessThe Hidden 20% is a charity founded by AuDHD entrepreneur, Ben Branson.Our mission is simple: To change how the world sees neurodivergence.No more stigma. No more shame. No more silence.1 in 5 people are neurodivergent. That's 1.6 billion of us - yet too many are still excluded, misunderstood, or left without support.To break the cycle, we amplify voices, challenge myths, and keep showing up. Spotlighting stories, stats and hard truths. Smashing stereotypes through honest voices, creative campaigns and research that can't be ignored.Every month, over 50,000 people turn to The Hidden 20% to feel safe, seen and to learn about brilliant brains.With your support, we can reach further, grow louder, and keep fighting for the 1 in 5 who deserve more.Join us at hidden20.org/donate.Become a monthly donor.Be part of our community where great minds think differently.Brought to you by charity The Hidden 20% #1203348______________Follow & subscribe…Website: www.hidden20.orgInstagram / TikTok / Youtube / X: @Hidden20charityBen Branson @seedlip_benDr Shymal Mashru @adhdhealthclinicwww.adhdhealthclinic.co.ukIf you'd like to support The Hidden 20%, you can buy a "green dot" badge at https://www.hidden20.org/thegreendot/p/badge. All proceeds go to the charity. Hosted on Acast. See acast.com/privacy for more information.

Intermittent fasting is the most Googled diet-related term on the planet, except everyone who does it will tell you it's not a diet. It's a protocol. An eating window. A lifestyle. An optimization hack. Definitely, absolutely, under no circumstances a diet. You just don't eat for sixteen hours. Totally different.In this episode, we trace IF from ancient religious fasting traditions through its secularization and commodification, afrom Martin Berkhan's Leangains forum and its tagline ("fuck breakfast") to Michael Mosley's BBC documentary, Hugh Jackman's Wolverine physique, and Jack Dorsey describing his weekend-long fasts as "hallucinating" like that's a selling point. We walk through how a Nobel Prize in yeast biology became a justification for skipping breakfast, why Jason Fung's The Obesity Code scored 31% on scientific accuracy and still became the IF bible, and how the fasting app market turned one simple rule into a multimillion-dollar industry.Then we get into what the science actually says. We break down the claimed mechanisms — metabolic switching, autophagy, insulin sensitivity — and look honestly at where the evidence lands. Spoiler: the mechanisms are real, but the confidence far outpaces the human data. The first direct measurement of autophagy in humans was published in 2025. Mouse metabolism runs seven times faster than ours. And the landmark Liu et al. trial in the New England Journal of Medicine found that time-restricted eating is no better than regular caloric restriction for weight loss. You're not metabolic switching. You're just eating less.We also dig into what IF means for active people (no performance benefit across any exercise type, real risk of under-fueling and RED-S, and a protein distribution problem that no eight-hour window can solve), what the AHA, ADA, NIA, and ISSN actually say about it, and the robust research linking IF to eating disorder behaviors across all genders — including a landmark study showing that fasting was a stronger predictor of binge eating disorder than any other form of dietary restraint. Fasting is listed in the DSM-5 as a compensatory behavior. Just because you give it a different vocabulary doesn't mean your body experiences it differently.Your body is smarter than any fasting app. Also, breakfast slaps..This Episode's Sponsors:rabbit — Code YDSFEB for 10% offOsmia — Code YDS20 for 20% offTailwind — Code YOURDIET20 for 20% offMicrocosm Coaching — Book a free consultationFull references, episode archive, and our advertising ethics policy at yourdietsuckspodcast.comHosted by: Zoë Rom & Kylee Van Horn, RDN

By David Stephen who looks at biomarkers in this article. Will there ever be a biological test for human intelligence, to explore how to improve it in the age of AI? Like, would it ever be possible to test a human being for intelligence by some biological factor, and how to make it competitive against AI? The same question applies to mental disorders. Would there ever be biological tests, to know what therapies would work? These, at least for mental disorders, is what the American Psychiatric Association is seeking. Biomarkers for Psychiatry, Human Intelligence There is a recent [January 28, 2026] press release, APA Releases Roadmap for the Future of the DSM, stating that, "The American Psychiatric Association (APA) has released a series of papers offering a proposed roadmap for the future of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The five papers, including the Initial Strategy for the Future of the DSM and four accompanying commentaries, are the result of the committee's year of structured debate and consideration of long-standing critiques and rapid scientific advances. They propose a forward-looking model for the evolution of the DSM. They also suggest changing the name from Diagnostic and Statistical Manual to Diagnostic and Scientific Manual to better reflect its scientific and global scope. The four accompanying papers address structure and dimensions of the DSM; the role of biomarkers and biological factors in diagnosis; vision for incorporating socioeconomic, cultural and environmental determinants of health and intersectionality; and the role of functioning and quality of life in psychiatric diagnosis." Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology What are the options for biomarkers in the brain for mental disorders? Would they be different or similar to those for human intelligence? What are the universal components in the brain, for functions of human life and experiences? Can a model be developed on these components and their mechanisms, first to explain labels and next to scope out biomarkers? The problem before psychiatry is not just the distance to developing tests but to even describe what is happening in the brain for the labels of conditions. Mood disorders have several descriptions. But what are their components in the brain and the course of their actions. Answering these questions can put conditions in perspective as parallels are sought, before adventuring into biomarkers development. The same applies to human intelligence. Now, artificial intelligence is in an intense acceleration. There are valuable labor tasks that will be lost due to AI. And, because intelligence is the last frontier of superiority for humanity among organisms, it will be important to seek to map it, and explore it for problem-solving. This is the postulation in Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology. The options are electrical and chemical signals as the components of functions in the brain. It states that neurons are conduits or bridges that signals use to carry out functions. It also states that signals are in sets in cluster of neurons. It is possible to use signals, conceptually, to explain and display all disorders in the DSM. It is also possible to use them to develop, explain, and display the two main types of human intelligence [improvement and operational], to ensure that options are broadened towards survival in the age of AI. This seminal work on conceptual brain science could be completed by August, 2026, moving psychiatry and intelligence forward, as well as neurology. David Stephen currently does research in conceptual brain science with focus on the electrical and chemical configurators for how they mechanize the human mind with implications for mental health, disorders, neurotechnology, consciousness, learning, artificial intelligence and nurture. He was a visiting scholar in m...

Here at DSM, we've been enjoying Heated Rivalry, the HBO series about two pro hockey players who begin a secret love affair. The show is steamy, but it also highlights some persistent problems in male sports culture, namely, that same-sex relationships are still extremely taboo. But one TikTok account is trying to change that culture for the better. Sex Ed for Guys was started by athletes at Colby College in Maine, and their videos promote emotional vulnerability and openness, strong male friendships, safe sex, and lots more. This week, Anna talks to three of those athletes (Chris Maichin, Jack Gatjanis, and Mitch Humphrey) and to Adam Howard, their faculty mentor. This episode was produced by Cameron Drews.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

Here at DSM, we've been enjoying Heated Rivalry, the HBO series about two pro hockey players who begin a secret love affair. The show is steamy, but it also highlights some persistent problems in male sports culture, namely, that same-sex relationships are still extremely taboo. But one TikTok account is trying to change that culture for the better. Sex Ed for Guys was started by athletes at Colby College in Maine, and their videos promote emotional vulnerability and openness, strong male friendships, safe sex, and lots more. This week, Anna talks to three of those athletes (Chris Maichin, Jack Gatjanis, and Mitch Humphrey) and to Adam Howard, their faculty mentor. This episode was produced by Cameron Drews.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

In this second episode of The Narcissism Trap series, we open up the DSM-5 and walk through the actual clinical criteria for Narcissistic Personality Disorder but with a crucial twist.

[Rerun] Dr. Kirk Honda and Humberto critique paraphilic disorders, sexual fetishes, and DSM-5.(Intro) March 8, 2017 This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleEmail: https://www.psychologyinseattle.com/contactWebsite: https://www.psychologyinseattle.comMerch: https://psychologyinseattle-shop.fourthwall.com/Instagram: https://www.instagram.com/psychologyinseattle/Facebook Official Page: https://www.facebook.com/PsychologyInSeattle/TikTok: https://www.tiktok.com/@kirk.hondaThe Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com(By The Daily Telegraph. Copyright holders of the image of Madeleine at three are Kate and Gerry McCann. The age-progressed image was commissioned by Scotland Yard from forensic artist Teri Blythe for release to the public. Both images have been widely disseminated by the copyright holders, and have been the subject of significant commentary., Fair use, https://en.wikipedia.org/w/index.php?curid=39861556)

Here at DSM, we've been enjoying Heated Rivalry, the HBO series about two pro hockey players who begin a secret love affair. The show is steamy, but it also highlights some persistent problems in male sports culture, namely, that same-sex relationships are still extremely taboo. But one TikTok account is trying to change that culture for the better. Sex Ed for Guys was started by athletes at Colby College in Maine, and their videos promote emotional vulnerability and openness, strong male friendships, safe sex, and lots more. This week, Anna talks to three of those athletes (Chris Maichin, Jack Gatjanis, and Mitch Humphrey) and to Adam Howard, their faculty mentor. This episode was produced by Cameron Drews.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

Does a mental health diagnosis explain why you are suffering, or does it just give your suffering a name?In this episode, I challenge the traditional way we look at mental health labels. While a diagnosis (like depression, anxiety, or ADHD) can be a helpful shorthand for professionals, it often becomes a trap for the person receiving it—convincing them they are "broken" rather than adapting to their life context.To illustrate this, I share the story of two hypothetical clients: Penny and Milton. Both come to therapy with the exact same heavy symptoms.Penny receives a diagnosis, is told she has a disorder to manage forever, and leaves feeling defective.Milton is met with a nervous system perspective, learns his feelings make sense based on his history, and is given the tools to actually heal.Join me as we explore why your diagnosis is a description, not a life sentence. We'll discuss how to shift from "fighting a disorder" to building safety in your nervous system, so you can stop merely managing symptoms and start getting unstuck.In this episode, you will learn:Why a diagnosis in the DSM describes what is happening but rarely explains why.The critical difference between the "Disorder Model" vs. the "Nervous System Model."How to stop rejecting your feelings and start building safety (the "Milton" approach).Why your symptoms are likely a normal response to an abnormal situation.

In this episode, I'm challenging a common habit in school counseling: labeling student distress as “anxiety” before it actually meets clinical criteria.You'll hear the research behind "prevalence inflation," how DSM standards separate normal worry from clinical anxiety, and the four-question test that will change how you approach 504 plans, school refusal, and all your anxiety-related counseling referrals.Because when we mislabel discomfort, exclusion, or instability as anxiety, we don't just miss the root issue. We build an entire intervention around the wrong problem.Run the four-question test before you write the accommodation.********Join our new Skool for School Counselors community ********Want support with real-world strategies that actually work on your campus? We're doing that every day in the School for School Counselors Mastermind. Come join us! ********All names, stories, and case studies in this episode are fictionalized composites drawn from real-world circumstances. Any resemblance to actual students, families, or school personnel is coincidental. Details have been altered to protect privacy. This work is part of the School for School Counselors body of work developed by Steph Johnson, LPC, CSC, which centers role authority over role drift, consultative practice over fix-it culture, adult-designed systems and environments as primary drivers of student behavior, clinical judgment over compliance, and school counselor identity as leadership within complex systems.

Webinar link: https://www.mikkiwilliden.com/unlocking-fatloss-success On this episode of Mikkipedia, Mikki tackles binge eating behaviours and why the traditional “just eat less” approach often fails. She clarifies the difference between occasional overeating and true binge episodes, including the defining feature of loss of control, and outlines the DSM-5 criteria for binge eating disorder (for education, not self-diagnosis). Mikki then unpacks the physiology and psychology driving the restriction–binge cycle: dopamine and reward circuitry, cortisol and stress, shifts in ghrelin and leptin during calorie deficits, and the classic “what-the-hell effect” described in restraint theory. Most importantly, she offers practical strategies — predictable meals, adequate protein and energy, flexibility over rigidity, understanding whether you're a moderator or abstainer, and building alternative coping tools — so you can decide whether fat loss is appropriate now or if foundational work comes first.HighlightsBinge eating vs overeating: the critical differenceDSM-5 criteria explained clearly and practicallyWhy calorie restriction increases biological pressure to overeatRestraint theory and the “what-the-hell” effectPractical steps to break the restriction–binge cycle Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order

A board-certified psychiatrist trained at one of the most prestigious psychiatric institutions in the world was fired for refusing to put a young woman on medication after the last prescription nearly killed her. Dr. Aruna Nammi left the system and built something radically different, combining functional medicine with 5,000-year-old Ayurvedic wisdom to reverse conditions psychiatry calls chronic and incurable. We go deep on why depression is a disconnection syndrome, the three root causes of all disease, what ancient traditions understood about psychosis that modern psychiatry ignores, and the shift in consciousness that may be unfolding on this planet right now.Trinergy Health Website Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

This episode describes what complex Post Traumatic Stress disorder (cPTSD) is, how it's diagnosed, and how it's different to similar disorders like PTSD and borderline personality disorder. This episode was inspired by the angry comments on Dr. Kibby's latest reel on spotting emotion dysregulation in borderline personality disorder. When someone has a history of childhood trauma and they struggle with intense emotions, self-esteem issues, and relationship problems- what disorder do they have? In this episode, Dr. Kibby delves into the criteria for complex PTSD, which is still not an official disorder in the DSM-V. Yet, so many people struggle with symptoms from long, painful histories of trauma that has shaped their entire lives and personalities.Dr. Kibby also discusses the nuanced differences between Complex PTSD and Borderline Personality Disorder, revealing how trauma shapes self-esteem, relationships, and emotional regulation in surprising ways. If you've ever wondered why these disorders often overlap—and how understanding their distinctions can transform healing—you'll want to hear this.Dr. Kibby shares her own experiences with online criticism around trauma representation, sparking a deeper conversation about stigma and bias in mental health. She dives into the hidden intricacies of CPTSD, explaining why it's often overlooked in the DSM-5 but recognized worldwide, and how prolonged trauma affects the brain's ability to process memories, dissociate, and regulate emotions.She also talks about how how trauma, whether overt or subtle, can lead to complex self-protection mechanisms that impact every aspect of life. Then she finishes with listing the best evidence-based treatments, from prolonged exposure to cognitive processing therapy and DBT, tailored for each disorder's unique challenges. She emphasizes the power of compassion and personalized treatment over stigma, advocating for a mental health field that treats all disorders with empathy and respect. Why diagnosis isn't about labels- it's a pathway to personalized healing and recovery.Resources:Sarr, R., Quinton, A., Spain, D., & Rumball, F. (2024). A Systematic Review of the Assessment of ICD‐11 Complex Post‐Traumatic Stress Disorder (CPTSD) in Young People and Adults. Clinical psychology & psychotherapy, 31(3), e3012.Simon, J. J., Spiegler, K., Coulibaly, K., Stopyra, M. A., Friederich, H. C., Gruber, O., & Nikendei, C. (2025). Beyond diagnosis: symptom patterns across complex PTSD and borderline personality disorder. Frontiers in Psychiatry, 16, 1668821.

The soybean landscape is shifting fast. Between Dicamba label uncertainty and emerging diseases like Red Crown Rot, growers need tools that can pivot as quickly as the weather.In this episode, Will Cornelius gives us a "boots on the ground" update from the Independent Seed Professional Association (IPSA) meeting. We discuss why Cornelius Seed is moving full-speed ahead with Syngenta's new Victrato® treatment and what the upcoming Vyconic® (HT4) stack means for your weed management strategy in 2028.Key highlights include:Identifying the "Tiger Stripe": How to spot Red Crown Rot before it takes 50% of your yield.The "All-in-One" Stack: A first look at Vyconic® (Enlist + Dicamba + Mesotrione).Speedboat vs. Big Boat: How independent companies bring tech to the field faster.Lowering Input Costs: Why conventional and organic genetics are seeing a massive resurgence.Whether you're looking to break through a yield ceiling or simplify your herbicide program, this episode is packed with technical insights for the "analytical farmer."Join our on-farm trials: Contact your DSM or visit our website to learn more about testing Victrato® on your acres this season[01:20] Will's role and the advantage of being an independent seed company.[03:35] Syngenta's pipeline: FG72 and HPPD tolerance.[05:19] Introducing Victrato®: A game-changer for Red Crown Rot.[07:44] How to participate in on-farm trials.[08:16] Nematode protection: Beyond just SCN.[10:09] Red Crown Rot: Identification tips and yield impact.[11:37] Vyconic® (HT4): The 2028 "5-way" trait stack.[15:32] The latest on the Dicamba label for 2026.[19:50] Why Conventional and Organic beans are trending for 2026/27.[23:22] The Cornelius Quality: 93% germination standards.

Paranoia is one of the most misunderstood symptoms in bipolar disorder — and using the wrong word can delay the right treatment. Using real-life examples, this episode explains how psychosis in bipolar disorder is typically tied to mood episodes, how paranoid delusions form, and why people experiencing them often don't report symptoms. In this episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a board certified psychiatrist) break down what paranoia actually is, when it's actually anxiety or hypervigilance, and when it crosses into psychosis and delusional thinking. They explain why “being paranoid” isn't a diagnosis and how paranoid delusions fit under the psychosis umbrella. We answer common questions like: Is paranoia a stand-alone diagnosis in the DSM-5? When does healthy suspicion, anxiety, or hypervigilance get mislabeled as paranoia? Why does psychosis in bipolar disorder usually occur during manic or depressive episodes? What types of medications are commonly used to treat paranoia-related symptoms? How can loved ones spot symptoms the person may not recognize? If you've ever wondered whether paranoia is a typical worry, a trauma response, or something more serious, this episode brings clarity to a topic that's often confusing — and rarely explained well. Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Sharing the show with people you know is how we'll grow. Please like, share, and subscribe. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this solo series episode, Lisa invites listeners to rethink change beyond “fixing what's wrong,” and into a more humane, nervous-system–smart way of becoming. She critiques pathology-first mental health models, centers a trauma-informed, strengths-based lens, and names the difference between compassionate, intentional change and fear-driven extremes. Moving through the six stages of change, Lisa reminds us that real progress is often quiet and internal and shows, through relatable examples, how small, steady steps can create lasting, sustainable change. Topics Include:Person-Centered DiagnosisJudgementStages of ChangeProcessing Emotions[2:17] Lisa begins this episode by revisiting a topic from a previous conversation. She clarified that her position is not to dismiss the reality of mental illness or to discard the DSM entirely. By labeling conditions as "disorders," the system inherently frames them as something wrong or broken within a person. Lisa argues for a shift in perspective, suggesting that these behaviors could instead be viewed as adaptive, wise, or even brilliant coping mechanisms developed in response to difficult circumstances.[11:26] Lisa explores the social-psychological concept of judgment. In our social context, we often believe we want to be judged positively and avoid negative judgment. Using body size as an example, she notes that someone who has experienced shame for being in a larger body might believe that changing their body to receive positive judgment will bring them happiness. The core human longing, she argued, is not to be judged, but to be seen. The goal is to understand that intentional change can be beneficial, if paired with the internal work of self-love and acceptance. [21:19] Lisa focuses on the "Stages of Change" model, a therapeutic framework for understanding how people change behavior. Lisa emphasizes that this model reveals change as a process, not a single event, and explains why simply deciding to change often fails. She outlines the six stages of change:Pre-contemplation: The person is not considering changing their behavior.Contemplation: The individual becomes aware of the issue but has not committed to action.Preparation: The person starts to plan, gather information, and make small, experimental changes.Action: The individual actively implements their plan and modifies their behavior.Maintenance: The focus shifts to sustaining the new behavior long-term and developing coping strategies for temptations.Recurrence/Relapse: Presented not as a failure but as an integral part of the process but an opportunity to learn about triggers, practice self-compassion, and restart the process with new knowledge.[29:53] Lisa points out that three stages occur before any concrete action is taken. She talks about how people often fail to make lasting changes because they try to jump directly from thinking about a problem to the "action" stage which is unrealistic and sets them up for failure.[59:54] Lisa discusses how the real work of change begins internally and invisibly. Lisa reiterates that traditional diets fail because they force individuals to jump from "pre-contemplation" directly to "action," ignoring the nervous system and emotional safety. Lisa revisits the concept of baby steps as the key to any sustainable change.  [1:07:17] Lisa emphasized that our actions are often attempts to solve emotional problems with physical solutions. The answer to "not feeling enough" is not to do more, but to sit with the feeling itself. *The views of podcast guests do not necessarily reflect the views and beliefs of Lisa Schlosberg or Out of the Cave, LLC.LISA IS NOW ACCEPTING: One-on-One Clients!⁠Purchase the OOTC book of 50 Journal Prompts⁠⁠Leave Questions and Feedback for Lisa via OOTC Pod Feedback Form ⁠Email Lisa: ⁠lisa@lisaschlosberg.com⁠⁠Out of the Cave Merch⁠ - For 10% off use code SCHLOS10Lisa's Socials: Instagram⁠ ⁠Facebook⁠ ⁠YouTube⁠

Vitamin D was long considered a compliance nutrient rather than a performance lever. In this episode, we break down what's changed in the last couple of years, from BioMar doubling vitamin D₃ across salmon diets to new research suggesting salmon may synthesize vitamin D from sunlight, then zoom out to explain how vitamin D actually works in the body, why modern feeds increased the need for supplementation, and how the EU's 2019 regulation opened the door to much higher inclusion rates. We also dig into what these findings could mean for different farming environments, and close with a conversation with Dr. Sebastien Rider (DSM-Firmenich) on the latest studies, open questions, and why 25-hydroxyvitamin D products like Hy-D are gaining attention. Sign up for DSM's webinar on Vitamin D here.For more aquaculture insights head to our Fish n' Bits blog.

Most podcasts tell you what happened; this week, we're looking at why the wires got crossed in the first place. We're dissecting the intersection of mental illness and the legal system, from the psychology of "diminished capacity" to the societal failures that turn patients into perpetrators. It's not an excuse—it's an explanation. Grab your coffee and your DSM-5; we're going deep into the headspace of the headlines.Research links below!Star Tribune - "Alvin Taylor"Deluth News Tribune - "Man who killed Esko native in Wisonsin in 1986 again denied release"The Dunn County News - "Taylor: placed in Mendota"The Sheboygan Press - "Suspect A 'Soldier Of God'"Leader-Telegram - "Alvin Taylor faces third murder charge"Leader-Telegram - "Portage man charged with two murders"ICJIA - "Mental Illness and Violence: Is there a Link?"Wisconsin Radio Network - "Serial killer Alvin Taylor again seeking release"National Library of Medicine - "Health care serial murder"BBC News - "Canadian nurse charged with eight murders"Getty Images - "Elizabeth Wettlaufer"The Washington Post - "Canadian public inquiry: If serial killer nurse hadn't confessed, she wouldn't have been caught"dreading (crime and psychology) - "The Red Surge: The Case of Elizabeth Wettlaufer" (YouTube)

Video: https://www.youtube.com/watch?v=hTW8CSPVEGcIn this whiteboard episode, we revisit the basal ganglia's intricate circuitry, detailing its five subcortical nuclei—dorsal striatum (caudate/putamen inputs), globus pallidus externa/subthalamic relays, and globus pallidus interna/substantia nigra reticulata outputs—driving the classic direct (facilitatory "go") and indirect (suppressive "no-go") pathways for action selection and inhibition. Excitatory cortical inputs converge on medium spiny neurons, finely tuned by dopamine (D1 excitatory/D2 inhibitory via substantia nigra pars compacta), serotonin, and acetylcholine, to orchestrate habits, motivation, and movement suppression through thalamic modulation. In autism, morphological alterations in medium spiny neurons—enlarged dendritic spines and reduced synaptic flexibility—bias toward repetitive behaviors, ritualized patterns, and intensely fixated interests (DSM-5 B2/B3 criteria), underscoring the circuit's preference for sameness via strengthened plasticity and limited prefrontal override.Daylight Computer Company, use "autism" for $50 off at https://buy.daylightcomputer.com/autismChroma Light Devices, use "autism" for 10% discount at https://getchroma.co/?ref=autismFig Tree Christian Golf Apparel & Accessories, use "autism" for 10% discount at https://figtreegolf.com/?ref=autismCognity AI for Autistic Social Skills, use "autism" for 10% discount at https://thecognity.com00:00 Basal Ganglia Intro Review prior episodes on basal ganglia (48-50 + 47); key for movements, habits, motivation, repetition in autism00:55 Five Subcortical Areas Dorsal striatum (caudate/putamen = inputs); relays (globus pallidus external, subthalamic nucleus); outputs (globus pallidus internal, substantia nigra reticulata)02:54 Direct Pathway (Go) Excitatory cortex → dorsal striatum → inhibits internal pallidus/reticulata → frees thalamus → activates movement06:34 Indirect Pathway (No-Go) Cortex → dorsal striatum → external pallidus → subthalamic → excites outputs → inhibits thalamus → suppresses movement11:25 Major Inputs Cortex (esp. sensory-motor/prefrontal); thalamus (alerts); substantia nigra compacta (dopamine D1/D2 modulation)13:32 Modulators & Cortex Regions Serotonin (patience); acetylcholine (focus shift); inputs from sensory-motor (habits), prefrontal (planning), parietal (context)18:42 Medium Spiny Neurons Dorsal striatum cells with larger spines; repetitive firing strengthens synapses (morphology/plasticity)23:20 Autistic Differences Larger dendrites/spines → limited flexibility; favors sameness/habits; reduced prefrontal influence28:42 DSM Criteria B2/B3 Link B2: repetitive behaviors/rituals; B3: restricted/fixated interests—core autistic traits tied to basal ganglia habits/intensity32:24 Motivation & Change Basal ganglia (not individual) defines motivation via strengthened connections; explains difficulty with change, splinter skillsX: https://x.com/rps47586YT: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAemail: info.fromthespectrum@gmail.com

Most people think dementia starts with memory loss. But for millions, it actually begins decades earlier: in the blood vessels. Long before someone forgets a name or misses an appointment, the brain is being quietly damaged by high blood pressure, cholesterol imbalance, poor sleep, inflammation, and chronic stress, day after day, year after year. This kind of damage doesn't look dramatic. There's no big stroke, no clear warning sign. It happens slowly and silently, which is why it's so often missed until it's too late. But here's the good news: vascular dementia is one of the most preventable and manageable forms of cognitive decline. When caught early, lifestyle changes and medical interventions can help slow the onset and manage the effects. In this episode, we explore: What vascular dementia and vascular cognitive impairment are, and how they differ from Alzheimer's disease Why most dementia cases involve both vascular damage and neurodegenerative pathology (mixed dementia) How blood vessel damage begins in childhood and accumulates silently for decades The role of high blood pressure, cholesterol, diabetes, sleep disorders, and chronic stress in damaging brain vasculature Why slowed thinking, movement, and processing speed are hallmark signs of vascular cognitive decline The critical importance of the endothelium: the thin lining of blood vessels that controls brain health How lifestyle factors like nutrition, exercise, sleep, and stress management protect and repair vascular health Why managing blood pressure early is one of the most powerful interventions for long-term brain health (and why everyone should have a blood pressure monitor at home!) How vascular damage can be slowed, even in midlife Practical steps for prevention across the lifespan, from childhood through older adulthood Our guest for this episode is DR. COLUMBUS BATISTE, a board-certified interventional cardiologist, an incredible science communicator, and author of 'Selfish: A Cardiologist's Guide to Healing a Broken Heart'. Dr. Batiste brings deep expertise on how cardiovascular health shapes brain health, and why protecting the endothelium (the inner lining of blood vessels) is foundational to longevity. His work emphasizes that all roads to longevity are paved by the heart, and what's good for the heart is good for the brain! 'Your Brain On…' is hosted by neurologists, scientists, and public health advocates Drs. Ayesha and Dean Sherzai. SUPPORTED BY: NEURO World, a science-based brain health community designed to help you protect your brain long before problems begin. Learn more at https://neuro.world/  'Your Brain On… Vascular Dementia' • SEASON 6 • EPISODE 8 ——— LINKS Dr. Columbus Batiste: https://drbatiste.com/  Instagram: @HeartHealthyDoc Facebook: https://www.facebook.com/drbatiste  ——— FOLLOW US Join NEURO World: https://neuro.world/   Instagram: https://www.instagram.com/thebraindocs   YouTube: https://www.youtube.com/thebraindocs ——— REFERENCES Core Definitions & Diagnostic Framework • Diagnostic and Statistical Manual of Mental Disorders (5th ed.) - American Psychiatric Publishing • Vascular contributions to cognitive impairment and dementia - https://doi.org/10.1161/STR.0b013e3182299496 • Classifying neurocognitive disorders: The DSM-5 approach - https://doi.org/10.1038/nrneurol.2014.181  Epidemiology & Public Health Burden • Neuropathological diagnosis of vascular cognitive impairment and vascular dementia with implications for Alzheimer's disease - https://doi.org/10.1007/s00401-016-1571-z • Vascular dementia - https://doi.org/10.1016/S0140-6736(15)00463-8  • Risk reduction of cognitive decline and dementia: WHO guidelines - WHO Press Small Vessel Disease & Subcortical Vascular Dementia • Small vessel disease: Mechanisms and clinical implications - https://doi.org/10.1016/S1474-4422(19)30079-1  • Cerebral small vessel disease: From pathogenesis and clinical characteristics to therapeutic challenges - https://doi.org/10.1016/S1474-4422(10)70104-6  • The clinical importance of white matter hyperintensities on brain magnetic resonance imaging - https://doi.org/10.1136/bmj.c3666  Mixed Dementia & Alzheimer–Vascular Overlap • Mixed brain pathologies account for most dementia cases in community-dwelling older persons - https://doi.org/10.1212/01.wnl.0000271090.28148.24 • Early role of vascular dysregulation on late-onset Alzheimer's disease - https://doi.org/10.1016/j.neurobiolaging.2016.04.009 • The pathobiology of vascular dementia - https://doi.org/10.1016/j.neuron.2013.10.008  Cerebral Amyloid Angiopathy (CAA) • Cerebral amyloid angiopathy and Alzheimer disease—one peptide, two pathways - https://doi.org/10.1038/s41582-019-0281-2 • Emerging concepts in sporadic cerebral amyloid angiopathy - https://doi.org/10.1093/brain/awx047 Genetics, Inflammation, and Repair • Apolipoprotein E controls cerebrovascular integrity via cyclophilin A - https://doi.org/10.1038/nature11087 • TREM2—A key player in microglial biology and Alzheimer disease - https://doi.org/10.1038/s41582-018-0072-1  Prevention & Vascular Risk Factors • Dementia prevention, intervention, and care: 2020 report of the Lancet Commission - https://doi.org/10.1016/S0140-6736(20)30367-6  • Lifestyle interventions to prevent cognitive impairment, dementia and Alzheimer disease - https://doi.org/10.1038/s41582-018-0070-3  Further Reading • The role of vascular risk factors in Alzheimer's disease - https://doi.org/10.1038/s41582-021-00530-4

Episode Overview  If you've been struggling with betrayal for a long time despite trying multiple healing approaches, this episode reveals why well-meaning practitioners and proven methodologies often miss the mark when it comes to betrayal-specific recovery.  Key Topics Covered  Why Life Coaching Isn't Enough  Life coaching excels at goal setting, accountability, and mindset shifts  Works beautifully for career advancement, relationship improvement, and business growth  Falls short for betrayal survivors because you're not starting from the same place  When betrayed, your reality is shattered and your nervous system is in crisis  The Therapy Gap  Traditional therapy covers diagnostic criteria, CBT, trauma treatment, and mental health conditions  Post Betrayal Syndrome® isn't in the DSM yet, so therapists don't know to look for it  Over 100,000 people have taken the Post Betrayal Syndrome assessment with staggering symptom statistics  Physical, mental, and emotional symptoms like brain fog, anxiety, hypervigilance, sleep and gut issues all share one underlying cause  The Trust Rebuilding Misconception  Relationship coaches often focus solely on rebuilding trust with the betrayer  Multiple aspects of trust are shattered: trust in yourself, others, your intuition, and your judgment  Rebuilding trust with your partner is actually the last piece, not the first  Why Other Modalities Fall Short  Trauma-informed training: Doesn't differentiate betrayal from other traumas  Somatic training: Critical for nervous system regulation but doesn't address the complete framework  Attachment training: Valuable for relationship patterns but doesn't address identity shattering  Grief counseling: Helpful but betrayal involves grief PLUS reality disruption, identity crisis, and complete trust shattering  The Five Stages from Betrayal to Breakthrough™  General trauma treatment doesn't account for betrayal-specific stages  Someone in Stage 2 presents very differently than someone in Stage 3, 4, or 5  Understanding the stages reveals why certain responses occur and what's needed to progress  The Timing Problem  Right tools at the wrong time backfire  Stage 2 (shock/trauma) clients aren't ready for accountability structures  Stage 4 clients don't need basic nervous system regulation anymore  Proper healing requires the right modalities at the right stage  The Stage 3 Trap  What a Stage 3 Life Looks Like:  Surviving but not thriving  Managing and suppressing Post Betrayal Syndrome symptoms  Keeping people at bay out of fear  Building a safe but flat life  67% of betrayed individuals prevent forming deep relationships to avoid being hurt again  84% have an inability to trust again (out of 100,000+ studied)  The Ripple Effects:  Limited depth in relationships  Challenges with workplace collaborations and partnerships  Inability to trust yourself, your judgment, or your perception of reality  Attracting more of the same situations  Making decisions from Stage 3 thinking versus Stage 4 or 5 thinking  The Solution  Why Specialized Betrayal Training Matters:  All aspects need rebuilding: physical, mental, emotional, psychological, and spiritual  Requires a proven roadmap through all five stages  Not just talk therapy, not just somatic work, not just goal setting—all of it together at the right time  Updated PBT Certification:  Newly revised certification modules  New exam, experiential exercises, forms, and worksheets  Designed to help clients identify their current stage and move to the next one  Makes it easier to work with clients using stage-specific tools  Key Statistics  Over 100,000 people have taken the Post Betrayal Syndrome assessment  67% prevent forming deep relationships due to fear of being hurt again  84% report an inability to trust again  The Bottom Line  There's no reason to stay stuck in Stage 3. People need to get back to their lives, their work, their kids, families, and friends in the way they can only do when they heal. The roadmap exists—it's the Five Stages from Betrayal to Breakthrough™.    Resources Mentioned:  Post Betrayal Syndrome® Assessment  PBT (Post Betrayal Transformation) Certification: https://thepbtinstitute.com/get-certified/   The Five Stages from Betrayal to Breakthrough™: https://thepbtinstitute.com   For Practitioners: The more coaches, practitioners, and healers who become certified in this methodology, the more people can access the specialized help they need for betrayal recovery.    Discover why traditional therapy, life coaching, and healing methods fall short for betrayal recovery. Learn about Post Betrayal Syndrome®, the Five Stages from Betrayal to Breakthrough™, and why specialized betrayal training is essential for true healing and transformation. 

In this solo episode, Lisa takes a step back and asks a different question about “disorders”—especially eating disorders—not as something broken or pathological, but as ways the nervous system learned to survive. Lisa's discussion centers on healing through safety, trust, and behavior-first change—embodying new patterns until the nervous system habituates—through tender and fierce self-compassion, balanced integration, and very small, sustainable steps. Along the way, Lisa offers practical examples that apply to intuitive eating, weight loss, and everyday habits, inviting listeners into a more human, aligned, and compassionate way of changing.Topics Include:Survival StrategiesSelf-CompassionEmbodied ChangeHumanized Healing[0:55] Lisa welcomes listeners and encourages listeners to catch up for the full context of this episode. This chapter marks a transition toward topics she has long been eager to address more directly.[2:45] Lisa discusses graduate social work training where the DSM is treated as authoritative. Lisa discusses how eating disorder categories have expanded over time due to observed patterns, not necessarily because human behavior fundamentally changed.[7:58] Lisa contrasts dissociative identity disorder with Internal Family Systems (IFS), which validates natural inner parts or sub-personalities. She talks about how clients doing the work notice conflicting inner parts; she normalizes this as human, not psychosis..[10:45] Lisa challenges reframing things as not an eating disorder but a strategy to regulate the energetic mind-body-soul system involving food. Similarly, Lisa points out that it's not about the substance or behavior but the function it serves and how it regulates the nervous system. [16:02] Lisa talks about how some addictions like overworking are socially rewarded; while others are condemned. She talks about how a person in a larger body overeating and a person in a smaller body undereating may be driven by comparable nervous-system conditions. Despite opposite behaviors, both can produce similar nervous-system sensations, reinforcing familiar physiology and cycles.[20:42] Lisa talks about not being impressed by things such as weight loss if they cost health, relationships, and well-being. She values outcomes integrated into a balanced, joyful life—sustainable, gradual changes with work-life balance, fulfillment, family time, and hobbies.  [27:18] Lisa shares her thoughts on how it's more that we accept the love we feel safe to receive, not necessarily the love we think we deserve. She discusses how many are conditioned through diet culture, hustle culture, family dynamics, social systems, into self-objectification and suppression of feelings, relating to themselves as bodies to control rather than whole beings. [31:09] Lisa discusses acting as if you are worthy and safe to receive care, even if feelings lag behind. She suggests one does not need to feel worthy to receive care but be willing to receive it and do the caring behaviors anyway. She states the method for this is baby steps to honor the nervous system; progress paced to sensitivity and regulation rather than idealized timelines.[56:04] Lisa closes the episode with a discussion of the growth zones, embraces the learning zone; avoids overshooting into danger and how discomfort is necessary for learning. She states to integrate action and acceptance across behaviors for sustainable change, one must pair outer steps with inner care.*The views of podcast guests do not necessarily reflect the views and beliefs of Lisa Schlosberg or Out of the Cave, LLC.LISA IS NOW ACCEPTING: One-on-One Clients!⁠Purchase the OOTC book of 50 Journal Prompts⁠⁠Leave Questions and Feedback for Lisa via OOTC Pod Feedback Form ⁠Email Lisa: ⁠lisa@lisaschlosberg.com⁠⁠Out of the Cave Merch⁠ - For 10% off use code SCHLOS10Lisa's Socials: Instagram⁠ ⁠Facebook⁠ ⁠YouTube⁠

In this episode, Dr. David Puder hosts a discussion on schizoid personality dynamics through the lens of Franz Kafka's life and writings. Discover why the DSM-5's surface-level criteria for schizoid personality disorder falls short, often missing the intense inner conflict between a profound yearning for connection and a paralyzing fear of engulfment. Drawing on the Psychodynamic Diagnostic Manual (PDM), Nancy McWilliams' insightful perspectives, and Kafka's unsent "Letter to His Father" plus classics like "The Metamorphosis," the group explores how schizoid traits differ from autism, involve hypersensitivity rather than social cue deficits, and manifest in creative, introspective individuals. By listening to this episode, you can earn 1.75 Psychiatry CME Credits. Link to blog Link to YouTube video

In the 1950s, about 50% of patients who died in a hospital in the U.S. received an autopsy. Today, that figure is in the single digits, which is a big loss according to two people who care a lot about this topic: One is Dr. Alex Williamson, an forensic and pediatric pathologist who performs autopsies and talks to families of the deceased about what he learned in the process. The other is Sam Ashworth, a novelist who went looking for a storytelling device and found an obsession. This week, both men explain why autopsies are important and what they can teach us about living. Sam Ashworth's novel ⁠The Death and Life of August Sweeny⁠ is available now. This episode was produced by Cameron Drews.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on ⁠Apple Podcasts⁠ or ⁠Spotify⁠. Or, visit ⁠slate.com/dsmplus⁠ to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on ⁠Instagram⁠ and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.