Podcasts about DSM

What is death anxiety?  We spend the first 15 minutes of the podcast addressing this question.  And maybe this was unfair to our guests, the fabulous dynamic duo of palliative psychiatrists Dani Chammas and Keri Brenner (listen to their prior podcasts on therapeutic presence and the angry patient).  After all, we invited them on to our podcast to discuss death anxiety, then Eric and I immediately questioned if death anxiety was the best term for what we want to discuss! Several key points stood out to me from this podcast, your key points may differ: The “anxiety” in “death anxiety” is not a pathological phenomenon or a DSM diagnosis;  it references an existential concern that is fundamental to the human experience .  To me,” awareness of mortality” might be a better term, but in fairness, the idea of “death anxiety” was coined well before the formal establishment of “anxiety disorders.” The ways in which death anxiety manifests in our patient's choices and behaviors varies tremendously, and our responses as clinicians must be individualized. There is no “one size fits all” approach. In one example Dani discusses, a pain level of 1.5/10 might be overwhelming, because for a patient  in remission from cancer any pain might signal return of cancer.  Some manifestations of death anxiety can be debilitating, others lead to tremendous personal growth, connection to others, and a drive toward finding meaning in their illness experience.   Death anxiety impacts us as clinicians, not only through countertransference, that word that I still can't define (sorry Dani and Keri!), but also through our own unexamined fears about death. As clinicians who regularly care for people who are dying, we might find ourselves becoming “used to” death. Is this a sign that we are inured to the banality of death, and less able to empathize with the death anxiety experienced by our patients or their families? Or could it reflect our acceptance of the finitude of life, prompting us to live in the present moment? Perhaps it is something else entirely. The key is that looking inwards to understanding our own unique relationship with mortality can deepen our ability to authentically accompany the experiences of our patients. I mean, don't fear the reaper, right?  Sorry, no cowbell in my version, but you do get my son Kai, home from college, on guitar for the audio only podcast version. Here are some resources for listeners wanting to learn more about this topic: Books: Yalom ID. Existential Psychotherapy. New York, NY: Basic Books; 1980. Yalom ID. Staring at the Sun: Overcoming the Terror of Death. San Francisco, CA: Jossey-Bass; 2008. Solomon S, Greenberg J, Pyszczynski T. The Worm at the Core: On the Role of Death in Life. New York, NY: Random House; 2015. Becker E. The Denial of Death. Free Press; 1973. Articles: Emanuel LL, Solomon S, Chochinov HM, et al. Death Anxiety and Correlates in Cancer Patients Receiving Palliative Care. J Palliat Med. 2023;26(2):235-243. Chochinov HM, McClement SE, Hack TF, et al. Death anxiety and correlates in cancer patients receiving outpatient palliative care. J Palliat Med. 2023;26(12):1404–1410. doi:10.1089/jpm.2022.0052. Clark D. Between hope and acceptance: the medicalisation of dying. BMJ. 2002;324(7342):905–907. doi:10.1136/bmj.324.7342.905. Vess M, Arndt J, Cox CR, Routledge C, Goldenberg JL. The terror management of medical decisions: The effect of mortality salience and religious fundamentalism on support for faith-based medical intervention. J Pers Soc Psychol. 2009;97(2):334–350. Menzies RE, Zuccala M, Sharpe L, Dar-Nimrod I. The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomized controlled trials. J Anxiety Disord. 2018;59:64–73. doi:10.1016/j.janxdis.2018.09.00 Brown TL, Chown P, Solomon S, Gore G, De Groot JM. Psychosocial correlates of death anxiety in advanced cancer: A scoping review. Psychooncology. 2025;34(1):45–56. doi:10.1002/pon.70068. Tarbi EC, Moore CM, Wallace CL, Beaussant Y, Broden EG, Chammas D, Galchutt P, Gilchrist D, Hayden A, Morgan B, Rosenberg LB, Sager Z, Solomon S, Rosa WE, Chochinov HM. Top Ten Tips Palliative Care Clinicians Should Know About Attending to the Existential Experience. J Palliat Med. 2024 Oct;27(10):1379-1389. doi: 10.1089/jpm.2024.0070. Epub 2024 Mar 28. PMID: 38546453.  

Once paraded in the media as a hero, Dr. James Henry became the symbol of a “progressive” military—the first openly transgender active-duty officer. But the story the public saw was only part of the truth. In this episode, Dr. Henry shares what really happened behind the scenes. The early struggles with identity. The weight of religious shame. The celebration that came with transitioning—and the breakdown that followed. He opens up about being misdiagnosed, overmedicated, and failed by the very systems meant to protect him. Now, years later, Dr. Henry faces a federal indictment after a confrontation with the FBI. This is not a story of affirmation. It's a story of survival, betrayal, and the cost of speaking out. Dr. 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

SPONSORS: - Get 50% Off Monarch Money, the all-in-one financial tool at http://www.monarchmoney.com/ymh - Make life easier by getting harder and discover your options at https://BlueChew.com! Try your first month of BlueChew FREE when you use promo code YMH -- just pay $5 shipping. - Go to http://helixsleep.com/YMH for 27% Off Sitewide. - Head to https://www.squarespace.com/MOM to save 10% off your first purchase of a website or domain using code MOM. This week on Your Mom's House, Christina and Tommy welcome Dr. Hope Torres, an Austin-based licensed professional counselor specializing in trauma and personality assessment to analyze Tom, Christina, and the entire YMH staff. Before the doctor is in, the Main Mommies update us on what they've been up to, Tommy's on a water fast and Tina looks like a crypto millionaire now. They open the show with a really cool guy yelling at a bartender, before checking out a new video of an old favorite, Dan Pena, who explains why he likes having a painting of Hitler in his office. They also check out a clip of Charlize Theron bragging about banging a dude in his 20's and Christina shares her thoughts on the movie "Sinners" hmmmm hmmmm hmmmm. Dr. Torres then comes in and shares the results of a personality assessment that everyone at Studio Jeans filled out and determines on a scale of normal to traumatized combat vet where Tom, Christina, and the entire staff rank. She walks the YMH crew through their results on the PID-5 personality inventory (DSM‑5). and breaks down the personality domains like anxiety, impulsivity, narcissism, and eccentricity. There's also plenty of insight into how trauma, dissociation, and childhood behaviors can shape adult personality. Whether you're looking for laughs, self-reflection, or a crash course in personality diagnostics, this deeply human episode is a must-listen. Your Mom's House Ep. 819 https://tomsegura.com/tour https://christinap.com/ https://store.ymhstudios.com https://www.reddit.com/r/yourmomshousepodcast Chapters 00:00:00 - Intro 00:05:13 - Mom & Dad Updates 00:13:13 - Opening Clip: Angry Dad 00:19:42 - Bert Kersher Interrupts The Show 00:23:05 - Dan Pena 00:32:49 - Charlize Theron's Sex Positive Encounter 00:38:06 - Christina Saw "Sinners" 00:46:26 - The Doctor Is In 00:53:24 - Who's Doing Ok? 01:01:02 - Mid Tier Crazies 01:10:55 - Top 3 Psychos 01:27:31 - The Biggest Studio Psycho 01:38:35 - Mentally Ill Main Mommies 01:53:35 - The Other Normies 01:57:24 - Closing Song - "Therapy Breakthrough" by Pete Sake Learn more about your ad choices. Visit megaphone.fm/adchoices

Veckans Inte din morsa är som en sommar-cocktail du glömmer att skaka – lite bubblig, lite grumlig och full av överraskningar.Ann försöker packa för livet (bokstavligen) medan Sanna gräver sig ner i ilskan mot en lyssnares 80+ år gamla far – en farsa som gjort tillräckligt många passivt aggressiva utspel för att kvala in som egen DSM-diagnos. Vi pratar om att bli mamma till sig själv, om att sätta gränser, om varför ilska kan vara den mest helande kraften av alla – och varför det är så provocerande när kvinnor tillåter sig att känna den.Vi är flamsiga, ja. Vi är Freudiga, absolut. Men vi är också förbannade på farsor från helvetet. Och vi vet att vi inte är ensamma. Hosted on Acast. See acast.com/privacy for more information.

Veckans Inte din morsa är som en sommar-cocktail du glömmer att skaka – lite bubblig, lite grumlig och full av överraskningar.Ann försöker packa för livet (bokstavligen) medan Sanna gräver sig ner i ilskan mot en lyssnares 80+ år gamla far – en farsa som gjort tillräckligt många passivt aggressiva utspel för att kvala in som egen DSM-diagnos. Vi pratar om att bli mamma till sig själv, om att sätta gränser, om varför ilska kan vara den mest helande kraften av alla – och varför det är så provocerande när kvinnor tillåter sig att känna den.Vi är flamsiga, ja. Vi är Freudiga, absolut. Men vi är också förbannade på farsor från helvetet. Och vi vet att vi inte är ensamma. Hosted on Acast. See acast.com/privacy for more information.

About this Episode Words have power. They can heal, but they can also harm when we wield them without fully understanding their meaning. In today's world, the language of therapy is everywhere, filtering from clinicians' offices into viral social media posts, heated arguments, and everyday conversations. But with this widespread use comes a hidden problem. When words like “narcissist,” “gaslighting,” or “toxic” are misused or weaponized in our relationships, they not only muddy honest communication—they erode trust, block growth, and can even do real damage to our connections with others. In this episode, listeners are invited to take a nuanced look at how “therapy speak” has crept into our relationship vocabulary and why this isn't always a good thing. Through real-world examples and professional insight, you'll learn where the line lies between helpful self-expression and language that shuts down vulnerability, repair, and intimacy. By unpacking the ways therapeutic labels can become conversational weapons, this discussion offers practical guidance to help you communicate more consciously, challenge your own assumptions, and foster deeper, more authentic connection—with yourself and with the people you care about most. Isabelle Morley, PsyD, is a clinical psychologist and an EFT-certified couples therapist (emotionally focused therapy). She is the author of They're Not Gaslighting You, and a contributing author to Psychology Today in her blog Love Them or Leave Them. In philanthropic work, Dr. Morley is a founding board member of The Unscripted Cast Advocacy Network (UCAN) Foundation. She has a private practice providing couples therapy and coaching in the Boston area. Check out the transcript of this episode on Dr. Jessica Higgin's website. Episode Highlights  06:37 How social media fuels therapy speak and misuse of clinical terms. 09:08 The comfort of labels and the human drive for clear answers. 10:54 How diagnosing others and misuse of DSM terms can create unnecessary confusion, reinforce stereotypes, and affect our relationships and mental health conversations. 18:53 Differentiating between abusive and unskilled behavior in relationships. 37:17 Signals that invite self-reflection. 42:00 Approaching sensitive topics with partners and setting boundaries. 46:42 What trauma bonding truly is, and why understanding its meaning matters. 49:02 How the widespread and casual use of therapy speak can dilute and distort the original meaning of these terms. 51:43 Preserving the integrity of clinical terms and the power of conscientious communication. Mentioned They're Not Gaslighting You: Ditch the Therapy Speak and Stop Hunting for Red Flags in Every Relationship (*Amazon Affiliate link) (book) The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe (*Amazon Affiliate link) (book) ERP 410: What Are The Signs Of Emotional Immaturity In Relationship? ERP 411: What Are The Signs Of Emotional Immaturity In Relationship? Part Two ERP 413: How Does Emotional Immaturity Develop & The Difference Between Emotional Immaturity And Emotional Abuse? Part Three ERP 416: What To Consider If You Are In a Relationship With An Emotionally Immature Person — Part Four ERP 418: How To Build More Emotional Maturity In Relationship — Part Five ERP 261: How To Strengthen Your Relationship From A Polyvagal Perspective – An Interview with Dr. Stephen Porges Connect with Dr. Isabelle Morley Websites: drisabellemorley.com Instagram: instagram.com/drisabellemorley LinkedIn: linkedin.com/in/isabelle-morley-psyd-579a4746 Podcast: romcomrescue.com Connect with Dr. Jessica Higgins Facebook: facebook.com/EmpoweredRelationship  Instagram: instagram.com/drjessicahiggins  Podcast: drjessicahiggins.com/podcasts/ Pinterest: pinterest.com/EmpowerRelation  LinkedIn: linkedin.com/in/drjessicahiggins  Twitter: @DrJessHiggins  Website: drjessicahiggins.com   Email: jessica@drjessicahiggins.com If you have a topic you would like it to be discussed, please contact us by clicking on the “Ask Dr. Jessica Higgins” button here.  Thank you so much for your interest in improving your relationship.  Also, I would so appreciate your honest rating and review. Please leave a review by clicking here.  Thank you!   *With Amazon Affiliate Links, I may earn a few cents from Amazon, if you purchase the book from this link.

GDP Script/ Top Stories for July 12th Publish Date: July 12th PRE-ROLL: From the BG AD Group Studio Welcome to the Gwinnett Daily Post Podcast. Today is Saturday, July 12th and Happy Birthday to Christine McVie I’m Peyton Spurlock and here are your top stories presented by Gwinnett KIA Mall of Georgia. Gwinnett charges dropped against detained journalist Mario Guevara Georgia Power to update energy forecasts amid uncertain demand Lawmakers conclude listening tour on access to cancer care All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: 07.14.22 KIA MOG STORY 1: Gwinnett charges dropped against detained journalist Mario Guevara Local journalist Mario Guevara, known for covering Atlanta's Hispanic community and ICE operations, is no longer facing traffic charges in Gwinnett County. Solicitor General Lisamarie Bristol announced insufficient evidence to prosecute charges of reckless driving, unlawful use of a telecommunication device, and failure to obey signs, as the incidents occurred on private property. However, Guevara still faces federal immigration charges, with ICE questioning his legal status despite his work permit and ongoing efforts toward permanent residency. Guevara claims he is being targeted for his journalism, which has drawn local and national attention. STORY 2: Georgia Power to update energy forecasts amid uncertain demand Georgia Power's 2025 Integrated Resource Plan (IRP) faces scrutiny for overestimating energy demand, driven by the rapid growth of data centers. Critics, including environmental groups, argue the projections could leave ratepayers covering billions in stranded assets if demand falls short. While Georgia Power committed to updating forecasts and reporting on large-load projects, many called for stronger demand-side management (DSM) efforts to reduce energy needs. The utility plans to increase DSM spending from $90M to $160M annually, but some remain dissatisfied. The PSC will vote next week, with debates ongoing over coal plant operations and natural gas upgrades. STORY 3: Lawmakers conclude listening tour on access to cancer care Around 66,000 Georgians will be diagnosed with cancer this year, with 19,000 deaths expected, prompting state lawmakers to study ways to reduce these rates. Georgia exceeds national averages for lung, prostate, breast, and colorectal cancer, with rural areas facing significant barriers to care due to rising costs, limited access, and medical industry consolidation. Experts highlighted issues like pharmacy benefit managers (PBMs) controlling drug markets and low reimbursement rates for clinics. Lawmakers aim to address drug pricing, access to screenings, and systemic healthcare challenges, with plans to continue studying cancer care access and solutions. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We’ll be right back Break 2: STORY 4: Deputies: Buford man threw deep freezer at 59-year-old at Lake Lanier after fight over nudity A Buford man, Logan Nicholas Young, 42, was arrested on July 3 after a bizarre incident on Lake Lanier involving public indecency, a fight, and a flying deep freezer. Young allegedly got naked on a boat, argued with a 59-year-old man, punched him, and later threw a deep freezer at him, causing a head injury and knocking him into the lake. Deputies found Young hiding under a bed on his houseboat after he ignored their attempts to contact him. He was charged with six offenses, including aggravated assault, and released on bond on July 6. STORY 5: Robert Michener named Gateway85 CID's interim executive director The Gateway85 Community Improvement District (CID) appointed longtime employee Robert Michener as interim executive director following Emory Morsberger's resignation after nearly 20 years of involvement. Michener, with 17 years at Gateway85, previously served as director of operations, overseeing infrastructure, security, and landscaping projects. Board Chairman Shiv Aggarwal praised Morsberger's contributions and welcomed Michener's leadership during the transition. The CID will continue focusing on economic development, mobility, and quality of life improvements as it searches for a permanent leader. Michener expressed excitement about guiding the district's next phase of growth. Break 3: STORY 6: 'Superman' stars excited to bring DC reboot to theaters Edi Gathegi, Isabela Merced, and Anthony Carrigan star in the new "Superman" reboot, with Gathegi playing Mr. Terrific, Merced as Hawkgirl, and Carrigan debuting as Metamorpho. At a red carpet event in Atlanta, Gathegi contrasted his survival as Mr. Terrific with his infamous death as Darwin in "X-Men: First Class." Merced highlighted the mix of CGI and practical sets, comparing her Hawkgirl role to her experience in "Dora the Explorer." Carrigan, excited to bring fan-favorite Metamorpho to life, praised the detailed makeup used instead of CGI. STORY 7: Gwinnett fire investigators say arsonist tried to burn down Lawrenceville home Gwinnett County fire officials are investigating a suspected arson at a Lawrenceville home on Clairidge Lane on June 27. Firefighters responded to a fire alarm and smoke report, discovering an incendiary device behind the home. The fire was out by the time they arrived, and no injuries were reported. Officials are seeking public help to identify the suspect, with a potential reward of up to $10,000 for information leading to an arrest and conviction. Tips can be directed to the Gwinnett Fire Investigations Section or the Georgia Arson Control Hotline. We’ll have closing comments after this Break 4: Ingles Markets 2 Signoff – Thanks again for hanging out with us on today’s Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: ingles-markets.com kiamallofga.com See omnystudio.com/listener for privacy information.

Welcome or welcome back to Authentically ADHD, the podcast where we embrace the chaos and magic of the ADHD brain. Im carmen and today we're diving into a topic that's as complex as my filing system (which is to say, very): ADHD and its common co-occurring mood and learning disorders. Fasten your seatbelts (and if you're like me, try not to get distracted by the shiny window view) – we're talking anxiety, depression, OCD, dyslexia, dyscalculia, and bipolar disorder, all hanging out with ADHD.Why cover this? Because ADHD rarely rides solo. In fact, research compiled by Dr. Russell Barkley finds that over 80% of children and adults with ADHD have at least one other psychiatric disorder, and more than half have two or more coexisting conditions. Two-thirds of folks with ADHD have at least one coexisting condition, and often the classic ADHD symptoms (you know, fidgeting, daydreaming, “Did I leave the stove on?” moments) can overshadow those other disorders. It's like ADHD is the friend who talks so loud at the party that you don't notice the quieter buddies (like anxiety or dyslexia) tagging along in the background.But we're going to notice them today. With a blend of humor, sass, and solid neuroscience (yes, we can be funny and scientific – ask me how I know!), we'll explore how each of these conditions shows up alongside ADHD. We'll talk about how they can be misdiagnosed or missed entirely, and—most importantly—we'll dish out strategies to tell them apart and tackle both. Knowledge is power and self-awareness is the key, especially when it comes to untangling ADHD's web of quirks and comrades in chaos. So, let's get into it!ADHD and Anxiety: Double Trouble in OverdriveLet's start with anxiety, ADHD's frequent (and frantic) companion. Ever had your brain ping-pong between “I can't focus on this work” and “I'm so worried I'll mess it up”? That's ADHD and anxiety playing tango in your head. It's a double whammy: ADHD makes it hard to concentrate, and anxiety cranks up the worry about consequences. As one study notes, about 2 in 5 children with ADHD have significant problems with anxiety, and over half of adults with ADHD do as well. In other words, if you have ADHD and feel like a nervous wreck half the time, you're not alone – you're in very good (and jittery) company.ADHD and anxiety can look a lot alike on the surface. Both can make you restless, unfocused, and irritable. I mean, is it ADHD distractibility or am I just too busy worrying about everything to pay attention? (Hint: it can be both.) Especially for women, ADHD is often overlooked and mislabeled as anxiety. Picture a girl who can't concentrate in class: if she's constantly daydreaming and fidgety, one teacher calls it ADHD. Another sees a quiet, overwhelmed student and calls it anxiety. Same behavior, different labels. Women in particular have had their ADHD misdiagnosed as anxiety or mood issues for years, partly because anxious females tend to internalize symptoms (less hyperactive, more “worrier”), and that masks the ADHD beneath.So how do we tell ADHD and anxiety apart? One clue is where the distraction comes from. ADHD is like having 100 TV channels in your brain and someone else is holding the remote – your attention just flips on its own. Anxiety, on the other hand, is like one channel stuck on a horror movie; you can't focus on other things because a worry (or ten) is running on repeat. An adult with ADHD might forget a work deadline because, well, ADHD. An adult with anxiety might miss the deadline because they were paralyzed worrying about being perfect. Both end up missing the deadline (relatable – ask me how I know), but for different reasons.Neuroscience is starting to unravel this knot. There's evidence of a genetic link between ADHD and anxiety – the two often run in the family together. In brain studies, both conditions involve irregularities in the prefrontal cortex (the brain's command center for focus and planning) and the limbic system (emotion center). Essentially, if your brain were a car, ADHD means the brakes (inhibition) are a bit loose, and anxiety means the alarm system is hyper-sensitive. Combine loose brakes with a blaring alarm and you get… well, us. Fun times, right?Here's an interesting tidbit: Females with ADHD are more likely to report anxiety than males. Some experts think this is partly due to underdiagnosed ADHD – many girls grew up being told they were just “worrywarts” when in fact ADHD was lurking underneath, making everyday life more overwhelming and thus feeding anxiety. As Dr. Thomas Brown (a top ADHD expert) points out, emotional regulation difficulties (like chronic stress or worry) are characteristic of ADHD, even though they're not in the official DSM checklist. Our ADHD brains can amplify emotions – so a normal worry for someone else becomes a five-alarm fire for us.Now, action time: How do we manage this dynamic duo? The first step is getting the right diagnosis. A clinician should untangle whether symptoms like trouble concentrating are from anxiety, ADHD, or both. They might ask: Have you always had concentration issues (pointing to ADHD), or did they start when your anxiety kicked into high gear? Also, consider context – ADHD symptoms occur in most settings (school, work, home), while pure anxiety might spike in specific situations (say, social anxiety in crowds, or panic attacks only under stress).Treatment has to tackle both. Therapy – especially Cognitive Behavioral Therapy (CBT) – is a rockstar here. CBT can teach you skills to manage worry (hello, deep breathing and logical rebuttals to “what if” thoughts) and also help with ADHD organization hacks (like breaking tasks down, creating routines). Many find that medication is needed for one or both conditions. Stimulant meds (like methylphenidate or amphetamines) treat ADHD, but in someone with severe anxiety, a stimulant alone can sometimes ramp up the jitters. In fact, children (and adults) with ADHD + anxiety often don't respond as well to ADHD meds unless the anxiety is also addressed. Doctors might add an SSRI or other anti-anxiety medication to the mix, or choose a non-stimulant ADHD med if stimulants prove too anxiety-provoking.Let me share a quick personal strategy (with a dash of humor): I have ADHD and anxiety, so my brain is basically an internet browser with 50 tabs open – and 10 of them are frozen on a spinning “wheel of doom” (those are the anxieties). One practical tip that helps me distinguish the two is to write down my racing thoughts. If I see worries like “I'll probably get fired for sending that email typo” dominating the page, I know anxiety is flaring. If the page is blank because I got distracted after one sentence... well, hello ADHD! This silly little exercise helps me decide: do I need to do some calming techniques, or do I need to buckle down and use an ADHD strategy like the Pomodoro method? Try it out: Knowledge is power, and self-awareness is the key.Quick Tips – ADHD vs Anxiety: When in doubt, ask what's driving the chaos.* Content of Thoughts: Racing mind full of specific worries (anxiety) vs. racing mind full of everything except what you want to focus on (ADHD).* Physical Symptoms: Anxiety often brings friends like sweaty palms, racing heart, and tummy trouble. ADHD's restlessness isn't usually accompanied by fear, just boredom or impulsivity.* Treatment Approaches: For co-occurring cases, consider therapy and possibly a combo of medications. Experts often treat the most impairing symptom first – if panic attacks keep you homebound, address that alongside ADHD. Conversely, untreated ADHD can actually fuel anxiety (ever notice how missing deadlines and forgetfulness make you more anxious? Ask me how I know!). A balanced plan might be, say, stimulant medication + talk therapy for anxiety, or an SSRI combined with ADHD coaching. Work closely with a professional to fine-tune this.Alright, take a breath (seriously, if you've been holding it – breathing is good!). We've tackled anxiety; now let's talk about the dark cloud that can sometimes follow ADHD: depression.ADHD and Depression: When the Chaos Brings a CloudADHD is often associated with being energetic, spontaneous, even optimistic (“Sure, I can start a new project at 2 AM!”). So why do so many of us also struggle with depression? The reality is, living with unmanaged ADHD can be tough. Imagine years of what Dr. Russell Barkley calls “developmental delay” in executive function – always feeling one step behind in managing life, despite trying so hard. It's no surprise that about 1 in 5 kids with ADHD also has a diagnosable depression, and studies show anywhere from 8% to 55% of adults with ADHD have experienced a depressive disorder in their lifetime. (Yes, that range is huge – it depends how you define “depression” – but even on the low end it's a lot.) Dr. Barkley himself notes that roughly 25% of people with ADHD will develop significant depression by adulthood. In short, ADHD can come with a case of the blues (not the fun rhythm-and-blues kind, unfortunately).So what does ADHD + depression look like? Picture this: You've got a pile of unfinished projects, bills, laundry – the ADHD “trail of crumbs.” Initially, you shrug it off or maybe crack a joke (“organizational skills, who's she?”). But over time, the failures and frustrations can chip away at your self-esteem. You start feeling helpless or hopeless: “Why bother trying if I'm just going to screw it up or forget again?” That right there is the voice of depression sneaking in. ADHD's impulsivity might also lead to regrettable decisions or conflicts that you later brood over, another pathway to depressed mood.In fact, the Attention Deficit Disorder Association points out that ADHD's impact on our lives – trouble with self-esteem, work or school difficulties, and strained relationships – can contribute to depression. It's like a one-two punch: ADHD creates problems; those problems make you sad or defeated, which then makes it even harder to deal with ADHD. Fun cycle, huh?Now, depression itself can mask as ADHD in some cases, especially in adults. Poor concentration, low motivation, fatigue, social withdrawal – these can appear in major depression and look a lot like ADHD symptoms. If an adult walks into a doctor's office saying “I can't focus and I'm procrastinating a ton,” a cursory eval might yield an ADHD diagnosis. But if that focus problem started only after they, say, lost a loved one or fell into a deep funk, and they also feel worthless or have big sleep/appetite changes, depression may be the primary culprit. On the flip side, a person with lifelong ADHD might be misdiagnosed as just depressed, because they seem down or overwhelmed. As always, timeline is key: ADHD usually starts early (childhood), whereas depression often has a more defined onset. Also, ask: Is the inability to focus present even when life's going okay? If yes, ADHD is likely in the mix. If the focus issues wax and wane with mood, depression might be the driver.There's also a nuance: ADHD mood issues vs. clinical depression. People with ADHD can have intense emotions and feel demoralized after a bad day, but often these feelings can lift if something positive happens (say, an exciting new interest appears – suddenly we have energy!). Clinical depression is more persistent – even good news might not cheer you up much. As Dr. Thomas Brown emphasizes, ADHD includes difficulty regulating emotion; an ADHD-er might feel sudden anger or sadness that's intense but then dissipates . By contrast, depression is a consistent low mood or loss of pleasure in things over weeks or months. Knowing this difference can be huge in sorting out what's going on.Now, how do we deal with this combo? The good news: many treatments for depression also help ADHD and vice versa. Therapy is a prime example. Cognitive Behavioral Therapy and related approaches can address negative thought patterns (“I'm just a failure”) and also help with practical skills for ADHD (like scheduling, or as I call it, tricking my brain into doing stuff on time). There are even specialized therapies for adults with ADHD that blend mood and attention strategies. On the medication front, sometimes a single med can pull double duty. One interesting option is bupropion (Wellbutrin) – an antidepressant that affects dopamine and norepinephrine, which can improve both depression and ADHD symptoms in some people. There's also evidence that stimulant medications plus an antidepressant can be a powerful combo: stimulants to improve concentration and energy, antidepressant to lift mood. Psychiatrists will tailor this to the individual – for instance, if someone is severely depressed (can't get out of bed), treating depression first may be priority. If the depression seems secondary to ADHD struggles, improving the ADHD could automatically boost mood. Often, it's a balancing act of treating both concurrently – maybe starting an antidepressant and an ADHD med around the same time, or ensuring therapy covers both bases.Let's not forget lifestyle: exercise, sleep, nutrition – these affect both ADHD and mood. Regular exercise, for example, can increase BDNF (a brain growth factor) and neurotransmitters that help both attention and mood. Personally, I found that when I (finally) started a simple exercise routine, my mood swings evened out a bit and my brain felt a tad less foggy. (Of course, starting that routine required overcoming my ADHD inertia – ask me how I know that took a few tries... or twenty.)Quick Tips – ADHD vs Depression:* Check Your Joy Meter: With ADHD alone, you can still feel happy/excited when something engaging happens (ADHD folks light up for interesting tasks!). With depression, even things you normally love barely register. If your favorite hobbies no longer spark any joy, that's a red flag for depression.* All in Your Head? ADHD negative thoughts sound like “Ugh, I forgot again, I need a better system.” Depression thoughts sound like “I forgot again because I'm useless and nothing will ever change.” Listen to that self-talk; depression is a sneaky bully.* Professional Help: A thorough evaluation can include psychological tests or questionnaires to measure attention and mood separately. For treatment, consider a combined approach: therapy (like CBT or coaching) plus meds as needed. According to research, a mix of stimulant medication and therapy (especially CBT) can help treat both conditions. And remember, addressing one can often relieve the other: improve your ADHD coping skills, and you might start seeing hope instead of disappointment (boosting mood); treat your depression, and suddenly you have the energy to tackle that ADHD to-do list.Before we move on, one more important note: if you ever have thoughts of self-harm or suicide, please reach out to a professional immediately. Depression is serious, and when compounded with ADHD impulsivity, it can be dangerous. There is help, and you're not alone – so many of us have been in that dark place, and it can get better with the right support. Knowledge is power and self-awareness is the key, yes, but sometimes you also need a good therapist, maybe a support group, and possibly medication to truly turn things around. There's no shame in that game.Alright, deep breath. It's getting a bit heavy in here, so let's pivot to something different: a condition that seems like the opposite of ADHD in some ways, yet can co-occur – OCD. And don't worry, we'll crank the sass back up a notch.ADHD and OCD: The Odd Couple of AttentionWhen you think of Obsessive-Compulsive Disorder (OCD), you might picture someone extremely organized, checking the stove 10 times, everything neat and controlled. When you think ADHD… well, “organized” isn't the first word that comes to mind, right?

In this explosive and highly anticipated episode, Dr. Roger McFillin hosts Dr. Ragy Girgis, a Columbia University Professor of Psychiatry and researcher, for a no-holds-barred confrontation that exposes the shocking divisions tearing apart the mental health field. What begins as a conversation about mass violence research rapidly explodes into a devastating examination of psychiatric medicine's crumbling foundations, questionable effectiveness, and devastating potential harms. The two clash in fierce, unrelenting disagreements over fundamental issues including the validity of DSM diagnoses, the debunked "chemical imbalance" theory of depression, dangerous SSRI safety cover-ups and black box warnings, corrupted research quality and pharmaceutical industry manipulation, and the catastrophic crisis of psychiatric drug overprescription poisoning 1 in 4-5 Americans. Dr. Girgis desperately defends traditional academic psychiatry and current treatment approaches, while Dr. McFillin ruthlessly dismantles the entire paradigm, arguing that the current system is systematically creating chronic mental illness rather than healing it. Buckle up for this brutal intellectual warfare.___________________________________________________________________________________________________________________________________________________Throughout the interview, Dr. Girgis repeatedly stated that "the data is clear" while dismissing contradictory evidence that challenges his conclusions. For our listeners' benefit, I have compiled research and documentation that directly disputes several of Dr. Girgis's key claims.Serotonin Hypothesis of Depression1. The serotonin theory of depression: a systematic umbrella review of the evidence (Moncrieff et al.)Conclusions: "This review suggests that the huge research effort based on the serotonin hypothesis has NOT produced convincing evidence of a biochemical basis to depression. This is consistent with research on many other biological markers . We suggest it is time to acknowledge that the serotonin theory of depression is NOT empirically substantiated."2.What has serotonin to do with depression?Conclusions: "Simple biochemical theories that link low levels of serotonin with depressed mood are no longer tenable."3. Is the chemical imbalance an ‘urban legend'? An exploration of the status of the serotonin theory of depression in the scientific literatureViolence & Suicide Associated with SSRI's 1. Precursors to suicidality and violence on antidepressants: systematic review of trials in adult healthy volunteers2. Prescription Drugs Associated with Reports of Violence Towards Others3. Antidepressant-induced akathisia-related homicides associated with diminishing mutations in metabolizing genes of the CYP450 family4. Lexapro Approved for Pediatric Use Despite the 6-Fold Increase in Suicide Risk5. McFillin Substack Review on Lexapro approved despite Suicide Risk6. Suicidality and aggression during antidepressant treatment: systematic review and meta-analyses based on clinical study reports7. Antidepressants Increase Suicide Attempts in Youth; No Preventative Effect8. Effect of selective serotonin reuptake inhibitor treatment following diagnosis of depression on suicidal behaviour risk:9.  FDA Warning: Antidepressants increase the risk of suicidal thinking and behavior (suicidality) in children and adolescents10.  Suicide Mortality in the United States, 2001–2021 CDC documentation11. US suicide rate reaches highest point in more than 80 years: See what latest data shows12.  CNN article reporting Eli Lilly Internal Documents"An internal document purportedly from Eli Lilly and Co. made public Monday appears to show that the drug maker had data more than 15 years ago showing that patients on its antidepressant Prozac were far more likely to attempt suicide and show hostility than were patients on other antidepressants and that the company attempted to minimize public awareness of the side effects. The 1988 document indicated that 3.7 percent of patients attempted suicide while on the blockbuster drug, a rate more than 12 times that cited for any of four other commonly used antidepressants.In addition, the paper said that 1.6 percent of patients reported incidents of hostility -- more than double the rate reported by patients on any of four other commonly used antidepressants."Examples of Violence after Prescription in legal system (Sample)January 24, 2020 – Newcastle, South Dublin, Ireland: Deirdre Morley, 44, smothered and killed her two sons Conor, 9, and Darragh, 7, and her three-year-old daughter Carla McGinley in their family home. She had been taking antidepressants since October 2018 and was admitted to St. Patrick's Mental Health Services on July 6, 2019, but was discharged after a short period, but was put on a combination of two antidepressants and a sedativeMay 11, 2018 – Osmington, Western Australia: Peter Miles, 61, shot his 35-year-old daughter and four grandchildren, aged 8 through 13, while they slept in their beds, in a shed that had been converted to a second house on the property. He then turned the gun on his 58-year-old wife in the living room of their house, before placing a call to police alerting them to his crimes. When they arrived, Miles was also found dead from a gunshot wound. Miles had started taking antidepressant medication just weeks before.April 6, 2018 – Wadsworth, Ohio: Gavon Ramsay, 17, strangled his neighbor, 98-year-old Margaret Douglas in her own home. His parents blame his actions on his having been misprescribed Zoloft. After a report by his school principal that the teen was depressed and might harm himself, he “returned to therapy,” and after a recommendation by a psychologist, the family's pediatrician prescribed the antidepressant Zoloft. From January through March leading up to the incident, the dosages were increased. During this time, his mother said she observed her son's behavior change—becoming increasingly irritable and hostile and saying bizarre things.October 21, 2013 – Sparks, Nevada: 12-year-old Jose Reyes opened fire at Sparks Middle School, killing a teacher and wounding two classmates be...

Dr. David Spiegel is an author, psychiatrist and professor at Stanford University, and one of the world's leading experts into the clinical applications of hypnosis. He has published thirteen books, over 400 scientific articles, and 170 chapters on hypnosis, stress physiology, trauma, and psychotherapy. He is also the creator of REVERI, an innovative guided self hypnosis app which has been clinically proven to reduce stress, improve sleep, and enhance focus. In this lively and wide ranging conversation, we explore: — The exciting new science of clinical hypnosis and how it can be applied in the treatment of addiction and trauma — The importance of focusing on valued directions in clinical work and being a kind parent to yourself — Dr Spiegel's experiences working with Irvin Yalom and what he learned from him — The neural mechanisms that explain why clinical hypnosis works, including dissociation, cognitive flexibility, and absorption — The extent to which we can view hypnosis as a form of “internal exposure therapy”. And more. I used Dr Spiegel's REVERI app to help with sleep earlier this week and found myself out like a light within a few minutes, so I'd highly recommend giving it a try. You can learn more at https://www.reveri.com. --- Dr. David Spiegel is Willson Professor and Associate Chair of Psychiatry & Behavioral Sciences, Director of the Center on Stress and Health, and Medical Director of the Center for Integrative Medicine at Stanford University School of Medicine, where he has been a member of the academic faculty since 1975, and was Chair of the Stanford University Faculty Senate from 2010-2011. He has published thirteen books, over 400 scientific journal articles, and 170 chapters on hypnosis, psychosocial oncology, stress physiology, trauma, and psychotherapy. His research has been supported by the National Institute of Mental Health, the National Cancer Institute, the National Institute on Aging, the National Center for Complementary and Integrative Health, the John D. and Catherine T. MacArthur Foundation, the Fetzer Institute, the Dana Foundation for Brain Sciences, and the Nathan S. Cummings Foundation. He was a member of the work groups on the stressor and trauma-related disorders for the DSM-IV and DSM-5 editions of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. He is Past President of the American College of Psychiatrists and the Society for Clinical and Experimental Hypnosis, and is a Member of the National Academy of Medicine. In 2018, Dr Spiegel was invited to speak on hypnosis at the World Economic Forum in Davos in 2018. --- 3 Books Dr Spiegel Recommends Every Therapist Should Read: — Dopamine Nation — Dr Anna Lembke - https://amzn.to/3O6NdKe — Trance and Treatment: Clinical Uses of Hypnosis 2nd Edition — Herbert Spiegel and David Spiegel - https://www.appi.org/Products/Psychotherapy/Trance-and-Treatment-Second-Edition — How to Change Your Mind — Michael Pollan - https://amzn.to/3OysDUw

Ray Christian joined the U.S. Army in 1978, as a way to get his life started. He became a paratrooper, an infantryman, and a drill sergeant. He also endured trauma and found that getting out of the service was more challenging than he expected.  This week, Ray discusses why he signed up in the first place, what it was like serving in-between major conflicts, and how he eventually transitioned into a life of academia and storytelling.  To hear more of Ray's stories, check out his appearances on Snap Judgement, The Moth, and Risk!. And make sure to subscribe to What's Ray Saying? wherever you get your podcasts.  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 new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ray Christian joined the U.S. Army in 1978, as a way to get his life started. He became a paratrooper, an infantryman, and a drill sergeant. He also endured trauma and found that getting out of the service was more challenging than he expected.  This week, Ray discusses why he signed up in the first place, what it was like serving in-between major conflicts, and how he eventually transitioned into a life of academia and storytelling.  To hear more of Ray's stories, check out his appearances on Snap Judgement, The Moth, and Risk!. And make sure to subscribe to What's Ray Saying? wherever you get your podcasts.  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 new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ray Christian joined the U.S. Army in 1978, as a way to get his life started. He became a paratrooper, an infantryman, and a drill sergeant. He also endured trauma and found that getting out of the service was more challenging than he expected.  This week, Ray discusses why he signed up in the first place, what it was like serving in-between major conflicts, and how he eventually transitioned into a life of academia and storytelling.  To hear more of Ray's stories, check out his appearances on Snap Judgement, The Moth, and Risk!. And make sure to subscribe to What's Ray Saying? wherever you get your podcasts.  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 new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ray Christian joined the U.S. Army in 1978, as a way to get his life started. He became a paratrooper, an infantryman, and a drill sergeant. He also endured trauma and found that getting out of the service was more challenging than he expected.  This week, Ray discusses why he signed up in the first place, what it was like serving in-between major conflicts, and how he eventually transitioned into a life of academia and storytelling.  To hear more of Ray's stories, check out his appearances on Snap Judgement, The Moth, and Risk!. And make sure to subscribe to What's Ray Saying? wherever you get your podcasts.  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 new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ray Christian joined the U.S. Army in 1978, as a way to get his life started. He became a paratrooper, an infantryman, and a drill sergeant. He also endured trauma and found that getting out of the service was more challenging than he expected.  This week, Ray discusses why he signed up in the first place, what it was like serving in-between major conflicts, and how he eventually transitioned into a life of academia and storytelling.  To hear more of Ray's stories, check out his appearances on Snap Judgement, The Moth, and Risk!. And make sure to subscribe to What's Ray Saying? wherever you get your podcasts.  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 new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

We explore the DSM-style criteria for Hubris Syndrome, a variation of narcissism that can be induced by too much power and adoration.CME: Take the CME Post-Test for this EpisodePublished On: 07/07/2025Duration: 11 minutes, 44 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

La tappa dell'odierno viaggio ci porta più nello specifico alla scoperta dei disturbi di personalità.Mi sono state rivolte diverse domande in merito a cosa sia nello specifico un disturbo di personalità, quali caratteristiche ha e come è descritto all'interno del DSM-5.Da tutte queste curiosità nasce il viaggio di oggi!Non ti resta che trovare il tuo posto sull'aereo di #ilpensierononlineare allacciare le cinture e partire con me per una nuova tratta di In Viaggio Con la Psicologia

Mix up a mocktail and settle in for another addition to our ADHD & addiction series.   This episode, we're on a mission to bring back fun, lighthearted conspiracy theories before diving into the Meat, where Kristin is teaching us about Alcohol Use Disorder (AUD).    She's covering the diagnostic criteria for AUD, how alcohol affects the brain and body, why ADHDers are especially drawn to it, and some judgment-free suggestions for reducing your use.  Resources: Alcohol Use Disorder: Screening, Evaluation, and Management - StatPearls - NCBI Bookshelf Alcohol use disorders and ADHD - ScienceDirect Increased Sensitivity to the Disinhibiting Effects of Alcohol in Adults with ADHD - PMC ADHD and Alcohol Use: What's the Link? | Psych Central ADHD & Alcohol: Exploring the Connection and Overcoming Challenges The Clinically Meaningful Link Between Alcohol Use and Attention Deficit Hyperactivity Disorder - PMC Alcohol Use Disorder: A Comparison Between DSM–IV and DSM–5 | National Institute on Alcohol Abuse and Alcoholism (NIAAA) Effects of Alcohol on the Brain, Animation, Professional version. Alcohol and Neurotransmitter Interactions - PMC Associations between childhood ADHD, gender, and adolescent alcohol and marijuana involvement: A causally informative design. - Abstract - Europe PMC Faye Lawrence - ADHD, Grey Area Drinker & Behaviour Change Coach Atomoxetine treatment of adults with ADHD and comorbid alcohol use disorders - ScienceDirect Common Nightingale - YouTube

I want to make a strong claim about psychiatrist and philosopher of psychiatry Awais Aftab, my guest on the podcast today. He is the single best writer out there today for anyone who is interested in intellectually understanding where the field of mental health is right now.Among the questions to which he has illuminating and often quite profound answers: Is there a crisis of overdiagnosis? What does the anti-psychiatry movement get right and wrong? What does the discipline of psychiatry get right and wrong? Who are the most interesting thinkers in the mental health realm right now? What even is mental illness? Is it time to dispense altogether with the DSM, or does it just need reform? What do and don't we know about the efficacy, and cultural significance, of the legal drugs so many of us, present company included, are being prescribed.There are plenty of writers out there who are addressing these and related issues, but I can't think of anyone who comes close to Aftab in terms of addressing the entire range of them, and doing so in an intellectual serious and aesthetically engaging way. If you want a steady fix of the good shit, in this space, he's the guy who has it. My guess is that everyone who's anyone in psychiatry is already reading him, and that a lot of the journalists who seriously cover mental health are reading him as well, or will be soon.As I say to him in our conversation, I'd been waiting, consciously or not, for someone to fill the space that he has now filled, and it was super exciting to me when I encountered his work. It made my world better, and larger. It's also just so perfectly connected to the core purpose of this podcast, which is to expose listeners to people and topics they should know if they want to be hip to what's going on or what will be going on soon. It was great to talk to him.Aftab is the author of the Psychiatry at the Margins Substack, the recent book from Oxford University Press Conversations in Critical Psychiatry, and a forthcoming book from Harvard University Press titled, provisionally, “Remaking Psychiatry.”Hope you enjoy. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit danieloppenheimer.substack.com/subscribe

To contact Melanie Mize...Melanie E. Mize, Attorney at Law4226 Montgomery RoadCincinnati, OH 45212Phone: (513) 745-9095Email: melanie@memlawyer.comWebsite: https://memlawyer.com/To contact Michelle Minette...Email: maminette@mamchlc.com Website: f-allthat.comFor Family Court Empowerment Coaching:https://familycourtexperts.com/Disclaimer: This content is intended for educational purposes only. It is not a substitute for mental health treatment or legal advice. It is important for survivors of abuse and those involved in family court proceedings to find mental health professionals and legal professionals who understand trauma and abusive relationships. Please seek support from trusted and trained practitioners. This content is not meant to be used by anyone as diagnostic criteria. Permissions have not been granted for anyone to utilize this material as a source to make allegations about specific individuals. Any online content produced by SNAP: Survivors of Narcissistic & Abusive Personalities, Clermont Mental Health or Mandy Friedman LPCC-S is an educational discussion about narcissism which is a descriptive term for tendencies and behavioral patterns. Individuals with narcissistic features or tendencies do not necessarily meet DSM diagnostic criteria. The terms narcissistic and narcissism are used as descriptions of tendencies and behaviors and are not meant as clinical terms.

¿La personalidad es algo que tenemos, algo que somos, o simplemente una narrativa que construimos sobre nosotros mismos? En este nuevo episodio de La teoría de la mente, nos lanzamos a explorar uno de los conceptos más usados —y menos comprendidos— en psicología y en la vida cotidiana: la personalidad. Decimos que alguien “tiene una gran personalidad”, que “esto no va conmigo porque no va con mi personalidad” o que “somos de una determinada manera desde siempre”. Pero, ¿es la personalidad una estructura fija y permanente o algo que se puede modificar con el tiempo y las experiencias? ¿Cuánto hay de libre elección y cuánto de condicionamiento biológico y social? Hoy te proponemos un recorrido por las grandes teorías que han intentado definirla, medirla y clasificarla. Desde los modelos más clásicos como los Big Five (los cinco grandes rasgos: apertura, responsabilidad, extraversión, amabilidad y neuroticismo) hasta las ideas más modernas que vinculan la personalidad con las funciones cerebrales y la genética. En este episodio: ¿Qué es realmente la personalidad? ¿Cómo ha sido definida por la psicología? ¿Es una estructura estable o cambia con el tiempo? ¿Qué papel juegan la infancia, el entorno o los traumas? ¿Sirven los tests de personalidad para entendernos mejor o son simples juegos de etiquetas? ¿Qué es un trastorno de personalidad y cómo se diferencia de un “rasgo fuerte”? Además, realizamos contigo un test de personalidad para que puedas tener una idea más clara de tus tendencias personales y cómo estas influyen en tu forma de pensar, sentir y actuar. No se trata de encasillarte, sino de darte herramientas para conocerte mejor y para comprender también a los demás. Y nos preguntamos algo fundamental: si la personalidad es flexible, ¿podemos cambiarla? ¿Hasta qué punto la neuroplasticidad y el trabajo terapéutico permiten modificar patrones profundos? Reflexionamos también sobre si el concepto de personalidad está sobrevalorado o incluso si podría tratarse de una invención cultural útil para darle coherencia a nuestro comportamiento. Prepárate para una mirada profunda, pero accesible, sobre aquello que llamamos “ser uno mismo”. Porque quizá lo más interesante de la personalidad es que, en parte, podemos moldearla. Y en ese moldeado, hay libertad. Enlaces útiles: Nuestra escuela de ansiedad: https://www.escuelaansiedad.com Nuestro nuevo libro: https://www.elmapadelaansiedad.com Visita nuestra página web: http://www.amadag.com Facebook: https://www.facebook.com/Asociacion.Agorafobia/ Instagram: https://www.instagram.com/amadag.psico/ Youtube Amadag TV: https://www.youtube.com/channel/UC22fPGPhEhgiXCM7PGl68rw 25 palabras clave: personalidad, psicología, test de personalidad, ego, autoconocimiento, trastorno de personalidad, Big Five, rasgos, identidad, cambio personal, neuroplasticidad, emociones, conducta, autoestima, terapia, introversión, extraversión, autoconciencia, psicoterapia, diagnóstico, DSM, autoconstrucción, motivación, carácter, desarrollo 6 hashtags: #Personalidad #Psicología #Autoconocimiento #TestDePersonalidad #LaTeoríaDeLaMente #PodcastAmadag

In this episode, Kimberly and Alex discuss his extensive background in working with children on the Autism Spectrum Disorder (ASD). He spent much of those years taking a non-traditional approach from just behavioral to prioritizing fun and community. This work led him to keenly understanding the importance of local agriculture, nutrition, and the gut-brain connection, and eventually he began working as an animal butcher and supporting his wife's work, The Wild Nutritionist. Aspects of their discussion are connected through the thread of the importance of holistic care for ASD individuals as well as local farming, nutrition, and the gut-brain connection.   Bio Alex Johnson is a father, butcher, former autism specialist, husband of Kate Pope, The Wild Nutritionist, and long-term friend of Kimberly's. His background in theater studies, and then psychology, led him to working with children on the Autism Spectrum Disorder for over a decade. Understanding the needs of this population then helped him transition to regenerative agriculture and animal butchery.    What He Shares: –Working with children on the Autism Spectrum Disorder –How and why ASD has changed in recent years –Harms and limitations of diagnoses and labels –Transitioning to regenerative agriculture and butchery –Prioritizing community through local farming   What You'll Hear: –How Alex began working with kids –Studied theater and psychology –Role play and autism in 2010 –How insurance changed autism  –In home and in community teaching to kids with ASD –Bringing families together with potlucks –DSM-5 refining definition of ASD –Disproportionately diagnosed in boys versus girls –Severity ratings (1, 2, 3) of ASD –Issues with self-diagnoses –Performative vulnerability –Challenges in diagnosing ASD –Social, Communication, and Behavior  –Familial approaches to ASD and community –Neurodivergence and ASD labels –Limitations of checklists of diagnoses –Gut issues and ASD –Behavioral versus holistic and community care –Regenerative agriculture, nutrition, and ASD –Transitioning to animal butchery –Small-scale, mobile harvest operation  –Mobile Harvest Truck –Art of animal butchery and carrying traditions –Politics and farming –Community care in farming and rural areas –Nutritional needs for families –Getting kids involved in family nutrition –Importance of local farmers markets –Talking to local farmers –Buying seasonal produce –Harms of individual priorities versus community –Returning to community care   Resources Website: https://regenerativecookingschool.com/ IG: @wildnutrionist  

Adam's Paternity Leave continues, so let's get down with some wildly problematic Jeremy Irons episodes? Patreon payments are frozen for the time being. A few resourceful new Munchies have figured out a work-around where you can join as a free member and upgrade from there to a paid account which charges you for one month and unlocks the back catalog behind the respective tier of the paywall. After that first payment, you won't be charged again until we're dropping new content (which we'll warn everyone is coming), so if you want more of this it can be had, along with access to the fully uncut episodes from 100 to present and Movie Club episodes.Super famous Oscar-, Emmy-, and Tony-winning actor Jeremy Irons sashays through this week's wonderfully messed up episode of SVU—S12E13 Mask. He attempts to reckon with his out-of-control Cape Cod Summer o' Sex two decades prior. Of course, if it comes up in the course of an investigation on this program, you know the effects are still being felt of his indiscriminate adulterous boning of everything that moved in Falmouth, and this time, they've gotten his daughter and her lover attacked.This gleeful voyage into the world of sexual addiction is fertile ground for plenty of discussion about such subjects as: parsing the paradoxical simultaneous adoration of Tony Blair and loathing of George W. Bush, tattoo critique, teen boys having pervdar, the strange ol' days of Spice, summers on the Cape (and the corresponding nighttime water temps), the Kamadeva, and the broad, beautiful spectrum of paraphilias. Turns out, there's tons of fun to be had when Jeremy Irons is a recovering sex addict trying to get his addiction codified in the DSM-5.[Note: Apologies for the hints of static intermittently creeping into Josh's audio channel. As much was filtered out as was possible without making him sound like an alien. Such are the perils of recording in foreign environs.]Music:Divorcio Suave - "Munchy Business"Thanks to our gracious Munchies on Patreon: Jeremy S, Jaclyn O, Amy Z, Diana R, Tony B, Barry W, Drew D, Nicky R, Stuart, Jacqi B, Natalie T, Robyn S, Christine L, Amy A, Sean M, Jay S, Briley O, Asteria K, Suzanne B, Tim Y, John P, John W, Elia S, Rebecca B, Lily, Sarah L, Melsa A, Alyssa C, Johnathon M, Tiffany C, Brian B, Kate K, Whitney C, Alex, Jannicke HS, Roni C, and Nourhane B, and Erin M - y'all are the best!Be a Munchie, too! Support us on Patreon: patreon.com/munchmybensonBe sure to check out our other podcast diving into long unseen films of our guests' youth: Unkind Rewind at our website or on YouTube, Apple Podcasts, or wherever you listen to podcastsFollow us on: BlueSky, Facebook, Instagram, Threads, and Reddit (Adam's Twitter/BlueSky and Josh's BlueSky/Letterboxd/Substack)Join our Discord: Munch Casts ServerCheck out Munch Merch: Munch Merch at ZazzleCheck out our guest appearances:Both of us on: FMWL Pod (1st Time & 2nd Time), Storytellers from Ratchet Book Club, Chick-Lit at the Movies talking about The Thin Man, and last but not least on the seminal L&O podcast …These Are Their Stories (Adam and Josh).Josh discussing Jackie Brown with the fine folks at Movie Night Extravaganza, debating the Greatest Detectives in TV History on The Great Pop Culture Debate Podcast, and talking SVU/OC and Psych (five eps in all) on Jacked Up Review Show.Visit Our Website: Munch My BensonEmail the podcast: munchmybenson@gmail.comThe Next New Episode Once We're Back from Adam's Paternity Leave Will Be: Season 16, Episode 14 "Intimidation Game"Become a supporter of this podcast: https://www.spreaker.com/podcast/munch-my-benson-a-law-order-svu-podcast--5685940/support.

Ever wonder if you might be a little too into your weed? This week, Jesse and Brandon take a chill, honest look at Cannabis Use Disorder (CUD) — what it is, how to recognize it, and how to find more balance with your bud.We break down the signs like:When “the munchies” turn into a full rotisserie chicken at 2 a.m.Bloodshot eyes and regretsNeeding weed just to feel normal (aka, not the vibe)We also chat:What the DSM-5 says about CUD (spoiler: it's a real thing, but not everyone who smokes has it)Why cannabis affects self-control, eating, and sleep differently in everyoneTips from experts (like Tim Pickett) to reduce dependency — including drinking ice water, choosing healthy snacks like Cosmic Crisp apples

La fugue dissociative est un trouble psychologique rare mais spectaculaire, classé dans les troubles dissociatifs par le DSM-5 (Manuel diagnostique et statistique des troubles mentaux). Elle se caractérise par une perte soudaine de mémoire, souvent associée à un départ inattendu de son domicile ou de son environnement habituel, sans que la personne ne se rende compte de ce qu'elle fait. Elle peut aller jusqu'à adopter une nouvelle identité et mener une nouvelle vie, sans souvenir de sa vie passée.La fugue dissociative survient généralement à la suite d'un événement traumatique ou d'un stress psychologique intense : un deuil, un divorce, une agression, un conflit personnel profond. Face à une douleur émotionnelle insupportable, l'esprit semble littéralement « fuir » pour se protéger, en mettant la mémoire en pause. Il s'agit donc d'un mécanisme de défense extrême, qui découpe l'expérience consciente en fragments pour éviter de faire face à la réalité.Pendant une fugue, la personne agit souvent de manière socialement normale : elle peut prendre un train, réserver une chambre d'hôtel, trouver un emploi, entamer des conversations. C'est ce qui rend ce trouble si difficile à repérer sur le moment. Ce n'est que lorsqu'elle est confrontée à son passé, ou lorsqu'elle retrouve spontanément la mémoire, qu'elle réalise l'amnésie. Le retour à la conscience peut être brutal, et s'accompagner de grande confusion, voire d'anxiété ou de honte.Les études sur le sujet sont rares, car le phénomène est peu fréquent. Selon le Merck Manual, la fugue dissociative concerne moins de 0,2 % de la population générale. Elle semble plus fréquente chez les personnes ayant déjà des troubles dissociatifs, ou ayant subi des traumatismes précoces (comme des abus dans l'enfance). Elle a également été observée chez certains soldats après des combats, ou chez des victimes de catastrophes naturelles.Contrairement à ce que l'on pourrait croire, la fugue dissociative n'est ni feinte, ni volontaire. Elle diffère aussi de l'amnésie simple : ici, l'amnésie est combinée à un comportement actif de fuite ou de réinvention de soi.Le traitement repose sur une approche psychothérapeutique, souvent avec une thérapie cognitive ou une thérapie basée sur les traumatismes. L'objectif est d'identifier le facteur déclencheur, de restaurer les souvenirs, et de renforcer les mécanismes d'adaptation du patient.En résumé, la fugue dissociative est un effacement temporaire de soi, une tentative inconsciente de fuir l'insupportable. Elle nous rappelle la puissance de l'esprit à se défendre — parfois en s'effaçant lui-même. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Send us a textUna de las películas más exitosas de todos los tiempos será el punto de partida de un complejo relato que aborda los límites de la locura y las complejidades del diagnóstico en siquiatría. En paralelo revisaremos la historia de uno de los estudios más audaces del siglo XX, uno que remeció a toda una disciplina y desencadenó cambios profundos en ella. Hoy, gracias a una investigación periodística, sabemos que ese estudio tiene importantes grietas y tal vez su historia es más potente que sus datos.Support the show

If you or your partner are navigating the aftermath of infidelity and wondering whether the sexual behavior involved was really “sex addiction,” this episode is a must-listen. In Episode 86, I'm unpacking one of the most common and confusing questions couples face after betrayal: Is it sex addiction—or is something else going on? We'll explore: Why “sex addiction” is not a recognized mental health diagnosis in the DSM-5 The risk of mislabeling sexual behavior and missing the deeper emotional drivers What the Out of Control Sexual Behavior (OCSB) model is and why it offers a more compassionate, effective path forward Actionable next steps for couples dealing with out-of-control sexual behavior—including excessive porn use or secretive sexual activity This episode is especially supportive for couples who want to move beyond shame, blame, or one-size-fits-all labels and into real, values-based healing.

On today's podcast, Luis discusses his personal journey with trauma and nutrition, and how the two together have an impeccable ability to help people recover from stress and trauma.Luis shares his full personal story of childhood abuse, and how food was the only thing that could suppress and repress his pain. His personal experiences drew him towards a psychology degree, which he abandoned because of his dislike of the DSM and it's diagnostic rigidity. Simultaneously, he was working at a health food store, and began to see how much could be changed, both in himself and others, through dietary changes. When he began studying somatic psychology, Luis discovered the missing piece he had been searching for: how trauma is what prevents people from sticking to specific diets that could help people recover from certain health conditions.Certain foods and eating habits can allow us to tolerate the intolerable, and can become a dependence in order for us to relax, sleep, work, and more. In the Embodied Nutrition group, Luis teaches how foods can stimulate, depress, or balance the nervous system, and how to relate to the emotions and sensations arise when we practice "food sobriety."You can read more about, and register for, the Living Seasonally & Cyclically webinar here: https://www.holisticlifenavigation.com/events/living-seasonally-cyclically-how-i-recovered-from-burnout You can read more about, and register for, the 6-month Embodied Nutrition group here: https://www.holisticlifenavigation.com/slow-practice-nutrition-group----You can learn more on the website: https://www.holisticlifenavigation.com/ Learn more about the self-led course here: https://www.holisticlifenavigation.com/self-led-new Join the waitlist to pre-order Luis' book here: https://www.holisticlifenavigation.com/the-book You can follow Luis on Instagram @holistic.life.navigationQuestions? You can email us at info@holisticlifenavigation.com

Anthony Williams details how his Xanax addiction led him to crime, his arrest, and a 7-year prison sentence in Arizona. #XanaxAbuse #PrisonSentence #TrueCrime #AddictionCrisis #LegalTroubles #OvercomingAddiction #JusticeSystem #lifelessons Thank you to LUCY for sponsoring today's episode: Let's level up your nicotine routine with Lucy.  Go to HTTP://LUCY.CO/IANBICK and use promo code (IANBICK) to get 20% off your first order. Lucy has a 30-day refund policy if you change your mind.  Connect with Anthony Williams: Website: https://www.algamus.org/ Tiktok: https://www.tiktok.com/@tony.scott_?_t=ZT-8to9i8aIsH8&_r=1 Instagram: https://www.instagram.com/tony.scott.music?igsh=OTRjMHl0ZW1hNjA0&utm_source=qr Instagram: https://www.instagram.com/algamus_az?igsh=OXlsazhiY3BzMGJm Hosted, Executive Produced & Edited By Ian Bick: https://www.instagram.com/ian_bick/?hl=en https://ianbick.com/ Presented by Tyson 2.0 & Wooooo Energy: https://tyson20.com/ https://woooooenergy.com/ Buy Merch: https://convictclothing.net/collections/convict-clothing-x-ian-bick Timestamps: 00:00:00 Escaping Arizona's Warm Winters 00:04:32 Overcoming Cultural Pressure and Family Influence 00:09:10 Struggles with Education and Substance Use 00:14:04 Parental Denial and Addiction Struggles 00:18:14 A Desperate Deal with Law Enforcement 00:23:02 From Rehab to Arrest: The Turning Point 00:27:50 Impact of Crime on Small Town Community Life 00:32:37 Experiencing Racial Segregation in Jail 00:37:14 The Reality of Politics in Prison 00:41:50 Insight into the Moderate Treatment Program 00:46:30 Surviving Solitary Confinement in Arizona 00:51:21 Career Transition: From Electrician to Treatment Program 00:56:12 The History and Evolution of a Gambling Treatment Program 01:01:10 Understanding Gambling Addiction: Treatment and Challenges 01:05:52 Understanding Problem Gambling and the DSM-5 Criteria 01:10:43 Overcoming Insecurities and Building Self-Confidence 01:15:10 Networking and Collaboration Opportunities Powered by: Just Media House : https://www.justmediahouse.com/ Creative direction, design, assets, support by FWRD: https://www.fwrd.co Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary  At age 67, Wendy Cole transitioned from male to female after a lifetime of hiding her true identity. In this candid conversation, Wendy shares the emotional cost of repression, her turning point in 2014, and how she found joy, health, and purpose by finally embracing who she is. Now a mentor and advocate, Wendy is helping others navigate their own gender journeys and working to humanize what it means to be transgender.  Keywords  transgender, coming out, identity, support, mental health, community, authenticity, transition, LGBTQ+, personal growth  Takeaways  Wendy transitioned male to female at age 67.She felt a lifelong sense of not belonging.Gender identity is formed in the brain during the second trimester.Wendy faced significant societal and familial pressure to conform.She repressed her identity for decades due to fear and shame.The DSM's classification of LGBTQ+ identities has evolved over time.Wendy found support and community later in life.She emphasizes the importance of living authentically.Wendy's mission is to educate others about transgender experiences.It's never too late to pursue one's true identity.Sound Bites  "I was punished for breaking my glasses.""I was taken to a psychiatrist.""I was threatened with being committed.""I couldn't take it anymore.""I was doing this out of survival.""I was pretty much on my own.""I was going to do this for me.""It's never too late to take charge."Audio Chapters   00:00  Wendy's Journey of Self-Discovery11:58  The Struggles of Repression and Acceptance22:15  Transitioning and Finding Community32:29  Living Authentically and Educating Others  More About Wendy Cole:   http://meetwendycole.com/https://wendycolegtm.net/category/podcasts/Demystifying the Transgender Journey Podcast: https://wendycolegtm.net/episode-001-demystifying-this-podcast/Podcast website and resources: https://www.OutLateWithDavid.com  YouTube Edition:    https://youtu.be/eU5v97dHNIs YouTube Channel:   https://www.youtube.com/channel/UCvsthP9yClKI4o5LxbuQnOg  Certified Professional Life Coach, David Cotton:  https://www.DavidCottonCoaching.com  Contact David: mailto:david@davidcottoncoaching.comhttps://www.DavidCottonCoaching.comhttps://www.OutLateWithDavid.comhttps://linktr.ee/davidacotton  © 2025 David Cotton Coaching, LLC. All rights reserved. The "Out Late With David" podcast and its content are the property of David Cotton Coaching, LLC. Unauthorized use and/or duplication of this material without express and written permission from David Cotton Coaching, LLC is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to "Out Late With David" and David Cotton Coaching, LLC with appropriate and specific direction to the original content.  

In this episode of Authentically ADHD, Carmen peels back the curtain on Cognitive Disengagement Syndrome (CDS)—sometimes called Sluggish Cognitive Tempo—to reveal why so many of us with ADHD feel stuck in a fog of daydreams, slow processing, and low energy. After a quick, relatable anecdote about spacing out in a meeting (and the panic that follows), we dive into what CDS actually is: a cluster of symptoms that overlaps with ADHD but isn't the same thing. You'll learn how CDS shows up differently than classic inattentive ADHD—think mental “brakes,” mind-wandering marathons, and that overwhelming sense that your brain is running underwater.Next, we explore how CDS can silently sabotage work, relationships, and self-esteem. Carmen shares listener stories—like the person who's constantly five steps behind in conversations or the professional whose “slow load time” makes presentations feel like climbing Everest. We unpack the neuroscience in digestible terms: what brain networks are under-activated, how dopamine dysregulation plays a role, and why meds that help “hyperactive” ADHD often fall short for CDS symptoms.Finally, we shift to practical strategies. You'll walk away with at least three tangible tools to test—everything from micro-bursts of movement to reframing your to-do list in ultra-small steps and scheduling “CDS-friendly breaks” before burnout sets in. By the end, you'll understand that those moments of mental fog aren't personal failings but part of a hidden ADHD subprofile—and you'll have a roadmap for bringing more focus, energy, and self-compassion into your lifeShow Notes: IntroductionHello and welcome! Today, we're diving into a fascinating and often underrecognized topic: Cognitive Disengagement Syndrome, or CDS. If that name doesn't ring a bell, maybe its older label will — Sluggish Cognitive Tempo. (Yeah, I know, it sounds like an insult you'd hurl at a slow computer.) In this episode, we're pulling back the curtain on what CDS really is, why it's not just “laziness” or ordinary daydreaming, and why experts say it deserves far more attention than it gets.Hook: Ever feel like your brain is running on dial-up internet in a high-speed world? You're trying to focus, but it's like there's a fog inside your head, and everything is moving in slow motion. Your thoughts wander off like they've got a mind of their own, and snapping back to reality is a bit like wading through molasses. If you're nodding along (or if someone you know comes to mind), you might be familiar with what we're talking about. And if you have ADHD or work with folks who do, you might have seen hints of this “slow-mo” attention state that often hides in plain sight.In this 25-30 minute episode, we'll cover: what exactly Cognitive Disengagement Syndrome is and its key symptoms (in plain, relatable language), how it overlaps with but isn't the same as ADHD, why it often gets misdiagnosed as something else (like depression or anxiety), and some practical, real-world tips for managing it. All of that with a professional tone and a little bit of sass — because learning should be engaging, right? So grab a coffee (you might need it for this topic!), and let's get started.What Is Cognitive Disengagement Syndrome (CDS)?All right, first things first: what on Earth is Cognitive Disengagement Syndrome? In a nutshell, CDS is a term that describes a unique set of attention symptoms — think of it as a “cousin” to ADHD, but with its own personality. It used to be known as “Sluggish Cognitive Tempo,” which frankly sounds like your brain is a slow turtle. No surprise, experts decided to rebrand it to something less snarky and more accurateen.wikipedia.orgmedvidi.com. Now we call it Cognitive Disengagement Syndrome, highlighting how the mind can seem to disengage from the task at hand.So what does CDS look like? Picture a person (child or adult) who is constantly drifting off into their own world. We're talking excessive daydreaming, blank staring, zoning out as if the lights are on but nobody's homeadditudemag.com. Their mind wanders like it's on an aimless road trip. They might appear mentally foggy, sluggish in their movements or thinking, and often slow to respond to what's happening around themedgefoundation.org. Folks with CDS often seem underactive – the opposite of hyperactive – and may be described as lethargic or low energy. You might notice them blinking awake as if they were literally about to nod off, even during activities that aren't boring for everyone else. In short, their alertness is inconsistent: one moment they're tuned in, but the next they've drifted away on a cloud of thoughtsedgefoundation.org.Another hallmark is being easily confused or mentally “fogged.” It's not that they can't understand things, but their processing speed is slow. Imagine trying to stream a video with a weak Wi-Fi signal – the content eventually comes through, but it lags. Similarly, a person with CDS might take longer to process information or retrieve memories, leading them to lose their train of thought oftenen.wikipedia.org. They might say, “Wait, what was I doing?” more times a day than they'd like.And here's a term researchers use that really nails it: being “internally distracted.” With classic ADHD, people are often pulled by external distractions (every noise, sight, or squirrel outside the window steals their attention). But with CDS, the distraction is coming from inside their own mind – an internal daydream or just a blank fog that is surprisingly hard to shakechadd.org. It's like their mind's “attention switch” is set to the off position when it should be on. They may appear withdrawn or apathetic, not because they don't care, but because their brain isn't fully engaging with what's in front of iten.wikipedia.org. This has led others to mislabel them as “lazy” or “not trying hard enough,” which is pretty unfair. In reality, CDS is a genuine attentional problem – one that's different from typical ADHD and definitely not a character flawpubmed.ncbi.nlm.nih.gov.Let me give you a relatable example: Think about those mornings when you just can't wake up, and you stumble around in a coffee-deprived haze. You pour orange juice into your coffee mug and put your car keys in the fridge – your brain just isn't firing on all cylinders. That's a bit what CDS feels like all day long for some people. They're awake, but there's a persistent grogginess or dreaminess that makes every mental task feel like lifting weights in Jell-O.Now, you might be wondering how common this is. Research suggests that CDS symptoms are not rare at all. In fact, it's estimated that a significant chunk of people with ADHD – up to 40% of kids, by some estimates – also experience these CDS-type symptomsadditudemag.com. And it's not just in kids. Adults can have CDS as well (even if they never knew it had a name). It's been observed in roughly one-third of adults diagnosed with inattentive ADHD, for exampleedgefoundation.org. There are even cases of people who only have CDS without the more classic ADHD traits – they might have gone through life just labeled as the “spacey” or quiet ones.One important note: CDS is not officially listed as a diagnosis in the DSM-5, the big manual of mental disordersadditudemag.com. That means your doctor won't find “Cognitive Disengagement Syndrome” as a formal label to bill your insurance. But don't let that fool you into thinking it's not real. The concept has been studied by psychologists for decades, and there's a consensus in recent research that these symptoms cluster together in a meaningful wayadditudemag.compubmed.ncbi.nlm.nih.gov. In other words, something is going on here beyond just normal variation in attention. So even if it's not an official diagnosis yet, many clinicians recognize CDS (or SCT) as a very useful description for patients who have this particular profile.To summarize this segment: CDS, formerly known as sluggish cognitive tempo, refers to a pattern of chronic daydreaming, mental fog, slow processing, and low initiative that can seriously affect daily life. It's like the brain's engine is always idling in neutral – not because the person is willfully tuning out, but because their brain's ability to engage is, for lack of a better word, sluggish. Now that we know what it is, let's talk about how this compares to a condition you've definitely heard of: ADHD.How Does CDS Overlap with and Differ from ADHD?If you listened to that description of CDS and thought, “Hmm, some of that sounds like ADHD,” you're absolutely right. CDS has a lot of overlap with ADHD, especially the inattentive type. Both involve problems with attention, forgetfulness, and maybe looking off into space when you're supposed to be working. In fact, for years CDS (back when it was called SCT) was thought of as possibly just a subtype of ADHD. Many people with ADHD do have some CDS symptoms and vice versaedgefoundation.org. But here's the kicker: modern research indicates that CDS and ADHD aren't identical – they're more like siblings than twinsen.wikipedia.org. They share some DNA, but each has its own quirks.Let's start with the obvious difference: hyperactivity (or rather, the lack of it). ADHD famously often comes with hyperactivity and impulsivity (at least in the combined or hyperactive-impulsive presentations). Those are the folks who are fidgeting, tapping, jumping out of their seats, acting on impulse – their internal motor runs fast. In contrast, people with pure CDS are the polar opposite of hyperactive. Remember, another term for this was “sluggish” cognitive tempo. Instead of bouncing off the walls, someone with CDS might be melting into the wall, so to speak – quiet, slow-moving, and passiveen.wikipedia.org. They're not blurting out answers in class; they're the ones who may not answer even when you call on them, because their mind was elsewhere. One researcher humorously noted it's like comparing a race car (ADHD) to a slow cruiser (CDS) – one's got too much go, the other not enough.Attention differences: Both ADHD and CDS involve attention problems, but the type of attention problem differs. Here's a way to think about it: people with ADHD can engage their attention quickly but struggle to sustain it, especially if something isn't interesting – their attention is like a spotlight that flickers on exciting things but then fizzles outen.wikipedia.org. On the other hand, people with CDS have trouble even getting that spotlight to turn on and lock onto the target in the first placeen.wikipedia.org. It's as if the brain's ignition switch is delayed. Once they do focus, they might actually be able to stick with it a bit (especially if it's something captivating), but the hard part is that initial spark of attention. An ADHD student might start their homework and then get distracted by 10 different thoughts and leave it unfinished, whereas a CDS student might sit down to do the homework and spend 30 minutes in a haze, kind of staring at the page not even knowing where to begin. Both end up with not much done, but the mental experience is different.Another difference is processing speed and accuracy. ADHD folks can often think quickly (sometimes too quickly, leading to impulsive mistakes). But someone with CDS processes information more slowly and may be prone to more mistakes because their attention to detail is decoupled or laggingen.wikipedia.orgen.wikipedia.org. Think of it this way: if an ADHD brain is like a flashy smartphone that sometimes loses signal, a CDS brain might be like an older phone that has a constant delay – slower to open apps and occasionally freezes on a screen. Both might drop your call (metaphorically speaking) but for different technical reasons.Memory and retrieval can also feel different. ADHD's inattention often looks like forgetfulness due to distraction (you didn't remember the meeting because you were busy thinking about five other things). In CDS, forgetfulness might come from that fog – the information just never fully registered or gets stuck behind a mental cloud. People with CDS often say they feel like they have a “brain fog” or that they're in a constant daydream, which isn't typically how someone with classic ADHD would describe their attention (they might say theirs is like a ping-pong ball bouncing around).Now let's talk mood and motivation overlaps. ADHD is frequently linked with externalizing behaviors – meaning, some with ADHD might have impulsive anger outbursts, act without thinking, maybe develop conduct issues, or lean toward thrill-seeking. CDS, conversely, is more often linked with internalizing tendencies: anxiety, shyness, even depressive feelingsen.wikipedia.orgen.wikipedia.org. Why? Possibly because being in a fog and struggling quietly can dent your self-esteem or make social life harder, leading to withdrawal. A kid with ADHD might be the class clown or the one getting in trouble; a kid with CDS is more likely to be the wallflower in class who barely says a word. Studies consistently find that CDS-prone individuals are often socially withdrawn and shy, sometimes getting overlooked or ignored by peersen.wikipedia.org. People might think they're aloof or uninterested, but in reality the person is just slow to respond and not catching the fast-paced flow of conversationen.wikipedia.org. Meanwhile, ADHD kids are hard to ignore – they demand attention, sometimes in not-so-great ways, and can get actively rejected due to disruptive behavioren.wikipedia.org. So, socially, one tends to be invisible (CDS) and the other too visible (ADHD).There's also an interesting personality distinction noted in research: ADHD is often associated with being reward-seeking and novelty-loving, whereas CDS might come with a higher sensitivity to punishment or a tendency to avoid risksen.wikipedia.org. It's like ADHD is always pressing the gas pedal looking for something fun, and CDS is hovering over the brake, worried about making a wrong move. This could be one reason we see less rule-breaking behavior in CDS – those individuals aren't the ones typically running toward trouble; if anything, they're stuck trying to remember what the next step was.Neuroscience angle (in lay terms): We won't get too technical here, but it's worth noting that scientists suspect the brain mechanisms differ between these two conditions. ADHD is often tied to issues with executive functions and inhibitory control (trouble stopping impulses, difficulty with the brain's “braking system”). CDS seems to be more about a deficit in starting and sustaining cognitive engagement – maybe a lower general arousal or alertness level in the brain. One theory is that different attention networks are involved: ADHD involves circuits that sustain attention and inhibit distractions, whereas CDS might involve circuits that initiate and regulate alertness. From a neurotransmitter perspective, ADHD famously involves dopamine irregularities; with CDS, some researchers wonder if there's a component of the brain's arousal system (possibly a norepinephrine angle, since alertness is at issue) – but the jury's still out. Alright, science hat off now! The key takeaway is that the inattentiveness in CDS qualitatively feels different from the garden-variety ADHD distractibilityen.wikipedia.org.Before we leave this section, it's important to mention: a person can have both ADHD and CDS symptoms together (this is actually pretty common, as we noted earlier). If ADHD is the cake, think of CDS as a flavor of icing that can coat it for some people. Those are the folks who might be especially struggling – for example, they have the hyperactivity or impulsivity of ADHD and the foggy drifting of CDS. On the flip side, there are some who just have one or the other. The overlap has made it a bit tricky in the past for doctors to decide, “Is this a new condition or just part of ADHD?” But recent consensus leans toward CDS being its own construct, not just “ADHD-lite.” In fact, a large meta-analysis of around 19,000 people found that ADHD symptoms and CDS symptoms, while often co-occurring, do factor out as distinct inattention patternsmedvidi.com. So, think of them like two circles in a Venn diagram: they overlap in the middle (many people have both), but each also has an area that doesn't overlap – unique features that the other doesn't share.In summary, ADHD and Cognitive Disengagement Syndrome are like two different flavors of attention deficit. ADHD is the high-speed, impulsive, “lots of oomph but hard to control” flavor, and CDS is the slow, dreamy, “low oomph, hard to get going” flavor. Both can make school, work, and life challenging, but in distinct ways. Understanding these differences isn't just academic – it matters because it affects how someone feels inside, and it can guide different approaches to help them. And speaking of that, why is it that so many people with CDS have been flying under the radar or getting mislabeled? That brings us to our next segment.Why Is CDS Often Misdiagnosed (or Missed Entirely)?Cognitive Disengagement Syndrome has been called an “underrecognized” condition – and for good reason. It's like the introvert at the party of mental health conditions: quiet, not drawing attention to itself, and often misunderstood. Let's unpack why so many people with CDS get misdiagnosed or overlooked, often as having something else like ADHD, depression, or anxiety.One big reason is history and awareness. Until recently, most clinicians and educators didn't have CDS on their radar at all. If a child was struggling to pay attention, the go-to thought would be “this might be ADHD” (or if the child was very quiet and slow, maybe “this kid is depressed or has an anxiety issue”). Sluggish Cognitive Tempo, as a term, has been around for decades in research, but it never made it into the official diagnostic manualsstatnews.com. So unlike ADHD, which every teacher, parent, or doctor has heard of, SCT/CDS has kind of been the forgotten step-sibling of ADHD. A lot of professionals simply weren't taught about it. This means a kid showing these symptoms might get an ADHD-inattentive type diagnosis by default, or if they don't tick enough ADHD boxes, they might just be shrugged off as a “daydreamer” or mischaracterized as having low motivation.Symptom overlap is another culprit. As we discussed, there's a ton of overlap between inattentive ADHD and CDS. That overlapping 30-50% of cases can be confusingen.wikipedia.org. Many clinicians historically would have just said “well, it's basically ADHD” and not bother with a separate label. The downside? If it is CDS, the subtleties (like the constant drowsiness or internal thought-wandering) might not be addressed by standard ADHD strategies or medications. But if no one's distinguishing it, the person might just be lumped under ADHD and left wondering why some typical ADHD advice doesn't quite fit them.Now, consider how CDS presents behaviorally: these individuals usually aren't causing trouble. They're not hyper or defiant; if anything, they're too well-behaved but mentally absent. Teachers love that they're not disruptive, so they might not refer them for evaluation as quickly as the kid who won't stay in his seat. A student with CDS might sit quietly in the back, half-listening, half in La-La Land. They could be struggling massively internally, but because they're not jumping on desks or failing every test, it slides under the radar. They often get comments like “needs to pay more attention” or “so bright, but doesn't apply themselves” on report cards – sound familiar to anyone? Those kinds of comments are classic for undiagnosed attention issues that don't fit the loud ADHD stereotype.Another reason for misdiagnosis is the similarity to depression or anxiety symptoms. Think about it: if someone is consistently sluggish, low-energy, apathetic, and staring off, a clinician might immediately consider depression. In fact, lethargy and concentration problems are key symptoms of depression as well. Anxiety, especially in kids, can sometimes look like zoning out or being “in their head” worrying. So, it's easy to see how a person with CDS might get diagnosed with an anxiety disorder or depression when the core issue is actually this attention disengagement problem (though to complicate matters, the person could also be anxious or depressed – those can co-occur). There's evidence of a strong link between CDS symptoms and internalizing disorders like anxiety/depressioncogepderg.com, which means clinicians really have to tease apart: is the daydreaming because of depression? Or is the depression developing because the person is always struggling and feeling out of sync? It can be a chicken-and-egg situation.Misinterpretation by others adds to the mess. Earlier I mentioned people with CDS might be seen as aloof or unmotivated. Let's double down on that: friends, family, and even doctors can wrongly attribute the behavior to character traits. A child who doesn't respond quickly or seems “out of it” might get labeled as lazy, shy, or even oppositional (when they don't follow instructions, not out of defiance but because their mind wandered off). One heartbreaking example comes from a real story: a teenage girl was so quiet and zoned out in class that teachers literally marked her as absent when she was right there in her seatstatnews.com. Can you imagine? She was physically present but so mentally checked-out due to CDS that she might as well have been invisible. For years she and her parents thought her issues were just from anxiety and depression. It wasn't until she stumbled on the term “sluggish cognitive tempo” in an old psych report that things clickedstatnews.comstatnews.com. Suddenly, the excessive daydreaming, the brain fog – it all made sense as a distinct thing. But it took that long for anyone to connect the dots, because the default assumptions were other diagnoses.There's also a bit of controversy in the professional community that has affected recognition. Some experts have criticized the push to make CDS an official diagnosis, arguing that it might pathologize normal traits or that it's just a fragment of ADHD or other disordersedgefoundation.orgstatnews.com. They worry about overdiagnosis – like, are we going to start labeling every dreamy kid with a disorder? Are pharma companies just looking for the next condition to medicate? These are valid concerns, and it's good that scientists are cautious. However, the flip side is that by not recognizing CDS, people who truly suffer from it might not get the specific help they need. It's a fine line. The consensus that has emerged is that while we're debating the labels, the symptoms are very real and can be seriously impairingedgefoundation.org. So misdiagnosis happens both ways: some get diagnosed with something else incorrectly, and some don't get diagnosed with anything at all – they're just “undiagnosed and unhappy.”Finally, the nature of CDS itself can fool clinicians. Since these folks often have some degree of attention capacity (for example, they might do okay in one-on-one situations or when very interested in a topic), their issue might not scream “attention disorder” in a short doctor's visit. They might not report the hyperactive symptoms (because they have none), so if the practitioner isn't well-versed in SCT, they might not recognize that a pattern of lifelong “dreaminess” is a sign of an attention-related condition. In adults, this is even trickier: an adult who complains of brain fog might get checked for thyroid problems, anemia, sleep apnea, etc., and if all those are negative, the fatigue and fog might be attributed to stress or depression. Rarely does a doctor say, “Hey, could this be that thing called cognitive disengagement syndrome?” – at least not yet, since awareness is still growing.The result of misdiagnosis or missing the diagnosis? People can go years thinking they're just bad at life or “lazy.” They internalize a lot of negative self-talk. A kid might grow up being scolded for daydreaming, a teen might get told “you just need to try harder,” and an adult might wonder why they can't seem to hold onto their thoughts in meetings when everyone else manages fine. It can be frustrating and demoralizing. Some individuals end up on treatments that don't fully help – for instance, they might be given stimulant medication for ADHD and find that, while it might boost focus a bit, it doesn't magically clear the fog like it does for a classic ADHD caseadditudemag.com. Or they might be on antidepressants that help mood but not their spacing-out episodes.The bottom line here is that CDS often flies under the radar. Its sufferers might get diagnosed with something more obvious or nothing at all. The condition is underrecognized in both the medical field and public awareness. That's why one of my goals today (and the reason you're still listening) is to shine a light on it. Because once you do recognize it, you can start doing something about it – which is exactly what we'll talk about next.Up to now, we've painted a pretty challenging picture – brain fog, misdiagnoses, feeling overlooked. But don't worry: this isn't all doom and gloom. In the next segment, we're switching gears to something more empowering: practical tips and strategies. If you or someone you care about is dealing with CDS (or heck, even if you just relate to some of this foggy focus stuff), what can be done? How can you manage these symptoms and make life a bit easier? Let's explore that.Practical Tips for Managing CDSAlright, let's roll up our sleeves and get practical. Cognitive Disengagement Syndrome can make everyday tasks feel like you're swimming upstream, but there are ways to manage it and improve your day-to-day functioning. Whether you're an adult with CDS, a parent or teacher of someone who has it, or just someone listening along for knowledge, these tips will be helpful. We're going to cover a mix of lifestyle habits, strategies, and supports – essentially, how to give that “sluggish” brain a bit of a tune-up or workaround. Think of it as creating an environment where your brain's engine has some extra help turning over. Let's break down some strategies:* Prioritize Sleep and Healthy Habits: This one's not glamorous, but it's huge. Since people with CDS often feel drowsy or low-energy, getting consistent, quality sleep is vital. Poor sleep will only pour molasses on an already sluggish cognitive tempo. Aim for a regular sleep schedule and good sleep hygiene (yes, that means putting down the phone at night and maybe actually going to bed on time, a tough ask, I know!). Also, pay attention to diet and exerciseedgefoundation.org. Physical activity can temporarily boost alertness – even a brisk walk or a few jumping jacks when you're feeling foggy can restart the engine. Eating balanced meals and staying hydrated helps too (blood sugar crashes or dehydration can worsen that spaced-out feeling). Some folks find that a bit of caffeine in moderation helps shake off the cobwebs, but be careful not to overdo it, especially if you also have anxiety. Think of healthy habits as the foundation; they won't eliminate CDS, but they raise your baseline energy and brain health, giving you a fighting chance on those heavy-brain-fog days.* Use External Structures to Stay On Track: If the issue is that your brain disengages internally, one solution is to bring in external engagement. This means using tools and routines to keep you anchored to tasks. For example, timers and alarms can be your best friend. Set a timer for, say, 10 minutes and tell yourself, “I'll work on this task until the timer rings, then I can pause.” Often, just that little auditory cue and the knowledge of a break coming can help you initiate a task. Visual reminders are great too – post-it notes in key places, a big wall calendar, or phone reminders that pop up with messages like “Hey, are you on task?

This week, we talk to two longtime restaurant critics from different parts of the country about what makes their work so interesting and what they're excited to eat. First, Bill Addison, restaurant critic for The Los Angeles Times, talks about his approach to critical writing, his favorite restaurant experiences, and the evolution of California cuisine. He just wrapped up one of the most ambitious projects of his career, the list of the One Hundred and One Best Restaurants in California for The Los Angeles Times. Then, we turn to the Midwest to join Wini Moranville, a restaurant critic based in Des Moines, Iowa. She tells us about her first job as a restaurant server and how that influenced her current work reviewing restaurants, and how restaurant criticism in smaller cities often have very different considerations. Wini is the author of the memoir "Love is My Favorite Flavor: A Midwestern Dining Critic Tells All," and you can check out her Substack, Dining Well in DSM.Broadcast dates for this episode:June 13, 2025 (originally aired)Your support is a special ingredient in helping to make The Splendid Table. Donate today

Send us a textThe Structured Clinical Interview for DSM-5 (SCID-5) stands as a cornerstone in modern mental health assessment, offering clinicians and researchers a sophisticated tool that marries systematic evaluation with clinical flexibility. This semi-structured interview masterfully balances the precision of standardized questioning with the nuance of open-ended exploration, allowing mental health professionals to gather essential diagnostic information while honoring each client's unique lived experience. The approach creates space for clients to describe their symptoms in their own words, ensuring both diagnostic accuracy and therapeutic rapport.Recognizing diverse professional needs, the SCID-5 comes in three specialized formats: the streamlined Clinician Version (SCID-5-CV) for daily practice, the comprehensive Research Version (SCID-5-RV) for academic studies, and the rigorous Clinical Trials Version (SCID-5-CT) for standardized research protocols. The clinician version includes ten meticulously organized diagnostic modules covering 39 common mental health conditions, from major depression and anxiety disorders to substance use problems and ADHD, while screening for 17 additional disorders.The interview process unfolds naturally, beginning with an introductory conversation that establishes rapport while gathering crucial background information. As the assessment progresses, clinicians follow decision trees that mirror expert diagnostic reasoning, systematically evaluating potential diagnoses based on DSM-5 criteria. This methodical approach empowers professionals to make evidence-based diagnostic determinations while remaining responsive to new information that may emerge throughout treatment.Join us as we explore how this remarkable diagnostic tool transforms mental health assessment, creating a bridge between standardized criteria and clinical wisdom that ultimately leads to better outcomes for those seeking care. Subscribe now for more insights into the cutting-edge approaches shaping modern mental healthcare.If you need to study for your national licensing exam, try the free samplers at: LicensureExamsThis podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

Discover what's possible when different brains come together.  Dr. Temple Grandin is well known for both her pioneer work as an autism advocate and her lifelong dedication to animal welfare. Through groundbreaking research aimed at understanding her own autistic mind, Dr. Grandin propelled the awareness of autism during a time when very little was known of it. She is an incredible source of hope for children with autism, their parents, and anyone with a dream.  Dr. Grandin became an internationally recognized leader in animal handling innovations after developing a corral that improved the quality of life of cattle by reducing stress. She has consulted with the USDA and major corporations such as McDonald's, Wendy's, Burger King, Whole Foods, and Chipotle. Today, half of the cattle in North America are handled in facilities she designed.  Dr. Grandin is also a prominent author, having written several books on autism and animal behavior. She has been featured on various media outlets and programs, including NPR, BBC, Larry King Live, 2020, Sixty Minutes, and TED, to name a few. In 2010, HBO produced an Emmy Award-winning movie about her life, and later that year, she was highlighted in TIME magazine's 100 Most Influential People in the World. In 2016, she was inducted into the American Academy of Arts and Sciences. These days, Dr. Grandin continues to write and teaches Animal Science at Colorado State University.  In this episode, we discuss: The spectrum of autism needs The evolution of diagnostic criteria  Dr. Grandin's opinion on the removal of Asperger's syndrome from the DSM-5 and the classification of autism under a single umbrella The neurodiversity movement ABA therapy Teaching autism awareness in schools Mental health challenges faced by autistic individuals Tips for autistic self-advocates, encouraging targeted advocacy and constructive action to make a difference in their communities For more information about Dr. Grandin and her work, please visit:  https://www.templegrandin.com/   https://www.grandin.com/ ----more---- This conversation with Dr. Temple Grandin was originally released on December 10, 2020.  Dr. Grandin's most recent book Autism and Education: The Way I See It: What Parents and Teachers Need to Know was published in April 2023. ----more---- We appreciate your time. If you enjoy this podcast and you'd like to support our mission, please take just a few seconds to share it with one person who you think will find value in it too. Follow us on Instagram: @autismpodcast Join our community on Mighty Networks: Global Autism Community Subscribe to our YouTube channel: Global Autism Project We would love to hear your feedback about the show. Please fill out this short survey to let us know your thoughts: Listener Survey

Dr. David Kessler is a renowned pediatrician, lawyer, public health advocate, and former Commissioner of the U.S. Food and Drug Administration (FDA). A graduate of Amherst College, the University of Chicago Law School, and Harvard Medical School, Dr. Kessler has spent his career at the intersection of science, policy, and consumer protection. He served as Dean of the Yale School of Medicine and the University of California, San Francisco Medical School, and most recently held the role of Chief Science Officer for the White House COVID-19 Response Team. Dr. Kessler is the acclaimed author of several influential books including the New York Times bestseller The End of Overeating, Fast Carbs, Slow Carbs, and his latest work, Diet, Drugs & Dopamine: The New Science on Achieving a Healthy Weight. His writing and research have been pivotal in shifting the public health conversation from willpower to biological understanding—especially regarding food addiction, the manipulation of hyper-palatable foods, and the role of dopamine in modern eating behaviors. A true trailblazer in the field, Dr. Kessler has dedicated decades to unraveling the powerful science behind why we eat the way we do—and how we can reclaim our health in a world of ultra-processed foods. Dr. Kessler shares his personal journey with weight regain and the "aha moment" that led him to call it what it is—addiction. He explores the role of GLP-1 medications, the dark side of food addiction, and how we must move beyond willpower to tackle this epidemic with compassion, science, and actionable tools.

Dr. John Kruse is a neuroscientist, psychiatrist, and author with 25 years of experience specializing in adult ADHD. He earned his MD and PhD in Neuroscience from the University of Rochester. Dr. Kruse is known for his book, "Recognizing Adult ADHD: What Donald Trump Can Teach Us About Attention Deficit Hyperactivity Disorder," and focuses on helping patients understand and manage ADHD through various therapeutic approaches.In our conversation we discuss:(00:00) - Defining ADHD and DSM criteria(01:44) - How adult ADHD is diagnosed(03:36) - ADHD vs. other mental conditions(06:10) - Executive function and brain chemistry(08:32) - Biological markers and group overlap(11:38) - ADHD diagnosis trends and underdiagnosis(15:18) - ADHD increase during COVID explained(18:06) - Why adult ADHD went unrecognized(21:24) - Misdiagnosis and long-term consequences(27:17) - Genetics and shared mental health traits(31:01) - Trauma vs. genetic origins of ADHD(39:02) - Life impacts of untreated ADHD(46:19) - Interest-driven attention and hyperfocus(50:05) - ADHD strengths in entrepreneurship(01:11:38) - First steps and treatment optionsLearn more about Dr. John Kruse:YouTube Channel: youtube.com/9Reddit Subreddit: reddit.com/r/DrJohnKruse/Medium Articles: https://www.google.com/search?q=dockruse.medium.comWatch full episodes on: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@seankim⁠⁠⁠⁠⁠⁠⁠Connect on IG: ⁠⁠⁠⁠⁠⁠https://instagram.com/heyseankim

Send us a textThis week were talking about ADHD and the sysmtoms of inattention. It's easy to glance at the DSM checklist and think, “That's not me.” But when you really look at how these symptoms show up in everyday life? Suddenly it's very relatable.We're breaking down inattentive ADHD in a way that actually makes sense with real-life examples and a few funny (okay, slightly chaotic) relatiable stories of how it shows up for us. Join us for some fun and laughter!Support the showIf you'd like to support the show please consider subscribing to us, it starts at $3 a month:BUZZSPROUT Subscriptionhttps://www.buzzsprout.com/1898728/supporters/newBuy Me A Coffeehttps://bmc.link/adopaminekickThanks so much to anyone that donates to us, we really appreciate it.Our Socialswww.adopaminekick.comFollow us on Instagramwww.instagram.com/adopaminekickLike us on Facebookwww.facebook.com/adopaminekickEmail us: adopaminekick@gmail.com Support the show

An episode that took a fantasy and made it reality.In Episode 139 of The Autistic Culture Podcast, Dr Angela Kingdon continues our journey through the 10 Pillars of Autistic Culture with Dr. Scott Frasard, as we move onto Pillar 4 — World building. Dr. Scott Frasard is an autistic autism advocate who is a published author and an outspoken critic of operant conditioning approaches to change natural autistic behaviors to meet neuro-normative social expectations.Dr Scott Frasard decided he wasn't going to critique the status quo, he was going to build something new. His essay, ‘The World We Built: A Future Where Autistic People Are Respected, Not Repaired,' set in 2075, imagines a world where autism is no longer pathologized. Where the DSM is behind museum glass, and identity is co-created, not diagnosed.You can read it in full here.Here's what defines this core Autistic trait:*

Licensed clinical psychologist and health care ethicist Jenny Shields discusses her article, "DSM-5 doesn't name it, but moral distress is everywhere in medicine." Jenny illuminates the pervasive issue of moral distress among clinicians, defining it as the psychological toll exacted when they know the ethically appropriate action but are systematically prevented from taking it by institutional constraints such as hospital policies or insurer mandates. She carefully distinguishes moral distress from burnout or trauma, characterizing it as a chronic erosion of professional identity that occurs when daily work consistently conflicts with the core values that drew clinicians to their profession. Examples cited include understaffing in the face of rising executive compensation and adherence to insurer-driven care plans over sound medical judgment. Jenny describes the accumulation of "moral residue"—a lasting emotional injury—and a form of institutional gaslighting where systemic issues are presented as improvements, causing clinicians to doubt their own perceptions. She argues that by not naming moral distress, diagnostic manuals like the DSM-5 contribute to medicalizing symptoms like burnout, thereby avoiding the underlying ethical fractures in a health care system primarily designed around revenue and efficiency, which consistently deprioritizes ethics. The article calls for a shift away from focusing on individual clinician resilience towards demanding fundamental systemic changes to address this profound ethical crisis. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Podcast sponsors:1) Trinergy Health offers a 6-month program for mind-body recovery and wellness. Based on the foundational framework of Diet/trauma/toxins. To schedule an intake appointment, go to https://psychiatry2.com/schedule/ or call 262-955-6601. Use code Rav10 to get 10% discount for holistic psychiatry program.2) Alcami Elements - a natural, adaptogenic herbal supplement to kickstart your day! https://www.alcamielements.com/ Receive 10% OFF first order or 30% OFF subscription order using code: ILLUSIONIn this episode, Rav is joined by journalist and author Mia Hughes (The WPATH Files) for a wide-ranging conversation on the rise of gender dysphoria, particularly among adolescent girls. They explore the psychological and cultural forces driving this trend, including trauma, social contagion, and the influence of online communities. Mia shares her personal journey and offers a critical perspective on gender-affirming care, the phenomenon of autogynephilia, and the concept of diagnostic overshadowing—where gender identity becomes the sole focus of treatment at the expense of underlying mental health conditions. Together, they reflect on the ethical dilemmas within the trans rights movement, the medicalization of nonconforming identity, and the growing cultural shift toward victimhood over resilience.Chapters:00:00 Introduction to Gender Affirming Care02:02 Mia Hughes' Journey and Background05:20 The WPATH Files and Medical Scandal07:49 Statistics and Social Contagion in Gender Dysphoria12:55 Counterarguments: Transgender Identification vs. Homosexuality15:45 The Nature of Gender Dysphoria21:16 Understanding Autogynephilia27:26 The Impact of Trans Rights Movement33:01 Comparing Autogynephilia and Homosexuality40:23 Understanding Autogynephilia and Its Implications44:04 The Debate on Gender-Affirming Care50:29 Demographics of Gender Dysphoria58:49 The Role of Trauma in Gender Dysphoria01:12:32 Causation vs Correlation in Gender Identity01:14:58 Understanding Mental Health: Symptoms vs. Explanations01:18:47 The Role of Trauma in Mental Health01:21:35 The DSM and the Nature of Psychiatric Diagnoses01:24:29 The Impact of Labels on Mental Health01:27:48 Mindfulness and Mental Health01:32:23 The Utility of Diagnoses in Self-Discovery01:36:34 Navigating ADHD and Attention Issues01:42:11 The Paradox of Modern Life and Mental Health01:45:53 Victimhood Culture and Mental Health Perspectives This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.illusionconsensus.com/subscribe

Um interessierten Familien bei der Schulauswahl zu helfen, hat die Deutsche Schule Melbourne (DSM) am letzten Wochenende ihre Türen geöffnet und durch Frage-Antwort-Runden, Aktivitäten, Schultouren und mehr ihr bilinguales Schulangebot vorgestellt. Wir haben mit Lehrerinnen und Lehrern, Schulpädagogen und dem Direktor gesprochen und gefragt, für wen das Programm der DSM geeignet ist.

Are you labeling someone a narcissist... when they might actually be a falsely empowered codependent?In this episode of the Heal the Hurt Podcast, we dive deep into one of the most common—and most dangerous—misunderstandings in emotional healing and relationship dynamics. Many people confuse certain types of codependency with narcissism, and that confusion can destroy relationships that are actually salvageable.Kenny Weiss explains:

Bill Bender talks College Football, Maury Hanks on the Iowa basketball game in DSM & Trent's Picks presented by Circa Sports

Haliburton was Perfect, Chris Connelly on Iowa BB Coming to DSM, Rob Donaldson's Baseball Bets, and more! W H1

Get Free Access to All of My Attachment & Relationship Courses This Mental Health Awareness Month. Start Your 14-day Trial Now and Complete a Course Before the Offer Ends! https://attachment.personaldevelopmentschool.com/mha-month?utm_source=podcast&utm_campaign=mha-month&utm_medium=organic&el=podcast   Is your partner emotionally unavailable—or emotionally manipulative? In this in-depth episode of The Thais Gibson Podcast, Thais is joined by co-host Mike DiZio to unpack the 9 diagnostic criteria for Narcissistic Personality Disorder (NPD) and explain how these traits differ from what you see in someone with dismissive avoidant attachment. This episode goes far beyond the surface, giving you practical tools to differentiate between personality disorders and attachment wounds, understand confusing behaviors, and protect yourself from staying in toxic relationships under the wrong assumptions.   What You'll Learn in This Episode: ✔️ The 9 clinical traits of narcissism (based on DSM criteria) ✔️ Why dismissive avoidants may appear cold—but aren't manipulative ✔️ The root causes of narcissism vs. avoidant attachment ✔️ How each style relates to vulnerability, attention, and accountability ✔️ How dismissive avoidants can empathize and change—and why narcissists often don't ✔️ Why NPD healing is rare—and how shame avoidance blocks growth ✔️ Practical examples and red flags to look for in your relationships Whether you're confused about a past partner, navigating a current dynamic, or exploring your own behavior, this episode delivers eye-opening clarity and practical insight. ⏱️ Episode Timestamps 00:00 – Attachment Style Quiz 00:42 – Intro: Why This Distinction Matters 05:15 – 1: Grandiose Sense of Self 07:57 – 2: Requires Excessive Admiration 21:33 – 3: Fantasies of Unlimited Power, Beauty, Success 29:18 – PDS Membership Program 30:12 – 4: Entitlement 39:32 – 5: Believes They're Special & Unique 43:23 – 6: Interpersonally Exploitative 48:50 – 7: Arrogant or Haughty Attitude 52:18 – 8: Jealousy of Others 53:25 – 9: Lack of Empathy 59:05 – Conclusion Meet Your Host: Thais Gibson is the founder of The Personal Development School, best-selling author, and a global leader in attachment theory and subconscious reprogramming. With a Ph.D. and more than 13 certifications, Thais has helped over 70,000 people heal attachment wounds and build secure, thriving relationships. Helpful Resources:

It's Mailbag Friday! You've got questions, we've got answers! Segment 1 • My son cut off all contact with our family over a year ago—what do I do when he won't speak to us? Segment 2 • Do prayers have to be spoken aloud—or does writing them count? • Horoscopes are vague—so how is the DSM-5 any more legitimate? • Is “once saved, always saved” biblical—or can you actually lose salvation? • Do all elders have to teach or preach—especially if they're unpaid? Segment 3 • Can a confessional Lutheran and a Reformed Baptist actually be friends? • Is it wrong to keep your eyes open during prayer? Asking for a friend. Segment 4 • Can I confront my dad's harsh treatment of my mom—or is that dishonoring him? • My “Christian” family excuses open sin—should I still attend gatherings? – Preorder the new book, Lies My Therapist Told Me, by Fortis Institute Fellow Dr. Greg Gifford now! https://www.harpercollins.com/pages/liesmytherapisttoldme – Thanks for listening! Wretched Radio would not be possible without the financial support of our Gospel Partners. If you would like to support Wretched Radio we would be extremely grateful. VISIT https://fortisinstitute.org/donate/ If you are already a Gospel Partner we couldn't be more thankful for you if we tried!

Segment 1 • Contemporary worship on YouTube is flooded with emotionally charged, man-centered music that feels more exhausting than edifying. • Much of today's worship music centers on emotionalism, not exalting Christ. • When you hear biblically rich, Christ-centered lyrics like “The King in All His Beauty,” it's clear—true worship exalts Jesus, not emotion, experience, or self. Segment 2 • Churches are increasingly turning to recycled pop songs and rebranding them as worship music, blurring the lines between sacred and secular. • The Catholic Church prepares for its next conclave this week which will select the new Pope. • The bizarre tradition of showcasing the literal hearts of former popes—raising questions about relic worship and pagan parallels. Segment 3 • “Side B Christianity,” which affirms same-sex attraction as identity but forbids action, is gaining ground in some corners of the PCA. • The PCUSA has already shifted further, redefining missions as “whatever God is doing” and eliminating its missionary department entirely. • Why our identity must be found in Christ, not our sinful proclivities. Segment 4 • Odd stories from around the world–”Florida ants are the only animals besides humans that perform surgery.” • Alpharetta Bible Church's gospel-centered mission serves as a touchstone amid cultural confusion. • Despite rising pornography use, the DSM-5 still contains no diagnostic category for it—underscoring how secular frameworks often ignore deep spiritual issues. – Preorder the new book, Lies My Therapist Told Me, by Fortis Institute Fellow Dr. Greg Gifford now! https://www.harpercollins.com/pages/liesmytherapisttoldme – Thanks for listening! Wretched Radio would not be possible without the financial support of our Gospel Partners. If you would like to support Wretched Radio we would be extremely grateful. VISIT https://fortisinstitute.org/donate/ If you are already a Gospel Partner we couldn't be more thankful for you if we tried!

Are You Joyful… or Just Functioning? Most people don't realize it—but there's a silent struggle happening behind the smiles and the schedules. Today, I sit down with Dr. Judith Joseph, a Columbia-trained psychiatrist and author of High Functioning: Overcome Your Hidden Depression and Reclaim Your Joy. We tackle something that I think is affecting more people than anyone talks about… high functioning depression. It's not in the "DSM"—but it's very real. And if you've ever felt like you're doing everything “right” but still feel empty inside, you need to hear this. We talked about a condition called anhedonia—this sneaky, silent twin of depression that robs you of joy without making you collapse. It's the part of depression that doesn't get seen or treated because you're still performing, still producing, still achieving. Dr. Judith broke down how traumas, even the little ones, can rewire the way we experience joy. And more importantly, she gave a way out. You don't have to crash to get help. You don't have to be broken to deserve healing. This episode isn't just about naming the problem. It's about owning your emotional truth, slowing down, and reclaiming the simple human experiences that actually fill you. Whether you're a high achiever constantly “doing” or someone who feels like joy is always out of reach, this one's for you. Judith's “5 V's” framework gives you real tools you can use every day—like planning your joy, validating your feelings, and choosing presence over performance. And let me tell you what stood out most. Joy is contagious! It spreads. To your kids, your spouse, your team. The more we access joy, the more we model it for those around us. This conversation hit home for me—and I think it will for you too. Key Takeaways: Why anhedonia is the overlooked symptom stealing your joy. The difference between happiness (an idea) and joy (an experience). The “5 V's” system to help reclaim joy: Validation, Venting, Values, Vitals, Vision. How trauma—big or small—can lead to high functioning depression. Tools to help yourself or someone you love who's silently struggling. The impact of hormonal changes on mental health, especially for women. A method to ground yourself daily and reduce anxiety: the 5-4-3-2-1 technique. Let's not wait for the crash to start healing. You deserve joy. You just forgot how to feel it. Max out.