Podcasts about DSM

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

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

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

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

"Everyone has ADHD now."You've heard it. Maybe someone said it to you — with a half-joke, half-accusation edge. Like, neurodivergence is just the trend of the season.But what if that reaction tells us less about ADHD and more about the systems we're living in?In this conversation with Kristina Kyser — psychotherapist, educator, and creator of the Neurodivergent Rising course — we pull apart the "ADHD superpower" narrative that's everywhere right now. Because yes, there are gifts: innovation, nonlinear thinking, deep passion, hyperfocus. Those are real.But who benefits when we only talk about the parts of capitalism that it can extract?What We Cover:ADHD masking: the invisible labour of appearing "normal" From childhood, neurodivergent people — especially women — calibrate to a world that says: you're too much, you're wrong, you're different. Kristina breaks down what masking costs and why perimenopause often unmasks ADHD in midlife.The construction of "sanity" and who it was built to serve Normalcy isn't neutral. The DSM, psychiatry, the witch burnings — all of it is tangled with patriarchy, colonialism, and capitalism's need for compliant workers. Kristina traces the historical roots of how neurodivergence gets pathologised.The superpower question: what's true, what's missing, who profits Yes, ADHD comes with strengths. But when we only celebrate the traits capitalism values (innovation! hyperfocus! productivity!) while erasing the lows, the burnout, the 13-year shorter life expectancy, the systemic barriers — who does that serve?Why ADHD is a disability under capitalism — and that's not your fault ADHD isn't a medical deficit. But in a society built for neurotypical brains, it is disabling. Kristina explains the difference between individual healing and systemic change, and why we need both.Meet Kristina Kyser:Kristina (she/her) is a late-diagnosed AuDHD educator, former psychotherapist, and course creator with a PhD in English Literature and over 13 years of clinical experience. Her work bridges trauma healing, animist practice, and systems-level critique. She creates initiatory spaces that blend science, soul, and lived neurodivergence in service of collective remembering and repair.Learn more: Neurodivergent Rising Course Send me a DMSupport the show_____________________________________________________________________ Visit jenniferwalter.me – your cosy tree house where tired perfectionists and those done pretending to be fine find space to breathe, dream, and create real change.

It's "Ventilation Friday" on The Other Side of Midnight, and Lionel is reclaiming the "nutso hour" from the critics who dismiss overnight radio listeners as the "flotsam and jetsam" of humanity. In this episode, Lionel dissects the history and weaponization of the label "crazy"—from the demonology of Mesopotamia and the horrors of Bedlam to the CIA's psychic "Operation Stargate" and the subjectivity of the DSM. He tackles modern controversies like Candace Owens' time-travel theories and the "mental illness" of political dissent, while debunking myths about Tourette's and "Berserker" Vikings. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join Lionel on this edition of The Other Side of Midnight as he reclaims the "nutso hour" for "Ventilation Friday," dissecting the history and weaponization of the label "crazy". From the demonology of Mesopotamia to the subjectivity of the DSM, Lionel explores how society confuses political dissent with mental illness and navigates the thin line between eccentricity and psychosis. Drawing on his past as a prosecutor handling Baker Acts and insanity pleas, Lionel reveals the "psychiatric underbelly" of the legal system, sharing chilling memories of the "Thorazine shuffle" and the tragic case of Billy Ferry. The lines are open for a raw, unfiltered session as listeners share harrowing stories of hallucinations and self-mutilation, sparking debates on whether these crises are caused by high-potency cannabis, neurochemistry, or demonic possession. Finally, the conversation turns to the digital afterlife, the blasphemy of sports prayers, and unsentimental dating advice: forget romance—marriage is a business, so run a credit report before you say "I do". Learn more about your ad choices. Visit megaphone.fm/adchoices

Jan N. DeFehr is an associate professor in the Faculty of Education at the University of Winnipeg and an associate of The Taos Institute and a member of the Faculty for Palestine, Manitoba. She is also a member of the York University Mad Studies Hub. Before entering academia, she spent many years as a clinical social worker, working alongside people who were trying to make sense of their distress within, and often in spite of, the mental health system. Her teaching, research, and course development focus on building public access to critical analyses of that system, drawing on the work of clients and survivors of psychiatry, practitioners, and scholars. Her new book, A Critical Mental Health Primer: Towards Informed Choice in Social Services, Education, and Healthcare(Canadian Scholars, 2025), offers a clear and accessible map of critical mental health scholarship. The book examines scientific critiques of diagnosis, the potential harms of psychiatric labels, the lack of transparency and procedural justice in services, anti-colonial critiques of mental health premises and practices, and the evidence on psychiatric drugs and the DSM. It also gathers non-pathologizing ways of helping that center relational, dialogical, anti-oppressive, and anti-colonial approaches, along with concrete tools for informed choice and everyday support outside of the dominant medical model. In our conversation, we talk about how Jan came to adopt critical perspectives, why she sees access to critical mental health knowledge as a prerequisite for ethical practice, and what it looks like when organizations take informed choice seriously. We move through the key chapters of the book, explore its implications for social workers, educators, and health professionals, and look at how communities can build forms of care that do not depend on diagnosis or coercion. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2026. Produced by James Moore https://www.jmaudio.org

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

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

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

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

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

In this episode, Duane sits down with Dr. Frank Putnam, a pioneer in the study of childhood trauma with nearly 50 years of clinical and research experience. Dr. Putnam discusses his landmark 35-year longitudinal study—the Female Growth and Development Study—which tracked the biological and psychological impacts of sexual abuse on girls from childhood into adulthood. They explore the concept of "accelerated aging," the intergenerational transfer of trauma, and why early intervention is critical for breaking the cycle of violence.Key Discussion PointsThe Evolution of Trauma Diagnosis: Dr. Putnam recounts the early days of his career (the 1970s) when PTSD didn't exist in the DSM. Veterans and trauma survivors were often misdiagnosed with schizophrenia or borderline personality disorder before a language for trauma was developed.The "Old Before Their Time" Phenomenon: A core finding of Dr. Putnam's research is that extreme childhood adversity accelerates biological aging.Puberty: Abused girls in the study reached puberty approximately one year earlier than the control group.Epigenetics: DNA methylation studies show that traumatized individuals have a biological age that exceeds their chronological age.Immune System: Some young girls exhibited immune systems that appeared "older" than those of healthy adults.The Role of Cortisol: The stress hormone cortisol plays a dual role. While levels are high during the period of active trauma, they often crash later in life, leading to a "blunted" stress response that mediates many negative health outcomes.Intergenerational Trauma: * Dr. Putnam's research suggests a roughly 30% transfer rate of abuse across generations.This is not just behavioral; animal studies suggest that trauma-induced epigenetic changes can be passed down biologically.Resilience and Recovery: What differentiates survivors who thrive?Positive Relationships: High-quality relationships with older, supportive female role models were the strongest predictors of resilience for the girls in the study.IQ and Social Skills: Higher cognitive ability and personalities that attract social support also serve as protective factors.Treatment Success: Modern Trauma-Focused CBT (TF-CBT) has roughly a 70% success rate.Resources Book: Old Before Their Time: A Scientific Life Investigating How Maltreatment Harms Children and the Adults They Become by Frank W. Putnam.Organizations:NCTSN: National Child Traumatic Stress NetworkTF-CBT: Trauma-Focused Cognitive Behavioral Therapy.PCIT: Parent-Child Interaction Therapy (effective for younger children).Guest Website: frankputnam.comIf you live in California and are looking for counseling or therapy please check out Novus Mindful Life Counseling and Recovery CenterNovusMindfulLife.comWe want to hear from you. Leave us a message or ask us a question: https://www.speakpipe.com/addictedmindDisclaimerSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Bob finally listened to Don't Die! And he liked it! And he can kinda see why you like it! Bob's connecting with Don't Die fans in Sweden, Thelonious Monster live on national TV in Holland, TSOL's final(?) show, Bob wants to talk to school shooters, the DSM is gonna split the Bordeline Personality Disorder, catchphrases and buzzwords to empower the lost soul, Chuk is still not a therapist, the new American Great depression and Trump baiting China for World War 3 Stay safe out there! 

Amy Margolis and Prudence Fisher are two nonverbal learning disability researchers who are pushing to get NVLD included in the DSM, and proposing a rename: Developmental Visual-Spatial Disorder. Amy and Prudence discuss the signs of NVLD, how it differs from other diagnoses, and how a lack of understanding and awareness can lead to those with a visual-spatial disorder not getting the key support they need to thrive. 

We return to the podcast circuit in 2026 to examine Scott Galloway: NYU professor, prolific podcaster, and, more recently, part-time life coach for struggling young men.Joining him on an episode of Modern Wisdom with Chris Williamson, we are invited into one of the few remaining forbidden conversational spaces: men, masculinity, and men's problems. You may have been misled by the relentless popularity of Joe Rogan, Modern Wisdom, The Tucker Carlson Show, Triggernometry, The Diary of a CEO, Huberman Lab, and several dozen adjacent properties into thinking these topics are already discussed at length on a near-weekly basis. Alas, this turns out to be a dangerous illusion.In reality, even mentioning men's issues requires an extended ritual acknowledgement of women, failure to perform which risks immediate cancellation. Braving these cultural headwinds, we wade into manly dialogue about masculinity, sex differences, and male malaise. Along the way, we ponder the intricacies of culture war evolutionary psychology, anthropological wars over Man the Hunter, optimised dosages for manly whingeing, and whether making boys learn French verb conjugations qualifies as a human rights abuse.So get your notebooks ready for some important notes from two of the most masculine men in the modern male podcasting space. Men...LinksModern Wisdom: The War On Men Isn't Helping Anyone - Scott GallowayThe Diary of a CEO: Scott Galloway: We're Raising The Most Unhappy Generation In History! Hard Work Doesn't Build WealthAcademic papers ReferencedChanges in gender-based hiring bias (large meta-analysis): Schaerer, M., Du Plessis, C., Nguyen, M. H. B., Van Aert, R. C., Tiokhin, L., Lakens, D., … Gender Audits Forecasting Collaboration. (2023). On the trajectory of discrimination: A meta-analysis and forecasting survey capturing 44 years of field experiments on gender and hiring decisions. Organizational Behavior and Human Decision Processes, 179, 104280.Epidemiology of alcohol use disorder by marital status (US, NESARC-III): Grant, B. F., Goldstein, R. B., Saha, T. D., et al. (2015). Epidemiology of DSM-5 Alcohol Use Disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry, 72(8), 757–766.Protective effects of marriage on life expectancy (US Medicare sample): Jia, H., & Lubetkin, E. I. (2020). Life expectancy and active life expectancy by marital status among older US adults: Results from the US Medicare Health Outcome Survey (HOS). SSM – Population Health, 12, 100642.Widowhood and well-being (contrary to claims of increased happiness): Adena, M., Hamermesh, D., Myck, M., & Oczkowska, M. (2023). Home alone: Widows' well-being and time. Journal of Happiness Studies, 24(2), 813–838.Meta-analysis of the widowhood effect on mortality (men and women): Shor, E., Roelfs, D. J., Curreli, M., Clemow, L., Burg, M. M., & Schwartz, J. E. (2012). Widowhood and mortality: A meta-analysis and meta-regression. Demography, 49(2), 575–606.Marriage and life satisfaction across the life course (multi-country): Mikucka, M. (2016). The life satisfaction advantage of being married and gender specialization....

What is eldest daughter syndrome? While it's not a clinical term it can be defined as an informal, non-clinical term used to describe a common pattern of emotional and behavioral experiences often reported by oldest daughters in families. It is not a medical or DSM diagnosis, but a social and psychological concept. It typically refers to the experience of taking on excessive responsibility, caregiving, or emotional labor at a young age, sometimes at the expense of one's own needs. Kayleigh is here to talk about her experience having 6 siblings and often being the caretaker to the oldest three that she grew up with. Thank you Kayleigh for joining us on the pod! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderline Corey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports: National Suicide Pr...

One on One Video Call W/George https://tidycal.com/georgepmonty/60-minute-meetingSupport the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USTrueLife: Rites of Passage - Episode: The Cultivation of DependenceIn this eye-opening episode of TrueLife: Rites of Passage, host George Monty exposes the dark underbelly of modern dependency engineering—how corporations systematically turn free individuals into captive consumers through biological, psychological, and economic addictions. From pharmaceuticals that hook you for life to hyper-palatable foods and addictive apps, Monty reveals how “customer lifetime value” is just code for human farming, where independence is eroded for perpetual profit.  Monty dives deep into real-world examples: Purdue Pharma's deliberate strategies to create dependence with OxyContin, as uncovered in internal documents  ; Eli Lilly's knowledge of Prozac's permanent neurochemical changes and severe discontinuation syndrome since 1984  ; and the infamous 2018 Goldman Sachs report questioning if “curing patients” is a sustainable business model, favoring chronic treatments instead.   He also uncovers the DSM-5's expansion of mental disorders in 2010, influenced by pharmaceutical ties  ; AstraZeneca's proton pump inhibitors creating “annuity patients” through long-term use  ; and Meta's (Facebook's) 2021 leaked memo admitting Instagram worsens body image issues for 32% of teen girls to keep users hooked.  Beyond drugs, Monty explores food engineering at Frito-Lay, where flavors are lab-designed to mimic cocaine-like dopamine hits  ; Meta's 2017 internal tactics using variable rewards to ensure users return compulsively ; and the shift to subscription models in software and finance that make opting out impossible.This episode challenges listeners to audit their dependencies—medications, apps, subscriptions—and reclaim autonomy. End with a call to action: Research your “needs,” break the hooks, and become unfarmable. Tune in for tomorrow's unmasking of automated compliance.https://www.cnbc.com/2018/04/11/goldman-asks-is-curing-patients-a-sustainable-business-model.htmlhttps://arstechnica.com/tech-policy/2018/04/curing-disease-not-a-sustainable-business-model-goldman-sachs-analysts-say/https://www.statnews.com/2019/12/03/oxycontin-history-told-through-purdue-pharma-documents/https://pmc.ncbi.nlm.nih.gov/articles/PMC2622774/https://www.wisnerbaum.com/advocacy_campaigns/ssri-documents/https://www.scribd.com/document/413333146/Eli-Lilly-Prozac-Documents-What-Do-They-Revealhttps://arstechnica.com/tech-policy/2018/04/curing-disease-not-a-sustainable-business-model-goldman-sachs-analysts-say/https://www.aaup.org/academe/issues/2010-issues-4/diagnosing-conflict-interest-disorderhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3302834/https://www.bradleygrombacher.com/nexium-proton-pump-inhibitor-lawsuit-claims-severe-patient-injurieshttps://www.astrazeneca.com/content/astraz/media-centre/press-releases/2023/astrazeneca-settles-nexium-and-prilosec-product-liability-litigations.htmlhttps://www.theguardian.com/technology/2021/sep/14/facebook-aware-instagram-harmful-effect-teenage-girls-leak-revealshttps://topclassactions.com/lawsuit-settlements/lawsuit-news/frito-lay-sued-over-no-artificial-flavors-claim-on-poppables-snacks/https://www.bakeryandsnacks.com/Article/2025/10/07/pepsico-sued-over-mold-made-citric-acid-in-poppables/ One on One Video call W/George https://tidycal.com/georgepmonty/60-minute-meetingSupport the show:https://www.paypal.me/Truelifepodcast?locale.x=en_US

Comedians Jessimae Peluso (Girl Code, Sharp Tongue, Dying Laughing podcast) and Justin Martindale (Just Sayin' podcast, Gay Bash) join Jameela Jamil for a Wrong Turns episode that escalates from bad dates into full survival mode.Jessimae shares how mistaking a walking red flag for romance led to “dating the DSM-5,” escalating behavior, and ultimately pursuing a restraining order when things turned genuinely frightening. Justin recounts a friendship-ending humiliation involving accusations that made no sense, a brutal “your dad's a 4” assessment, and the unforgettable concept of Midwest Turtle People.Together, they unpack why behavior that's “normally romantic” can become alarming fast, how charm can disguise danger, and why sometimes the only correct response is calling on a trusted friend to go "full-towel, nuts out, in a bush".No lessons. No silver linings. Just two unforgettable Wrong Turns and one very palpable vibe.Jameela's Substack is A Low Desire To Please, you can also find her on Instagram, TikTok and YouTube.Our consulting producer is Colin Anderson.Wrong Turns was created and produced by Jameela Jamil and Stewart Bailey.Listen to Wrong Turns on Amazon Music or wherever you find your podcasts. Hosted on Acast. See acast.com/privacy for more information.

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers Types of SubstancesHosts: Sara Abrahamson, Shaoyuan Wang and Kate Braithwaite.Audio Editing: Kate BraithwaiteReferences:American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5, text revision (DSM-5-TR). 5th ed. Washington, D.C.: American Psychiatric Association Publishing; 2022.CAMH. (2013). Inhalants. Inhalants | CAMHCAMH. (2010). Cocaine and Crack. https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/cocaineCAMH. (2012). Amphetamines. https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/amphetamines#:~:text=Chronic%20use%20of%20amphetamines%20can,can%20also%20cause%20amphetamine%20psychosis.Chae J, Marsden J and Sutherland A. (2024, August 21). Benzodiazepine Withdrawal. Emergency Care BC. Benzodiazepine Withdrawal : Emergency Care BCChildHealthBC. (2023, September 21). Common Street names for Substances. https://childhealthbc.ca/mhsu/common_streetnames_substances/printfileJauch EC. (2023, January 18) Inhalants Clinical Presentation. Medscape. Inhalants Clinical Presentation: History, Physical, CausesKaye, AD, Staser, AN, Mccollins, TS, Zheng, J, Berry, FA, Burroughs, CR, Heisler, M, Mouhaffel, A, Ahmadzadeh, S, Kaye, AM, Shekoohi, S, & Varrassi, G. (2024). Delirium Tremens: A Review of Clinical Studies. Cureus, 16(4), e57601. https://doi.org/10.7759/cureus.57601Long N. (2020, November 3). GHB toxicity. Life in the Fast Lane. GHB toxicity • LITFL • Toxicology Library ToxicantMedx. (2025, November 26). Understanding What is the MOA of Alcohol: A Pharmacological Perspective. What is the MOA of Alcohol? Explained: Receptors and EffectsMendelson, J. H., & Mello, N. K. (1996). Management of cocaine abuse and dependence. The New England journal of medicine, 334(15), 965–972. https://doi.org/10.1056/NEJM199604113341507Nichols DE. Hallucinogens. Pharmacol Ther. 2004 Feb;101(2):131-81. doi: 10.1016/j.pharmthera.2003.11.002.Nickson C. (2024, December 18). Sedative toxidrome. Life in the Fast Lane. Sedative Toxidrome • LITFL • CCC ToxicologyPorter RS, Kaplan JL, Homeier BP, editors. The Merck manual of diagnosis and therapy. 20th ed. Kenilworth (NJ): Merck Sharp & Dohme; 2018.PsychDB. (2021, March). Opioid Intoxication. Opioid Intoxication - PsychDBPsychDB. (2023, October). Opioid Withdrawal. Opioid Withdrawal - PsychDBPsychDB. (2023 February). Cannabis Withdrawal. Cannabis Withdrawal - PsychDBRoth BL, Gumpper RH. Psychedelics as Transformative Therapeutics. Am J Psychiatry. 2023 May 1;180(5):317-20.Vollenweider FX, Kometer M. The neurobiology of psychedelic drugs: implications for the treatment of mood disorders. Nat Rev Neurosci. 2010 Sep;11(9):642-51. doi: 10.1038/nrn2884.

If you're AuDHD (autism + ADHD), life can feel like a constant contradiction: craving routine but rebelling against it, needing stimulation but getting overwhelmed, wanting connection but burning out socially. In this episode, Carmen breaks down what neurodivergence actually means (not a personality test), explains ADHD vs autism vs AuDHD, and gives practical, nervous-system-friendly strategies to build a life that fits your brain.Timestamped Chapters (approx)* 0:00 — Cold open: the AuDHD paradox in one breath* 1:30 — Neurodivergence: what it is (and what it isn't) Autistic Self Advocacy Network+1* 6:00 — ADHD explained: executive function + attention regulation CDC+1* 9:30 — Brain networks + “default mode interference” (why focus leaks) PMC+1* 11:30 — Autism explained: social communication + restricted/repetitive patterns CDC+1* 13:30 — Sensory processing differences + prediction models PMC+2PMC+2* 15:00 — AuDHD: why it's missed + DSM-5 history PMC+1* 18:00 — Co-occurrence and what it means (you're not “rare” or “weird”) PMC+1* 23:00 — The AuDHD Paradox Show: real-life examples* 32:00 — Tools & strategies: rails not cages, rotation menus, sensory-first, scripts* 39:30 — Closing: your brain is patterned + gentle next stepsKey Takeaways* Neurodiversity = natural variation in brains; neurodivergent is a nonmedical identity term. Autistic Self Advocacy Network+1* ADHD centers on executive functioning and attention regulation, not intelligence or effort. CDC+1* Autism centers on social communication differences + restricted/repetitive patterns, often including sensory differences. CDC+1* AuDHD can look contradictory because traits can mask each other; dual diagnosis became formally allowable in DSM-5. PMC+1* Sustainable support = “rails not cages,” rotation menus, sensory regulation, and externalizing executive function.Resources Mentioned* CDC: ADHD diagnosis overview CDC* CDC: ASD clinical diagnostic criteria overview CDC* ASAN neurodiversity explanation Autistic Self Advocacy Network* AuDHD comorbidity review (open access) PMCPredictive processing + prediction differences in autism (review/empirical)PMC+1SCRIPT:Hey there! Welcome or welcome back to another episode of authentically ADHD. I am not going to lie, this year has been hard and im so glad if you have stuck along with me, because the rest of the school year is going to be even busier. So thank you for your patience, and grace as I work through this year and let out episodes when I can. I had some inspo for this one because of the new year coming up, and ive talked about this before but not so much in depth. As I go through this episode, i want to share that ive recently self diagnosed myself as AuDHD, a person who has both ADHD and Autism. What does that mean? Well, lets talk about it!Okay, quick check-in: have you ever felt like your brain is two different people sharing one body— one who's like, “Please, for the love of God, routine. Predictability. Same mug. Same route. Same show on repeat.” and the other who's like, “If I do the same thing twice I will evaporate into dust like a vampire in daylight.”If yes… hi. Welcome. You're in the right place.Today's episode is called: “Your Brain Isn't Broken — It's Patterned.” Because I need you to hear this like it's a bass line in your chest:Your brain is not morally failing. Your brain is not lazy. Your brain is not “too much.”This Substack is reader-supported. To receive new posts and support my work, consider becoming a free or paid subscriber.Your brain is patterned. And if you're AuDHD—autism + ADHD—your pattern can feel like a paradox factory that runs 24/7 with no off switch and a slightly rude customer service department.So… let's talk about what neurodivergence actually is, how ADHD and autism overlap, where they differ, and why AuDHD can feel like living inside a contradiction—and then I'm gonna give you real strategies that don't feel like being yelled at by a productivity guru who thinks “just try harder” is a nervous system plan.[tiny pause]Are you ready? Let's get started.Substack adOkay, tiny intermission—because if this podcast is helping your brain feel a little more understood, I want you to know there's a whole extra layer of support waiting for you on my Substack.That's where I publish Authentically ADHD, and you can usually get the podcast there first—but it's not just a podcast drop. I've started writing blogs there too, which means you get deeper dives, the “ohhh THAT'S what's happening in my brain” explanations, plus practical tools you can actually use when your executive function is doing that thing where it simply… leaves the chat.And here's why I'm obsessed with it: Substack is neurodivergent-friendly by design. You can read posts when you want to skim, you can listen when reading is too much, and I include graphics most of the time because we deserve information in formats that don't require suffering.So here's your invitation: come subscribe on Substack. It's free to join, and if you decide to become a paid member, you'll get even more—bonus resources, extra content, and additional supports I'm building specifically for AuDHD/ADHD brains. Subscribe free… or go paid if you want the “director's cut” plus the toolbox. Either way, I'm really glad you're here.Neurodivergence: What it isSo lets talk about neurodivergence & how it is not a personality test. It's not “Which quirky brain are you?” It's not “I'm such an Aquarius so obviously I can't do laundry.”And I say that as a person who loves a good identity moment.Neurodiversity is the idea that human brains vary—like biodiversity, but for minds. There isn't one “correct” way a brain must work to be worthy. Neurodivergent is a non-medical term people use when their brain develops or functions differently from what society calls “typical.”Now—this matters— Saying “it's a difference” does not erase disability. Some people are deeply disabled by ADHD or autism. Some need significant supports. Some don't. Many fluctuate across seasons of life. But the point is: difference isn't the same thing as defect.A patterned brain can be brilliant and still struggle. Because a lot of suffering isn't just “the brain,” it's the brain + the environment.If the world is built for one nervous system style, and you're running a different operating system, you're going to feel like you're constantly doing life on hard mode.[pause]And if you've spent your whole life trying to “fix” yourself into the version of you that makes other people comfortable— I just want to say: I see you. That's exhausting. That's not personal weakness. That's chronic mismatch.6:00–15:00 — ADHD vs Autism: Overlap and differences (clear, non-weird)Let's do ADHD vs autism without turning it into a simplistic “either/or” checklist, because real humans are not BuzzFeed quizzes.ADHD (core pattern)ADHD is a neurodevelopmental condition where the core struggles involve attention regulation, impulsivity, and executive functioning—planning, starting, stopping, shifting, organizing, time sense, working memory… the invisible stuff that makes life run. Important: ADHD is not “can't pay attention.” It's can't consistently regulate attention—especially when bored, stressed, overwhelmed, under-stimulated, or over-stimulated.One research-heavy way people talk about ADHD is the “default mode interference” idea—basically, brain networks involved in internal thought can intrude when you're trying to stay on task. It's not the only model, but it helps explain why focus can feel like trying to hold water in your hands.Real-life ADHD examples:* You can focus for hours on something you care about… and cannot start the thing you care about that also feels hard.* You lose time like it's a hobby.* You forget what you're doing while you're doing it.* You can be highly intelligent and still struggle with basic tasks because executive function isn't IQAutism (core pattern)Autism is also neurodevelopmental. Clinically, it involves:* differences in social communication and interaction across contexts* and restricted/repetitive patterns (routines, sameness, focused interests, stimming, etc.) Also—and this is big—many autistic people experience sensory processing differences: the world can be too loud, too bright, too unpredictable… or sometimes not enough and you seek sensation.Researchers also explore prediction-based models—how the brain learns patterns and predicts what's next, and how differences in prediction/updating may relate to autistic experience. It's nuanced (and not every study supports every claim), but it's a helpful lens for why uncertainty can feel physically stressful.Real-life autism examples:* Social rules can feel like invisible ink.* You may crave clarity and directness and feel drained by ambiguity.* Transitions can hit like a wall.* You might have deep, intense interests that feel regulating and grounding. So then, hers the overlap, why it's confusing. ADHD and autism can both include:* sensory sensitivity* emotional overwhelm* social exhaustion* executive dysfunction* hyperfocus* stimming/fidgeting* burnoutSo yes, overlap is real. Which brings us to the main character of today's episode…Patreon & focused adAuDHD: The overlap, the “double bind,” and why it's missedAuDHD is shorthand for being both autistic and ADHD. It's not a separate DSM diagnosis label, but it's a very real lived experience.And historically, here's why many adults didn't get recognized: Before DSM-5 (2013), autism could prevent someone from also being diagnosed with ADHD—even though many people clearly had both. DSM-5 changed that, acknowledging the reality of co-occurrence. PMC+1Co-occurrence is common enough that researchers and clinicians have been studying it heavily; some reviews discuss high overlap rates (numbers vary by study and method), but the key point is: this isn't rare. PMC+1Now the AuDHD “double bind” can look like:* ADHD traits can mask autism traits (you seem spontaneous and social… until you crash).* Autism traits can mask ADHD traits (you seem organized because you built rigid systems… until the system breaks and chaos floods the house).* You can be sensory avoidant and sensory seeking.* You can crave routine and crave novelty.AuDHD often feels like living in a brain that says:“I need sameness.” “I need dopamine.” “I need quiet.” “I need stimulation.” “I need certainty.” “I need freedom.”…and they're all yelling at once. [small laugh]So when people say, “But you don't seem autistic,” or “You don't seem ADHD,” sometimes what they're actually noticing is: your traits are playing tug-of-war.23:00–32:00 — The AuDHD Paradox Show (real-life examples)Paradox #1: Routine vs noveltyAutism: “Same breakfast. Same spoon.” ADHD: “If I eat the same breakfast again I will emotionally file for divorce.”Real life: You create the perfect morning routine. It works for four days. On day five your brain wakes up and goes: “Actually, we hate that now.”Not because you're flaky. Because the need for predictability and the need for stimulation are both legitimate.Paradox #2: Social craving vs social costADHD can crave social stimulation. Autism can find social processing costly.Real life: You make plans and feel excited. Then the day arrives and your body feels like you're trying to attend a party wearing jeans made of sandpaper.So you cancel, then feel guilty, then feel lonely, then feel annoyed that humans require maintenance. [pause] Relatable.Paradox #3: Sensory seeking vs sensory painReal life: Loud music helps you focus… until one more sound happens and suddenly you're like, “I live in a cave now.”You can want pressure and weight and deep sensory input while also being destroyed by light touch or fluorescent lights.Paradox #4: Hyperfocus vs shutdownReal life: You can research a niche topic for six hours and forget you have a body… but you cannot reply to a two-sentence text.Because replying requires:* context switching* social interpretation* decision making* emotional energy* working memoryAnd your brain is like, “That's 12 tasks. No thanks.”Paradox #5: Justice sensitivity + impulsivityReal life: You notice something unfair. Your body becomes a courtroom. ADHD makes you say it immediately. Autism makes you say it precisely. And suddenly everyone is uncomfortable and you're like, “What? I brought facts.”Paradox #6: The “I'm fine” lieA lot of AuDHD adults become world-class at looking “fine.” Not because it's fine—because it's practiced.Real life: You hold it together all day. Then you get home and collapse like a puppet whose strings got cut.That is not you being dramatic. That is nervous system math.Strategies: “Rails not cages” + tools that actually workAlright. Let's talk tools—AuDHD-friendly, reality-based, and not built on shame.Rule #1: Build rails, not cagesA cage is a rigid routine that breaks the second you miss a step. Rails are guiding tracks that keep you moving even on messy days.Do this: Create three anchors, not a full schedule.* Anchor 1: Start — water + meds + protein OR any “first 5 minutes” ritual* Anchor 2: Midday reset — sensory check + movement + hydration* Anchor 3: Land — dim lights + predictable wind-down cueIf you miss an anchor, you don't throw away the day. You grab the next rail.Rule #2: Rotate instead of “routine”AuDHD often needs predictability in category and novelty in options.So instead of one rigid breakfast, do a Breakfast Rotation Menu:* 5 safe breakfasts* 3 “no-cook” defaults* 2 “my brain is fried” emergency optionsSame for outfits. Same for playlists. Same for chores.It's not indecision. It's accommodating the paradox.Rule #3: Sensory first, then strategyIf your nervous system is in siren mode, no planner hack will work.2-minute reset:* change input: step away / dim light / earplugs* add steady sensation: pressure, cold sip, gum, textured object* long exhale (longer out than in)You're not “calming down.” You're changing states.Rule #4: Externalize executive function (because willpower isn't storage)Executive function can tank under stress in ADHD and autism. So stop trying to “remember harder.”Externalize:* visual timers* one-step checklists* “landing pads” (keys, meds, bag)* pre-decisions (“If it's Tuesday, I do X”)If it has to live only in your head, it will get evicted.Rule #5: Transition protocol (gentle, not militant)Transitions can be brutal because they require stopping, switching, sensory changes, and decision-making.5-minute bridge:* “Close” the old task: write one sentence: “Next I start by ____.”* body bridge: stand, water, stretch* 2-minute micro-start on the new task (so it's not a cliff)Rule #6: Scripts are accessibility toolsScripts aren't fake. They're scaffolding.Steal these:* “I want to, but my brain can't today. Can we reschedule?”* “What's the plan and how long are we staying?”* “I'm going quiet to regulate, not because I'm mad.”* “I need a minute to process before I answer.”Rule #7: Stop treating burnout like a personal failureBurnout often comes from masking, chronic mismatch, sensory load, and executive demand. You don't fix burnout with hustle. You fix it with less demand and more support.Quick audit:* What drains me that I keep calling “normal”?* Where am I denying myself accommodations because I want to look “easy”?* What would sustainability look like—literally, this week?So here's what I want you to take with you:Your brain isn't broken. It's patterned. And patterned brains don't need shame. They need fit. They need support. They need design.If this episode hit you in the chest a little—breathe. You're not behind. You're not defective. You're learning your pattern. And that's not a small thing. That's a homecoming.If you want, share this episode with the friend who keeps calling themselves “too much.”And if you're new here—welcome. You're safe. You're seen.And as always: this is educational, not medical advice. If you're seeking diagnosis or support, a qualified clinician can help you sort what's AuDHD and what's trauma, anxiety, sleep, hormones, or burnout wearing a trench coat. Until nextt time, stay authentic my friend, & we will talk soon.SubStack Page: Get full access to carmen_authenticallyadhd at carmenauthenticallyadhd.substack.com/subscribe

Arguably, the trans movement really took hold when organizations like The World Professional Association for Transgender Health (WPATH) began a ⁠de-psychopathologization campaign⁠ back in ⁠2010⁠. This campaign was not based on “science,” but was politically motivated, and resulted in the removal of mental health protections and enabled the medical scandal we see today, wherein minors are being sterilized and mutilated on the basis they are “trans. ⁠Genspect⁠ argues that this campaign “systematically dismantled psychiatric safeguards by declaring transgender identity innate and healthy, demoting mental health professionals to facilitators in Standards of Care 7, replacing Gender Identity Disorder with Gender Dysphoria in the DSM-5 and with Gender Incongruence in the ICD-11, redefining medical transition as medically necessary, and removing age barriers in Standards of Care 8.”In response, Genspect launched a “re-psychopathologization” campaign a few months ago, calling for “recognition of transgender identification and the drive for medical transition as a pathological condition characterized by an Extreme Overvalued Belief [a rigid, non-delusional conviction, shared and reinforced within a culture or subculture, defended with passion, and experienced by the individual as entirely rational.]”Mia Hughes ⁠announced the campaign⁠ at this year's Genspect conference in Albuquerque. I spoke with her about why “re-psychopathologization” is key to ending the scandal that is the modern trans movement, the backlash she received in response to the campaign, and why ⁠suing⁠ organizations like WPATH could help stop this medical malpractice. ⁠Mia Hughes⁠ is a ⁠writer⁠ and researcher on paediatric gender medicine, social contagion, and the intersection of trans and women's rights. She authored ⁠The WPATH Files⁠ and co-hosts ⁠Beyond Gender ⁠with Stella O'Malley and Dr Bret Alderman.The Same Drugs is on X⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ @thesamedrugs_⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Meghan Murphy is on X ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@meghanemurphy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and on Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ @meghanemilymurphy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Find The Same Drugs merch at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fourthwall⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.⁠⁠⁠ Support this podcast with a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠donation⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠! Don't forget to click that "follow" button to ensure you don't miss a single episode!

Dr. Drew & Susan learned about gold, silver & retirement with Augusta – now it's your turn: ⁠https://drdrew.com/gold⁠ • Psychotherapist Jonathan Alpert says “Trump Derangement Syndrome” is not in the DSM list of official mental illnesses – but he's seen evidence of it in his own practice. Alpert says the symptoms are far more than simple political disagreement. He says they mirror anxiety and OCD, with a combination of intrusive thoughts, compulsive news consumption, and hyper-arousal when discussing Trump. He says TDS treatment should focus on restoring psychological distance rather than validating political fixation or identity-based fear. Actress Martha Byrne returns with her husband Mike McMahon, a former NYPD sergeant who was recently pardoned by President Trump and released from an 18-month prison sentence. Jonathan Alpert is a psychotherapist with over two decades of clinical experience. His upcoming book “Therapy Nation” is available now at https://amzn.to/4944Uo8 for preorder. Follow at https://x.com/JonathanAlpert⠀Martha Byrne is an Emmy-winning daytime television actress known for As the World Turns and General Hospital. She is the author of In the Interest of Justice, which documents her family's legal battle following her husband's federal conviction. Follow at https://x.com/marthabyrne10⠀Mike McMahon is a retired NYPD detective who earned 78 medals, including the Combat Cross. He served 18 months in federal prison before receiving a presidential pardon. 「 SUPPORT OUR SPONSORS 」 • AUGUSTA PRECIOUS METALS – Thousands of Americans are moving portions of their retirement into physical gold & silver. Learn more in this 3-minute report from our friends at Augusta Precious Metals: ⁠⁠⁠⁠⁠⁠https://drdrew.com/gold⁠⁠⁠⁠⁠⁠ or text DREW to 35052 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠) and Susan Pinsky (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/firstladyoflov⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠e⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer & Booking • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hosted By • Dr. Drew Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Depression, also known as major depressive disorder, is projected to be the number 1 cause of disease burden by 2030. We look at the causes and risk factors, the DSM 5 diagnostic criteria, and the treatment of depression.PDFs available here: https://rhesusmedicine.com/pages/psychiatryConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 Major Depressive Disorder0:23 DSM 5 Criteria - Major Depressive Disorder 1:58 Depression Causes & Risk Factors 3:10 Depression Pathophysiology 4:28 Depression Epidemiology 4:59 Depression Diagnosis 5:39 Depression Treatment LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Reference:Bains, N. & Abdijadid, S., 2023. Major Depressive Disorder. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK559078/. NCBIPsycom, 2025. DSM-5 depression criteria – Major Depressive Disorder. [online] Available at: https://www.psycom.net/depression/major-depressive-disorder/dsm-5-depression-criteria.Wikipedia, 2025. Major depressive disorder. [online] Available at: https://en.wikipedia.org/wiki/Major_depressive_disorder.National Institute of Mental Health (NIMH), 2025. Depression. [online] Available at: https://www.nimh.nih.gov/health/topics/depression.Bondy, B., 2002. Pathophysiology of depression and mechanisms of treatment. Dialogues in Clinical Neuroscience, 4(1), pp.7–20. [online] Available at: https://www.tandfonline.com/doi/full/10.31887/DCNS.2002.4.1/bbondy. Taylor & Francis OnlineDisclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

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Anger can be a scary topic for a lot of people. It usually doesn't feel good when you're experiencing it and it can be associated with behaviors that are very frightening indeed. But Dr. Ryan Martin, who is one of the few academics specializing in anger and who has written two books about it, says anger is a normal and even beneficial emotion to experience. It's your body's way of indicating that some injustice has been done, either to you or someone else. And that's good information to have. He says that if we can listen to anger for what it's telling us about ourselves and our surroundings, without throwing punches, it can lead to a more balanced and thoughtful life and, in the end, a more peaceful life. He also shares why so-called rage rooms are not really good for your anger at all (it's kind of like drinking in a bar to address your alcoholism) and how he's taught his own kids to own their anger and process it.Thank you to all our listeners who support the show as monthly members of Maximum Fun.Check out our I'm Glad You're Here and Depresh Mode merchandise at the brand new merch website MaxFunStore.com!Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Depresh Mode is on BlueSky, Instagram, Substack, and you can join our Preshies Facebook group. Help is available right away.The National Suicide Prevention Lifeline: 988 or 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlines

If you've ever checked the ingredients on a baked good, you know how ubiquitous eggs are. They bind, they lift, they emulsify, they hold moisture — they're simply the structural engineers of cookies, cakes, and muffins everywhere. But they're also volatile: prices spike, supply chains break, and for anyone with an egg allergy or who's avoiding eggs for animal welfare or environmental reasons, eggs aren't exactly a welcome ingredient to find on the ingredient deck.  Enter Hadar Ekhoiz Razmovich, CEO and co-founder of Meala FoodTech, an Israeli startup that's figured out how to make peas do what eggs and hydrocolloids do, and has consequently raised several million dollars in venture capital so far. Meala's breakthrough lies in taking simple pea protein and using advanced biotechnology to unlock its hidden abilities — creating a single-ingredient powder that they say can whip, bind, and gel just like an egg in baked goods and alternative meat. No multi-ingredient formulations, no methylcellulose, no animal inputs — just plants doing some biochemical magic.  In this episode, Hadar shares how her background in R&D led her to tackle one of food science's toughest challenges: replacing eggs and hydrocolloids without sacrificing texture, taste, or cost. We talk about how Meala's technology works, what it takes to convince industrial bakeries to swap eggs for peas, and why she believes clean-label ingredients like this are the future of food.  Hadar is not just rethinking what we eat, she and her team are rebuilding the food system from scratch, one cookie, cake, and croissant at a time.  Discussed in this episode  Meals is backed by The Kitchen Food Tech Hub, DSM's venture arm, Milk & Honey Ventures, Lasenor, and EIT.  Our past episode with Milk & Honey Ventures' Beni Nofech.  More on Meala's egg replacer, GroundBaker, is here.  You can see two pending patent applications of Meala's here and here.    Get to know Hadar Ekhoiz Razmovich  Hadar Ekhoiz Razmovich brings over 12 years of leadership experience in the global food industry, with a strong focus on driving innovation and R&D across traditional food sectors. Throughout her career, she has led complex, multidisciplinary projects from early concept development to full commercial launch, consistently bridging technological capabilities with real market needs.  In 2021, she founded Meala FoodTech with a mission to transform the food industry. Under her leadership, Meala is pioneering clean-label functional protein that deliver superior texture, bite, and mouthfeel—without compromise and without undesirable additives. Her work empowers food manufacturers to create simpler, more natural, and better-tasting products, setting a new benchmark for next-generation of food.  Hadar is widely recognized for her strategic vision, deep industry insight, and ability to translate scientific innovation into scalable commercial solutions. 

In this episode, Sathiya breaks down the difference between porn addiction and compulsive or problematic porn use—and explains why the label doesn't actually matter as much as people think. Since pornography addiction isn't officially recognized in the DSM-5, many men convince themselves they're “not addicted,” even while experiencing all the signs of compulsive behavior. Learn how to evaluate whether your porn use is problematic, why minimizing your struggle keeps you stuck, and how anyone with ongoing porn-related issues can start real recovery. This episode is perfect for listeners seeking help with porn addiction recovery, compulsive porn habits, or understanding the signs of problematic porn use (PPU).   Know more about Sathiya's work: Join Deep Clean Inner Circle - The Brotherhood You Neeed (+ get coached by Sathiya) For Less Than $2/day Submit Your Questions (Anonymously) To Be Answered On The Podcast Get A Free Copy of The Last Relapse, Your Blueprint For Recovery Watch Sathiya on Youtube For More Content Like This   Chapters:  (00:00) Are You Addicted or Just Compulsive? (01:10) Why Many People Resist the Word “Addict” (02:20) Minimizing the Problem: Common Justifications (03:40) Why Porn Addiction Isn't in the DSM-5 (04:50) The Better Question: Is Your Porn Use Problematic? (06:40) What Counts as “Problematic” Porn Use? (08:20) Improvement Isn't the Same as Freedom (09:10) Why Labels Don't Matter—Solutions Do (10:40 Final Thoughts & Call to Action

Jim van Os is hoogleraar psychiatrie. Hij is gespecialiseerd in de behandeling van mensen die last hebben van psychotrauma, psychosegevoeligheid en bipolaire stemmingsgevoeligheid. In 2014 publiceerde hij ‘De DSM-5 Voorbij'. DSM-5 is het internationale standaardwerk voor het classificeren van psychische stoornissen. Het boek stelt de bijdrage van DSM-5 aan het kapitalistische ‘spel' tussen farmaceuten, psychiaters, verzekeraars en politici ter discussie. Ook publiceerde hij ‘Stress, the Brain and Depression' en ‘Kopzorgen. Trauma begrijpen'. Nu komt hij met ‘Kopzorgen. Psychedelica begrijpen in 33 vragen'. Het boek beantwoordt onder andere de vragen ‘Hoe voelt het om psychedelica te nemen? Wat weten we over hun werking en risico's? Hoe kunnen we ze verantwoord inzetten binnen de GGZ?' Femke van der Laan gaat met Jim van Os in gesprek.

You can listen wherever you get your podcasts, OR— BRAND NEW: we've included a fully edited transcript of our interview at the bottom of this post.In this episode of The Peaceful Parenting Podcast, I speak with Shireen Rizvi, PhD and Jesse Finkelstein, PsyD, about their book Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships. We discuss what Dialectical Behavior Therapy (DBT) is, how it can help both ourselves and our kids with big feelings, and get into some of the skills it teaches including distress tolerance, check the facts, and mindfulness.**If you'd like an ad-free version of the podcast, consider becoming a supporter on Substack! > > If you already ARE a supporter, the ad-free version is waiting for you in the Substack app or you can enter the private feed URL in the podcast player of your choice.Know someone who might appreciate this post? Share it with them!We talk about:* 6:00 What is DBT?* 11:00 The importance of validation* 13:00 How do parents manage their own big feelings?* 16:00 How do you support a kid with big feelings, and where is the place for problem solving?* 23:00 Managing the urge to fix things for our kids!* 26:00 What is distress tolerance?* 28:50 “Check the facts” is a foundational skill* 34:00 Mindfulness is a foundation of DBT* 36:45 How the skills taught through DBT are universalResources mentioned in this episode:* Yoto Player-Screen Free Audio Book Player* The Peaceful Parenting Membership* Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships by Shireen Rizvi and Jesse Finkelstein * Shireen Rizvi's website * Jesse Finkelstein's websites axiscbt and therahive Connect with Sarah Rosensweet:* Instagram* Facebook Group* YouTube* Website* Join us on Substack* Newsletter* Book a short consult or coaching session callxx Sarah and CoreyYour peaceful parenting team- click here for a free short consult or a coaching sessionVisit our website for free resources, podcast, coaching, membership and more!>> Please support us!!! Please consider becoming a supporter to help support our free content, including The Peaceful Parenting Podcast, our free parenting support Facebook group, and our weekly parenting emails, “Weekend Reflections” and “Weekend Support” - plus our Flourish With Your Complex Child Summit (coming back in the spring for the 3rd year!) All of this free support for you takes a lot of time and energy from me and my team. If it has been helpful or meaningful for you, your support would help us to continue to provide support for free, for you and for others.In addition to knowing you are supporting our mission to support parents and children, you get the podcast ad free and access to a monthly ‘ask me anything' session.Our sponsors:YOTO is a screen free audio book player that lets your kids listen to audiobooks, music, podcasts and more without screens, and without being connected to the internet. No one listening or watching and they can't go where you don't want them to go and they aren't watching screens. BUT they are being entertained or kept company with audio that you can buy from YOTO or create yourself on one of their blank cards. Check them out HEREPodcast transcript:Sarah: Hey everyone. Welcome back to another episode of the Peaceful Parenting Podcast. Today we have two guests who co-authored a book called Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships.And you may be wondering why we're talking about that on a parenting podcast. This was a really great conversation with Shireen Rizvi and Jesse Finkelstein, the co-authors of the book, about all of the skills of DBT, which is a modality of therapy. We talked about the skills they teach in DBT and how we can apply them to parenting.They talk about how emotional dysregulation is the cause of so much of the pain and suffering in our lives. And I think as a parent, you will recognize that either your own emotional dysregulation or your child's is often where a lot of issues and conflict come from.So what they've really provided in this book—and given us a window into in this conversation—is how we can apply some of those skills toward helping ourselves and helping our children with big feelings, a.k.a. emotional dysregulation. It was a really wonderful conversation, and their book is wonderful too. We'll put a link to it in the show notes and encourage you to check it out.There are things you can listen to in this podcast today and then walk away and use right away. One note: you'll notice that a lot of what they talk about really overlaps with the things we teach and practice inside of Peaceful Parenting.If this episode is helpful for you, please share it with a friend. Screenshot it and send it to someone who could use some more skill-building around big emotions—whether they're our own big emotions or our child's. Sharing with a friend or word of mouth is a wonderful way for us to reach more people and more families and help them learn about peaceful parenting.It is a slow process, but I really believe it is the way we change the world. Let's meet Shireen and Jesse.Hi, Jesse. Hi, Shireen. Welcome to the podcast.Jesse: Thank you so much for having us.Sarah: Yeah. I'm so excited about your book, which I understand is out now—Real Skills for Real Life: A DBT Guide to Navigating Stress, Emotions, and Relationships. First of all, I love the format of your book. It's super easy to read and easy to use. I already thought about tearing out the pages with the flow charts, which are such great references—really helpful for anyone who has emotions. Basically anyone who has feelings.Jesse: Oh, yes.Sarah: Yeah. I thought they were great, and I think this is going to be a helpful conversation for parents. You've written from a DBT framework. Can you explain what DBT is and maybe how it's different from CBT? A lot of people have heard more about cognitive behavior therapy than dialectical behavior therapy.Shireen: Sure. I would first say that DBT—Dialectical Behavior Therapy—is a form of cognitive behavioral therapy. So they're in the same category. Sometimes we hear therapists say, “I do DBT, but I don't do CBT,” and from my perspective, that's not really possible, because the essence of dialectical behavior therapy is CBT. CBT focuses on how our thoughts, behaviors, and emotions all go together, and how changing any one of those affects the others.That's really the core of DBT—the foundation of CBT. But what happened was the person who developed DBT, Marsha Linehan—she was actually my grad school advisor at the University of Washington—developed this treatment because she was finding that standard CBT was not working as well as she wanted it to for a particular population. The group she was working with were women, primarily, who had significant problems with emotion regulation and were chronically suicidal or self-injuring.With that group, she found they needed a lot more validation—validation that things were really rough, that it was hard to change what was going on, that they needed support and comfort. But if she leaned too much on validation, patients got frustrated that there wasn't enough change happening.So what she added to standard CBT was first a focus on validation and acceptance, and then what she refers to as the dialectical piece: balancing between change and acceptance. The idea is: You're doing the best you can—and you need to do better.Jesse: Mm-hmm.Shireen: And even though DBT was developed for that very severe group that needed a lot of treatment, one of the aspects of DBT is skills training—teaching people skills to manage their emotions, regulate distress, engage interpersonally in a more effective way.Those skills became so popular that people started using them with everyone they were treating, not just people who engaged in chronic suicidal behavior.Sarah: Very cool. And I think the population you're referring to is people who might be diagnosed with borderline personality disorder. I bring that up only because I work with parents, not kids, and parents report to me what their children are like. I've had many parents worry, “Do you think my child has borderline personality disorder?” because they've heard of it and associate it with extreme sensitivity and big feelings.A lot of that is just typical of someone who's 13 or 14, right? Or of a sensitive child—not diagnosable or something you'd necessarily find in the DSM. I've heard it so many times. I say, “No, I don't think your child has borderline personality disorder. I think they're just really sensitive and haven't learned how to manage their big feelings yet. And that's something you can help them with.”With that similar level of emotional intensity—in a preteen or early teen who's still developing the brain structures that make self-regulation possible—how can we use DBT skills? What are a couple of ideas you might recommend when you have a 13-year-old who feels like life is ruined because the jeans they wanted to wear are soaking wet in the wash? And I'm not making fun—at 13, belonging is tied to how you look, what jeans you're wearing, how your hair is. It feels very real.So how might we use the skills you write about for that kind of situation?Jesse: Well, Sarah, I actually think you just practiced one of the skills: validation. When someone feels like their day is ruined because of their jeans, often a parent will say, “Get over it. It's not a big deal.” And now, in addition to fear or anxiety, there's a layer of shame or resentment. So the emotion amplifies and becomes even harder to get out of.Validation is a skill we talk about where you recognize the kernel of truth—how this experience makes sense. “The jeans you're wearing are clearly important to you. This is about connection. I understand why you feel this way.” That simple act of communicating that someone's thoughts and feelings make sense can be very powerful.Alongside that—back to what Shireen was saying—there are two tracks. One is the skills you help your teen practice. The other is the skills you practice yourself to be effective. In that moment, your teen might be dysregulated. What is the parent's emotion? Their urge? What skills can they practice to be effective?Sarah: I love that you already went to the next question I was going to ask, which is: when that kid is screaming, “You don't understand, I can't go to school because of the jeans,” what can parents do for themselves using the skills you describe?Shireen: I often think of the oxygen-mask analogy: put on your own oxygen mask before helping others. That was certainly true for me when I had fussy infants—how do you manage that stress when you are already heightened?What do you need to do to regulate yourself so you can be effective in the moment? Sometimes that's literally taking a time-out—leaving the room for a minute. The kid comes after you about the jeans, and you say, “Hold on, I need a minute.” You sequester yourself in the bathroom. You do paced breathing—a DBT skill that helps regulate your nervous system. You do that for a minute, get centered, and then return to the situation.If you're not regulated and your child is dysregulated, you'll ping-pong off each other and it becomes messier and messier. But if you can regulate yourself and approach calmly, the whole interaction changes.Sarah: It's so interesting because people who've been listening to my podcast or know my work will think, “Oh yeah, these are the things Sarah talks about all the time.” Our first principle of peaceful parenting is parental self-regulation. It doesn't mean you never get upset, but you recognize it and have strategies to get back to calm.And I always say, if you forget everything else I teach about dealing with upset kids, just remember empathy—which is another way of saying validation. I tell parents: you don't have to agree to empathize. Especially with situations like the jeans.I love the crossover between the skills parents are practicing in my community and what you've written about. And again: those flow charts! I'm going to mark up my book with Post-its for all the exercises.One of the things you talk about in the book is problem solving. As parents, we can find ourselves in these intense situations. I'll give an example: a client's daughter, at 11 p.m., was spiraling about needing a particular pair of boots for her Halloween costume, and they wouldn't arrive in time. No matter what the mom said, the daughter spiraled.This is a two-part question: If you've validated and they're still really upset, how do you support a kid who is deep in those intense feelings? And when is the place for teaching problem solving—especially when there is a real logistical problem to solve?Jesse: I'm going to say the annoying therapist thing: it depends. If we think about how emotions impact our thinking on a scale from 0 to 10, it's very hard to engage in wise-minded problem solving when someone is at an 8, 9, or 10. At that point, the urge is to act on crisis behaviors—yell, fight, ruminate.So engaging your child in problem solving when they're at a 9 isn't effective.Often, I suggest parents model and coach distress-tolerance skills. Shireen mentioned paced breathing. Maybe distraction. Anything to lower the emotional volume.Once we're in the six-ish range? Now we can problem solve. DBT has a very prescribed step-by-step process.But it's really hard if someone is so dysregulated. That's often where parents and kids end up in conflict: parent wants to solve; kid is at a 9 and can't even see straight.Sarah: Right. So walk us through what that might look like using the boots example. Play the parent for a moment.Jesse: Of course. I'd potentially do a couple of things. I might say, “Okay, let's do a little ‘tipping the temperature' together.” I'd bring out two bowls of ice and say, “We'll bend over, hold our breath for 30 seconds…”Shireen: And put your face in the bowl of ice water. You left out that part.Jesse: Crucial part of the step.Sarah: You just look at the ice water?Jesse: No, you submerge your face. And something happens—it's magical. There's actually a profound physiological effect: lowering blood pressure, calming the sympathetic nervous system.I highlight for parents: do this with your child, not didactically. Make it collaborative.And then: validate, validate, validate. Validation is not approval. It's not saying the reaction is right. It's simply communicating that their distress makes sense. Validation is incredibly regulating.Then you check in: “Do you feel like we can access Wise Mind?” If yes: “Great. Let's bring out a problem-solving worksheet—maybe from Real Skills for Real Life or the DBT manual. Let's walk through it step by step.”Sarah: And if you have a kid screaming, “Get that ice water away from me, that has nothing to do with the boots!”—is there anything to add beyond taking a break?Shireen: I'd say this probably comes up a lot for you, Sarah. As parents—especially high-functioning, maybe perfectionistic types (I put myself in that category)—if my kid is upset, I feel so many urges to fix it right away. Sometimes that's helpful, but often it's not. They either don't want to be fixed, or they're too dysregulated, or fixing isn't actually their goal—they just want to tell you how upset they are.I have to practice acceptance: “My kid is upset right now. That's it.” I remind myself: kids being upset is part of life. It's important for them to learn they can be upset and the world doesn't fall apart.If they're willing to do skills alongside you, great. But there will be times where you say, “I accept that you're upset. I'm sorry you feel this way. It sounds terrible. Let's reconnect in an hour.” And wait for the storm to pass.Sarah: Wait for the storm to pass.Jesse: I'll say—I haven't been a therapist that long, and I've been having this conversation with my own parents. Yesterday I called my mom about something stressful, and she said, “Jesse, do you want validation or problem solving right now?”Shireen: Love it.Jesse: I thought, “You taught her well.” I was like: okay, therapy works. And even having that prompt—“What would you like right now? Problem solving? Validation? Do you want me to just sit with you?”—that's so useful.Sarah: Yeah. I have to remind myself of that with my daughter, especially when the solution seems obvious to me but she's too upset to take it in. Just sitting there is the hardest thing in the world.And you've both anticipated my next question. A big part of your book is distress tolerance—one of the four areas. Can you talk about what distress tolerance is specifically? And as you mentioned, Shireen, it is excruciating when your kid is in pain or upset.I learned from my friend Ned Johnson—his wonderful book The Self-Driven Child—that there's something called the “righting instinct.” When your child falls over, you have the instinct to right them—pick them up, dust them off, stand them up. That instinct kicks in whenever they're distressed. And I think it's important for them to learn skills so we don't do that every time.Give us some thoughts about that.Shireen: Well, again, I think distress tolerance is so important for parents and for kids. The way we define it in DBT is: distress tolerance is learning how to tolerate stressful, difficult, complicated situations without doing anything to make it worse. That's the critical part, because distress tolerance is not about solving problems. It's about getting through without making things worse.So in the context of an interaction with your kid, “not making it worse” might mean biting your tongue and not lashing out, not arguing, not rolling your eyes, or whatever it is. And then tolerating the stress of the moment.As parents, we absolutely need this probably a thousand times a day. “How do I tolerate the distress of this moment with my kid?” And then kids, as humans, need to learn distress tolerance too—how to tolerate a difficult situation without doing anything to make it worse.If we swoop in too quickly to solve the problem for them—as you said, if we move in too quickly to right them—they don't learn that they can get through it themselves. They don't learn that they can right themselves.And I think there's been a lot written about generations and how parenting has affected different generations. We want our kids to learn how to problem solve, but also how to manage stress and difficulty in effective ways.Sarah: I think you're probably referring to the “helicopter parents,” how people are always talking about helicopter parents who are trying to remove any obstacles or remove the distress, basically.I think the answer isn't that we just say, “Okay, well, you're distressed, deal with it,” but that we're there with them emotionally while they're learning. We're next to them, right? With that co-regulation piece, while they're learning that they can handle those big feelings.Shireen: Yes. Yeah. Yeah.Sarah: I thought it might be fun, before we close out, to do a deep dive on maybe one or two of the skills you have in the book. I was thinking about maybe “Check the Facts.” It would be a cool one to do a deep dive on. You have so many awesome skills and I encourage anyone to pick up your book. “Check the Facts” is one of the emotion regulation skills.Do you mind going over when you would use Check the Facts, what it is, and how to use it?Jesse: Not at all. Check the Facts is, in many ways, a foundational skill, because it's so easy for us to get lost in our interpretation of a situation. So the classic example is: you're walking down the street and you wave to a friend, and they don't wave back. And I don't know about you, but it's easy for me to go to, “Oh, they must be mad at me.”Sarah: Right, yeah.Jesse: And all of a sudden, I'm spinning out, thinking about all the things I could have done to hurt their feelings, and yada yada yada. Then I'm feeling lots of upset, and I may have the urge to apologize, etc.What we're doing with Check the Facts is returning our attention back to the facts themselves—the things we can take in with our senses. We're observing and describing, which are two foundational mindfulness skills in DBT. And then from that, we ask ourselves: “Does the emotion I'm feeling—the intensity and duration of that emotion—fit the facts as I'm experiencing them?”So in many ways, this is one of those cognitive interventions. DBT rests on all these cognitive-behavioral principles; it's part of that broader umbrella. Here we're asking: “Do the facts as I see them align with my emotional experience?”From there, we ask: if yes, then there are certain options or skills we can practice—for instance, we can change the problem. If no, that begs the question: “Should I act opposite to this emotion urge that I have?”So it's a very grounding, centering type of skill. Shireen, is there anything I'm missing?Shireen: No. I would just give a parenting example that happens for me a lot. My kid has a test the next day. He says he knows everything. He doesn't open the book or want to review the study guide. And I start to think things like, “Oh my gosh, he has no grit. He's going to fail this test. He's not going to do well in high school. He's not going to get into a good college. But most importantly, he doesn't care. And what does that say about him? And what does it say about me as a parent?”I hope people listening can relate to these sorts of thoughts and I'm not alone.Sarah: A hundred percent. I've heard people say those exact things.Shireen: And even though I practice these skills all the time, I'm also human and a mother. So where Check the Facts can be useful there is first just recognizing: “Okay, what thoughts am I having in response to this behavior?” The facts of the situation are: my kid said he doesn't need to study anymore. And then look at all these thoughts that came into my mind.First, just recognizing: here was the event, and here's what my mind did. That, in and of itself, is a useful experience. You can say, “Wow, look at what I'm doing in my mind that's creating so much of a problem.”Then I can also think: “What does this make me feel when I have all these thoughts?” I feel fear. I feel sad. I feel shame about not being a good parent. And those all cause me to have more thoughts and urges to do things that aren't super effective—like trying to bully him into studying, all of these things.Then the skill can be: “Okay, are these thoughts exaggerated? Are they based in fact? Are they useful?” I can analyze each of these thoughts.I might think, “Well, he has a history of not studying and doing fine,” is one thing. Another thought: “Me trying to push him to study is not going to be effective or helpful.” Another: “There are natural consequences. If he doesn't do well because he didn't study, that's an important lesson for him to learn.”So I can start to change my interpretations based on the facts of the actual situation as opposed to my exaggerated interpretations. And then see: what does that do to my emotions? And when I have more realistic, fact-based thoughts, does that lead me to have a better response than I would if I followed through on all my exaggerated thinking?Does that make sense?Sarah: Yeah, totally makes sense. Are there any DBT skills that are helpful in helping you recognize when you need to use a skill—if that makes sense? Because sometimes I think parents might spiral, like in the example you're talking about, but they might not even realize they're spiraling. Sometimes parents will say, “I don't even know until it's too late that I've had this big moment of emotional dysregulation.”Jesse: I think there's a very strong reason why mindfulness is the foundation of DBT—for exactly the reason you've just described. For a lot of us, we end up engaging in behaviors that are ineffective, that are not in line with our values or goals, and it feels like it's just happening to us.So having a mindfulness practice—and I want to highlight that doesn't necessarily mean a formal meditation practice—but developing the skill of noticing, of being increasingly conscious of what you're feeling, your urges, your thoughts, your behaviors. So that when you notice that you are drifting, that you're engaging in an ineffective behavior, you can then apply a skill. We can't change what we're not aware of.Sarah: I love that. It's so hard with all the distractions we have and all of the things that are pulling us this way and that, and the busyness. So just slowing down and starting to notice more what we're feeling and thinking.Shireen: There's a skill that we teach that's in the category of mindfulness called Wise Mind. I don't have to get into all the particulars of that, but Wise Mind is when you're in a place where you feel wise and centered and perhaps a little bit calmer.So one question people can ask themselves is: “Am I in a place of Wise Mind right now?” And if not, that's the cue. Usually, when we answer that we're not, it's because we're in a state of Emotion Mind, where our emotions are in control of us.First, recognizing what state of mind you're in can be really helpful. You can use that as a cue: “I'm not in Wise Mind. I need to do something more skillful here to get there,” or, “I need to give myself some time before I act.”Sarah: I love that. So helpful. Before we wrap up, was there anything you wish I'd asked you that you think would be really helpful for parents and kids?Shireen: I just want to reiterate something you said earlier, which is: yes, this treatment was developed for folks with borderline personality disorder. That is often a diagnosis people run screaming from or are very nervous about. People might hesitate to think that these skills could be useful for them if they don't identify as having borderline personality disorder.But I think what you're highlighting, Sarah—and we so appreciate you having us on and talking about these skills—is that we consider these skills universal. Really anybody can benefit.I've done training and teaching in DBT for 25 years, and I teach clinicians in many different places how to do DBT treatment with patients. But inevitably, what happens is that the clinicians themselves say, “Oh, I really need these skills in my everyday life.”So that's what we want to highlight, and why we wrote this book: to take these skills from a treatment designed for a really severe population and break it down so anybody can see, “Oh, this would be useful for me in my everyday life, and I want to learn more.”Sarah: Totally. Yeah. I love it. And I think it's a continuum, right? From feeling like emotions are overwhelming and challenging, and being really emotionally sensitive. There are lots of people who are on that more emotionally sensitive side of things, and these are really helpful skills for them.Jesse: Yeah. And to add on that, I wouldn't want anyone—and I don't think any of us here are suggesting this—it's such a stigmatized diagnosis. I have yet to meet someone who's choosing suffering. Many of us are trying to find relief from a lot of pain, and we may do so through really ineffective means.So with BPD, in my mind, sometimes it's an unfortunate name for a diagnosis. Many folks may have the opinion that it means they're intrinsically broken, or there's something wrong with their personality. Really, it's a constellation of behaviors that there are treatments for.So I want anyone listening not to feel helpless or hopeless in having this diagnosis or experience.Shireen: Mm-hmm. Mm-hmm.Sarah: Thank you so much. The question I ask all my guests—I'll ask Shireen first and then Jesse—is: if you could go back in time, if you had a time machine, if you could go back to your younger parent self, what advice would you give yourself?Shireen: Oof. I think about this a lot, actually, because I feel like I did suffer a lot when my kids were babies. They were super colicky. I didn't sleep at all. I was also trying to work. I was very stressed. I wish that at that time I could have taken in what other people were telling me, which is: “This will pass.” Right? “This too shall pass,” which is something we say to ourselves as DBT therapists a lot. Time changes. Change is inevitable. Everything changes.In those dark parenting moments, you get stuck in thoughts of, “This is never going to change. It's always going to be this way. I can't tolerate this.” Instead, shifting to recognize: “Change is going to happen whether I like it or not. Just hang in there.”Sarah: I love that. My mother-in-law told me when I had my first child: “When things are bad, don't worry, they'll get better. And also, when things are good, don't worry, they'll get worse.”Shireen: Yes, it's true. And we need both the ups and the downs so we can actually understand, “Oh, this is why I like this, and this is why I don't like this.” It's part of life.Sarah: Yeah. Thank you. And Jesse, if you do ever have children, what would you want to remember to tell yourself?Jesse: I think I would want to remember to tell myself—and I don't think I'm going to say anything really new here—that perfection is a myth. I think parents often feel like they need to be some kind of superhuman. But we all feel. And when we do feel, and when we feel strongly, the goal isn't to shame ourselves for having that experience. It's to simply understand it.That's what I would want to communicate to myself, and what I hope to communicate to the parents I work with.Sarah: Love that. Best place to go to find out more about you all and what you do? We'll put a link to your book in the show notes, but any other socials or websites you want to point people to?Shireen: My website is shireenrizvi.com, where you can find a number of resources, including a link to the book and a link to our YouTube channel, which has skills videos—animated skills videos that teach some of these skills in five minutes or less. So that's another resource for people.Sarah: Great. What about you, Jesse?Jesse: I have a website called axiscbt.com. I'm also a co-founder of a psychoeducation skills course called Farrah Hive, and we actually have a parenting course based on DBT skills—that's thefarrahhive.com. And on Instagram, @talk_is_good.Sarah: Great. Thank you so much. Really appreciate your time today.Jesse: Thank you, Sarah.Sarah: Thank you. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit sarahrosensweet.substack.com/subscribe

A pedofilia tem sido considerada, pelos discursos sociais, como a ‘mais abjeta' entre as perversões. No discurso médico, é uma patologia e refere-se ao fato de um adulto tomar crianças como objeto sexual. Será a pedofilia um pecado, um crime, uma doença? E como lidar com ela? Esta é a segunda de duas partes.Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (44min 42s)*PARTICIPAÇÕES ESPECIAISSvetlanna, ou Lanna, é trabalhadora sexual há 8 anos, voluntária no NEP (Núcleo de Estudos da Рrostituição em Porto Alegre), "putativista". No Twitter: @sv3tlannaJuliana Molina Constantino, psicóloga clínica, forense, escritora e educadora. Na clínica trabalha com adultos vítimas de abuso sexual infantil; na justiça atua conduzindo Depoimentos Especiais e realizando Perícias Psicológicas de crianças e adolescentes em processos de apuração de violência de todos os tipos, mas, principalmente a sexual. No Instagram: @psijuconstantino* Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*REFERÊNCIASPedofilia: revisão médica e repercussões penais https://www.teses.usp.br/teses/disponiveis/2/2136/tde-10042024-121635/en.phpOs árbitros do desejo e os enteados da natureza: controvérsias e ontologias sobre a categoria pedofilia em torno do DSM - 5 https://www.bdtd.uerj.br:8443/handle/1/19240Aspectos Psicológicos dos Protagonistas de Incestohttps://bdtd.ucb.br:8443/jspui/bitstream/123456789/1884/1/Texto%20Completo.pdfParafilias: uma classificação fenomenológicahttps://actaspsiquiatria.es/index.php/actas/article/download/564/821A Review of Academic Use of the Term “Minor Attracted Persons”https://journals.sagepub.com/doi/10.1177/15248380241270028Sexual interest in children among an online sample of men and women: prevalence and correlateshttps://pubmed.ncbi.nlm.nih.gov/24215791/Correlates and moderators of child pornography consumption in a community samplehttps://pubmed.ncbi.nlm.nih.gov/24088812/PSIQUIATRIA E PEDOFILIA: A ORGANIZAÇÃO B4U-ACT E O DIREITO À SAÚDE MENTAL DAS PESSOAS ATRAÍDAS POR MENORES (MAPS)https://proceedings.science/abrascao-2022/trabalhos/psiquiatria-e-pedofilia-a-organizacao-b4u-act-e-o-direito-a-saude-mental-das-pesThe DSM and the Stigmatization of People who Are Attracted to Minorshttps://www.researchgate.net/profile/Richard-Kramer-10/publication/365993590_The_DSM_and_the_Stigmatization_of_People_who_Are_Attracted_to_Minors/links/638bd5d7ca2e4b239c8896e1/The-DSM-and-the-Stigmatization-of-People-who-Are-Attracted-to-Minors.pdfChanging public attitudes toward minor attracted persons: an evaluation of an anti-stigma intervention https://www.tandfonline.com/doi/abs/10.1080/13552600.2020.1863486?casa_token=iK-wFTzYUbYAAAAA:UmI5w_4dc4d4C9FU9Z1OCpTp5oVb1CkeC1ygV8rg94GSUCUVG886jSpFi6sD_c8uDJQm4gQudZBIQualitative Analysis of Minor Attracted Persons' Subjective Experience: Implications for Treatment https://www.tandfonline.com/doi/abs/10.1080/0092623X.2022.2126808?casa_token=uNwM4nBfx9UAAAAA:Jo75nZFTKEtnYsLlbO2k0hBMaSc5iUC2a2hrGyWF_C5kRNI-ghibqhF01eZPhAv8ygWg-OHWAPyfBeing Sexually Attracted to Minors: Sexual Development, Coping With Forbidden Feelings, and Relieving Sexual Arousal in Self-Identified Pedophiles https://www.tandfonline.com/doi/full/10.1080/0092623X.2015.1061077?src=recsysA Long, Dark Shadow: Minor-Attracted People and Their Pursuit of Dignityhttps://books.google.com.br/books?hl=en&lr=&id=SksqEAAAQBAJ&oi=fnd&pg=PP9&dq=(MAPS)+attracted+by+minors&ots=h0RKV2g6vr&sig=39-uleVMpIgO4bkjPKShVScmfh0&redir_esc=y#v=onepage&q=(MAPS)%20attracted%20by%20minors&f=falseMisrepresenting the “MAP” Literature Does Little to Advance Child Abuse Prevention: A Critical Commentary and Response to Farmer, Salter, and Woodlockhttps://journals.sagepub.com/doi/full/10.1177/15248380251332197Outpatient Therapists' Perspectives on Working With Persons Who Are Sexually Interested in Minorshttps://link.springer.com/article/10.1007/s10508-022-02377-6The Terminology of “Minor Attracted People” and the Campaign to De-stigmatize Paedophilia Originated in Pro-pedophile Advocacyhttps://journals.sagepub.com/doi/full/10.1177/15248380251332198A Profile of Pedophilia: Definition, Characteristics of Offenders, Recidivism, Treatment Outcomes, and Forensic Issueshttps://www.mayoclinicproceedings.org/article/S0025-6196(11)61074-4/abstracthttps://linkinghub.elsevier.com/retrieve/pii/S0025619611610744Pedophilia and Sexual Offending Against Childrenhttps://www.apa.org/pubs/books/4317491Intervention Needs in Prison With Pedophile Inmateshttps://www.papelesdelpsicologo.es/pii?pii=3027Child molester or paedophile? Sociolegal versus psychopathological classification of sexual offenders against children https://www.tandfonline.com/doi/full/10.1080/13552600802133860School sex education, a process for evaluation: methodology and results https://academic.oup.com/her/article-abstract/11/2/205/628476Teachers' Attitudes and Opinions Toward Sexuality Education in School: A Systematic Review of Secondary and High School Teachers https://www.tandfonline.com/doi/abs/10.1080/15546128.2024.2353708‘Chronophilia': Entries of Erotic Age Preference into Descriptive Psychopathologyhttps://www.cambridge.org/core/journals/medical-history/article/chronophilia-entries-of-erotic-age-preference-into-descriptive-psychopathology/1896C08F07CB5F1A428CEEF3E1104586Biological Factors in the Development of Sexual Deviance and Aggression in Males.https://psycnet.apa.org/record/2006-12464-004Mamilos 123 - Pedofilia (2017)https://open.spotify.com/episode/3RxgeS0ZovQue7lK61TLkiNaruhodo #403 - Por que temos fetiches sexuais?https://www.youtube.com/watch?v=C-ET1nIP6WMNaruhodo #433 - Existe amizade entre homens e mulheres? - Parte 1 de 2https://www.youtube.com/watch?v=EFVaBfGaowgNaruhodo #434 - Existe amizade entre homens e mulheres? - Parte 2 de 2https://www.youtube.com/watch?v=H6D1yCni0rcNaruhodo #437 - O termo "macho alfa" faz sentido? - Parte 1 de 2https://www.youtube.com/watch?v=Qx1z1R_He_cNaruhodo #438 - O termo "macho alfa" faz sentido? - Parte 2 de 2https://www.youtube.com/watch?v=UNKh0Zd3h_kNaruhodo #399 - Assistir à pornografia vicia?https://www.youtube.com/watch?v=vByA0QVSOb8Naruhodo #150 - O que é o "No Fap September"?https://www.youtube.com/watch?v=8yWTngyTq1gNaruhodo #325 - Por que nos apaixonamos por vilões? - Parte 1 de 2https://www.youtube.com/watch?v=o9F4Q_jjF88Naruhodo #326 - Por que nos apaixonamos por vilões? - Parte 2 de 2https://www.youtube.com/watch?v=4gtkstkqpUwNaruhodo #320 - Por que nos identificamos com vilões?https://www.youtube.com/watch?v=ZH5aTG0xeLwNaruhodo #419 - Maconha faz mal? - Parte 1 de 2https://www.youtube.com/watch?v=cvLTh2bKPiQNaruhodo #420 - Maconha faz mal? - Parte 2 de 2https://www.youtube.com/watch?v=F7wVcGvpoGA*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

Learn more about Lisa Katona Smith: https://linktr.ee/Parallel_Recovery Recovery literature (quit-lit) recommendation: Braving theWilderness by Brenee Brown - https://a.co/d/0P4ZRKb Best piece of Recovery advice: Make sure your heart and headstay connected. Song that symbolizes Recovery to Lisa: Landslide byFleetwood Mac - https://youtu.be/radHy4HhhNg TakeawaysRecovery is a parallel journey for families and loved ones.Sustainability in recovery is crucial for both individualsand families.Families often lack support and tools to navigate theirloved one's struggles.Detaching with love should not mean abandoning therelationship.Witnessing someone else's experience with compassion isessential.Families need to engage in their own recovery process.The DSM-5 has changed how we view substance use disorders.Opportunities for change can arise before hitting rockbottom.Self-compassion is vital in the recovery journey.Connection to nature and community enhances personalrecovery. SummaryIn this episode of The Way Out Podcast, Lisa Katona Smithdiscusses her book 'Parallel Recovery' and the importance of family involvementin the recovery process. She shares her personal journey, the challengesfamilies face, and the need for sustainable practices in recovery. Lisaemphasizes the significance of compassion, connection, and the role of familiesin supporting their loved ones struggling with substance use and mental healthdisorders. The conversation highlights the need for a shift in how familiesapproach recovery, focusing on empowerment and understanding rather thandetachment and blame.Don't forget to check out “The Way Out Playlist” available onlyon Spotify. Curated by all our wonderful guests on the podcast! https://open.spotify.com?episode/07lvzwUq1L6VQGnZuH6OLz?si=3eyd3PxVRWCKz4pTurLcmA (c) 2015 - 2025 The Way Out Podcast | All Rights Reserved. ThemeMusic: “all clear” (⁠⁠⁠https://ketsa.uk/browse-music/)by Ketsa (https://ketsa.uk⁠⁠⁠) licensed under CCBY-NC-ND4.0(https://creativecommons.org/licenses/by-nc-nd)

Dr. Robin Brody is back to tackle a critical gap in clinical training: narcissism and its devastating impact. We cut straight to the core, defining narcissism by its signature trait, entitlement, and exploring the clinical distinctions between grandiose, vulnerable, and malignant subtypes. The episode then dives into the flip side: narcissistic abuse. Learn to spot the confusing dynamics clients face, including performative empathy, denial of reality (often called gaslighting), trauma bonding through intermittent reinforcement, and the predictable cycle of idealization, devaluing, discard, and hoovering. Most crucially, we discuss the "sin" of inadequate provider training and the risk of how applying standard components of evidence-based treatment, like assertiveness skills, can tragically fail or even place survivors in danger.Dr. Robin Brody is an Assistant Professor of Psychiatry (Voluntary) at Weill Cornell Medicine and the founder of Dr. Robin Brody Psychological Services, a private practice specializing in the treatment of occupational trauma, PTSD, and couples therapy, and gender and sexually diverse individuals. Her work is driven by a deep commitment to helping trauma survivors, particularly those facing PTSD and moral injury.Her expertise and demonstrated passion center on treating trauma survivors, particularly those with PTSD and moral injury. In doing so, Dr. Brody has worked with diverse populations of civilians, veterans of all branches and eras, first responders, healthcare workers, and 9/11 survivors and responders across the diagnostic and demographic spectrum. Dr. Brody started and ran an EBP for PTSD program within the World Trade Center Mental Health Program, where she trained and supervised providers in PE and CPT. Before joining Mount Sinai's World Trade Center Mental Health Program, Dr. Brody served on the faculty at Weill Cornell Medicine. In that capacity, Dr. Brody oversaw Weill Cornell's Military Families Wellness Center and worked within the Program for Anxiety and Traumatic Stress Studies (PATSS), where she was a co-investigator on numerous clinical research studies involving the treatment of PTSD, particularly among frontline healthcare workers amidst the COVID-19 pandemic. In all her efforts, Dr. Brody is committed to increasing access to, and training, in evidence-based treatments, especially for PTSD. Dr. Brody's research interests include PTSD treatment innovation and the role of shame, stigma, and identity in trauma recovery.Resources mentioned in this episode: DSM-5 Alternative Model of Personality Disorders It's Not You, Dr. Ramani Durvasula Calls-to-action: Utilize Diagnostic Frameworks: Look into the DSM-5 Alternative Model of Personality Disorders as a useful framework for understanding healthy personality functioning and personality disorders, including narcissism.Obtain additional training on NPD and narcissistic abuseSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Leave us a question or comment on Speakpipe

The most dangerous phrase in senior health might be “I've always handled it fine.” We dive into how aging reshapes the risks of alcohol, benzodiazepines, opioids, nicotine, and today's ultra‑potent cannabis—and why familiar habits can turn hazardous after 65. Drawing on frontline cases and recent research, we unpack the baby boomer lived experience, from “mother's little helper” to daily cocktail hours in senior communities, then connect it to the biology of aging: slower metabolism, reduced kidney and liver function, impaired balance, and sharper sensitivity to side effects.You'll hear why DSM‑5 criteria still apply but require age‑aware interpretation, what “code cannabis” looks like in the ER when edibles or high‑THC products masquerade as stroke, and how subtle red flags—poor sleep, irritability, shakiness, forgetfulness, falls—signal a brewing problem. We get practical about safer detox for older adults, the reality of kindling with alcohol withdrawal, and the medication decisions that matter: when to taper sedatives, how to avoid dangerous interactions, and why nutrition and B‑vitamins can't be an afterthought. Two real-world cases ground the lessons—titrating decades‑long benzodiazepine and Z‑drug use while reducing fall risk, and using naltrexone strategically for late‑onset alcohol use without tipping a patient into instability.If you care for an older adult—or you are one—this conversation offers clear steps to lower risk and raise quality of life: rethink sleep meds, reduce alcohol use, check cannabis potency, simplify regimens, and choose therapy and support groups that fit your season of life. Subscribe, share this with a friend or colleague, and leave a review with your biggest takeaway so we can keep building smart, stigma‑free care for older adults.To contact Dr. Grover: ammadeeasy@fastmail.com

You can listen wherever you get your podcasts, OR— BRAND NEW: we've included a fully edited transcript of our interview at the bottom of this post.In this episode of The Peaceful Parenting Podcast, I speak with Educational Psychologist Liz Angoff. We discuss when and why a child might need an assessment, what information you get from an assessment, how to help children understand their brains and diagnosis, and celebrating neurodiversity.**If you'd like an ad-free version of the podcast, consider becoming a supporter on Substack! > > If you already ARE a supporter, the ad-free version is waiting for you in the Substack app or you can enter the private feed URL in the podcast player of your choice.Know someone who might appreciate this post? Share it with them!We talk about:* 7:00 What are some signs that your child should get an assessment?* 9:00 Getting to the “why” and the “so what”* 10:00 What do you assess for?* 14:00 Why it is important to get an assessment?* 23:00 Should you tell your child about their diagnosis?* 31:00 Scripts and metaphors for talking to your kids about diagnosis* 39:00 Red and Green flags with clinicians* 44:00 Celebrating neurodiversityResources mentioned in this episode:* Yoto Player-Screen Free Audio Book Player* The Peaceful Parenting Membership* Dr. Liz's website and booksxx Sarah and CoreyYour peaceful parenting team- click here for a free short consult or a coaching sessionVisit our website for free resources, podcast, coaching, membership and more!>> Please support us!!! Please consider becoming a supporter to help support our free content, including The Peaceful Parenting Podcast, our free parenting support Facebook group, and our weekly parenting emails, “Weekend Reflections” and “Weekend Support” - plus our Flourish With Your Complex Child Summit (coming back in the spring for the 3rd year!) All of this free support for you takes a lot of time and energy from me and my team. If it has been helpful or meaningful for you, your support would help us to continue to provide support for free, for you and for others.In addition to knowing you are supporting our mission to support parents and children, you get the podcast ad free and access to a monthly ‘ask me anything' session.Our sponsors:YOTO is a screen free audio book player that lets your kids listen to audiobooks, music, podcasts and more without screens, and without being connected to the internet. No one listening or watching and they can't go where you don't want them to go and they aren't watching screens. BUT they are being entertained or kept company with audio that you can buy from YOTO or create yourself on one of their blank cards. Check them out HERESarah: Hey everyone. Welcome back to another episode of the Peaceful Parenting Podcast. Today my guest is Dr. Liz Angoff, who is an educational psychologist. She does testing, looking at helping kids understand how their brain works and helping their adults understand how their children's brains work. She has loads of wonderful resources, which we will link to in the show notes.I love how Dr. Liz takes this approach. It's about how our brains can work in different ways, and understanding that really can help our child understand themselves, and help us understand our child in a better way.As you'll hear in this conversation with Dr. Liz, she really talks about how, if your child is experiencing some challenges or struggles—or you're experiencing struggles or challenges with them—it can be helpful to get an assessment and possibly a diagnosis to understand exactly what's going on and how your child's brain works. Whether it could be anxiety or depression or neurodivergence or learning challenges or any sorts of things that can be uncovered through psychological testing, you can really understand the differences in your child's brain that could be making life feel more challenging for them and/or for you. And she has a beautifully neurodiversity-affirming lens, where she talks about—you'll hear her talk about this in the episode—looking at a child's brain in terms of both the strengths and the challenges.As always, we would love if you would share this episode with anyone you think might find it useful, and leave us a five-star rating on your favorite podcast player app and leave us a review. It really helps us reach more families and therefore help more families.Alright, let's meet Dr. Liz.Hello, Dr. Liz. Welcome to the podcast.Liz: Thank you for having me. I'm really excited to be here, Sarah.Sarah: Me too. So tell us about who you are and what you do before we dive in.Liz: Right. Well, I go by Dr. Liz, and I am a licensed educational psychologist. I'm in the Bay Area, California, and my focus—my passion—is working with kids to understand how their brains work. I am a testing psychologist, so I do assessment to understand, when things are challenging for kids, why things are challenging and what we're going to do to really support them.But one of the things that really caught my interest a number of years ago is that so often we bring kids through the assessment process and we don't talk to them about what they did or what we learned about them. So I got really passionate about talking to kids directly about how they can understand their brains—what comes easily for them, how they can really use their strengths to help them thrive, and then what's challenging and what they can do to advocate for themselves and support themselves. So all of my work has been really focused on that question: how do we help kids understand themselves?Sarah: Which is perfect, because that's exactly why I wanted to have you on. I've had so many parents ask me, “Well, how do I… I've got the assessment. How do I tell them? Do I tell them? How do I tell them?” We're going to get into all of that.But first I want to start with: what are some signs… I imagine some of the people listening are already going to have had assessments or are in the process of getting an assessment. But there also are some people who maybe—at least in our world—what we look at is: if you feel like you're struggling way more than everybody else, that could be one sign. And if you've already made shifts and you're trying to practice, in our case, peaceful parenting, and you're still finding that things are really hard—that could be a sign that you might want to get an assessment.But what are some signs that you look for that you might want to get your child assessed?Liz: Yeah, I mean, you named a couple of them that I think are actually really important. All kids have times when they struggle. Growing up is hard. There are a lot of challenges, and they're really important challenges that kids face. They need to know that it's okay when things are hard. They need to know they can do hard things and come out the other side.And there's so much out there—what I think of as parenting 101—that helps us figure out: how do we help our children navigate these tough times? And then there's kind of the next level where you might get a little extra support. So you read a book on parenting, or you find a different approach that matches the way your child shows up in the world a little bit better. You might meet with the school and get a little bit of extra help—sometimes called student study teams or SSTs—where you might meet with the teacher and the team.For most kids, that little extra boost is enough to get them through those hard times. But for some kids, there are still questions. That next level, that extra support—it's still not working. Things are still hard, and we don't know why.Sarah: Mm-hmm.Liz: And when you have that question—“Why isn't this working? It works for so many kids, but it's not working for my child”—that's when an assessment can be really helpful to get at the why. The so what.So the why is: why are things harder for my child, and why are the traditional things that help most children not working? And then the so what is: so what do we do about it? How do we do things differently? And for kids who are wired differently, they need different things. And that's what we focus on in the assessment process.Sarah: And so, what kinds of… You know, we've gotten extra support, we've educated ourselves, and things are still hard for our child—or maybe also hard for us at home with our child. What are the kinds of things that you assess for? I guess that's the best way to ask. The big ones I think about are ADHD and autism, but what else might be possibilities that are going on?Liz: I really think of assessment—at the core of it—as understanding how this child's brain works. The diagnoses that we look at… a diagnosis is just a kind of way to orient us toward the path of support that's going to be most helpful. But even ADHD, autism, dyslexia—these common things we might look for—show up differently in different kids. There are diagnostic criteria, but they mix and match a little bit. No two ADHD-ers show up the same way. No two autistic kids show up the same way. Even dyslexic kids show up differently.So at the core of it, we're trying to figure out: what makes this child's brain unique? What are the unique strengths and challenges that they have? And we're going to be able to explain that. A shortcut for explaining that might be dyslexia or autism or ADHD.We also might be looking at things like anxiety and depression that can really affect kids in a big way—sometimes related to other brain styles, because navigating the world as a different kind of brain is really hard and can lead to a lot of anxiety and depression. Sometimes anxiety can look like ADHD, for example, because it really hijacks your attention and makes it hard to sit still at school when your brain is on high alert all the time.So we're really trying to tease apart: what's the root cause of the challenges a child is facing? So that we know what to do about it.Some other things we might look at: one of the big questions that comes to me is when there are some really challenging behaviors that kids have, and we want to know what's underneath that. Sometimes there might be questions about sensory dysregulation or emotional dysregulation—just real difficulty understanding the emotions that are coming up and what to do about them. Some kids get hit like by a tsunami by their emotions. And so learning how to regulate or manage those big feelings might be something we're looking at. And again, that might be part of a bigger diagnosis, but more importantly it's something we want to understand so we can support a child, regardless of what we call it.Sarah: That makes so much sense. And it makes me think about my daughter, who's 18 now. And just for anyone listening, she's okay with me talking about her assessment and diagnoses. And I think sometimes when you talk about challenging behavior, we think we know why there's challenging behavior—but sometimes we can be totally wrong.I remember when she was in elementary school, her teachers—one after another—would always talk about how she was repeatedly at their desks asking, “What do I do next?” Asking for instruction. And she's a kid whose connection is super important to her, and I always thought it was because she was looking for more connection from the teacher. That she was always at their side, and that was a “good” reason to go up and talk to the teacher because she loved her teachers.And then come to find out, when we had her assessed, that she has working memory challenges. She actually literally couldn't remember what the next thing to do was, because she could only keep one or two things in her head at a time. And that was really helpful information. It completely shifted how her teachers—and how I—saw her classroom behavior.Liz: Isn't that amazing? Just getting at the why. Getting underneath and figuring out the why completely shifts our perspective on things. And I think for a lot of kids, that first-line parenting—for many kids, yeah, they're looking for connection. They're looking for that. It makes total sense that that would be our first assumption. And for some kids, that's just not true.So when we do the assessment, we find out this important information that is so important to understanding what's going on. And for your daughter to understand: “Oh, there's this thing called working memory, and that is different in my brain than in other brains.” So I'm not dumb or lazy or all these labels we give ourselves. It's: “Oh, I have a working memory challenge, so let's brainstorm some ways I can work with the way my working memory works.” And that might be asking the teacher—that might work for everybody—but there might be something else.There are any number of strategies we can use to really help her once we know what that is. And when we talk to kids about it, we can brainstorm with them to figure out what the best strategy is going to be—one that works for our child, that works for the teacher, that works for everybody involved.Sarah: Yeah, for sure. It's so illuminating. There were so many things about her diagnosis when she got assessed that helped so much to explain behavior that a lot of people found perplexing, and also helped her understand herself and make adjustments she needed to make to be successful.For example, even now she's in first-year college, and she knows—this has continued through her whole school career—that because of her focus challenges, she can't really do any homework after six o'clock at night. Her focus is just not good. She can try, but it's really hard for her. So she plans her day around: “I know that I've only got until six o'clock to really get my good work done.” She'll even come home, do homework, and then go back into the city to go to the gym or something, whereas other people might do it the other way around.So I think just knowing—kids knowing—how their brain works is really setting themselves up for success.Liz: I love that.Sarah: Yeah. So, which brings me to the next question I was going to ask you, and I think you've already answered it or we've talked about it together: anything you want to add about why it's important to get an assessment? I mean, you talked about helping kids understand how their brain works, really getting to the root of the problem, and helping the people around them understand how their brain works. Is there anything else you want to add about why we would want to get an assessment that we haven't already talked about?Liz: Yeah. Well, one of the things we talk about a lot is that an assessment can result in a label of sorts. A diagnosis is a kind of label. And something I get asked a lot is: “What do we do when parents feel nervous about having their child have a label?”There is—as much as I am a proponent and supporter and celebrator of neurodiversity—the truth is that our society still has some pretty challenging stereotypes about what it means to be ADHD or autistic, or to have a different way your brain is wired.Sarah: Or stigma.Liz: Yeah—stigma. That's the word. And so I think it's a real fear that families have.There are a couple of things that are important to know about these “labels.” One is that the world is changing. We are understanding these diagnoses in a totally different way—not as something that's broken or needs to be fixed, but as something that is different. A normal variation of how brains appear in the world. And that is a real change that is happening.And that label can be—as you were just saying—so helpful, as a way to guide what we do to support our children so they can be successful. Like your example with your daughter: she can learn how to work with her brain so she can be really successful. I think it's brilliant that she knows that after six o'clock, her brain won't study anymore. That simple change is the difference between feeling like a failure and feeling like a success.And I think the more dangerous thing—the scarier piece—is the labels we give children who aren't properly diagnosed. Those labels are the ones kids give themselves, like “I must be dumb,” or the labels others give kids, like “This is a lazy child,” or “This is a defiant child.” Those labels are so much more negative and harmful to our kids because they tell them there's something wrong with them.Are these diagnoses labels? Yes. But I would argue they are such helpful guideposts for us in understanding: this is a difference, not a deficiency.Sarah: I love that. And I've heard people say that you can avoid getting a diagnosis for your child because you don't want to have them labeled, but they will still get labeled—just with the wrong labels instead of the right labels.Liz: Exactly. Yeah.Sarah: Mm-hmm. I know people who… I have a friend who didn't find out until they were in their late teens, I guess, that they had inattentive ADHD, and they spent years unlearning, “I'm just lazy,” and, “I'm a lazy person, that's why I have trouble doing things on time,” and really unlearning that bad… that bad idea of themselves that had been put on them when they weren't aware of their inattentive ADHD.Liz: Exactly.Sarah: Yeah. I also have another friend who got diagnosed as autistic late in life, and they wish that they had known that so much earlier because they spent—you know, they're one of those people that, back when they were a child, the diagnostic criteria missed them. Right? Like they were just quirky, odd, like the little-professor type of autistic kid. But they spent their whole life thinking, “There's something wrong with me. I just don't know what it is, but I know I feel different from everybody else,” and searching for, “What is this thing that's wrong with me?” And finding it in all sorts of things that weren't actually… you know, obviously there's not anything wrong with them, they're just autistic. But thinking how different their life would've been if they had known that, and hadn't spent all those years trying to figure out why they felt so different from everybody else.Liz: Exactly. And that's what the research is showing us too—that so many individuals who are diagnosed as adults had these really harmful and unhelpful narratives as kids. And the first emotion that those diagnosed adults feel is this relief: “Oh, that's why things feel different for me.” But the second emotion I find so much more interesting, because across the board, the second thing that people report is anger. And it's anger at having lost decades to those false narratives that were so, so unhelpful.And I think that there are kind of two facets to my passion about talking to kids. One was understanding that kids—they often know that something is different about them way before we even pick up on it, no matter how old they are. They have this sense that, “Oh, I'm walking through the world in a different way.” So the earlier we can have these conversations with them, the better, because we have this opportunity to rewrite that narrative for them.But the second huge piece for me was working with adults and doing that later-in-life diagnosis, and hearing time after time, story after story about adults who are completely rewriting their self-narrative through the process of our assessment—and what a relief that is. And how frustrating it is that they've lost so much time not knowing, and now having to go through the process of identity formation again, because they have this new, critical piece of information that helps them understand things so differently about their childhood, their young adulthood—depending on how old they are.Sarah: Yeah, it's so important. And when you just said, “Kids often know that there's something different about them,” I remembered my daughter. She didn't—I think partly because I'm, I'm not saying this to toot my own horn, but I'm an extraordinarily patient person, and so some of the things about her ADHD—so she has an ADHD diagnosis—and some of the things about that, I think it took me a long time to sort of think, “Okay, this is unusual, that these behaviors are still happening,” because I was so patient with it, you know? And I think other parents may have been a little less patient at an earlier age and gotten her… and I feel bad about that, because I wish she had gotten her assessment earlier. I think it would've been helpful for her.But I remember one thing that spurred me to finally seek an assessment was she asked me what ADHD was. She was probably nine, ten, maybe. And I told her, and she said, “I have that.” She was like, “I have that.” And I'm like, “Really?” Like, you know… anyway, it was just interesting.Liz: I think kids know. I've had that experience so many times, I can't even tell you. I'm halfway through a feedback session with a child and I haven't told them yet, and they come out with, “Do I have ADHD?” Or in the middle of the assessment, they're wondering about it and asking. And I say, “Well, what do you understand about ADHD, and why are you asking that question?” And I can kind of get more information from them and let them know, “We don't know yet, but that's what we're here for. We're exploring your brain and we're trying to understand it.”But I think that information, I mean, that just speaks to how much our world is changing. This information is out there in the world. We're talking about it, which I think is so, so important to normalizing the fact that brains come in all different shapes and sizes and ways of being. And so it becomes a point of discussion—like a really open point of discussion—about, “I wonder how my brain is wired.”Sarah: Mm-hmm. Mm-hmm. So interesting. I'm pretty sure I know the answer that you're gonna give: if you do get a diagnosis of something—ADHD or autism—should you tell your child?Liz: So I do believe that we should be talking to kids about how their brains work. And I want to be really mindful of the parent journey as I talk about this. I think that the most important piece is that, as a parent, you understand how your child's brain works, and that you go through your own process of integrating that with how you see your child. And that's a really important journey and a huge piece of the journey, because when we start talking to kids about how their brains work, we need to be really confident as adults.So I think that while I see this as so important—talking to kids about their diagnosis—I want to make sure that parents are taking time and space to understand it themselves first.Sarah: I love that. That's such a sensitive answer, because if, say, you get the diagnosis of your child and to you it feels like, you know, it's this horrible thing—that would not be a good frame of mind to tell your child about their diagnosis in. Right? So really working through your own fears and your own… getting proper information about what the diagnosis means before you go to your child with that information.Liz: Exactly. And understanding what it means and what it doesn't mean. Because there's a lot of messages out there, especially around autism and ADHD, that are negative: that your child is broken in some way, we need to fix them, we need to make them more “normal,” whatever that means. I mean, all these messages are not helpful, not accurate. So really diving into the neurodiversity-affirming framework around these different neurotypes or brain types is a really important piece to give yourself time to process as a parent.That said, I do think that being able to have a really supportive conversation with your child about, “What did we learn about the assessment?”—you know, we already talked about that kids know something's different about them before we know. And so when they go through the assessment process, there's no hiding from them that we're doing something different for you. And they're the ones that go through all these different activities as part of the assessment; they're working very hard.And I, as an assessor, I'm very transparent with kids: “We're here to understand how your brain works,” because I was trained to tell kids, “We're going to play a lot of brain games, and it's going to be super fun, you'll get prizes.” Which it is fun until we do the thing that's hard for you. And then suddenly, it's not fun anymore. And kids are like, “Huh, I feel like you're not telling me the whole truth. This is not fun.” They pick up on it, right?So I tend to be really transparent with kids: “We're here to understand how your brain works. Some of the things that we do, your brain is going to find fun and maybe even easy to do. Some of the things are really going to challenge your brain. You might learn something new while you're here. If something's challenging, I want you to tell me about it, and we're going to figure it out together—like, ooh, that's going to be really interesting.”So we're already talking to kids about what's strong. And I use a construction metaphor that I can go into, but we talk about their brain highways and we talk about their construction projects—what they're working on. So kids are already learning so much about their brain as part of the assessment. And even without sharing the diagnosis, we can talk to them about what we learned, so that there's some de-mystifying there. “I went through this whole thing and now everyone's talking behind my back. They're having a bunch of meetings. There must be something wrong with me.” Instead, we can say, “I learned so many cool things about your brain. I learned that you are strong in this, and I learned that we're going to work on this. And so that's really helpful for me as a parent.”And then if we do have a diagnosis, what it adds when we share that with kids is: they know that they are not alone. It gives context. It lets them know that while the way their brain works is unique, there are lots of people out there who have very similar brains, who have been really successful with that kind of brain. There's a path laid out—that we know what to do to work with your unique brain. And so it really helps them feel like, “I'm not alone in this. It's not weird or broken in any way. This is just a different way to be in the world, and there's a roadmap for me.”Sarah: I love that. Yeah. I often, when I'm talking to parents, and you know, often after a couple of parent coaching sessions there'll be some things that make me say, “Have you ever… has anyone ever asked you if you were considering an ADHD assessment for your child?” I try to… you know, because I'm not a clinician, I can't diagnose anyone with anything. But there are certainly things that come up that make me think, “I think these people should get an assessment.”And often they— you know, I try to be really as positive as I can—but often they do have these really negative associations with, for example, ADHD. And then I say, like, “You know, how many entrepreneurs… there are way more entrepreneurs that have ADHD than the general population, and way more Olympic athletes and professional athletes.” And, you know, there are things that are just research- and statistic-backed that you can say that are positive about this differently wired brain.Liz: Right. I love the research on entrepreneurship and ADHD. I think that it's so amazing how well-equipped the ADHD brain is to be in a space where we're disrupting the status quo and trying new things, thinking outside of the box, really using that creativity. And it's just a world that needs this kind of brain to really move us forward. More neurotypical brains that work well with the way that society is built might not be as motivated to disrupt things in that positive way that moves us forward.Sarah: I love that. What are some other things that—you know, I feel like we've kind of covered most of the questions that I had planned on asking you—but are there any things that I haven't asked you or that we haven't touched on? You know, you've modeled some really beautiful ways of how to talk to your child about how their brain works. Maybe you want to go into your construction metaphor a little bit more, or maybe there are some other things that we haven't covered that you want to talk about.Liz: Sure. Well, I think that one of the things that may be really helpful is thinking about: what is the script for telling kids about their diagnosis? The way that I've found most helpful is using this construction metaphor, because it is pretty universal and it has so many places you can go with it, and it just gives you a way to start the conversation.For parents, it may sound something like: “You went through this whole process and I'm so grateful that you did, because we were able to learn some really cool things about your brain. Is it okay if I share that with you?” So asking that permission to start the conversation, because it is vulnerable for kids. You want to make sure that it's the right time and place. And most of the time, opening it like that will pique kids' curiosity, and they're like, “Yeah, of course, I want to know what you learned.”And then you might say, “You know, I learned that we can think of your brain like something that's under construction, like the construction sites we see on the side of the road—that we're always building our brain. And the way your brain works is that the different parts of your brain communicate through these neurons that make connections, like little tiny roads in your brain. And we learned that some of those roads are like highways for your brain. We learned that you have so many strengths.”“So, for example, we learned that you maybe have a great vocabulary and really express yourself well. We learned about your creativity, and when you're really passionate about something, you can focus in so amazingly well on that. We learned that you're a really loyal friend, or maybe that you have a really strong memory for stories”—you know, whatever it is. “We learned that you have these highways.”“We also know that some parts of your brain are under construction. Like, you might remember when you were little, you didn't know how to ride a bike yet, but then your brain had to put all those things together and now you ride your bike all the time. Do you remember kind of building that road? Well, there are some new roads that we're working on. And so we might be working on… one of the things we learned that's under construction for your brain is something called working memory. And I think that's why you're asking your teacher all the time for the next step—because you're doing something, you're advocating for yourself, because your brain does best when it gets one piece of information at a time. And that was so important for me to learn as a parent.”“And when we put these things together, lots of people have highways and construction zones just like yours. In fact, we have a name for it. We call that ADHD—when you have such a creative, passionate brain that loves to focus on the things that you are really into, but sometimes have difficulty keeping stuff in mind, this working memory piece—that's what we call ADHD. And it turns out there are lots and lots of people who have ADHD brains just like yours, and we can look at those people.”So that's kind of how I go through it with kids. We're really talking about their highways and construction projects and helping them understand that—and then repackaging it with that name for it. That there's a name for how your brain works. And that's where we start. And then from there, we can use that metaphor to keep building the next thing, working on the next construction project as we move forward.Sarah: Would there be anything specifically different or similar, I guess, about talking about an autism diagnosis for kids with that construction metaphor?Liz: Yeah, so I use the same metaphor, but the highways and construction zones, for every kid, are going to be a little different. So for an autistic kid—if I think of one kid in particular—we might say that we learned that you have this really passionate brain that loves engineering and building, and the things you did with Dr. Liz where you had to solve puzzles and use logic, that was a highway in your brain. And we know that one of the ways that your brain works really well is when you have space to move and to be able to use your body in different ways.Then some of the things that might be under construction are… usually I'll start with something that a child has told me is more challenging for him or her. “So you know how you said that sometimes other kids might say things that feel confusing, or you're not sure what they mean? That's something that might be harder for your brain—or something that is a construction project that we'll work on with you, so that it's easier to understand other kids.”“And when we put these things together—when kids have brains that are really passionate and pay attention to details, that love engineering, but have trouble figuring out what other kids are saying or meaning—then we call that autism. And it's a different way of a brain being in the world. And so, as you learn to work with your autistic brain, you'll figure out how to really dive deep into your passions and you'll be able to thrive, find the connections that you want, and we're here to help.”Sarah: I love that. And I love how, when you talk about construction zones, it's full of promise too, right? I read something from someone… that you can work on things—what I mean by full of promise is that there are things that can be worked on that might feel hard or confusing now, but it doesn't leave a child with a sense of, “I'll never be able to figure it out, and it's always going to be this way.”Liz: Yeah. One of the ways the construction metaphor has really evolved is that for some things, we're building that road, and for some things, we're finding a different way to get there. One of the things that I write in my books is that you might build a road there, or you might find a totally different way to get there. In the new book for parents, there's a picture of a flying car, you know, kind of flying over the construction zone. And I think that it's really true for our kids that for some skills, there might be some things that we need to learn and really build that pathway in our brain, but for some things, there might just be a different way.I think for autistic kids, for example, they might connect with others in really different ways. And so it's like building a totally new way to get there—building a different road, taking the scenic route. There are so many ways we can adapt the metaphor to say, “We're still going to get you to your goal, where you want to go, but your road might look really different than somebody else's, and that's okay. It's going to be the best road for you.”Sarah: I love that, because it also—I mean, not only is it promising that you're going to get to where you want to go, but it also, I think, helps relieve parents of an idea that I see sometimes, where they want their kids to be more like neurotypical kids, right? They think that's the only way to get to the goal, is for them to have, you know, just using the example of social connections: the social connections of an autistic kid might be really, really strong but look totally different from the social connections of a neurotypical kid.Liz: Exactly. Yeah.Sarah: That reminds me of something that I was going to ask you earlier and I forgot, which was: you mentioned that sometimes when you get a diagnosis, you have a clinician who wants to try to tell you how you should change your child, or help them be more “normal” or more “typical,” and that clearly would be from somebody who's not very neurodiversity-affirming. But what are some things to look out for that might be sort of, I guess, red flags or green flags in terms of the person that you're looking for to do an assessment—or if you've already got the assessment, how they're interpreting the diagnosis—that might be more or less helpful?Liz: Yeah. So I love this question, because I think one of the most important questions you can ask a clinician when you are looking for an assessment is: “How do you involve my child in the assessment?” Or, “What will you tell them about what you learned?” Looking for somebody who is really well-versed in, “How do I talk to the child about it?” is going to tell you that they're really thinking about, “How do we frame this in a way that's going to be helpful and affirming to a young child?”Because anybody who's really thinking about, “How do I communicate this in a way that's going to make sense to a small person?” has really been thinking about, “How do we think about the whole person, and how do we capitalize on those strengths?” So that is kind of a tell, to say that this person is thinking in this more holistic way—and not just about, “Does this child fit the diagnostic criteria?”If you've had an assessment with somebody that is more coming from that medical lens that we've all been trained in—this is so new, and so, you know, a lot of clinicians were trained from this medical lens, which is looking at, “What are the child's deficits, and do they meet criteria from this diagnostic manual that we have, the DSM, that is a list of things that are harder or quote-unquote wrong?”—from there, I think really getting connected with some more affirming resources is important.I have a ton on my website that can be really, really helpful. There's a spreadsheet of ways of talking about autism, ADHD, dyslexia, behavior, anxiety, OCD in really affirming ways. And so just immersing yourself in those resources so you can get that positive language for talking to your child. Or working with the next practitioner—a therapist, a tutor—who has experience working from a neurodiversity-affirming lens, so that you can help to translate those testing results into something that's going to really be focused on: how do we help your child thrive with the brain that they have?Sarah: Thank you. That makes so much sense.This has been so helpful, and I think that so many parents are going to find this really useful—in how to talk to their kids and how to think about it, how to think about it themselves. What it… oh, it has just totally thrown me that I couldn't remember that thing. All right. So thank you so much for joining us and telling us about all this stuff. You mentioned a couple of books, so we'll get your books in the show notes for folks, but where else is the best place for people to go and find out more about you and what you do?Liz: Yeah, so I have a ton of free resources for parents on explainingbrains.com. There are articles—just very, very short, parent-friendly articles—with both the strengths, the “highways,” and common construction projects for ADHD brains, for autistic brains, for dyslexic brains, for kids who have difficulty regulating behavior, anxiety, intellectual disability—just ways of explaining so many different types of brains, as well as what we do about things like screen time or talking about medication. So hopefully that resource is helpful for parents.And then I have a brand-new book out for parents called Our Brains, and it is an interactive, collaborative workbook that helps you explain a diagnosis to your child. So it's something that you can get after an assessment, and it will walk you through explaining to your child how their brain works, what you learned from the assessment. Or, if you have a diagnosis that's been on the table for a long time and you just haven't had that conversation with them yet, it is designed to really help kids not just know, “Okay, this is my diagnosis,” but really understand how their brain works and how they can advocate for what their brain needs to thrive.Sarah: Fantastic. That is going to be so helpful for so many parents. Okay, now here's the mystery question that I told you about before we started recording, and this is a question I ask all my guests. So, if you had a time machine and you could go back in time and give a message to your younger parent self, what advice would you give yourself?Liz: Oh. I would just constantly remind myself that there are so many ways to be in this world, and it's all okay. I think—even I was amazed—that even as somebody who has decades of experience in this field and has made a life out of celebrating neurodiversity, there was a way that doctors communicated with me from this deficit lens that would just put my mommy brain on high alert all the time when something was just a little bit different. And I really needed just constant reminders that my child is going to show up how they're going to show up, and that that is not only okay, but it is beautiful and amazing and so important to how they are and the unique contribution they're going to have to this world.And it's something that I've grown into—my child's seven and a half now—and it's something that we get to celebrate all the time: incredible uniqueness, and celebrate. But I think I remember very distinctly as a new mom, just with all the doctors using their jargony, deficit-based language, it was just really hard to keep that solid head on my shoulders. But I think it's a really important message to keep with us: that there's just so many ways to be, and it's all amazing.Sarah: I love that. Thank you so much for joining us, and really appreciate it.Liz: Thank you for having me. This has been a blast. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit sarahrosensweet.substack.com/subscribe

On this episode of the Food Junkies Podcast, we welcome back Dr. Erica LaFata to dive into her groundbreaking work developing the Food Addiction Severity Interview (FASI) — a clinician-administered diagnostic tool modeled after the SCID alcohol use disorder module and adapted for ultra-processed foods. Building on self-report tools like the Yale Food Addiction Scale (YFAS) and mYFAS, Erica explains why the field urgently needs a structured clinical interview to validate ultra-processed food addiction as a distinct psychiatric presentation and move toward formal recognition in the DSM. Together, we explore the nuance at the intersection of eating disorders and ultra-processed food addiction: where they overlap, where they diverge, and how mislabeling can harm people on both sides. Erica unpacks key addiction mechanisms like withdrawal and tolerance, the risks of false positives and false negatives in screening, and what clinicians should be listening for when trying to tell restrictive eating, binge eating, and addictive patterns apart – especially in youth, men, and other under-researched groups. The conversation also gets practical and hopeful: we talk about the competencies therapists, dietitians, coaches, and other practitioners need before working with ultra-processed food addiction; the tension between abstinence and harm reduction; the "volume addiction" question; and how orthorexia and the "health halo" of protein bars and high-protein UPFs can quietly hijack recovery. Erica closes by sharing how FASI data could inform future public policy and regulation of ultra-processed foods without fueling weight stigma – and gives an exciting update on the DSM submission process for ultra-processed food addiction as a condition for further study. In this episode, we discuss: Why self-report tools (YFAS, mYFAS) were a crucial first step—and why a clinician-administered interview like FASI is the necessary next one How FASI was modeled after the SCID alcohol use disorder module and adapted for ultra-processed foods The core addiction mechanisms (loss of control, withdrawal, tolerance, consequences) and how they show up with ultra-processed foods Key differences between traditional eating disorder frameworks ("all foods fit," no good/bad foods) and an addiction lens focused on specific ultra-processed foods What many food addiction coaches and practitioners may be missing without formal substance use or eating disorder training False positives vs false negatives in food addiction screens—and why missed cases (false negatives) are especially concerning How FASI uses follow-up questions to differentiate restriction, binge eating, and true addictive patterns What we know (and still don't know) about ultra-processed food addiction across sex, age, BMI, and developmental stages Early exposure in childhood and adolescence as a potential public health crisis for lifelong addictive responses to ultra-processed foods The high overlap between binge-type eating disorders (BED, bulimia nervosa) and food addiction—and what to prioritize in treatment "Volume addiction": whether what we call "addicted to volume" may actually be binge eating disorder in disguise Orthorexia, "clean eating," and the health halo of protein bars, high-protein snacks, and dressed-up "safe" foods The tension between abstinence-based and harm reduction approaches for ultra-processed foods, and why different strategies may work for different people How clinician bias (diet culture, anti-addiction frameworks, or rigid abstinence views) can affect assessment—and how FASI creates room for nuance How FASI and future data could support DSM recognition, inform policy, SNAP and marketing regulations, and reduce shame by naming ultra-processed food addiction as real and treatable A hopeful update on the DSM application for ultra-processed food addiction as a condition for further study

A pedofilia tem sido considerada, pelos discursos sociais, como a ‘mais abjeta' entre as perversões. No discurso médico, é uma patologia e refere-se ao fato de um adulto tomar crianças como objeto sexual. Será a pedofilia um pecado, um crime, uma doença? E como lidar com ela? Esta é a primeira de duas partes.Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (52min 52s)* PARTICIPAÇÕES ESPECIAISSvetlanna, ou Lanna, é trabalhadora sexual há 8 anos, voluntária no NEP (Núcleo de Estudos da Рrostituição em Porto Alegre), "putativista". No Twitter: @sv3tlannaJuliana Molina Constantino, psicóloga clínica, forense, escritora e educadora. Na clínica trabalha com adultos vítimas de abuso sexual infantil; na justiça atua conduzindo Depoimentos Especiais e realizando Perícias Psicológicas de crianças e adolescentes em processos de apuração de violência de todos os tipos, mas, principalmente a sexual. No Instagram: @psijuconstantino*Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*APOIO: INSIDERIlustríssima ouvinte, ilustríssimo ouvinte do Naruhodo, Seguimos firmes e fortes na Black November INSIDER,  a maior promoção da história da marca e o mês mais feliz para quem gosta de se vestir de maneira inteligente! Você já deve ter percebido como as condições do tempo andam malucas: amanhece frio, depois esquenta, depois esfria de novo, quando não chove entre uma coisa e outra...Sabe qual a solução ideal para dias assim? A Tech Long Sleeve Masculina, a camiseta tecnológica INSIDER com mangas longas.Você tem regulação térmica e toque leve, sem passar calor nem passar frio: é garantia de performance em qualquer estação.Na Black November INSIDER, elas podem sair com até 50% de desconto,  combinando o cupom NARUHODO com os descontos do site.E você pode aproveitar ainda mais a promoção: entrando no canal de WhatsApp da INSIDER, onde acontecem as FLASH PROMOS, com descontos ainda maiores, por tempo super limitado.Então não deixe pra depois e entre agora mesmo no grupo de Zap no link:https://creators.insiderstore.com.br/NARUHODOWPPBFOu clique no link que está na descrição deste episódio.INSIDER: inteligência em cada escolha.#InsiderStore*REFERÊNCIASPedofilia: revisão médica e repercussões penais https://www.teses.usp.br/teses/disponiveis/2/2136/tde-10042024-121635/en.phpOs árbitros do desejo e os enteados da natureza: controvérsias e ontologias sobre a categoria pedofilia em torno do DSM - 5 https://www.bdtd.uerj.br:8443/handle/1/19240Aspectos Psicológicos dos Protagonistas de Incestohttps://bdtd.ucb.br:8443/jspui/bitstream/123456789/1884/1/Texto%20Completo.pdfParafilias: uma classificação fenomenológicahttps://actaspsiquiatria.es/index.php/actas/article/download/564/821A Review of Academic Use of the Term “Minor Attracted Persons”https://journals.sagepub.com/doi/10.1177/15248380241270028Sexual interest in children among an online sample of men and women: prevalence and correlateshttps://pubmed.ncbi.nlm.nih.gov/24215791/Correlates and moderators of child pornography consumption in a community samplehttps://pubmed.ncbi.nlm.nih.gov/24088812/PSIQUIATRIA E PEDOFILIA: A ORGANIZAÇÃO B4U-ACT E O DIREITO À SAÚDE MENTAL DAS PESSOAS ATRAÍDAS POR MENORES (MAPS)https://proceedings.science/abrascao-2022/trabalhos/psiquiatria-e-pedofilia-a-organizacao-b4u-act-e-o-direito-a-saude-mental-das-pesThe DSM and the Stigmatization of People who Are Attracted to Minorshttps://www.researchgate.net/profile/Richard-Kramer-10/publication/365993590_The_DSM_and_the_Stigmatization_of_People_who_Are_Attracted_to_Minors/links/638bd5d7ca2e4b239c8896e1/The-DSM-and-the-Stigmatization-of-People-who-Are-Attracted-to-Minors.pdfChanging public attitudes toward minor attracted persons: an evaluation of an anti-stigma intervention https://www.tandfonline.com/doi/abs/10.1080/13552600.2020.1863486?casa_token=iK-wFTzYUbYAAAAA:UmI5w_4dc4d4C9FU9Z1OCpTp5oVb1CkeC1ygV8rg94GSUCUVG886jSpFi6sD_c8uDJQm4gQudZBIQualitative Analysis of Minor Attracted Persons' Subjective Experience: Implications for Treatment https://www.tandfonline.com/doi/abs/10.1080/0092623X.2022.2126808?casa_token=uNwM4nBfx9UAAAAA:Jo75nZFTKEtnYsLlbO2k0hBMaSc5iUC2a2hrGyWF_C5kRNI-ghibqhF01eZPhAv8ygWg-OHWAPyfBeing Sexually Attracted to Minors: Sexual Development, Coping With Forbidden Feelings, and Relieving Sexual Arousal in Self-Identified Pedophiles https://www.tandfonline.com/doi/full/10.1080/0092623X.2015.1061077?src=recsysA Long, Dark Shadow: Minor-Attracted People and Their Pursuit of Dignityhttps://books.google.com.br/books?hl=en&lr=&id=SksqEAAAQBAJ&oi=fnd&pg=PP9&dq=(MAPS)+attracted+by+minors&ots=h0RKV2g6vr&sig=39-uleVMpIgO4bkjPKShVScmfh0&redir_esc=y#v=onepage&q=(MAPS)%20attracted%20by%20minors&f=falseMisrepresenting the “MAP” Literature Does Little to Advance Child Abuse Prevention: A Critical Commentary and Response to Farmer, Salter, and Woodlockhttps://journals.sagepub.com/doi/full/10.1177/15248380251332197Outpatient Therapists' Perspectives on Working With Persons Who Are Sexually Interested in Minorshttps://link.springer.com/article/10.1007/s10508-022-02377-6The Terminology of “Minor Attracted People” and the Campaign to De-stigmatize Paedophilia Originated in Pro-pedophile Advocacyhttps://journals.sagepub.com/doi/full/10.1177/15248380251332198A Profile of Pedophilia: Definition, Characteristics of Offenders, Recidivism, Treatment Outcomes, and Forensic Issueshttps://www.mayoclinicproceedings.org/article/S0025-6196(11)61074-4/abstracthttps://linkinghub.elsevier.com/retrieve/pii/S0025619611610744Pedophilia and Sexual Offending Against Childrenhttps://www.apa.org/pubs/books/4317491Intervention Needs in Prison With Pedophile Inmateshttps://www.papelesdelpsicologo.es/pii?pii=3027Child molester or paedophile? Sociolegal versus psychopathological classification of sexual offenders against children https://www.tandfonline.com/doi/full/10.1080/13552600802133860School sex education, a process for evaluation: methodology and results https://academic.oup.com/her/article-abstract/11/2/205/628476Teachers' Attitudes and Opinions Toward Sexuality Education in School: A Systematic Review of Secondary and High School Teachers https://www.tandfonline.com/doi/abs/10.1080/15546128.2024.2353708‘Chronophilia': Entries of Erotic Age Preference into Descriptive Psychopathologyhttps://www.cambridge.org/core/journals/medical-history/article/chronophilia-entries-of-erotic-age-preference-into-descriptive-psychopathology/1896C08F07CB5F1A428CEEF3E1104586Biological Factors in the Development of Sexual Deviance and Aggression in Males.https://psycnet.apa.org/record/2006-12464-004Mamilos 123 - Pedofilia (2017)https://open.spotify.com/episode/3RxgeS0ZovQue7lK61TLkiNaruhodo #403 - Por que temos fetiches sexuais?https://www.youtube.com/watch?v=C-ET1nIP6WMNaruhodo #433 - Existe amizade entre homens e mulheres? - Parte 1 de 2https://www.youtube.com/watch?v=EFVaBfGaowgNaruhodo #434 - Existe amizade entre homens e mulheres? - Parte 2 de 2https://www.youtube.com/watch?v=H6D1yCni0rcNaruhodo #437 - O termo "macho alfa" faz sentido? - Parte 1 de 2https://www.youtube.com/watch?v=Qx1z1R_He_cNaruhodo #438 - O termo "macho alfa" faz sentido? - Parte 2 de 2https://www.youtube.com/watch?v=UNKh0Zd3h_kNaruhodo #399 - Assistir à pornografia vicia?https://www.youtube.com/watch?v=vByA0QVSOb8Naruhodo #150 - O que é o "No Fap September"?https://www.youtube.com/watch?v=8yWTngyTq1gNaruhodo #325 - Por que nos apaixonamos por vilões? - Parte 1 de 2https://www.youtube.com/watch?v=o9F4Q_jjF88Naruhodo #326 - Por que nos apaixonamos por vilões? - Parte 2 de 2https://www.youtube.com/watch?v=4gtkstkqpUwNaruhodo #320 - Por que nos identificamos com vilões?https://www.youtube.com/watch?v=ZH5aTG0xeLwNaruhodo #419 - Maconha faz mal? - Parte 1 de 2https://www.youtube.com/watch?v=cvLTh2bKPiQNaruhodo #420 - Maconha faz mal? - Parte 2 de 2https://www.youtube.com/watch?v=F7wVcGvpoGA*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale are once again joined by Felix's financial advisor Adrianna Adams from Domain Money to talk about…parents. They dig into the emotions of trying to take care of your aging parents while also growing your own wealth, the importance of setting goals, and how to deal with aging children AND aging parents at the same time.  For a visual experience, you can watch this episode on YouTube. Podcast production by Cheyna Roth. Video production by Micah Phillips. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale are once again joined by Felix's financial advisor Adrianna Adams from Domain Money to talk about…parents. They dig into the emotions of trying to take care of your aging parents while also growing your own wealth, the importance of setting goals, and how to deal with aging children AND aging parents at the same time. For a visual experience, you can watch this episode on YouTube.Podcast production by Cheyna Roth. Video production by Micah Phillips.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale are once again joined by Felix's financial advisor Adrianna Adams from Domain Money to talk about…parents. They dig into the emotions of trying to take care of your aging parents while also growing your own wealth, the importance of setting goals, and how to deal with aging children AND aging parents at the same time.  For a visual experience, you can watch this episode on YouTube. Podcast production by Cheyna Roth. Video production by Micah Phillips. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale dig into the stressful world of financial advice and planning for retirement. How do you know if you're set up financially to retire? Is it possible to think about retirement without having a panic attack? How much should you track your 401k? They're joined by Felix's financial advisor Adrianna Adams from Domain Money, to dig into these questions and so much more. For a visual experience, you can watch this episode on YouTube. Podcast production by Cheyna Roth. Video production by Micah Phillips. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale dig into the stressful world of financial advice and planning for retirement. How do you know if you're set up financially to retire? Is it possible to think about retirement without having a panic attack? How much should you track your 401k? They're joined by Felix's financial advisor Adrianna Adams from Domain Money, to dig into these questions and so much more.For a visual experience, you can watch this episode on YouTube.Podcast production by Cheyna Roth. Video production by Micah Phillips.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale dig into the stressful world of financial advice and planning for retirement. How do you know if you're set up financially to retire? Is it possible to think about retirement without having a panic attack? How much should you track your 401k? They're joined by Felix's financial advisor Adrianna Adams from Domain Money, to dig into these questions and so much more. For a visual experience, you can watch this episode on YouTube. Podcast production by Cheyna Roth. Video production by Micah Phillips. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nearly 16.4 million Americans served in the U.S. Armed Forces in World War II, and for millions of survivors, the fighting left many of them physically and mentally broken for life. There was a 25% death rate in Japanese POW camps like Bataan, where starvation and torture were rampant, and fierce battles against suicidal Imperial Japanese forces, like at Iwo Jima, where 6,800 Americans died. Additionally, the psychological toll of witnessing Holocaust atrocities and enduring up to three years away from home intensified the war’s brutality. This is why when they returned home, they had physical and psychological wounds that festered, sometimes for years, sometimes for decades, and sometimes for the rest of their lives. Veterans suffering from recurring nightmares, uncontrollable rages, and social isolation were treated by doctors who had little understanding of PTSD, a term that didn’t enter the DSM until 1984. Returning veterans and their families were forced to double up with their parents or squeeze into overcrowded, substandard shelters as the country wrestled with a housing crisis. Divorce rates doubled, with more than 1 million GIs leaving or being left by their wives by 1950. Alcoholism was rampant, and an entire generation became addicted to smoking. To explore this dark shadow that hung over the WW2 generation, we’re joined by David Nasaw, author of The Wounded Generation: Coming Home After World War II. Those affected include the period’s most influential political and cultural leaders, including John F. Kennedy, Robert Dole, and Henry Kissinger; J. D. Salinger and Kurt Vonnegut; Harry Belafonte and Jimmy Stewart. We look at the ways the horrors of World War 2 shaped their lives, but we also see incredible resilience and those who found ways to move past the horrors of their wartime experiences, and what we can learn from that today.See omnystudio.com/listener for privacy information.

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale dig into the difficult decision of whether or not to have kids. Child care? School? New vehicle? All the baby gadgets? Kids are expensive! Anna has two kids, and Felix is famously childless. Between the two of them they dig into their decisions to have and not have kids, the budgeting and balancing of all the emotional and financial costs of kids, how kids can be a benefit later in life, and more. For a visual experience, you can watch this episode on YouTube. Podcast production by Cheyna Roth. Video production by Micah Phillips. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In a new, very special Death, Sex & Money and Slate Money crossover, Felix Salmon and Anna Sale dig into the difficult decision of whether or not to have kids.Child care? School? New vehicle? All the baby gadgets? Kids are expensive! Anna has two kids, and Felix is famously childless. Between the two of them they dig into their decisions to have and not have kids, the budgeting and balancing of all the emotional and financial costs of kids, how kids can be a benefit later in life, and more.For a visual experience, you can watch this episode on YouTube.Podcast production by Cheyna Roth. Video production by Micah Phillips.Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen.If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Hosted on Acast. See acast.com/privacy for more information.

In the early-morning hours of October 2, 2023, progressive activist and organizer Ryan Carson was stabbed and killed by a stranger on a Brooklyn sidewalk. His girlfriend Claudia Morales—who witnessed the crime, attempted CPR, and dialed 911—quickly became the target of sensationalist online posting. Internet trolls falsely claimed that she didn't cooperate with law enforcement and suggested that she and Ryan were, first and foremost, anti-police activists.  This week, Claudia talks to Anna about what it's like to become a flattened character in the online culture wars, and she explains what the online provocateurs get wrong about who she is and who Ryan was.  This episode was produced by Cameron Drews. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In the early-morning hours of October 2, 2023, progressive activist and organizer Ryan Carson was stabbed and killed by a stranger on a Brooklyn sidewalk. His girlfriend Claudia Morales—who witnessed the crime, attempted CPR, and dialed 911—quickly became the target of sensationalist online posting. Internet trolls falsely claimed that she didn't cooperate with law enforcement and suggested that she and Ryan were, first and foremost, anti-police activists.  This week, Claudia talks to Anna about what it's like to become a flattened character in the online culture wars, and she explains what the online provocateurs get wrong about who she is and who Ryan was.  This episode was produced by Cameron Drews. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christine Brown Woolley grew up in Utah with a dad and two moms, in a polygamist community called the Apostolic United Brethren. When she became an adult, she joined a polygamist marriage as a third wife, helped raise more than a dozen kids, and became co-star of the TLC reality show Sister Wives.  Fast forward to 2025, and she has left her marriage and her polygamist faith. This week, she talks to Anna about the pros and cons of her former lifestyle, how being on a reality show helped her family to confront and process conflicts, and why she's so happy being re-married and monogamous. Her new memoir is Sister Wife: A Memoir of Faith, Family, and Finding Freedom.  This episode was produced by Cameron Drews. Get more Death, Sex & Money with Slate Plus! Join for exclusive bonus episodes of DSM and ad-free listening on all your favorite Slate podcasts. Subscribe from the Death, Sex & Money show page on Apple Podcasts or Spotify. Or, visit slate.com/dsmplus to get access wherever you listen. If you're new to the show, welcome. We're so glad you're here. Find us and follow us on Instagram and you can find Anna's newsletter at annasale.substack.com. Our email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Get 50% Off Monarch Money, the all-in-one financial tool at ⁠www.monarchmoney.com/DSM⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices