Podcasts about fnd

Functional movement disorders are a common clinical concern for neurologists. The principle of “rule-in” diagnosis, which involves demonstrating the difference between voluntary and automatic movement, can be carried through to explanation, triage, and evidence-based multidisciplinary rehabilitation therapy. In this episode, Gordon Smith, MD, FAAN speaks Jon Stone, PhD, MB, ChB, FRCP, an author of the article “Multidisciplinary Treatment for Functional Movement Disorder” in the Continuum® August 2025 Movement Disorders issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Stone is a consultant neurologist and honorary professor of neurology at the Centre for Clinical Brain Sciences at the University of Edinburgh in Edinburgh, United Kingdom. Additional Resources Read the article: Multidisciplinary Treatment for Functional Movement Disorder Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Guest: @jonstoneneuro Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. This exclusive Continuum Audio interview is available only to you, our subscribers. We hope you enjoy it. Thank you for listening. Dr Smith: Hello, this is Dr Gordon Smith. Today I've got the great pleasure of interviewing Dr Johnstone about his article on the multidisciplinary treatment for functional neurologic disorder, which he wrote with Dr Alan Carson. This article will appear in the August 2025 Continuum issue on movement disorders. I will say, Jon, that as a Continuum Audio interviewer, I usually take the interviews that come my way, and I'm happy about it. I learn something every time. They're all a lot of fun. But there have been two instances where I go out and actively seek to interview someone, and you are one of them. So, I'm super excited that they allowed me to talk with you today. For those of our listeners who understand or are familiar with FND, Dr Stone is a true luminary and a leader in this, both in clinical care and research. He's also a true humanist. And I have a bit of a bias here, but he was the first awardee of the Ted Burns Humanism in Neurology award, which is a real honor and reflective of your great work. So welcome to the podcast, Jon. Maybe you can introduce yourself to our audience. Dr Stone: Well, thank you so much, Gordon. It was such a pleasure to get that award, the Ted Burns Award, because Ted was such a great character. I think the spirit of his podcasts is seen in the spirit of these podcasts as well. So, I'm a neurologist in Edinburgh in Scotland. I'm from England originally. I'm very much a general neurologist still. I still work full-time. I do general neurology, acute neurology, and I do two FND clinics a week. I have a research group with Alan Carson, who you mentioned; a very clinical research group, and we've been doing that for about 25 years. Dr Smith: I really want to hear more about your clinical approach and how you run the clinic, but I wonder if it would be helpful for you to maybe provide a definition. What's the definition of a functional movement disorder? I mean, I think all of us see these patients, but it's actually nice to have a definition. Dr Stone: You know, that's one of the hardest things to do in any paper on FND. And I'm involved with the FND society, and we're trying to get together a definition. It's very hard to get an overarching definition. But from a movement disorder point of view, I think you're looking at a disorder where there is an impairment of voluntary movement, where you can demonstrate that there is an automatic movement, which is normal in the same movement. I mean, that's a very clumsy way of saying it. Ultimately, it's a disorder that's defined by the clinical features it has; a bit like saying, what is migraine? You know? Or, what is MS? You know, it's very hard to actually say that in a sentence. I think these are disorders of brain function at a very broad level, and particularly with FND disorders, of a sort of higher control of voluntary movement, I would say. Dr Smith: There's so many pearls in this article and others that you've written. One that I really like is that this isn't a diagnosis of exclusion, that this is an affirmative diagnosis that have clear diagnostic signs. And I wonder if you can talk a little bit about the diagnostic process, arriving at an FND diagnosis for a patient. Dr Stone: I think this is probably the most important sort of “switch-around” in the last fifteen, twenty years since I've been involved. It's not new information. You know, all of these diagnostic signs were well known in the 19th century; and in fact, many of them were described then as well. But they were kind of lost knowledge, so that by the time we got to the late nineties, this area---which was called conversion disorder then---it was written down. This is a diagnosis of exclusion that you make when you've ruled everything out. But in fact, we have lots of rule in signs, which I hope most listeners are familiar with. So, if you've got someone with a functional tremor, you would do a tremor entrainment test where you do rhythmic movements of your thumb and forefinger, ask the patient to copy them. It's very important that they copy you rather than make their own movements. And see if their tremor stops briefly, or perhaps entrains to the same rhythm that you're making, or perhaps they just can't make the movement. That might be one example. There's many examples for limb weakness and dystonia. There's a whole lot of stuff to learn there, basically, clinical skills. Dr Smith: You make a really interesting point early on in your article about the importance of the neurological assessment as part of the treatment of the patient. I wonder if you could talk to our listeners about that. Dr Stone: So, I think, you know, there's a perception that- certainly, there was a perception that that the neurologist is there to make a diagnosis. When I was training, the neurologist was there to tell the patient that they didn't have the kind of neurological problem and to go somewhere else. But in fact, that treatment process, when it goes well, I think begins from the moment you greet the patient in the waiting room, shake their hand, look at them. Things like asking the patient about all their symptoms, being the first doctor who's ever been interested in their, you know, horrendous exhaustion or their dizziness. You know, questions that many patients are aware that doctors often aren't very interested in. These are therapeutic opportunities, you know, as well as just taking the history that enable the patient to feel relaxed. They start thinking, oh, this person's actually interested in me. They're more likely to listen to what you've got to say if they get that feeling off you. So, I'd spend a lot of time going through physical symptoms. I go through time asking the patient what they do, and the patients will often tell you what they don't do. They say, I used to do this, I used to go running. Okay, you need to know that, but what do they actually do? Because that's such valuable information for their treatment plan. You know, they list a whole lot of TV shows that they really enjoy, they're probably not depressed. So that's kind of useful information. I also spend a lot of time talking to them about what they think is wrong. Be careful, that they can annoy patients, you know. Well, I've come to you because you're going to tell me what's wrong. But what sort of ideas had you had about what was wrong? I need to know so that I can deal with those ideas that you've had. Is there a particular reason that you're in my clinic today? Were you sent here? Was it your idea? Are there particular treatments that you think would really help you? These all set the scene for what's going to come later in terms of your explanation. And, more importantly, your triaging of the patient. Is this somebody where it's the right time to be embarking on treatment, which is a question we don't always ask yourself, I think. Dr Smith: That's a really great point and kind of segues to my next question, which is- you talked a little bit about this, right? Generally speaking, we have come up with this is a likely diagnosis earlier, midway through the encounter. And you talked a little bit about how to frame the encounter, knowing what's coming up. And then what's coming up is sharing with the patient our opinion. In your article, you point out this should be no different than telling someone they have Parkinson's disease, for instance. What pearls do you have and what pitfalls do you have in how to give the diagnosis? And, you know, a lot of us really weren't trained to do this. What's the right way, and what are the most common land mines that folks step on when they're trying to share this information with patients? Dr Stone: I've been thinking about this for a long time, and I've come to the conclusion that all we need to do with this disorder is stop being weird. What goes wrong? The main pitfall is that people think, oh God, this is FND, this is something a bit weird. It's in a different box to all of the other things and I have to do something weird. And people end up blurting out things like, well, your scan was normal or, you haven't got epilepsy or, you haven't got Parkinson's disease. That's not what you normally do. It's weird. What you normally do is you take a deep breath and you say, I'm sorry to tell you've got Parkinson's disease or, you have this type of dystonia. That's what you normally say. If you follow the normal- what goes wrong is that people don't follow the normal rules. The patient picks up on this. What's going on here? This doctor's telling me what I don't have and then they're starting to talk about some reason why I've got this, like stress, even though I don't- haven't been told what it is yet. You do the normal rules, give it a name, a name that you're comfortable with, preferably as specific as possible: functional tremor, functional dystonia. And then do what you normally do, which is explain to the patient why you think it's this. So, if someone's got Parkinson's, you say, I think you've got Parkinson's because I noticed that you're walking very slowly and you've got a tremor. And these are typical features of Parkinson. And so, you're talking about the features. This is where I think it's the most useful thing that you can do. And the thing that I do when it goes really well and it's gone badly somewhere else, the thing I probably do best, what was most useful, is showing the patient their signs. I don't know if you do that, Gordon, but it's maybe not something that we're used to doing. Dr Smith: Wait, maybe you can talk more about that, and maybe, perhaps, give an example? Talk about how that impacts treatment. I was really impressed about the approach to physical therapy, and treatment of patients really leverages the physical examination findings that we're all well-trained to look for. So maybe explore that a little bit. Dr Stone: Yeah, I think absolutely it does. And I think we've been evolving these thoughts over the last ten or fifteen years. But I started, you know, maybe about twenty years ago, started to show people their tremor entrainment tests. Or their Hoover sign, for example; if you don't know Hoover sign, weakness of hip extension, that comes back to normal when the person's flexing their normal leg, their normal hip. These are sort of diagnostic tricks that we had. Ahen I started writing articles about FND, various senior neurologists said to me, are you sure you should write this stuff down? Patients will find out. I wrote an article with Marc Edwards called “Trick or Treat in Neurology” about fifteen years ago to say that actually, although they're they might seem like tricks, there really are treats for patients because you're bringing the diagnosis into the clinic room. It's not about the normal scan. You can have FND and MS. It's not about the normal scan. It's about what you're seeing in front of you. If you show that patient, yes, you can't move your leg. The more you try, the worse it gets. I can see that. But look, lift up your other leg. Let me show you. Can you see now how strong your leg is? It's such a powerful way of communicating to the patient what's wrong with them diagnostically, giving them that confidence. What it's also doing is showing them the potential for improvement. It's giving them some hope, which they badly need. And, as we'll perhaps talk about, the physio treatment uses that as well because we have to use a different kind of physio for many forms of functional movement disorder, which relies on just glimpsing these little moments of normal function and promoting them, promoting the automatic movement, squashing down that abnormal pattern of voluntary movement that people have got with FND. Dr Smith: So, maybe we can talk about that now. You know, I've got a bunch of other questions to ask you about mechanism and stuff, but let's talk about the approach to physical therapy because it's such a good lead-in and I always worry that our physical therapists aren't knowledgeable about this. So, maybe some examples, you have some really great ones in the article. And then words of wisdom for us as we're engaging physical therapists who may not be familiar with FND, how to kind of build that competency and relationship with the therapist with whom you work. Dr Stone: Some of the stuff is the same. Some of the rehabilitation ideas are similar, thinking about boom and bust activity, which is very common in these patients, or grading activity. That's similar, but some of them are really different. So, if you have a patient with a stroke, the physiotherapist might be very used to getting that person to think and look at their leg to try and help them move, which is part of their rehabilitation. In FND, that makes things worse. That's what's happening in Hoover sign and tremor entrainment sign. Attention towards the limb is making it worse. But if the patient's on board with the diagnosis and understands it, they'll also see what you need to do, then, in the physio is actively use distraction in a very transparent way and say to the patient, look, I think if I get you to do that movement, and I'll film you, I think your movement's going to look better. Wouldn't that be great if we could demonstrate that? And the patient says, yeah, that would be great. We're kind of actively using distraction. We're doing things that would seem a bit strange for someone with other forms of movement disorder. So, the patients, for example, with functional gait disorders who you discover can jog quite well on a treadmill. In fact, that's another diagnostic test. Or they can walk backwards, or they can dance or pretend that they're ice skating, and they have much more fluid movements because their ice skating program in their brain is not corrupted, but their normal walking program is. So, can you then turn ice skating or jogging into normal walking? It's not that complicated, I think. The basic ideas are pretty simple, but it does require some creativity from whoever's doing the therapy because you have to use what the patient's into. So, if the patient used to be a dancer- we had a patient who was a, she was really into ballet dancing. Her ballet was great, but her walking was terrible. So, they used ballet to help her walk again. And that's incredibly satisfying for the therapist as well. So, if you have a therapist who's not sure, there are consensus recommendations. There are videos. One really good success often makes a therapist want to do that again and think, oh, that's interesting. I really helped that patient get better. Dr Smith: For a long time, this has been framed as a mental health issue, conversion disorder, and maybe we can talk a little bit about early life of trauma as a risk factor. But, you know, listening to you talk, it sounds like a brain network problem. Even the word “functional”, to me, it seems a little judgmental. I don't know if this is the best term, but is this really a network problem? Dr Stone: The word “functional”, for most neurologists, sounds judgmental because of what you associate it with. If you think about what the word actually is, it's- it does what it says on the tin. There's a disordered brain function. I mean, it's not a great word. It's the least worst term, in my view. And yes, of course it's a brain network problem, because what other organ is it going to be? You know, that's gone wrong? When software brains go wrong, they go wrong in networks. But I think we have to be careful not to swing that pendulum too far to the other side because the problem here, when we say asking the question, is this a mental health problem or a neurological one, we're just asking the wrong question. We're asking a question that makes no sense. However you try and answer that, you're going to get a stupid answer because the question doesn't make sense. We shouldn't have those categories. It's one organ. And what's so fascinating about FND---and I hope what can incite your sort of curiosity about it---is this disorder which defies this categorization. You see some patients with it, they say, oh, they've got a brain network disorder. Then you meet another patient who was sexually abused for five years by their uncle when they were nine, between nine and fourteen; they developed an incredibly strong dissociative threat response into that experience. They have crippling anxiety, PTSD, interpersonal problems, and their FND is sort of somehow a part of that; part of that experience that they've had. So, to ignore that or to deny or dismiss psychological, psychiatric aspects, is just as bad and just as much a mistake as to dismiss the kind of neurological aspects as well. Dr Smith: I wonder if this would be a good time to go back and talk a little bit about a concept that I found really interesting, and that is FND as a prodromal syndrome before a different neurological problem. So, for instance, FND prodromal to Parkinson's disease. Can you talk to us a little bit about that? I mean, obviously I was familiar with the fact that patients who have nonepileptic seizurelike events often have epileptic seizures, but the idea of FND ahead of Parkinson's was new to me. Dr Stone: So, this is definitely a thing that happens. It's interesting because previously, perhaps, if you saw someone who was referred with a functional tremor---this has happened to me and my colleagues. They send me some with a functional tremor. By the time I see them, it's obvious they've got Parkinson's because it's been a little gap. But it turns out that the diagnosis of functional tremor was wrong. It was just that they've developed that in the prodrome of Parkinson's disease. And if you think about it, it's what you'd expect, really, especially with Parkinson's disease. We know people develop anxiety in the prodrome of Parkinson's for ten, fifteen years before it's part of the prodrome. Anxiety is a very strong risk factor for FND, and they're already developing abnormalities in their brain predisposing them to tremor. So, you put those two things together, why wouldn't people get FND? It is interesting to think about how that's the opposite of seizures, because most people with comorbidity of functional seizures and epilepsy, 99% of the time the epilepsy came first. They had the experience of an epileptic seizure, which is frightening, which evokes strong threat response and has somehow then led to a recapitulation of that experience in a functional seizure. So yeah, it's really interesting how these disorders overlap. We're seeing something similar in early MS where, I think, there's a slight excess of functional symptoms; but as the disease progresses, they often become less, actually. Dr Smith: What is the prognosis with the types of physical therapy? And we haven't really talked about psychological therapy, but what's the success rate? And then what's the relapse rate or risk? Dr Stone: Well, it does depend who they're seeing, because I think---as you said---you're finding difficult to get people in your institution who you feel are comfortable with this. Well, that's a real problem. You know, you want your therapists to know about this condition, so that matters. But I think with a team with a multidisciplinary approach, which might include psychological therapy, physio, OT, I think the message is you can get really good outcomes. You don't want to oversell this to patients, because these treatments are not that good yet. You can get spectacular outcomes. And of course, people always show the videos of those. But in published studies, what you're seeing is that most studies of- case series of rehabilitation, people generally improve. And I think it's reasonable to say to a patient, that we have these treatments, there's a good chance it's going to help you. I can't guarantee it's going to help you. It's going to take a lot of work and this is something we have to do together. So, this is not something you're going to do to the patient, they're going to do it with you. Which is why it's so important to find out, hey, do they agree with you with the diagnosis? And check they do. And is it the right time? It's like when someone needs to lose weight or change any sort of behavior that they've just become ingrained. It's not easy to do. So, I don't know if that helps answer the question. Dr Smith: No, that's great. And you actually got right where I was wanting to go next, which is the idea of timing and acceptance. You brought this up earlier on, right? So, sometimes patients are excited and accepting of having an affirmative diagnosis, but sometimes there's some resistance. How do you manage the situation where you're making this diagnosis, but a patient's resistant to it? Maybe they're fixating on a different disease they think they have, or for whatever reason. How do you handle that in terms of initiating therapy of the overall diagnostic process? Dr Stone: We should, you know, respect people's rights to have whatever views they want about what's wrong with them. And I don't see my job as- I'm not there to change everyone's mind, but I think my job is to present the information to them in a kind of neutral way and say, look, here it is. This is what I think. My experience is, if you do that, most people are willing to listen. There are a few who are not, but most people are. And most of the time when it goes wrong, I have to say it's us and not the patients. But I think you do need to find out if they can have some hope. You can't do rehabilitation without hope, really. That's what you're looking for. I sometimes say to patients, where are you at with this? You know, I know this is a really hard thing to get your head around, you've never heard of it before. It's your own brain going wrong. I know that's weird. How much do you agree with it on a scale of naught to ten? Are you ten like completely agreeing, zero definitely don't? I might say, are you about a three? You know, just to make it easy for them to say, no, I really don't agree with you. Patients are often reluctant to tell you exactly what they're thinking. So, make it easy for them to disagree and then see where they're at. If they're about seven, say, that's good. But you know, it'd be great if you were nine or ten because this is going to be hard. It's painful and difficult, and you need to know that you're not damaging your body. Those sort of conversations are helpful. And even more importantly, is it the right time? Because again, if you explore that with people, if a single mother with four kids and, you know, huge debts and- you know, it's going to be very difficult for them to engage with rehab. So, you have to be realistic about whether it's the right time, too; but keep that hope going regardless. Dr Smith: So, Jon, there's so many things I want to talk to you about, but maybe rather than let me drive it, let me ask you, what's the most important thing that our listeners need to know that I haven't asked you about? Dr Stone: Oh God. I think when people come and visit me, they sometimes, let's go and see this guy who does a lot of FND, and surely, it'll be so easy for him, you know? And I think some of the feedback I've had from visitors is, it's been helpful to watch, to see that it's difficult for me too. You know, this is quite hard work. Patients have lots of things to talk about. Often you don't have enough time to do it in. It's a complicated scenario that you're unravelling. So, it's okay if you find it difficult work. Personally, I think it's very rewarding work, and it's worth doing. It's worth spending the time. I think you only need to have a few patients where they've improved. And sometimes that encounter with the neurologist made a huge difference. Think about whether that is worth it. You know, if you do that with five patients and one or two of them have that amazing, really good response, well, that's probably worth it. It's worth getting out of bed in the morning. I think reflecting on, is this something you want to do and put time and effort into, is worthwhile because I recognize it is challenging at times, and that's okay. Dr Smith: That's a great number needed to treat, five or six. Dr Stone: Exactly. I think it's probably less than that, but… Dr Smith: You're being conservative. Dr Stone: I think deliberately pessimistic; but I think it's more like two or three, yeah. Dr Smith: Let me ask one other question. There's so much more for our listeners in the article. This should be required reading, in my opinion. I think that of most Continuum, but this, I really truly mean it. But I think you've probably inspired a lot of listeners, right? What's the next step? We have a general or comprehensive neurologist working in a community practice who's inspired and wants to engage in the proactive care of the FND patients they see. What's the next step or advice you have for them as they embark on this? It strikes me, like- and I think you said this in the article, it's hard work and it's hard to do by yourself. So, what's the advice for someone to kind of get started? Dr Stone: Yeah, find some friends pretty quick. Though, yeah, your own enthusiasm can take you a long way, you know, especially with we've got much better resources than we have. But it can only take you so far. It's really particularly important, I think, to find somebody, a psychiatrist or psychologist, you can share patients with and have help with. In Edinburgh, that's been very important. I've done all this work with the neuropsychiatrist, Alan Carson. It might be difficult to do that, but just find someone, send them an easy patient, talk to them, teach them some of this stuff about how to manage FND. It turns out it's not that different to what they're already doing. You know, the management of functional seizures, for example, is- or episodic functional movement disorders is very close to managing panic disorder in terms of the principles. If you know a bit about that, you can encourage people around you. And then therapists just love seeing these patients. So, yeah, you can build up slowly, but don't- try not to do it all on your own, I would say. There's a risk of burnout there. Dr Smith: Well, Dr Stone, thank you. You don't disappoint. This has really been a fantastic conversation. I really very much appreciate it. Dr Stone: That's great, Gordon. Thanks so much for your time, yeah. Dr Smith: Well, listeners, again, today I've had the great pleasure of interviewing Dr Jon Stone about his article on the multidisciplinary treatment for functional neurologic disorder, which he wrote with Dr Alan Carson. This article appears in the August 2025 Continuum issue on movement disorders. Please be sure to check out Continuum Audio episodes from this and other issues. And listeners, thank you once again for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. We hope you've enjoyed this subscriber-exclusive interview. Thank you for listening.

Investors looking at housing and homebuilders are probably wondering what to make of the seemingly contradictory messages out of the housing market. In this episode, Tyler, Matt, and Jon drill down into the confounding numbers in the housing market and some recent homebuilder earnings reports. Also, they react to Starbucks restructuring and serve up some stocks on their radar. Tyler Crowe, Matt Frankel, and Jon Quast discuss: - Starbucks unveils a $1 billion restructuring plan - The good, the bad, and the outlook for homebuilder stocks. - Stocks on our radar. Companies discussed: SBUX, CMG, KBH, LEN, MIAX, FND, TTD, ICE, SPGI, NDAQ, HD, LOW, AMZN, DHI Hosts: Tyler Crowe Guests: Matt Frankel, Jon Quast Engineer: Bart Shannon   Advertisements are sponsored content and provided for informational purposes only. The Motley Fool and its affiliates (collectively, "TMF") do not endorse, recommend, or verify the accuracy or completeness of the statements made within advertisements. TMF is not involved in the offer, sale, or solicitation of any securities advertised herein and makes no representations regarding the suitability, or risks associated with any investment opportunity presented. Investors should conduct their own due diligence and consult with legal, tax, and financial advisors before making any investment decisions. TMF assumes no responsibility for any losses or damages arising from this advertisement. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this week's episode, Brain & Life Podcast host Dr. Daniel Correa is joined by Tiffany Kairos, an epilepsy advocate and founder of the Epilepsy Network, and her husband Chris Kairos. Tiffany shares her journey of living with epilepsy and her recent diagnosis of Functional Neurologic Disorder (FND). Tiffany and Chris delve into their experience managing both conditions, the impact on daily life, and the support systems that help her navigate these experiences. Dr. Correa is then joined by Dr. W. Curt LaFrance, Inaugural Director of Neuropsychiatry and Behavioral Neurology at Rhode Island Hospital, Director of the VA Mind Brain program, and Professor of Psychiatry and Neurology at Brown University. Dr. LaFrance discusses the complexities of FND, the importance of integrating neurology and psychiatry for effective diagnosis and treatment, and the evolution of terminology to reduce stigma and improve patient engagement.   Additional Resources The Epilepsy Network (TEN) What is Functional Neurologic Disorder? Taking Control of Your Seizures Epilepsy Foundation The Anita Kaufman Foundation   Other Brain & Life Podcast Episodes on These Topics JenVon Cherry on Educating Communities of Color About Epilepsy Actor Cameron Boyce's Legacy and Raising Awareness About SUDEP Tiffany Kairos on Finding Her Voice in Epilepsy Advocacy   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media:   Guests: Tiffany Kairos @TiffanyKairos @theepilepsynetwork; Chris Kairos @ka1ro5; Dr. W. Curt LaFrance @brownuniversityhealth Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Paroxysmal movement disorders refer to a group of highly heterogeneous disorders that present with attacks of involuntary movements without loss of consciousness. These disorders demonstrate considerable and ever-expanding genetic and clinical heterogeneity, so an accurate clinical diagnosis has key therapeutic implications. In this episode, Kait Nevel, MD, speaks with Abhimanyu Mahajan, MD, MHS, FAAN, author of the article “Paroxysmal Movement Disorders” in the Continuum® August 2025 Movement Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Mahajan is an assistant professor of neurology and rehabilitation medicine at the James J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders at the University of Cincinnati in Cincinnati, Ohio. Additional Resources Read the article: Paroxysmal Movement Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @MahajanMD Full episode transcript available here Dr Jones: This is Doctor Lyell Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. Abhi, welcome to the podcast and please introduce yourself to the audience. Dr Mahajan: Thank you, Kait. Thank you for inviting me. My name is Abhi Mahajan. I'm an assistant professor of neurology and rehabilitation medicine at the University of Cincinnati in Cincinnati, Ohio. I'm happy to be here. Dr Nevel: Wonderful. Well, I'm really excited to talk to you about your article today on this very interesting and unique set of movement disorders. So, before we get into your article a little bit more, I think just kind of the set the stage for the discussion so that we're all on the same page. Could you start us off with some definitions? What are paroxysmal movement disorders? And generally, how do we start to kind of categorize these in our minds? Dr Mahajan: So, the term paroxysmal movement disorders refers to a group of highly heterogeneous disorders. These may present with attacks of involuntary movements, commonly a combination of dystonia and chorea, or ataxia, or both. These movements are typically without loss of consciousness and may follow, may follow, so with or without known triggers. In terms of the classification, these have been classified in a number of ways. Classically, these have been classified based on the trigger. So, if the paroxysmal movement disorder follows activity, these are called kinesigenic, paroxysmal, kinesigenic dyskinesia. If they are not followed by activity, they're called non kinesigenic dyskinesia and then if they've followed prolonged activity or exercise they're called paroxysmal exercise induced dyskinesia. There's a separate but related group of protogynous movement disorders called episodic attacks here that can have their own triggers. Initially this was the classification that was said. Subsequent classifications have placed their focus on the ideology of these attacks that could be familiar or acquired and of course understanding of familiar or genetic causes of paroxysmal movement disorders keeps on expanding and so on and so forth. And more recently, response to pharmacotherapy and specific clinical features have also been introduced into the classification. Dr Nevel: Great, thank you for that. Can you share with us what you think is the most important takeaway from your article for the practicing neurologist? Dr Mahajan: Absolutely. I think it's important to recognize that everything that looks and sounds bizarre should not be dismissed as malingering. Such hyperkinetic and again in quotations, “bizarre movements”. They may appear functional to the untrained eye or the lazy eye. These movements can be diagnosed. Paroxysmal movement disorders can be diagnosed with a good clinical history and exam and may be treated with a lot of success with medications that are readily available and cheap. So, you can actually make a huge amount of difference to your patients' lives by practicing old-school neurology. Dr Nevel: That's great, thank you so much for that. I can imagine that scenario does come up where somebody is thought to have a functional neurological disorder but really has a proximal movement disorder. You mentioned that in your article, how it's important to distinguish between these two, how there can be similarities at times. Do you mind giving us a little bit more in terms of how do we differentiate between functional neurologic disorder and paroxysmal movement disorder? Dr Mahajan: So clinical differentiation of functional neurological disorder from paroxysmal movement disorders, of course it's really important as a management is completely different, but it can be quite challenging. There's certainly an overlap. So, there can be an overlap with presentation, with phenomenology. Paroxysmal nature is common to both of them. In addition, FND and PMD's may commonly share triggers, whether they are movement, physical exercise. Other triggers include emotional stimuli, even touch or auditory stimuli. What makes it even more challenging is that FND's may coexist with other neurological disorders, including paroxysmal movement disorders. However, there are certain specific phenom phenotypic differences that have been reported. So specific presentations, for example the paroxysms may look different. Each paroxysm may look different in functional neurological disorders, specific phenotypes like paroxysmal akinesia. So, these are long duration episodes with eyes closed. Certain kinds of paroxysmal hyperkinesia with ataxia and dystonia have been reported. Of course. More commonly we see PNES of paroxysmal nonepileptic spells or seizures that may be considered paroxysmal movement disorders but represent completely different etiology which is FND. Within the world of movement disorders, functional jerks may resemble propiospinal myoclonus which is a completely different entity. Overall, there are certain things that help separate functional movement disorders from paroxysmal movement disorders, such as an acute onset variable and inconsistent phenomenology. They can be suggestibility, distractibility, entrainment, the use of an EMG may show a B-potential (Bereitschaftspotential) preceding the movement in patients with FND. So, all of these cues are really helpful. Dr Nevel: Great, thanks. When you're seeing a patient who's reporting to these paroxysmal uncontrollable movements, what kind of features of their story really tips you off that this might be a proximal movement disorder? Dr Mahajan: Often these patients have been diagnosed with functional neurological disorders and they come to us. But for me, whenever the patient and or the family talk about episodic movements, I think about these. Honestly, we must be aware that there is a possibility that the movements that the patients are reporting that you may not see in clinic. Maybe there are obvious movement disorders. Specifically, there's certain clues that you should always ask for in the history, for example, ask for the age of onset, a description of movements. Patients typically have videos or families have videos. You may not be able to see them in clinic. The regularity of frequency of these movements, how long the attacks are, is there any family history of or not? On the basis of triggers, whether, as I mentioned before, do these follow exercise? Prolonged exercise? Or neither of the above? What is the presentation in between attacks, which I think is a very important clinical clue. Your examination may be limited to videos, but it's important not just to examine the video which represents the patient during an attack, but in between attacks. That is important. And of course, I suspect we'll get to the treatment, but the treatment can follow just this part, the history and physical exam. It may be refined with further testing, including genetic testing. Dr Nevel: Great. On the note of genetic testing, when you do suspect a diagnosis of paroxysmal movement disorder, what are some key points for the provider to be aware of about genetic testing? How do we go about that? I know that there are lots of different options for genetic testing and it gets complicated. What do you suggest? Dr Mahajan: Traditionally, things were a little bit easier, right, because we had a couple of genes that have been associated with the robust movement disorders. So, genetic testing included single gene testing, testing for PRRT2 followed by SLC2A. And if these were negative, you said, well, this is not a genetic ideology for paroxysmal movement disorders. Of course, with time that has changed. There's an increase in known genes and variants. There is increased genetic entropy. So, the same genetic mutation may present with many phenotypes and different genetic mutations may present with the similar phenotype. Single gene testing is not a high yield approach. Overall genetic investigations for paroxysmal movement disorders use next generation sequencing or whole exome sequence panels which allow for sequencing of multiple genes simultaneously. The reported diagnostic yield with let's say next generation sequencing is around 35 to 50 percent. Specific labs at centers have developed their own panels which may improve the yield of course. In children, microarray may be considered, especially the presentation includes epilepsy or intellectual disability because copy number variations may not be detected by a whole exome sequencing or next generation sequencing. Overall, I will tell you that I'm certainly not an expert in genetics, so whenever you're considering genetic testing, if possible, please utilize the expertise of a genetic counsellor. Families want to know, especially as an understanding of the molecular underpinnings and knowledge about associated mutations or variations keeps on expanding. We need to incorporate their expertise. A variant of unknown significance, which is quite a common result with genetic testing, may not be a variant of unknown significance next year may be reclassified as pathogenic. So, this is extremely important. Dr Nevel: Yeah. That's such a good point. Thank you. And you just mentioned that there are some genetic mutations that can lead to multiple different phenotypes. Seemingly similar phenotypes can be associated with various genetic mutations. What's our understanding of that? Do we have an understanding of that? Why there is this seeming disconnect at times between the specific genetic mutation and the phenotype? Dr Mahajan: That is a tough question to answer for all paroxysmal movement disorders because the answer may be specific to a specific mutation. I think a great example is the CACNA1A mutation. It is a common cause of episodic ataxia type 2. Depending on when the patient presents, you can have a whole gamut of clinical presentations. So, if the patient is 1 year old, the patient can present with epileptic encephalopathy. Two to 5 years, it can be benign paroxysmal torticollis of infancy. Five to 10 years, can present with learning difficulties with absence epilepsy and then of course later, greater than 10 years, with episodic ataxia (type) 2 hemiplegic migraine and then a presentation with progressive ataxia and hemiplegic migraines has also been reported. So not just episodic progressive form of ataxia has also been reported. I think overall these disorders are very rare. They are even more infrequently diagnosed than their prevalence. As such, the point that different genetic mutations present with different phenotypes, or the same genetic mutation I may present with different phenotypes could also represent this part. Understanding of the clinical presentation is really incomplete and forever growing. There's a new case report or case series every other month, which makes this a little bit challenging, but that's all the more reason for learning about them and for constant vigilance for patients who show up to our clinic. Dr Nevel: Yeah, absolutely. What is our current understanding of the associated pathophysiology of these conditions and the pathophysiology relating to the genetics? And then how does that relate to the treatment of these conditions? Dr Mahajan: So, a number of different disease mechanisms have been proposed. Traditionally, these were all thought to be ion channelopathies, but a number of different processes have been proposed now. So, depending on the genetic mutation that you talk about. So certain mutations can involve ion channels such as CACMA1A, ATP1A3. It can involve solute carriers, synaptic vesicle fusion, energy metabolism such as ECHS1, synthesis of neurotransmitters such as GCH1. So, there are multiple processes that may be involved. I think overall for the practicing clinician such as me, I think there is a greater need for us to understand the underlying genetics and associated phenotypes and the molecular mechanisms specifically because these can actually influence treatment decisions, right? So, you mentioned that specific genetic testing understanding of the underlying molecular mechanism can influence specific treatments. As an example, a patient presenting with proximal nocturnal dyskinesia with mutation in the ADCY5 gene may respond beautifully to caffeine. Other examples if you have SLC2A1, so gluc-1 (glucose transporter type 1) mutation, a ketogenic diet may work really well. If you have PDHA1 mutation that may respond to thiamine and so on and so forth. There are certain patients where paroxysmal movement disorders are highly disabling and you may consider deep brain stimulation. That's another reason why it may be important to understand genetic mutations because there is literature on response to DBS with certain mutations versus others. Helps like counselling for patients and families, and of course introduces time, effort, and money spent in additional testing. Dr Nevel: Other than genetic testing, what other diagnostic work up do you consider when you're evaluating patients with a suspected paroxysmal movement disorder? Are there specific things in the history or on exam that would prompt you to do certain testing to look for perhaps other things in your differential when you're first evaluating a patient? Dr Mahajan: In this article, I provide a flow chart that helps me assess these patients as well. I think overall the history taking and neurological exam outside of these paroxysms is really important. So, the clinical exam in between these episodic events, for example, for history, specific examples include, well, when do these paroxysms happen? Do they happen or are they precipitated with meals that might indicate that there's something to do with glucose metabolism? Do they follow exercise? So, a specific example is in Moyamoya disease, they can be limb shaking that follows exercise. So, which gives you a clue to what the etiology could be. Of course, family history is important, but again, talking about the exam in between episodes, you know, this is actually a great point because out– we've talked about genetics, we've talked about idiopathic paroxysmal movement disorders, –but a number of these disorders are because of acquired causes. Well, of course it's important because acquired causes such as autoimmune causes, so multiple sclerosis, ADEM, lupus, LGI1, all of these NMDAR, I mentioned Moyamoya disease and metabolic causes. Of course, you can consider FND as under-acquired as well. But all of these causes have very different treatments and they have very different prognosis. So, I think it's extremely important for us to look into the history with a fine comb and then examine these patients in between these episodes and keep our mind open about acquired causes as well. Dr Nevel: When you evaluate these patients, are you routinely ordering vascular imaging and autoimmune kind of serologies and things like that to evaluate for these other acquired causes or it does it really just depend on the clinical presentation of the patient? Dr Mahajan: It mostly depends on the clinical presentation. I mean, if the exam is let's say completely normal, there are no other risk factors in a thirty year old, then you know, with a normal exam, normal history, no other risk factors. I may not order an MRI of the brain. But if the patient is 55 or 60 (years) with vascular risk factors, then you have to be mindful that this could be a TIA. If the patient has let's say in the 30s and in between these episodes too has basically has a sequel of these paroxysms, then you may want to consider autoimmune. I think the understanding of paraneoplastic, even autoimmune disorders, is expanding as well. So, you know the pattern matters. So, if all of this is subacute started a few months ago, then I have a low threshold for ordering testing for autoimmune and paraneoplastic ideology is simply because it makes such a huge difference in terms of how you approach the treatment and the long-term prognosis. Dr Nevel: Yeah, absolutely. What do you find most challenging about the management of patients with paroxysmal movement disorders? And then also what is most rewarding? Dr Mahajan: I think the answer to both those questions is, is the same. The first thing is there's so much advancement in what we know and how we understand these disorders so regularly that it's really hard to keep on track. Even for this article, it took me a few months to write this article, and between the time and I started and when I ended, there were new papers to include new case reports, case series, right? So, these are rare disorders. So most of our understanding for these disorders comes from case reports and case series, and it's in a constant state of advancement. I think that is the most challenging part, but it's also the most interesting part as well. I think the challenging and interesting part is the heterogeneity of presentation as well. These can involve just one part of your body, your entire body can present with paroxysmal events, with multiple different phenomenologies and they might change over time. So overall, it's highly rewarding to diagnose such patients in clinic. As I said before, you can make a sizeable difference with the medication which is usually inexpensive, which is obviously a great point to mention these days in our health system. But with anti-seizure drugs, you can put the right diagnosis, you can make a huge difference. I just wanted to make a point that this is not minimizing in any way the validity or the importance of diagnosing patients with functional neurological disorders correctly. Both of them are as organic. The importance is the treatment is completely different. So, if you're diagnosing somebody with FND and they do have FND and they get cognitive behavioral therapy and they get better, that's fantastic. But if somebody has paroxysmal movement disorders and they undergo cognitive behavioral therapy and they're not doing well, that doesn't help anybody. Dr Nevel: One hundred percent. As providers, obviously we all want to help our patients and having the correct diagnosis, you know, is the first step. What is most interesting to you about paroxysmal movement disorders? Dr Mahajan: So outside of the above, there are some unanswered questions that I find very interesting. Specifically, the overlap with epilepsy is very interesting, including shared genes, the episodic nature, presence of triggers, therapeutic response to anti-seizure drugs. All of this I think deserves further study. In the clinic, you may find that epilepsy and prognosis for movement disorders may occur in the same individual or in a family. Episodic ataxia has been associated with seizures. Traditionally this dichotomy of an ictal focus. If it's cortical then it's epilepsy, if it's subcortical then it's prognosis for movement disorders. This is thought to be overly simplistic. There can be co-occurrence of seizures and paroxysmal movement disorders in the same patient and that has led to this continuum between these two that has been proposed. This is something that needs to be looked into in more detail. Our colleagues in Epilepsy may scoff this, but there's concept of basal ganglia epilepsy manifesting as paroxysmal movement disorders was proposed in the past. And there was this case report that was published out of Italy where there was ictal discharge from the supplementary sensory motor cortex with a concomitant discharge from the ipsilateral coordinate nucleus in a patient with paroxysmal kinesigenic cardioarthidosis. So again, you know, basal ganglia epilepsy, no matter what you call it, the idea is that there is a clear overlap between these two conditions. And I think that is fascinating. Dr Nevel: Really interesting stuff. Well, thank you so much for chatting with me today. Dr Mahajan: Thank you, Kait. And thank you to the Continuum for inviting me to write this article and for this chance to speak about it. I'm excited about how it turned out, and I hope readers enjoy it as well. Dr Nevel: Today again, I've been interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. I encourage all of our listeners to be sure to check out the Continuum Audio episodes from this and other issues. As always, please read the Continuum articles where you can find a lot more information than what we were able to cover in our discussion today. And thank you for our listeners for joining today. And thank you, Abhi, so much for sharing your knowledge with us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Disabled people are reporting that their Access To Work grants are being cut back, and at a time when the government is encouraging disabled people to get back into the workforce. As the ATW grant is awarded to help you hold down a job, or enable self-employment, it's causing confusion and concern. Disability correspondent Nikki Fox joins us to share her findings and what government is saying.The Bengsons are a joyous folk-rock duo from the US currently on a mini tour of the UK. They're both autistic, and their show Ohio fascinatingly plots the hearing loss of Sean, the male half of the two married musicians. You'll love their interview.Presenter Emma Tracey is joined by neurospicy comedian Juliette Burton to take the temperature of the disability stories floating around the internet this week.And British TikTok celeb Nathan Wedge joins Emma to talk about how his life changed after having 17 seizures, and a diagnosis of FND - functional neurological disorder. Formerly a dentist, is his body telling him he'll be able to go back to fixing peoples smiles?Say "Ask the BBC for Access All" to your smart speaker. It's dead easy. And search for us on BBC Sounds, and subscribe.Recorded and mixed by Dave O'Neill, PRODUCED by Emma Tracey and Damon Rose, the editor is Damon Rose. Email Emma now on accessall@bbc.co.uk - how's your news?

In this week's episode, we speak with Associate Professor Anna Miles and Adjunct Associate Professor Jan Baker about functional dysphagia. Jan and Anna talk about the research from FND that they have drawn on to create a biopsychosocial framework for supporting people with functional dysphagia. Resources:  Read Anna and Jan's article here: Miles, A., Baker, J., Barker-Collo, S., & Leadley, S. (2025). Functional dysphagia: Developing a framework for assessment and treatment. International journal of speech-language pathology, 1–16. Advance online publication. https://doi.org/10.1080/17549507.2025.2473071 For a full list of the references please go to the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create a free account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au SPA resources: SPA Dysphagia practice guideline: https://www.speechpathologyaustralia.org.au/resource?resource=125 SPA Mental health and trauma resources: https://www.speechpathologyaustralia.org.au/Public/Public/services/About-speech-pathologists/Mental-health-trauma.aspx Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded.  Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

The September 2025 Recall replay highlights four previously released episodes focused on epilepsy. Dr. Halley Alexander begins the series with Dr. Juan Luis Alcala-Zermeno, discussing outcomes of epilepsy surgery in patients with tonic-clonic seizures. She then speaks with Dr. Samuel W. Terman about patients' perceived seizure risk, seizure risk tolerance, and approaches to risk counseling. In the third episode, Dr. Alexander is joined by Dr. Vineet Punia to explore factors influencing the decision to continue or discontinue anti-seizure medications at discharge for patients hospitalized with acute symptomatic seizures. The replay concludes with Dr. Katie Krulisky's conversation with Dr. Leah Blank on how outpatient follow-up impacts readmission rates in older adults with epilepsy or seizures Podcast links:  The Effect of Epilepsy Surgery on Tonic–Clonic Seizures  Patient Perspectives on Antiseizure Medication Discontinuation  Understanding Acute Symptomatic Seizures    Outpatient Follow-Up With 30-Day Readmission After Epilepsy or Seizure Discharge  Article links:  The Effect of Epilepsy Surgery on Tonic–Clonic Seizures Patient Perspectives on Antiseizure Medication Discontinuation  Antiseizure Medication Use and Outcomes After Suspected or Confirmed Acute Symptomatic Seizures Association of Outpatient Follow-Up With 30-Day Readmission After Epilepsy or Seizure Discharge in Medicare Beneficiaries Aged 65 and Older   Disclosures can be found at Neurology.org. 

In this Dialogue episode of The Synopsis, Drew has a "dialogue" of one as he reviews 2Q25 earnings from Floor & Decor and Meta. You can find free versions of these updates below.  Meta 2Q25 Business Update  Floor & Decor 2Q25 Business Update If you want to get a free trial to access >200k AlphaSense expert call transcripts, you this link here.  ~*~ For full access to all of our updates and in-depth research reports become a Speedwell Member here. Please reach out to info@speedwellresearch.com if you need help getting us to become an approved research vendor in order to expense it. -*-*-*-*-*-*-*-*-*-*-*-*-*-*- Show Notes (0:00) — Intro (1:24) — Floor & Decor 2Q25 Update (16:07) — Meta 2Q25 Update  -*-*-*-*-*-*-*-*-*-*-*-*-*-*- For full access to all of our updates and in-depth research reports, become a Speedwell Member here. Please reach out to info@speedwellresearch.com if you need help getting us to become an approved research vendor in order to expense it. *-*-*- Follow Us: Twitter: @Speedwell_LLC Threads: @speedwell_research Email us at info@speedwellresearch.com for any questions, comments, or feedback. -*-*-*-*-*-*-*-*-*-*- Disclaimer Nothing in this podcast is investment advice nor should be construed as such. Contributors to the podcast may own securities discussed. Furthermore, accounts contributors advise on may also have positions in companies discussed. At the time of publication, one or more contributors to this report has a position in META and FND. Furthermore, accounts one or more contributors advise on may also have a position in META and FND. This may change without notice. Please see our full disclaimers here:  https://speedwellresearch.com/disclaimer/

Dr. Kathryn Krulisky and Dr. Jordan Garris discuss educational gaps in understanding FND, the impact of stigma on patient care, and the importance of empathy in medical training.  Show reference: https://www.neurology.org/doi/10.1212/NE9.0000000000200219 

Dr. Kathryn Krulisky talks with Dr. Jordan Garris about educational gaps in understanding FND, the impact of stigma on patient care, and the importance of empathy in medical training.  Read the related article in Neurology® Education.  Disclosures can be found at Neurology.org.   

Neurologist Dr Parthvi Ravat shares the relationship between epilepsy and Non-Epileptic Events* (also known as dissociative Seizures and PNES), symptoms of the latter, treatment options, and the importance of research and awareness in improving patient outcomes. Parthvi highlights the complexities of diagnosing and managing FND and Dissociative Seizures/PNES/Non-Epileptic Events, the need for a multidisciplinary approach, and the shared experiences of patients experiencing both an epilepsy and NEEs! *A type of Functional Neurological Disorder (FND) ------------------------------------------

Bear in Mind Ep. 17What happens when the body shuts down—but nothing shows up on a scan?This week, we explore Functional Neurological Symptom Disorder (FND)—a complex and often misunderstood condition that causes real symptoms like seizures, paralysis, or loss of speech, with no detectable neurological cause.Our guest, Dr. Curt LaFrance, double-boarded in psychiatry and neurology, helps break down what we do (and don't) know about FND. From diagnosis to treatment and stigma, we cover the science, the struggle, and the hope.

Governor DeWine signed Ohio’s $60 billion state budget, and the impact on families, schools, and values is massive. In this week's episode of The Narrative, CCV President Aaron Baer, Policy Director David Mahan, and Communications Director Mike Andrews break down what was included in the budget, what was vetoed, and how it all affects the fight for faith, freedom, and parental rights in Ohio. We celebrate major victories, including: ✅ No iGaming expansion—protecting families from the dangers of online gambling addiction and the insertion of VLTs in public spaces. ✅ The Innocence Act—protecting children from online porn and "deepfakes." ✅ Cell phone-free schools—supporting focus and healthy learning environments for Ohio's children. ✅ Medicaid accountability—ensuring taxpayer dollars won’t fund radical DEI agendas or harmful gender surgeries on minors. And we push back against the governor's vetoes on:

ASX 200 fell just 1 point to 8541 in quiet trade as banks came under some pressure. CBA sold down 1.2% as money flowed to other three, ANZ up 2.5% the big winner. The Big Bank Basket flat at $286.04 (0.4%). MQG drifted 1.0% lower, and financials steady, GQG up 2.2% and IFL up 5.2% on news CC Capital was still actively trying to stitch the takeover together. Insurers mixed, REITs better, SCG up 2.8% and VCX up 1.6% with industrials drifting around. SGH fell 2.9% on Boral CEOs retirement. JHX fell 2.2% and tech eased, WTC down 1.0% but XRO rallying 1.2%. Retail flat. In resources, the iron ore majors steadied, FMG up 0.7% and gold miners rallied, NEM up 2.0% and BGL up 3.9%. Oil and gas stocks becalmed with uranium mixed, PDN down 1.4% and DYL recovering some poise up 5.4%.In corporate news, FND were suspended for not filing reports on time. MSB jumped 11.2% after progress made on FDA.  HMC fell 17.3% as energy transition head, Angela Karl stepped down.Nothing on the economic front today. Chinese Caixin PMI rose, and EU CPI tonight.Asian markets mixed, Japan down 1.4%, HK closed and China up 0.2%.10-Year Yield falling to 4.11%.Want to invest with Marcus Today? The Managed Strategy Portfolio is designed for investors seeking exposure to our strategy while we do the hard work for you.If you're looking for personal financial advice, our friends at Clime Investment Management can help. Their team of licensed advisers operates across most states, offering tailored financial planning services.  Why not sign up for a free trial? Gain access to expert insights, research, and analysis to become a better investor.

You asked. I answered. In this solo Q&A, I tackle some of the biggest and most misunderstood questions from our Bendy Bodies community. From toddlers flagged for autism to adults fighting for an EDS diagnosis, from altitude flares to functional neurologic disorder, this episode pulls no punches. I talk low-dose naltrexone (LDN), altitude hacks, medication struggles, and the quiet panic of a diagnosis that suddenly shifts under you. Plus, we look ahead to the 2026 hEDS (hypermobile Ehlers-Danlos Syndrome) classification changes and the stigma that still haunts hypermobile bodies. Whether you're a patient, a provider, or somewhere in between—you'll hear something in this episode that makes you feel seen. Takeaways: How the diagnosis of functional neurologic disorder (FND) is often misused—and what that means for bendy patients. What one family doctor learned when her toddler was flagged for autism... and EDS. The truth about low-dose naltrexone—and why it's not a quick fix. Why a change in your diagnosis doesn't change your reality. A life-saving strategy for traveling to high altitudes with EDS or POTS. Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: https://algonot.com/coupon/bendbod/ Connect with the HypermobilityMD:  YouTube: ⁠youtube.com/@bendybodiespodcast⁠  Instagram: ⁠https://www.instagram.com/hypermobilitymd/⁠  Facebook: ⁠https://www.facebook.com/BendyBodiesPodcast⁠  X: ⁠https://twitter.com/BluesteinLinda⁠  LinkedIn: ⁠https://www.linkedin.com/in/hypermobilitymd/⁠  Newsletter: ⁠https://hypermobilitymd.substack.com/⁠ Shop my Amazon store ⁠https://www.amazon.com/shop/hypermobilitymd⁠ Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Halley Alexander and Dr. Serena Yin discuss the effectiveness of an electronic medical record best practice alert in preventing iatrogenic interventions for patients with a diagnosis of PNES. Show references:  https://www.neurology.org/doi/10.1212/CPJ.0000000000200457 

You asked. I answered. In this solo Q&A, I tackle some of the biggest and most misunderstood questions from our Bendy Bodies community. From toddlers flagged for autism to adults fighting for an EDS diagnosis, from altitude flares to functional neurologic disorder, this episode pulls no punches. I talk low-dose naltrexone (LDN), altitude hacks, medication struggles, and the quiet panic of a diagnosis that suddenly shifts under you. Plus, we look ahead to the 2026 hEDS (hypermobile Ehlers-Danlos Syndrome) classification changes and the stigma that still haunts hypermobile bodies. Whether you're a patient, a provider, or somewhere in between—you'll hear something in this episode that makes you feel seen. Takeaways: How the diagnosis of functional neurologic disorder (FND) is often misused—and what that means for bendy patients. What one family doctor learned when her toddler was flagged for autism... and EDS. The truth about low-dose naltrexone—and why it's not a quick fix. Why a change in your diagnosis doesn't change your reality. A life-saving strategy for traveling to high altitudes with EDS or POTS. Find the episode transcript here. Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: https://algonot.com/coupon/bendbod/ Connect with the HypermobilityMD:  YouTube: ⁠youtube.com/@bendybodiespodcast⁠  Instagram: ⁠https://www.instagram.com/hypermobilitymd/⁠  Facebook: ⁠https://www.facebook.com/BendyBodiesPodcast⁠  X: ⁠https://twitter.com/BluesteinLinda⁠  LinkedIn: ⁠https://www.linkedin.com/in/hypermobilitymd/⁠  Newsletter: ⁠https://hypermobilitymd.substack.com/⁠ Shop my Amazon store ⁠https://www.amazon.com/shop/hypermobilitymd⁠ Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Halley Alexander talks with Dr. Serena Yin about the effectiveness of an electronic medical record best practice alert in preventing iatrogenic interventions for patients with a diagnosis of psychogenic nonepileptic seizures. Read the related article in Neurology® Clinical Practice.  Disclosures can be found at Neurology.org. 

Ever consider specializing deeper into an aspect of neuro? Wonder what it's like to dive deep into a subset of the neuro population and sharpen your practice? In today's show, host Erin Gallardo, PT, DPT, NCS interviews Andrew Doubek, PT, DPT, GCS, NMD about his recent experience going through an accredited movement disorders fellowship program at the Ohio State. In the show we talk about the details of what the fellowship was like from the schedule, mix of experiences, requirements and types of patients. Andrew shares his insights and words of wisdom to anyone considering a fellowship.   Plus, with documentation efficiency being top of mind for so many clinicians, Andrew generously shares his handout of smart phrases crafted from the Clinical Practice Guidelines that you can plug into your assessments and progress notes to ensure you're targeting the key aspects needed in your notes in less time. Download the smart phrase guides here! PD CPG smartphrase.docx FND smartphrase.docx Core outcomes smart phrases.docx

Didier Tavera, director de la FND, advierte que la reciente escalada de violencia es un llamado urgente a proteger la vida y la institucionalidad.

In the final episode of this three-part series, Dr. Jodie Roberts and Dr. Urs Fisch discuss functional/dissociative seizures and driving risk.  Learn more about the Neurology® Practice Current section and fill out the current survey on functional/dissociative seizures and driving. 

In part two of this three-part series, Dr. Jodie Roberts and Dr. Barbara A. Dworetzky discuss how often seizure-like or seizure-resembling episodes lead to a diagnosis of functional neurologic disorder.  Learn more about the Neurology® Practice Current section and fill out the current survey on functional/dissociative seizures and driving. 

In part one of this three-part series, Dr. Jodie Roberts and Dr. Barbara A. Dworetzky discuss the term "functional seizures" and clarify the terminology.  Learn more about the Neurology® Practice Current section and fill out the current survey on functional/dissociative seizures and driving. 

Host Polly Swingle welcomes Dr. David Gordon, MD, Dr. Jarhed Macarubbo Peña, PhD, LPC, CRC, Dr. Mary McLaughlin, PT, DPT, and Corinne DiPrima, MS, OTRL, to talk about their involvement in the multidisciplinary Chronic Pain Mangement Program of Michigan. If you experience chronic pain, treat patients with chronic pain, or know someone with chronic pain, this episode holds a ton of excellent information to help those individuals.Dr. David Gordon, MD, is a Physiatrist in practice for 28 years with RPPC, a private practice in Southeastern Michigan in operation for 58 years and having trained hundreds of Physiatrists including himself over the years. Prior to graduating from Residency under RPPC at Sinai Hospital in Detroit in 1997, he graduated Medical school from Wayne State University school of Medicine in 1993. As part of his training and later clinical practice, he had the opportunity of working with the pre eminent chronic pain program, "The Functional Recovery Program of Michigan" during it's 20 year tenure under the direction of my mentor Dr. Maury Ellenberg, MD. As a result of his experience coupled to the developing Opioid Crisis of the late 1990's, he developed a keen interest in providing effective chronic pain management without the use/misuse paradigm implicit with the opiate crisis. With this as motivation, he wrote the ebook "Debunking Chronic Pain Management Misconceptions and finally finding practical solutions published in 2009.Dr. Jarhed Macarubbo Peña, PhD, LPC, CRC specializes in psychophysiological approaches to complex health conditions. He integrates evidence-based modalities from somatic therapy, mindfulness, biofeedback, and Acceptance and Commitment Therapy (ACT). Dr. Peña completed his studies at Michigan State University with a focus on stress responses in autistic young adults. He previously worked as a clinical therapist in a private practice and had served in academic and research roles at Michigan State, contributing to peer-reviewed publications on autism, vocational rehabilitation, and rural health equity. He has an independent practice helping patients with various autonomic nervous system dysfunction including chronic pain, functional neurological disorders, pelvic floor dysfunction, irritable bowel syndrome (IBS), tinnitus, hypertension, POTS, fibromyalgia, and anxiety disorders. Dr. Peña brings a background in exercise physiology and over a decade of interdisciplinary experience in rehabilitation, behavioral health, and wellness.Mary McLaughlin, PT, DPT is a doctor of physical therapy at The Recovery Project- Livonia. She is passionate in treating patients with chronic pain and has been a leader in the development of the Chronic Pain Management Program of Michigan. She developed her skills with tying in physical function with neurological disorders at the Lansing Recovery Project where she was a treating therapist for FND in the LIFE program, restoring individuals with functional movement disorders to healthy movement patterns.Corinne, MS, OTRL, is an occupational therapist with over 10 years of experience, including nearly eight years at The Recovery Project. She specializes in pelvic health, functional neurological disorders, and chronic pain. Corinne is passionate about treating the whole person, integrating evidence-based practice with a compassionate, trauma-informed approach. She is dedicated to helping clients regain autonomy and improve quality of life through personalized, goal-oriented interventions.Learn more about The Recovery Project! View our website at www.therecoveryproject.net Call us 855-877-1944 to become a patient Follow us on Instagram Like us on Facebook Thanks for listening!

Jonny and Craig give their recap on Mothers Day. They then turn to a hopeful analysis of the Catholic Church's new Pope, Pope Leo XIV. In the back half of the show, they turn to a discussion of how Trump's federal funding restrictions impact the services national support groups can provide, with a focus on Craig's recent struggles with FND Hope.

Mi huesped en este episodio es Claude Guislain, un antropólogo peruano que pasa la mayor parte de su tiempo con pueblos indígenas en Perú, Colombia y Brasil. Con su primera investigación sobre el uso de la ayahuasca y el chamanismo por parte de los occidentales en Iquitos (2005-2007), inició el viaje que lo llevó a dedicar su vida a tender un puente entre la sabiduría indígena y el mundo moderno. A lo largo de más de quince años dedicados casi exclusivamente a apoyar tanto a curanderos indígenas como a pacientes y exploradores occidentales, ha estado al servicio de los procesos de curación de cientos de personas. Ha estado trabajando y formándose con los Shipibo desde 2013, ayudando a la familia López a construir su propio centro. Fue facilitador y asesor en relaciones indígenas en el Templo del Camino de la Luz (2015-2023). Trabaja y aprende con un mamo Arhuaco desde 2012, con un Jaguar del yurupari del Tubú desde 2016 y con el pueblo Yawanawa de Brasil desde 2018.Hoy es asesor y miembro del Comité Técnico del Fondo de Conservación de Medicinas Indígenas y colabora también con ICEERS, y otras organizaciones, inspirándolas y ayudándolas a tejer sus esfuerzos y dones con los procesos indígenas de base.Notas del Episodio* La historia y esperanza de Claude* La idealizacion de los pueblos indigenas* El renacimiento psicodelico* Curacion y cantos* Contradicciones en el turismo psicodelico* La deforestacion, la demanda y la continuidad del conocimiento* Conservacion biocultural* ICEERS & MSCTareaClaude Guislain - Facebook - InstagramIndigenous Medicine Conservation FundInternational Center for Ethnobotanical Education, Research and ServiceTranscripcion en Espanol (English Below)Chris: Bienvenido Claude, al podcast El Fin del Turismo.Claude: Chris. Muchas gracias.Chris: Me gustaría saber si podrías explicar un poco de dónde te encuentras hoy y cómo el mundo aparece para ti?Claude: Buena pregunta. Estoy, ahora mismo estoy en Rio de Janeiro, donde vivo. Soy peruano y también estudié antropología y dedico mucho mi tiempo a los pueblos indígenas, sobre todo en Brasil, en Colombia y en Perú y he estado trabajando en las Amazonas durante muchos años. Y como veo el mundo hoy, desde aquí, pues con mucha preocupación, evidentemente, pero también por lo que hago con alguna esperanza, Chris: Yeah y pues en esa cuestión de lo que haces y de lo que hemos hablado antes, parece que es un gran camino, un camino de ya [00:01:00] décadas y décadas. Y me gustaría, si podemos viendo un un poco más de ese camino. Podrías comentar un poco de cómo llegaste en este gran momento sea por tus viajes, a otros países, a otros mundos, a otros maestros y maestras. Claude: Sí, claro, a ver cómo te explico. Llevo unos 20 años trabajando con lo indigena en general, pero sobre todo con el tema de espiritualidad, plantas maestras como la ayahuasca y esas cosas, y llegue ahí como, creo que, como la mayoría de personas que hoy en día llegan ahí a la selva, o a buscar estas medicinas como se les llaman, que es una, una cierta o una profunda insatisfacción por nuestra propia cultura, por la respuesta que nuestra propia sociedad [00:02:00] nos puede dar existenciales, diría yo. Es como siempre hay una pregunta que uno se dice, "No tiene que haber algo más. No puede ser eso solamente." Esa propuesta, digamos de occidente, no puede ser solamente eso, debe haber algo más, verdad? Entonces eso me embarcó a mí en una búsqueda desde, no sé cuando tenía por ahí unos veinti, veinti y pocos años.Que me llevó a experimentar estas medicinas como la ayahuasca, el San Pedro, los hongos, no por una cosa lúdica, ni ni evasiva, sino por el contrario, con una curiosidad por otras formas de saber y conocer, . Entonces yo me acerqué a estas medicinas, con curiosidad de entender cómo los pueblos indígenas saben lo que saben. Cuál es el origen de su [00:03:00] conocimimomento verdad?Entonces, estudié antropología. Me alejé de la academia rápidamente porque, me pareció mucho más interesante lo que me enseñaban los abuelos que para la antropología eran mis informantes, verdad? Era como, tenía que a mi informante tal, el informante tal. Y me di cuenta que no, que no eran mis informantes, sino que eran maestros y aprendía mucho más con ellos que lo que me enseñaba los libros, o las clases, o los seminarios, verdad?Entonces decidí mas dedicarme a seguirlos a ellos y a seguir aprendiendo con ellos, y ver de qué manera los podía ayudar a ellos. Estos abuelos, estos sabios indígenas. Y eso me llevó a un camino maravilloso de que hoy en día le llamo "la gente puente," no? O sea, gente que estamos en ese lugar de interface, entre el conocimimomento, la sabiduría que nos queda de los pueblos [00:04:00] indígenas y el mundo occidental, el mundo moderno. Y en ese nuevo tipo de encuentro que está surgiendo hace una década o tal vez dos décadas. Es este nuevo tipo de encuentro de nuestros mundos, verdad? Que hasta hoy era, siempre había sido extremadamente problemático, sino asesino, verdad? La manera con nuestro mundo occidental se encontraba con los mundos indígenas era pues y destructor. Hoy en día nos encontramos en una manera diferente, en el que muchos jóvenes y adultos y gente del norte global llegan en busca de conocimiento, de sabiduría, de cura, de sanación, de alternativas, buscando respuestas que nuestra propia civilización no nos puede dar. Habiendo un hambre, una sed de sentido por algo mayor, pues mucha gente empieza a ir allá con otros ojos, con un [00:05:00] respeto que no creo que había existido antes. Y eso trae cosas positivas y cosas negativas, evidentemente.Parece ser que estamos mal. Hay una gran maldición, que, como todo lo que toca, occidente eventualmente se vuelve en un gran desastre. parece como un súper bonito, súper maravilloso, ilusorio, nos enamora, nos seduce, pero después al poco tiempo nos vamos dando cuenta de las de las terribles consecuencias que traemos, verdad?Pero algo, no sé, algo también está cambiando, algo está mudando. Hay como una cierta madurez de ambos lados, tanto de los del lado indígena como del lado no indígena para encontrarnos desde un lugar en donde podemos celebrar nuestras diferencias y entender que esas diferencias son material para la construcción de un tiempo nuevo, verdad?Entonces esa es la parte que traigo un poco de esperanza. Chris: Ya, qué bonito. Gracias, Claude . o sea, yo siento [00:06:00] mucho de la esperanza, pero también de la desesperación por alguien que ha visitado a varios pueblos indígenas en las Amazonas hace como 15 años de más ya, en ese tiempo esas medicinas fueron llegando poco a poco a la mentalidad colectiva del occidente. Y pues me ha ayudado un montón, no solo por cuestiones espirituales, pero también por reparar el daño que hice a mi cuerpo, por ejemplo, pero también metiendome en esos círculos, en las Amazonas, por ejemplo, pero también mi tierra nativa Toronto, Canadá y otras partes Oaxaca, México. hemos visto poco a poco la descuidado de la sabiduría indígena, las culturas indígenas, las medicinas, y más que nada, las contradicciones que [00:07:00] aparece dentro de el renacimiento" psicodélico. Entonces, ya tienes mucho tiempo en esos no solo respecto a la medicina, pero también en las culturas indígenas en las Amazonas. Me gustaría preguntarte que has visto allá en el sentido de contradicciones, sobre el turismo sobre la medicina, puede ser el lado del extranjero viniendo para sanarse, o igual los locales o indígenas aprovechando al momento.Claude: Contradicciones tienen todas las culturas, tienen contradicciones. Y la contradicción principal es entre lo que se dice, no? Lo que se profesa y lo que uno ve en la práctica no? Es como si tú vas a la iglesia y escuchas al pastor hablando de cómo debe ser un buen cristiano.Y después te paseas por yo que sé por Chicago o por ciudad de México, y ves lo que [00:08:00] son los cristianos y dices wow hay una enorme contradicción, verdad? Es terrible la contradicción Cuando hablamos de los pueblos indígenas y de los conocimientos, de los pueblos indígenas, la sabiduría indígena, parece ser que hablamos desde un lugar de idealización no?Y a mí no me gustaría, caer en eso de idealizar sino tratar de ser muy concreto. Una cosa es la realidad, que es realmente terrible. Vivimos en un momento que es la cúspide, es la continuación de un proceso de colonialismo, de exterminación que no fue algo que sucedió con la llegada de los españoles, y los portugueses y el tiempo de la conquista. Y no fue algo que pasó.Es algo que sigue pasando,. Es algo que [00:09:00] sigue pasando. Como decía el gran Aílton Krenak, un gran líder indígena de aquí de Brasil, y un intelectual, miembro de la academia brasilera de las letras, recientemente. Decía lo que ustedes no entienden es que su mundo sigue en guerra con nuestro mundo. El decía eso. Él lo dice, o sea, ustedes no entienden que el mundo occidental, el mundo moderno continúa en guerra y de, y haciendo todos los esfuerzos para que las culturas indígenas desaparezcan.O sea, en la práctica, eso es lo que estamos haciendo. Entonces, cuando yo hablo de esperanza, hablo porque hay algo que está surgiendo, que es nuevo, pero realmente es muy pequeño. Y como dices tú, cuando, o sea, la expansión de la ayahuasca, del San Pedro, de lo del peyote y de una cierto [00:10:00] respeto y un cierto entendimiento sobre la importancia de los conocimientos indígenas, todavia realmente e no entendemos eso, no entendemos. Y cuando hablamos desde el norte global, y lo que se llama esta el renacimiento psicodélico, cuando hablan de los pueblos indígenas, hay una idealización, sobre todo, es solamente parte de un discurso que es un poco "woke." Es un poco para hacer bonito tu discurso, pero en la práctica no se ve, no, no, no ocupa un lugar importante. Ya está diseñado el camino por donde va esta revolución psicodélica, es extraer los principios activos de las plantas, hacer medicamentos, de hacer una pastilla que va a ayudar a la gente a mantenerse en mejor forma dentro de la locura que propone occidente.Cómo le damos a la gente [00:11:00] herramientas para que se adapten y para que resistan, es el absurdo al que los estamos sometiendo, eso es realmente. O sea necesitamos ya drogas como "Brave New World", no como "soma". Te sientes deprimido? Tómate tus pastillas. Estás cuestionando mucho las cosas, tomate esto para que puedas seguir funcionando y operando y produciendo, verdad?Pero hay una cosa muy, muy clara para mí, es que aún no hemos logrado entender la magnitud de los conocimientos indígenas. Y digo conocimientos, y no creencias porque en general, cuando hablamos de los pueblos indígenas, lo que sabe un chamán, como le dicen, un curandero, o lo que hablan ellos alrededor de su espiritualidad, la gente piensa, "ah, son sus creencias." Y en el mejor de los casos, dice "ay qué bonito, hay [00:12:00] que respetarlo, hay que cuidar sus derechos, y tienen derechos culturales y tienen todo el derecho a creer en lo que creen." Pero cuando decimos creencias, también es una incomprensión porque de creencia tiene muy poco en realidad.Cuando uno estudia más, y cuando uno profundiza sobre lo que sabe hacer un curandero, un ayahuasquero, Shipibo, Ashaninka, Huni Kuin, Karipuna, Noke Koi Kofan, lo que ellos saben, no tiene nada que ver con las creencias. No tiene nada que ver con la adoración religiosa de ciertas deidades. Nada que ver. Estamos hablando de conocimiento profundamente práctico, verdad?Es una acumulación de conocimientos durante generaciones y generaciones por estudiosos de la selva, que se organiza este [00:13:00] conocimiento. Socialmente y además que se transmite con un método. Hay un método muy estricto, muy específico de transmisión de estos conocimientos y de estas maneras de conocer, entonces te acabo de dar una definición no de una religión. Te acabo de dar una definición de ciencia.Entonces, lo que no hemos llegado a entender hasta ahora es que lo poquito que ha sobrevivido hasta hoy de esos conocimientos se asemeja mucho más a una ciencia que a una religión. Es mucho más un conocimiento práctico que una creencia religiosa, verdad? Y en ese sentido, es de suma importancia. Y entonces, cuando tenemos más y más personas tienen esta experiencia, qué es lo que pasa?Mucha gente viene a la selva en Iquitos, he trabajado muchos años, durante años he sido como el centro principal donde he recibido mucha gente para [00:14:00] tomar ayahuasca y esas cosas, y viene gente a sanarse de cosas que en sus países, pues no, nadie los puede sanar de depresiones, de traumas, cosas físicas también, pero sobre todo cosas psicológicas, verdad? Y después vuelven y dice "oh, yo tomé ayahuasca y me curé." "Cómo te curaste?" "Ah, fui, tomé ayahuasca," pero nadie dice estuve tomando con un viejo que todas las noches me cantaba durante media hora. Y después venía en la mañana y me preguntaba cómo era mis sueños. Y después venía con otros remedios y me daba y me hacía unos baños. Y cuando me hacía esos baños me cantaba de nuevo. Y después me daba esto, y me daba esta medicina y me cantaba, y cuando él me cantaba, me hacía ver este tipo de... Nadie habla de eso. La gente dice "yo tomé ayahuasca y el ayahuasca me curó", pero el viejito que estaba cantando solamente parece un accesorio de un viejito cantando.Pero no es así.La mayoría de la gente dice, "Wow, cómo te curaste de eso? Qué pasó? Qué hiciste?"Ah ya tomé ayahuasca. El ayahuasca me curó." Verdad? Realmente yo he escuchado muy poca gente decir "el abuelito, la abuelita, me dio ayahuasca, pero me cantó durante horas, me dio baños, me preguntó mis sueños, adaptó todas las plantas y el tratamiento que iba haciendo según mis sueños, según lo que iba viendo. Cuando me cantaba, me guiaba para ver cosas, o no ver cosas." Parece ser que el abuelito que cantaba fuese un accesorio, decoración. Y no realmente, no le damos crédito al trabajo profundo que ellos hacen, y el conocimiento que ponen en practica. Y no es extraño porque es muy difícil de entender, cómo una persona cantando, me va, me va a curar con un canto, verdad? No, como para nosotros, es muy difícil, no tiene sentido. [00:01:00] Tiene que ser la substancia que tomaste y que se metió en tu cerebro y hizo alguna cosas de conexiones neurológicas. Yo que sé. No puede ser esa cosa, porque para nosotros, ya sería el pensamiento mágico, verdad?Pero como te digo, eso que nosotros llamamos pensamiento mágico para ellos no es un pensamiento mágico. Es un conocimiento muy concreto que se aprende que tiene métodos de aprendizaje. Son conocimientos y habilidades, y capacidades que se adquieren con métodos de transmisión, verdad? Y hasta ahora no hemos logrado darle realmente el lugar que le corresponde a eso.Por el contrario, estamos impactando en eso de maneras muy profundas, y hay una contradicción fundamental que yo veo en lo, en para volver un poco a la pregunta que me haces. En todo este turismo que ha llegado, y [00:02:00] esta fascinación, este interés. Cuáles son los impactos que esto ha tenido en las comunidades indígenas en el mundo indígena, verdad?Entonces yo creo que hay dos cosas que parecen ser un poco contradictorias. Por un lado, hay una gran bendición. Hace 20 años, tú no veías gente de nuestra edad, jóvenes interesados en sentarse con los abuelos y aprender realmente, y ser continuadores de esas tradiciones y cultivadores de ese tipo de conocimientos.La mayoría de gente de nuestra edad, un poco más viejos, hasta la edad de nuestro, gente que tiene hoy día 50, 55 años, 60 años, no querían hacer, no. Querían ser profesores interculturales bilingües, querían ser [00:03:00] profesionales, pertenecer al mundo de los blancos, verdad? Entonces, los viejos, eran de un tiempo pasado que estaba destinado a extinguirse.Entonces, con la llegada de los occidentales y con este interés por esas cosas, ha habido cierto renacimiento y sobre todo, un verdadero interés de la juventud por aprender estas cosas como una alternativa profesional, digamos. Digamos, oye, para qué voy a ser abogado? Si yo, si mira todos los gringos que están viniendo, yo puedo ser esto y me va a ir mejor, verdad?Entonces, por un lado, hay esa parte que, hoy en día vemos, por ejemplo, en los Shipibo, muchísima gente que está aprendiendo, verdad? Muchos jóvenes están interesados, no solamente en los Shipibo, pero sino, pero en muchos lugares en Brasil, en Colombia, en Ecuador, yo veo, veo eso, una juventud que está poco a poco interesándose más y [00:04:00] volviendo a sus propias raíces.Es como, como decir, todo desde que eres niño, siempre te dicen, "los antiguos ser una porquería ya ese mundo acabó, lo único que cuenta es la modernidad y integrarse a la vida urbana, a la vida oficial de esta civilización, ir a la iglesia, tener una carrera, y ser alguien en la vida," verdad?Y entonces era como, y los estados con políticas de esa naturaleza, los gobiernos, los estados de nuestros países, era, pues la cuestión indígena era cómo civilizamos a los indios. Civilizar al indio no es otra cosa que hacerlo olvidar de sus sistemas, de sus culturas, pero como una parte así de como digo, "woke," no como, "ay, que lindo los indios que mantengan sus danzas, que mantengan su folclore, que mantengan [00:05:00] sus ropitas y que mantengan su ciertas cosas que es como bonito, que ellos mantengan como algo pintoresco y algo folclórico," pero sin entender realmente la profundidad. Pero hoy en día, yo creo que en gran medida, gracias a esto, no solamente, es una cosa más compleja evidentemente, pero, la juventud, viendo que hay esta llegada de blancos, de extranjeros, de gringos, no? Interesadisimos por los conocimientos de los abuelos, por la medicina. Y que van y están ahí, dicen "uy acá tiene que haber algo interesante, yo también quiero aprender." Si a los gringos les gusta esto, es porque algo bueno debe haber entiendes? Llegamos a ese punto en que estaba destinado a desaparecer, pero de una a otra manera, hay un renacimiento, verdad? Al mismo tiempo, [00:06:00] en la transmisión de estos conocimientos, como te decía sumamente complejos, sumamente estricta, estrictos métodos de transmisión, pues se ha tenido que simplificar porque los jóvenes no están aptos ya, habiendo ido a la escuela, teniendo un pie en la ciudad. No, no es tan aptos ni tienen el interés, ni las condiciones, ni las aptitudes para realmente entrar en esos procesos como lo podían haber hecho los abuelos, que hoy en día tienen 70, 80 años, verdad, que fueron realmente los últimos. A menos que uno se vaya muy lejos en la selva donde lugares que no tienen mucho contacto, que ellos todavía deben de mantener algunas cosas, pero ellos están alejados también de estos circuitos, Pero entonces, sí, hay una gran simplificación de estos sistemas. Entonces se pierden muchas cosas. Para bien o para mal, no? Mucha gente dice, bueno, por lo menos se está perdiendo toda esta parte de la brujería y [00:07:00] los ataques chamánicos y toda esa cosa, pero a lo cual se le da mucha, mucha importancia que tampoco logramos entender, porque nosotros lo vemos con esa visión judeo cristiana, esa distinción maniquea del bien y del mal, que en los mundos indígenas no es que no exista, sino que es totalmente diferente, no?. Y eso forma parte de esas diferencias que son importantes de entender y de respetar, verdad? Entonces, toda esta parte que nosotros vemos como brujería, como diabólico y tal, tienen su función dentro de un sistema, y que no, tratar de hacerlo desaparecer es hacer desaparecer el sistema mismo, verdad?Porque no lo entendemos. Es lo mismo que pasa, es lo que ha pasado siempre, algo que nos escandaliza, entonces lo queremos cambiar, pero nos escandaliza desde nuestra propia visión del mundo y no estamos entendiéndolo desde la visión de [00:08:00] ellos. No quiere decir que todo se puede relativizar, verdad? Hay cosas que son, pues muy difíciles, no, y muy delicadas, pero en en reglas general, cuando hay algo que nos escandaliza, lo queremos cambiar, sin realmente profundizar en un entendimiento de la función de esas cosas, pues estamos siguiendo los mismos patrones que los curas que llegaban hace 400 años, 500 años. Que decían ah, esto es diabólico. Tenemos que extirpar estas cosas, no? Entonces seguimos haciendo eso. Entonces, por un lado, vemos que hay un renacimiento del interés de la juventud y una reconexión con su propia identidad al mismo tiempo que hay una simplificación algo peligrosa de estos sistemas, quiere decir que los jóvenes que de aquí a poco van a ser los abuelos no saben la [00:09:00] mitad de lo que sabían sus abuelos. Saben lo mínimo indispensable que sirve para darle al gringo lo que requiere, lo que necesita, lo que está buscando, lo suficiente para hacer negocio en realidad y eso no es para culparlos a ellos, sino que es parte del sistema en el que estamos navegando, porque todo funciona así. Para qué te vas a profundizar tanto si con este mínimo ya te alcanza? Sobre todo cuando vemos que muchos gringos, muchos extranjeros van toman ayahuasca unas cuantas veces o hacen alguna dieta, y después se llevan ayahuasca a sus países, se ponen las plumas, agarran su guitarrita, y empiezan a cantar estas cosas como decoración alrededor de esta experiencia y hacen mucho dinero. Y así se ha ido expandiendo la ayahuasca por el mundo, verdad? Y eso cumple su función también. No es para juzgarlo, pero [00:10:00] también hay, es de una superficialidad, muchas veces, hiriente, cuando tú ves lo que sabe un abuelo y lo que ha tenido que pasar las dificultades, las pruebas y las responsabilidades que tiene un curandero amazónico para su comunidad, y los sistemas de rendición de cuentas que son los que más o menos lo mantienen a raya, que uno no puede hacer lo que le da la gana con ese poder, sino que hay un sistema de control, cuando esto sale y se va afuera en estos círculos, medios new age, medios hippie, medio neochamánico, pues toda esa cuestión se pierde y se empiezan a inventar un montón de cosas, y sobre todo, un discurso que es bastante problemático. Entonces surge esta idea que la ayahuasca es la panacea universal, y "la madrecita ayahuasca" me [00:11:00] dijo, y, "esto es lo que va a salvar el mundo." Entonces más personas tenemos que buscar la forma que más y más personas tengan esta experiencia para salvar el mundo verdad? Y la verdad que yo creo que eso no es así. Si fuera así, si fuera por la cantidad de ayahuasca que se toma en el mundo, pues el mundo ya habría cambiado, porque realmente se toma mucha ayahuasca. Cuando yo, el principio de los años 2000 en Europa, era muy raro escuchar de eso no? Hoy en día, en cualquier país europeo, todos los fines de semana tú puedes encontrar una ceremonia de ayahuasca, en todas partes. Eso se ha expandido. Se ha normalizado. Ya es mainstream, ya se volvió mainstream. Pero qué se ha vuelto mainstream? Nuestra propia interpretación, que es bastante problemática sobre esto y no se le ha dado el lugar que le [00:12:00] corresponde a los guardianes de esos conocimientos. Entonces eso es lo que yo tengo para criticar en todo este tema de la revolución psicodélica, que hablamos de psicodélico psicodélico, psicodélico, como la panacea, lo que puede salvar el mundo, pero cuánta experiencia tiene nuestra sociedad con los psicodélicos?Dos generaciones? Máximo? Desde Hoffman, y esa, ya de la generación Beat, de los 50. Vale?, un poco eso. Y entonces, hoy día, tú tienes psychodelic studies en las universidades y formación de terapias con psicodélicos que los enseñan en institutos, de estudios bastante importantes. Y uno se pregunta, pero qué estudia?Qué les enseñan? Qué podemos haber acumulado como conocimiento en esas dos generaciones, siendo que durante más o menos 40 años, esto ha sido o 50 o 60 años. Esto ha sido prohibido. Era [00:13:00] ilegal. Hoy en día se está más o menos legalizando, entonces se puede estudiar más abiertamente, se puede investigar, se puede aprender, se puede experimentar mucho más, pero durante muchos años, era ilegal, era underground, subterráneo, verdad? Entonces, qué es lo que hemos podido acumular como el conocimiento? Es mínimo, es muy superficial, sobre todo si lo comparas con lo que saben allá en la selva, los indígenas en México, los Wixarika allá donde, por donde tu estás, los mazatecos y toda esa gente que tiene conocimiento de los hongos.Eso es una acumulación, de conocimiento extraordinaria. Lo que pasa es que, como son indios, no les damos el lugar. Qué me va, si tú tienes un doctorado en cualquier universidad del mundo y te sienta junto con indios, adentro de uno tiene esa terrible arrogancia que tenemos [00:14:00] los occidentales de decir, si yo soy un doctor, qué me va a enseñar un indio?Entiendes? Y eso, eso demuestra que aún por más que tratamos de idealizar y por más que hay un gran respeto, y algo que esté cambiando, todavía seguimos regidos por un profundo racismo. Un profundo complejo de superioridad, que creo yo, que está la base de los grandes problemas que tenemos hoy en día como humanidad es realmente la arrogancia y el complejo de superioridad que tenemos como miembros de esta civilización, que es extraordinaria, pero también es la que nos está llevando el hecatombe verdad? Es la que está destruyendo el mundo.Entonces, hay verdades muy incómodas que no queremos ver pero es la verdad, a pesar de toda la grandeza que hemos logrado con este, con los conocimientos de nuestra ciencia, es también nuestra misma ciencia la que está destruyendo [00:15:00] el mundo, nuestra manera de entender y de conocer el mundo. Entonces ahora, poco a poco, nos estamos dando cuenta que necesitamos de la participación de estos otros pueblos que tienen otras maneras de ver, de entender, de estar en el mundo, y de conocer, de aprender otras maneras, no? Entonces sucede una cosa muy bonita y extraordinaria cuando juntamos personas que piensan diferente y realmente ya no es una discusión sobre cuál es mejor, cuál sistema es mejor, si mi ciencia o tu ciencia o no, sino que es como complementamos nuestros tipos de conocimiento, verdad? Lo que decíamos también, o sea, a partir de nuestras diferencias, con nuestras diferencias como material, que es lo que podemos tejer juntos, que no se ha hecho nunca, verdad? Entonces, eso es lo que está surgiendo también, pero en un contexto muy [00:16:00] problemático en lo que surgen los intereses económicos, financieros, grandes farmacéutica, grandes capitales que quieren invertir en estas cosas y no se les da el lugar a los grandes detentores de estos conocimientos. Y sobretodo no se les da lugar en el diálogo, ni en la creación de acuerdos, sino que no se le da una participación financiera de lo que se puede recaudar como beneficios a partir de sus conocimientos, verdad? Entonces seguimos reproduciendo ese sistema colonial, ese sistema de explotación del otro y de la tierra, de la naturaleza en beneficio del capital, en beneficio para generar, ingresos económicos, no? Entonces estamos en eso es, es altamente complejo. [00:17:00] Hay cosas buenas y hay cosas negativas. Hay un impacto muy grande también en la Amazonía con toda la llegada de toda esta gente, pero impactos positivos. Yo, yo he encontrado muchos líderes, en Amazonía que me dicen "gracias a ustedes que vienen acá. Nosotros estamos volviendo a nuestras raíces", "Si no fuera por ustedes, ya estaríamos perdidos." Entonces hay algo que está sucediendo, que es algo muy positivo, pero también, como venimos con esos programas, no logramos darle la profundidad que podríamos estar alcanzando. Y que nuevamente, creo yo, que lo que está la base es nuestro terrible complejo de superioridad, que creemos que todos lo sabemos y que, pues somos mejores y que, qué nos va a enseñar, me entiendes? Aunque algo esté cambiando, aunque haya un poco de esperanza, todavía hay mucho camino por delante, [00:18:00] no?Chris: Mm. gracias Claude poder sacar algunos de esos hilos del nudo enorme en que vivimos. Pues sí, yo siento que, una de las cosas menos escuchados en nuestros tiempos de gente que tiene comentarios, opiniones, lo que sea, es, pues "no sé la verdad, no sé" . O sea, hay una una falta enorme de humildad.Creo que de la gente que critica la revolución o renacimiento psicodélico, o la gente que celebra no? O sea, hay una gran falta de humildad igual de tiempo profundo o de conocimiento histórico podemos decir, y como mencionaste, la cuestión de los abuelos y las relaciones que la gente tiene, o sea, las Amazonas y los pueblos indígenas ya por miles y miles de [00:19:00] años con sus lugares.Y como poco a poco se profundizaron su propio lugar dentro de los otros seres en su ecología, en su ecosistema, sus ecosistemas, y que, ese idea de que alguien puede irse a un lugar así. tomar la medicina como es una pastilla nada más volverse o simplemente quedarse y decir que "ah me curó" o algo Pues eso, eso me suena como bastante fascinante, no? Y porque, para mí al final también tiene que ver con la relacion con los ancianos o sabios de un lugar o sea, el maestro mío me dijo una vez que son los jóvenes que hacen ancianos, que hacen sabios que hacen como elders no? No son los viejos.O sea, los viejos son el vehículo para la función de esa sabiduría. Pero son los jóvenes que tienen que preguntar y [00:20:00] eso. Parece que está muy, muy perdido en el mundo occidental. O sea más bien la gente urbana, la gente del norte, la gran mayoría son migrantes o familias de inmigrantes.Entonces, yo siento que la relación que tenemos con la medicina, que es solo medicina, es una pastilla o aunque sí, es un ser que no, como dijiste, como no tenemos a veces la capacidad de entender, el lugar del abuelo, abuela humana en esa relación, pues hay muchas, muchas direcciones que podemos ir en ese sentido, pero también lo que he visto, lo que he escuchado, he leído un poco es sobre la deforestación de las medicinas, las plantas sagradas, y que la gente va [00:21:00] domesticando poco a poco las plantas y que las plantas domesticadas no tienen la misma fuerza, en parte porque están cosechadas o cosechados más y más joven, más y más antes de su maduración, y que eso también quizás tiene algo que ver con nuestra contexto del occidente como la necesidad o rapidez o velocidad en que necesitamos conseguir y consumir la medicina y ser curado, etcétera. Entonces entiendo que también has estado trabajando por algunas organizaciones que trabajan específicamente en la conservación de las medicinas, y también, otras que trabajan en la educación e investigaciones sobre lo etnobotánico. Entonces, me gustaría preguntarte sobre y ICEERS y MSCF tiene [00:22:00] un, una perspectiva fija o quizás como desde tu perspectiva, cómo vamos en ese camino?Claude: Mira, esa es una problemática, que corresponde a ese mismo sistema, no? O sea, en otras palabras, por ejemplo, cuando surgió este fondo, esta fundación, que es el fondo para la conservación de las medicinas indígenas o INC por sus en inglés. La primera inquietud que surgió, o sea el primer impulso y el primer, el primer capital semilla para para lanzar esto era exactamente esa idea no? Estas medicinas se están expandiendo, más y más personas lo van a necesitar, lo van a usar. Entonces va a haber un impacto en la sostenibilidad de estas plantas.Se va a poner en riesgo su continuidad, verdad? Cuando a mí me propusieron a [00:23:00] trabajar en esto y ayudar a la creación de este fondo, y me lo pusieron en esos términos, mi respuesta fue negativa. Yo dije no tengo el menor interés en trabajar en eso. Porque, o sea, en otras palabras, es ¿Cómo hacemos para garantizar la demanda?Cómo hacemos para para que tengamos suficiente, vamos a hacer plantaciones de peyote y plantaciones de ayahuasca para que no se acabe, para que alcance para todas las personas en el mundo que lo van a necesitar. Y yo dije no tengo el menor interés en hacer eso. Además, no creo que ese sea el real problema.Dije ahora si se tratase de la conservación de los conocimientos, estamos hablando de otra cosa. Eso es lo realmente precioso que debemos poner todo nuestros esfuerzos [00:24:00] para que exista una continuidad, para que no desaparezca como está desapareciendo, desaparece. Cada vez que se muere un abuelo y se han muerto muchos últimamente, sobre todo con el COVID, se han muerto muchos abuelos, pues se pierde, se pierde, o sea, es una tragedia para la humanidad entera, que se muera un abuelo que no tuvo la posibilidad de transmitirle a uno, a dos, a tres de sus hijos, a sus nietos, ese conocimiento, que no haya nadie que vaya a saber lo que sabe él, pues es una tragedia para todos nosotros.Entonces, cuando estamos pensando en cómo vamos a hacer? Se va a acabar la ayahuasca, o hay plantaciones, si no es lo mismo, es una inquietud válida, evidentemente, dentro nuestra lógica. Pero olvidamos que lo principal es la conservación de estos conocimientos. Entonces, tanto [00:25:00] MSC como ICEERS se está enfocando cada vez más en un trabajo profundo de desarrollar relaciones, cultivar relaciones con estos abuelos detentores de conocimientos, con estas comunidades que aún practican, mantiene sus sistemas, verdad? Y trabajando con ellos, digamos para ellos, para con programas, y con proyectos, y procesos que son diseñados por ellos, guiados por ellos, y nosotros solamente nos dedicamos a dar, un apoyo técnico y financiero, no? Para garantizar esto, entonces, al hacer esto, al dedicarlos más a la conservación de estos conocimientos, nos damos cuenta que la cultura no puede sobrevivir sin el [00:26:00] territorio.El conocimiento de los abuelos no tiene sentido sin un territorio, verdad? Y cuando hablamos de la conservación de la Amazonía, tampoco podemos entender la conservación de los ecosistemas sin la conservación de las culturas que han vivido ahí durante miles de años. O sea, todo va de la par, todo va de la mano, no?Entonces con una visión mucho más holistica, digamos más amplia. Pues entendemos eso, que cuidando de la cultura y poniendo todos los esfuerzos necesarios para la continuidad de esas culturas también estamos cuidando a la Amazonía, cuidando la biodiversidad, cuidando el agua, cuidando las medicinas, cuidando todo.Entiendes? Ya existen en Brasil enormes plantaciones de ayahuasca, de chacruna. Encuentras plantaciones en diferentes partes del mundo, [00:27:00] en Hawaii, y en Costa Rica, y en diferentes lugares. Ya la gente ha ido a sembrar hace años. Entonces, hay, no, eso no va a faltar. Lo que sí no vanos faltar, nos estamos quedando huérfanos de esos conocimientos.Y eso sí que es una gran pérdida porque yo tengo la certeza, la convicción que en esos, en esos conocimientos están las llaves, las respuestas que nos pueden ayudar a resolver los grandes desafíos que tiene la humanidad hoy en día. Desde nuestra ciencia no vamos a resolver, estamos, estamos en una crisis civilizatoria, estamos en una crisis global, y lo único que nos dicen los científicos es que tenemos que reducir las emisiones de gases de efecto invernadero.Y ahí van 20 años o más tratando de hacer eso, y no lo consiguen. No [00:28:00] solamente es insuficiente pensarlo de esa manera tan reduccionista, sino que, igualmente están acatandose a una sola cosa y no lo consiguen, no hemos logrado nada, no? Lo que realmente necesitamos es un cambio de sentido, un cambio entender una profundidad mucho mayor de cuál es nuestra relación como especie con este planeta.Y para eso necesitamos los entendimientos de lo más extraordinario que ha guardado la humanidad hasta hoy, no solamente de la civilización occidental, sino de todos, no? Entonces, cada vez que se pierde una lengua, cada vez que se muere un abuelo sabedor es una tragedia para toda la humanidad.Entonces, está muy bien que utilicemos estas medicinas, está muy bien que se esté expandiendo estas prácticas, pero esto sirve, [00:29:00] como un proceso inicial, como abrir una ventana hacia un mundo de posibilidades. Entonces, a mí me gusta que haya gente dando ayahuasca en Estados Unidos, en Europa.Me gusta porque mucha gente tiene la experiencia y dice "wow, en verdad si hay algo más. En verdad, aquí hay todo un mundo que yo no tenía idea que existía y que podría leer millones de cosas, y puedo creer o no creer, pero teniendo la experiencia, ya no necesito creer. Yo sé que hay algo. Sé que la naturaleza está viva. Sé que la naturaleza habla, sé que hay manera de comunicarse con la sutileza del funcionamiento de este planeta, de las aguas, de los ríos, de los vientos de las montañas. Todo es un sistema que está vivo, y hay manera de comunicarse con eso y mantenerse en una profunda relación, simbiótica, de profundo respeto y de amor con todo esto no? Entonces, es [00:30:00] importante que muchas personas tengan ese tipo de experiencia, pero después qué? Después de esa experiencia qué? Volvemos a nuestra vida normal, a nuestro trabajo de siempre, a la dificultad de nuestras relaciones cotidianas y el drama de la imposibilidad de mantener una conexión profunda con el tejido de la vida.Todo de nuestra civilización está hecho para mantenernos desconectados de la vida, del funcionamiento de la vida en este planeta, verdad? Entonces, hacia eso es lo que tenemos que apuntar, porque el problema no son las emisiones de gases de efecto invernadero, el problema es nuestra relación con el mundo.No es las historias que nos hacen creer que el mundo es una fuente de recursos para extraer, transformar y generar riqueza. Esa historia es profundamente [00:31:00] problemática. Y cuando conversamos con los sabios, con los abuelos, con los indígenas, escuchamos esas historias. Nos damos cuenta. Wow. Estas historias necesitan ser escuchadas.Estas historias necesitan, necesitan ser contadas en diferentes espacios. Y estos abuelos, estos sabios necesitan ocupar el lugar que les corresponde en la mesa de negociaciones de la humanidad. No se trata de conservar esto como algo folclórico, como un derecho de estos pobrecitos pueblos que tienen el derecho de vivir, como siempre vivieron, como quieran vivir. No, se trata de nuestra sobrevivencia.Entonces, hacia eso, creo yo, que debemos estar apuntando y sobre todo el tema de la revolución del renacimiento psicodélico yo creo que es una punta de lanza. Es una primera entrada en el que vamos poco a poco, demostrando que no se trata [00:32:00] solamente de convencer así retóricamente, sino que hay que demostrar, con hechos, la pertinencia, la utilidad de estos conocimientos para hoy para el mundo de hoy, verdad?Entonces, el tema de la salud y el tema de la salud mental es como es una problemática gigantesca, no? Enorme, hiper compleja. Es la primera cosa que, más y más científicos y gente que decide se está dando cuenta. "Uy, aquí esta gente sabe algo que nosotros no sabemos y tiene una manera de saber y entender el funcionamiento de la mente y el espíritu humano que nosotros no tenemos idea y que realmente funciona."Entonces eso es como una primera parte, como una punta de lanza. Estamos entrando en un lugar para poder demostrar al mundo. "Oye, lo que saben estos [00:33:00] pueblos es importante no solamente para ellos, no solamente para la continuidad de sus culturas, de sus tradiciones, no solamente para la salvaguarda de la selva Amazónica sino para toda la humanidad." Verdad? Y es muy triste ver en nuestros países, en Colombia. Bueno, Colombia hay otro nivel de entendimiento mucho más maduro, sobre lo indígena. Creo que están mucho más avanzados en ese sentido, pero en Brasil, en Perú, en Ecuador, en México, no le estamos dando la importancia que merece a esta problemática, o sea al rescate de lo poco que ha sobrevivido esos conocimientos extraordinarios que se mantienen en las selvas, en los desiertos, en las montañas, que se han ido guardando en secreto hasta hoy, o sea es heroico que haya [00:34:00] sobrevivido hasta hoy. Y hoy en día nos estamos dando cuenta de la pertinencia y la importancia de todo eso.Entonces, cuando hablamos de conservación, estamos hablando de conservación biocultural. Entender que no se puede preservar una cultura sin preservar la totalidad de su territorio, sin derechos de esos pueblos sobre sus territorios, y no se puede preservar los ecosistemas y los derechos si no se hace todos los esfuerzos para preservar esas culturas que han vivido en profundo respeto, en simbiosis con esos ecosistemas.Y tenemos muchísimo que aprender. Todo este tema de la cooperación internacional, de las ayudas de las ONGs, de los proyectos de los pueblos indígenas es de un paternalismo triste y absurdo que en el fondo dice "ay pobrecitos los indios vamos a ayudarlos", vamos a ayudarlos a qué? Vamos a ayudarlos a que sean más como nosotros.Eso es lo que estamos haciendo, creyendo que [00:35:00] somos lo mejor. Pero entonces más y más estamos entendiendo que es es mucho más lo que nosotros podemos aprender de ellos, que ellos transformarse en nosotros. Tenemos que re indigenizarnos, sabes?. Tenemos que volver a ciertas raíces que nos permitan una profunda conexión con la vida, con la naturaleza, con todos los seres que viven en nuestro territorio.Y eso es lo que en la misma naturaleza, la misma tierra nos está indicando, nos está llamando. O sea, si siguen así de desconectados, los vamos a exterminar. Tienen que re conectarse con eso, entonces ahí yo creo que hay una, algo nuevo que está surgiendo, que es maravilloso, verdad? Y espero yo que eso llegue a más y más personas.Estamos trabajando duro para eso la [00:36:00] verdad. Chris: Mm, pues muchísimas gracias por esos trabajos Claude. Y por tener la capacidad de afilar el cuchillo, en estos tiempos y en nuestra conversación, para sacar la grasa, digamos, como digamos. Yo siento que es, es un trabajo muy fuerte, no? O sea, para mí, eso es el fin de turismo, la capacidad de parar, de ver al mundo como algo que existe sólo por tus gustos. Algo que existe en un sentido temporal, es decir desechable. Pero eso va a durar como un montón de trabajo en el sentido de recordar, de recordar que en algún momento sus antepasados, los urbanos, los del norte, etcétera, fueron indígenas. Pero qué pasó? Qué ha pasado? Qué rompió [00:37:00] esa relación con la tierra? Y eso, eso es un trabajo muy, muy fuerte y obviamente generacional y intergeneracional, entonces. Pues hay mucho más que podemos hablar y ojalá que tenemos la oportunidad en algún momento, pero quería agradecerte por la parte de mí, por la parte del podcast y los escuchantes. Y al final quería preguntarte, y para nuestros oyentes, si hay una manera de seguir a tu trabajo o contactarte, si estás dispuesto a eso, cómo se pueden conocer lo de ICEERS y MSC? Claude: Bueno, tienes, el trabajo de MSC es muy importante. Y pues, si necesitamos a más gente que se sume, que done. Necesitamos canalizar muchos [00:38:00] recursos para poder hacer estas cosas bien, verdad? Con pocos recursos estamos haciendo cosas increíbles, pero ya estamos viendo que, ya llegamos a niveles en los que podemos administrar mucho mayores recursos. Entonces, si la gente se siente inspirada y pueden entrar a la página web de MSC o ICEERS, y MSC fund FND, ver lo que estamos haciendo, los diferentes proyectos que tenemos ahí y se sientan inspirados para donar o conseguir recursos, pues, genial. ICEERS también hace un trabajo extraordinario en la creación de conocimientos, artículos científicos y defensa legal también de estos detentores, de estas medicinas. Trabajo con incidencia política con gente que decide en el mundo. [00:39:00] Entonces estamos luchando ahí por los derechos de los pueblos indígenas, por el derecho del uso de estas medicinas que en muchos lugares son ilegales, y también sobre todo, decir a la gente que más que ir a la selva, o tomar ayahuasca cerca de sus lugares, muchas veces ahí cerca también tienen una reserva, algunos abuelos, pueblos indígenas que están cerca de ustedes, no? En sus países, cerca de sus ciudades. Y pues es tiempo de reconectar, y es muy difícil, pero la verdad que vale la pena, ir, ver lo que necesitan, cómo podemos ayudar, cómo podemos colaborar, simplemente con esa presencia, con otro tipo de encuentro, y cultivar esas relaciones de amistad, es algo, es algo muy importante que podemos hacer hoy en día, y que, [00:40:00] pues la tierra nos está pidiendo a gritos que nos re conectemos. Y ahí están los abuelos, todavía hay abuelos que, como dices tú, solamente esperan que vengan los jóvenes a preguntar no? Y muchas veces cuando no son los propios jóvenes de sus comunidades, pues están muy felices cuando viene gente de afuera de otros lugares, con esas preguntas, porque los ayaban a practicar, los ayudan a compartir, pero también inspiran a los jóvenes de su comunidad a sentarse con los abuelos.Creo que es un tiempo en el que es muy importante volver a sentarse con los abuelos, y los abuelos están ahí y están necesitando mucho de nosotros. Entonces, hagámoslo.Chris: Oye, gracias, hermano. Voy a asegurar que esos enlaces están en la página de El Fin del Turismo cuando lance el episodio. Y [00:41:00] pues, desde el norte hacia el sur te mando un gran abrazo. Y gracias por tu tiempo hoy, por tu trabajo y por tus compromisos Claude. Claude: Un placer, Chris, gracias a ti. Gracias por lo que estás haciendo. Saludos.English TranscriptionChris: [00:00:00] Welcome Claude, to the podcast The End of Tourism.Claude: Chris. Thank you very much.Chris: I was wondering if you could explain a little bit about where you are today and how the world appears to you?Claude: Good question. I am, right now I am in Rio de Janeiro, where I live. I am Peruvian and I also studied anthropology and I dedicate a lot of my time to indigenous peoples, especially in Brazil, Colombia and Peru and I have been working in the Amazon for many years. And as I see the world today, from here, well, with a lot of concern, obviously, but also because of what I do with some hope,Chris: Yeah, and in that matter of what you do and what we talked about before, it seems like it's a great path, a path of [00:01:00] decades and decades. And I would like, if we could see a little more of that path. Could you comment a little on how you got to this great moment, be it through your travels, to other countries, to other worlds, to other teachers.Claude: Yes, of course, let me explain. I've been working with indigenous people in general for about 20 years, but especially with the topic of spirituality, master plants like ayahuasca and those things, and I got there like, I think, like most people who go to the jungle today, or to look for these medicines, as they are called, which is a certain or deep dissatisfaction with our own culture, with the existential response that our own society [00:02:00] can give us, I would say.It's like there's always a question that one asks oneself, "Doesn't there have to be something more? It can't just be that." That proposal, let's say from the West, can't just be that, there has to be something more, right? So that led me on a search since, I don't know when I was around twenty, twenty-something years old.What led me to experiment with these medicines like ayahuasca, San Pedro, mushrooms, not for a playful or evasive reason, but on the contrary, with a curiosity for other ways of knowing and understanding. So I approached these medicines, with curiosity to understand how indigenous peoples know what they know. What is the origin of their [00:03:00] knowledge at the moment, right?So, I studied anthropology. I quickly moved away from academia because I found it much more interesting what my grandparents taught me, who for anthropology were my informants, right? It was like, I had to have my informant, this informant. And I realized that no, they were not my informants, but they were teachers and I learned much more from them than what I was taught in books, or in classes, or in seminars, right?So I decided to dedicate myself more to following them and to continue learning with them, and to see how I could help them. These grandparents, these wise indigenous people. And that led me to a wonderful path that today I call "the bridge people," right? In other words, people who are in that place of interface, between the knowledge, the wisdom that remains to us from the indigenous peoples [00:04:00] and the Western world, the modern world.And in this new type of encounter that has been emerging for a decade or maybe two decades. It is this new type of encounter of our worlds, right? That until today was, had always been extremely problematic, if not murderous, right? The way our Western world met the indigenous worlds was destructive. Today we find ourselves in a different way, in which many young people and adults and people from the global north come in search of knowledge, wisdom, cure, healing, alternatives, looking for answers that our own civilization cannot give us. There is a hunger, a thirst for meaning for something greater, so many people begin to go there with different eyes, with a [00:05:00] respect that I don't think had existed before. And that brings positive things and negative things, obviously.It seems that we are wrong. There is a great curse, that, like everything that the West touches, it eventually turns into a great disaster. It seems like something super nice, super wonderful, illusory, it makes us fall in love, it seduces us, but after a short time we begin to realize the terrible consequences that we bring, right?But something, I don't know, something is also changing, something is shifting. There is a certain maturity on both sides, both on the indigenous side and on the non-indigenous side, to meet from a place where we can celebrate our differences and understand that those differences are material for the construction of a new time , right?So that's the part that brings me a little bit of hope.Chris: Yeah, that's nice. Thank you, Claude. I mean, I feel [00:06:00] a lot of hope, but also despair for someone who has visited several indigenous peoples in the Amazon for about 15 years now, during which time these medicines were gradually reaching the collective mentality of the West.And it has helped me a lot, not only for spiritual reasons, but also for repairing the damage I did to my body, for example, but also getting into those circles, in the Amazon, for example, but also my native land Toronto, Canada and other parts Oaxaca, Mexico. We have seen little by little the neglect of indigenous wisdom, indigenous cultures, medicines, and more than anything, the contradictions that [00:07:00] appear within the "psychedelic renaissance." So, you have been in those for a long time, not only regarding medicine, but also in indigenous cultures in the Amazon. I would like to ask you what you have seen there in the sense of contradictions, about tourism regarding medicine, it can be the side of foreigners coming to heal themselves, or maybe the locals or indigenous people taking advantage of the moment.Claude: All cultures have contradictions. And the main contradiction is between what is said, right? What is professed and what one sees in practice, right? It's like going to church and listening to the pastor talking about what a good Christian should be like.And then you walk around, I don't know, Chicago or Mexico City, and you see what [00:08:00] Christians are like and you say, wow, there's a huge contradiction, right? The contradiction is terrible. When we talk about indigenous peoples and knowledge, indigenous peoples, indigenous wisdom, it seems like we're speaking from a place of idealization, right?And I would not like to fall into that idealization but rather try to be very concrete. One thing is reality, which is truly terrible. We live in a time that is the peak, it is the continuation of a process of colonialism, of extermination that was not something that happened with the arrival of the Spanish, and the Portuguese and the time of the conquest. And it was not something that happened.It's something that keeps happening, . It's something that [00:09:00] It keeps happening. As the great Aílton Krenak, a great indigenous leader from here in Brazil, and an intellectual , member of the Brazilian Academy of Letters, recently said, what you don't understand is that your world is still at war with our world.He said that . He says that, in other words, you don't understand that the Western world, the modern world, continues at war and making every effort to make indigenous cultures disappear.I mean, in practice, that's what we're doing. So, when I talk about hope, I'm talking about it because there's something that's emerging, that's new, but it's really very small. And as you say, when, I mean, the expansion of ayahuasca, of San Pedro, of peyote and of a certain [00:10:00] Respect and a certain understanding of the importance of indigenous knowledge , we still don't really understand that, we don't understand. And when we talk from the global north, and what is called the psychedelic renaissance, when they talk about indigenous peoples, there is an idealization, above all, it is only part of a discourse that is a bit " woke. "It's a bit of a way of making your speech pretty, but in practice it's not visible, no, no, it doesn't occupy an important place. The path that this psychedelic revolution is going to follow is already designed, it is to extract the active principles from plants, to make medicines, to make a pill that will help people stay in better shape within the madness that the West proposes.How we give to people [00:11:00] tools to adapt and to resist , that's the absurdity we're subjecting them to , that 's really it. I mean, we need drugs like Brave New World now , not Soma. Are you feeling depressed? Take your pills . You're questioning things too much , take this so you can keep functioning and operating and producing, right?But one thing is very, very clear to me, and that is that we have not yet managed to understand the magnitude of indigenous knowledge. And I say knowledge, not beliefs, because in general, when we talk about indigenous peoples, what a shaman, as they call him, a healer, knows, or what they talk about regarding their spirituality, people think, "ah, those are their beliefs." And in the best of cases, they say, "oh, how nice, we have to respect it, we have to take care of their rights, and they have cultural rights and they have every right to believe in what they believe." But when we say beliefs, it is also a misunderstanding because it has very little of belief in reality.When one studies more, and when one goes deeper into what a healer, an ayahuasca, Shipibo, Ashaninka, Huni Kuin, Karipuna, Noke Koi Kofan, knows how to do, what they know, it has nothing to do with beliefs. It has nothing to do with the religious worship of certain deities. Nothing to do with it. We are talking about deeply practical knowledge, right?It is an accumulation of knowledge over generations and generations by scholars of the jungle, who organize this [00:13:00] knowledge. Socially and also transmitted with a method. There is a very strict, very specific method of transmitting this knowledge and these ways of knowing, so I just gave you a definition not of a religion. I just gave you a definition of science.So what we haven't really understood until now is that the little bit of that knowledge that has survived to this day is much more like a science than a religion. It's much more practical knowledge than a religious belief, right? And in that sense, it's of the utmost importance. And so, when we have more and more people having this experience, what happens?Many people come to the jungle in Iquitos, I have worked for many years, for years I have been like the main center where I have received many people to [00:14:00] take ayahuasca and those things, and people come to heal themselves of things that in their countries, well, no, no one can heal them of depression, trauma, physical things too, but above all psychological things, right?And then they come back and say, "Oh, I took ayahuasca and I was cured." "How did you get cured?" "Oh, I went, I took ayahuasca," but nobody says, "I was drinking with an old man who sang to me every night for half an hour. And then he would come in the morning and ask me what my dreams were like. And then he would come with other medicines and he would give me baths. And when he would give me baths, he would sing to me again. And then he would give me this, and he would give me this medicine and sing to me, and when he would sing to me, he would make me see this kind of... Nobody talks about it. People say, "I took ayahuasca and the ayahuasca cured me," but the old man who was singing just seems like an accessory to an old man singing.But that is not the case.Claude: [00:00:00] Most people say, "Wow, how did you heal from that? What happened? What did you do?"Ah, I already took ayahuasca. Ayahuasca cured me."True? I've actually heard very few people say, "Grandpa, Grandma gave me ayahuasca, but he sang to me for hours, gave me baths, asked me about my dreams, adapted all the plants and the treatment he was doing to my dreams, to what he was seeing. When he sang to me, he guided me to see things, or not see things."It seems as if the old man who sang was an accessory, a decoration. And no, really, we don't give credit to the deep work they do, and the knowledge they put into practice. And it's not strange because it's very difficult to understand how a person singing is going to heal me with a song, right?No, for us, it's very difficult, it doesn't make sense. [00:01:00] It has to be the substance that you took that got into your brain and made some neurological connections. I don't know. It can't be that thing, because for us, it would be magical thinking, right?But as I say, what we call magical thinking is not magical thinking for them. It is a very concrete knowledge that is learned and has learning methods. It is knowledge and skills and abilities that are acquired through transmission methods, right? And up to now we have not really managed to give it the place it deserves.On the contrary, we are impacting this in very profound ways, and there is a fundamental contradiction that I see in this, in going back to the question you asked me. In all this tourism that has arrived, and [00:02:00] this fascination, this interest. What are the impacts that this has had on indigenous communities in the indigenous world, right?So I think there are two things that seem to be a bit contradictory. On the one hand, there is a great blessing. Twenty years ago, you didn't see people our age, young people interested in sitting with their grandparents and really learning, and continuing those traditions and cultivating that kind of knowledge.Most people our age, a little older, up to our age, people who are 50, 55, 60 years old today, didn't want to do anything, no. They wanted to be bilingual intercultural teachers, they wanted to be [00:03:00] professionals, to belong to the white world, right? So, the old people were from a bygone era that was destined to become extinct.So, with the arrival of the Westerners and with this interest in these things, there has been a certain renaissance and above all, a real interest among the youth to learn these things as a professional alternative, let's say. Let's say, hey, why should I be a lawyer? If I, if you look at all the gringos that are coming, I can be this and I'll do better, right?So, on the one hand, there is this part that, today we see, for example, in the Shipibo, a lot of people who are learning, right? Many young people are interested, not only in the Shipibo, but in many places in Brazil, in Colombia, in Ecuador, I see, I see that, a youth that is little by little becoming more interested and [00:04:00] returning to their own roots.It's like, how to say, since you're a kid, they always tell you, "The ancients were crap, that world is over, the only thing that matters is modernity and integrating into urban life, into the official life of this civilization, going to church, having a career, and being someone in life," right?And then it was like, and the states with policies of that nature, the governments, the states of our countries, it was, well, the indigenous question was how do we civilize the Indians. Civilizing the Indian is nothing other than making them forget their systems, their cultures, but as a part of how I say, " woke, " not like," Oh, how nice the Indians are that they keep their dances, that they keep their folklore, that they keep [00:05:00] their clothes and that they keep certain things that are kind of nice, that they keep as something picturesque and somewhat folkloric, " but without really understanding the depth.But today, I think that to a large extent, thanks to this, not only is it a more complex thing, obviously, but, the youth, seeing that there is this arrival of whites , of foreigners, of gringos, right? Very interested in the knowledge of their grandparents, in medicine. And they go and are there, they say " oh, there must be something interesting here, I also want to learn. " If gringos like this, it's because there must be something good, you know? We got to that point where it was meant to disappear, but one way or another, there's a rebirth, right? At the same time, [00:06:00] In the transmission of this knowledge, as I was saying, it is extremely complex, extremely strict, strict methods of transmission, so it has had to be simplified because young people are no longer capable, having gone to school, having one foot in the city. No, they are not as capable, nor do they have the interest, nor the conditions, nor the aptitudes to really enter into these processes as the grandparents could have done, who today are 70, 80 years old, right , who were really the last . Unless you go very far into the jungle where there are places where there is not much contact, they still have to maintain some things, but they are also far from these circuits,But then, yes, there is a great simplification of these systems. So many things are lost. For better or worse, right? Many people say, well, at least this whole part of witchcraft and [00:07:00] shamanic attacks and all that stuff is being lost, but to which a lot, a lot of importance is given that we also fail to understand, because we see it with that Judeo-Christian vision, that Manichean distinction of good and evil, which in the indigenous worlds does not just not exist, but is totally different, right? And that is part of those differences that are important to understand and respect, right? So, all this part that we see as witchcraft, as diabolical and such, has its function within a system, and that no, trying to make it disappear is to make the system itself disappear, right?Because we don't understand it. It's the same thing that happens, it's what has always happened, something that scandalizes us, so we want to change it, but it scandalizes us from our own worldview and we are not understanding it from the vision of [00:08:00] They do not. It does not mean that everything can be put into perspective, right? There are things that are very difficult, no, and very delicate, but in general, when there is something that scandalizes us, we want to change it, without really going into an understanding of the function of those things, because we are following the same patterns as the priests who arrived 400, 500 years ago. They said, "Oh, this is diabolical. We have to eradicate these things, right?" So we continue doing that. So, on the one hand, we see that there is a rebirth of interest among the youth and a reconnection with their own identity, while at the same time there is a somewhat dangerous simplification of these systems, meaning that the young people who will soon be grandparents do not know half of what their grandparents knew. They know the bare minimum that is needed to give the gringo what he requires, what he needs, what he is looking for, enough to actually do business, and that is not to blame them, but it is part of the system in which we are navigating, because everything works like that.Why are you going to go so deep if this minimum is enough? Especially when we see that many gringos, many foreigners, take ayahuasca a few times or go on a diet, and then they take ayahuasca back to their countries, put on the feathers, grab their little guitar, and start singing these things as decoration around this experience and make a lot of money.And so ayahuasca has been expanding throughout the world, right? And that serves its purpose too. Not to judge, but [00:10:00] there is also, it is a superficiality, many times, hurtful, when you see what a grandfather knows and what he has had to go through, the difficulties, the tests and the responsibilities that an

Send us a text if you want to be on the Podcast & explain why!Become a QUALIFIED Certified personal trainer with www.showupfitness.comQualifying yourself as a professional personal trainer means going beyond basic certifications when working with clients who have complex conditions like Functional Neurological Disorder (FND). This episode breaks down exactly how to establish yourself as a trusted fitness professional within the medical community while designing effective programs for clients with neurological challenges.When working with clients who have medical conditions, your first move should always be reaching out directly to their healthcare providers. We walk you through exactly how to approach doctors and therapists, what to say, and how to present yourself as a qualified professional who stands apart from the Instagram fitness crowd. This simple step not only improves your programming but positions you for valuable referral relationships.For the long-distance runner with FND who experiences symptoms while descending stairs, we detail a comprehensive programming approach focusing on unilateral strength, frontal plane stability, and neurological control. You'll learn specific exercise selections—from explosive step-downs to airplane poses—that directly address the functional limitations while building overall performance. Most importantly, we explain why consistent progression of these movements creates better results than constantly changing exercises.The difference between average trainers and elite coaches isn't just exercise selection—it's creating comprehensive systems and networks. By learning to work collaboratively with medical professionals and focusing on evidence-based programming rather than entertainment, you'll not only help clients overcome conditions like FND, but you'll establish yourself as an indispensable part of their healthcare team. Ready to elevate your professional status and help clients who truly need your expertise?Want to ask us a question? Email email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show! Our Instagram: https://www.instagram.com/showupfitnessinternship/?hl=enTikTok: https://www.tiktok.com/@showupfitnessinternshipWebsite: https://www.showupfitness.com/Become a Personal Trainer Book (Amazon): https://www.amazon.com/How-Become-Personal-Trainer-Successful/dp/B08WS992F8Show Up Fitness Internship & CPT: https://online.showupfitness.com/pages/online-show-up?utm_term=show%20up%20fitnessNASM study guide: ...

Elise from the United States, shared her experiences with mast cell activation syndrome (MCAS), functional neurological disorder (FND), and various health issues. She described dealing with symptoms since childhood, such as severe fatigue, unpredictable energy levels, infections, severe allergic reactions, and bowel issues. Elise also mentioned the psychological impact of her conditions and how she coped with chemical sensitivities, such as avoiding strong smells and educating others about the impact of scented products. She expressed that recently her chemical sensitivity has been improving, and she shared specific memories of how certain perfumes triggered her health issues.For information on LDN, go to https://linktr.ee/ldnrtOur webinars and training courses can be purchased from https://www.ldnrtevents.com/collections/webinars-and-training-coursesWe have a list of LDN Q&As on our website https://ldnresearchtrust.org/questions-and-answersVisit our website, which is packed with information on Low Dose Naltrexone (LDN) for Autoimmune Conditions, Cancers, Chronic Pain, Women's Health and more.https://www.ldnresearchtrust.orgWe have a very active FB Closed Grouphttps://www.facebook.com/groups/LDNRT/

Prof. Jon Stone, Dr. Laura Strom, and Meagan Watson discuss functional seizures and healthcare costs related to the functional seizure program at the University of Colorado. Show reference: https://www.neurology.org/doi/10.1212/CPJ.0000000000200393 

We’re super excited to bring you this week’s episode with Senior Clinical Neuropsychologist, Simone Mangelsdorf-Collett (she/her). We chat with Simone about Functional Neurological Disorder (FND) – or, as Simone puts it “the most common disorder you’ve never heard of”. Simone specialises in FND, neurodegenerative syndromes, and movement disorders, and practices out of Yarra City Psychology in Richmond, Melbourne. She is experienced in both ends of patient care, including assessment and diagnosis and rehabilitation and intervention. If you’ve been wondering about FND, this episode is for you! We cover: What is Functional Neurological Disorder (FND), and how does FND differ from other neurological disorders (like epilepsy, stroke, Parkinson’s etc.) What does the term ‘functional’ mean, in this context? The historical context of FND and how our understanding of this condition has evolved over time. Some of the currently known mechanisms behind FND, including predictive coding theory. Some common vulnerabilities and triggers for FND. The overlap between FND, neurodivergence, and gender. Simone takes us through treatment options for FND and who would be involved in the treatment team. How Simone came to specialise in FND and her work in FND advocacy and education. Things mentioned: FND Australia Support Functional Neurological Disorder in Australia Functional Neurological Disorder Society (FNDS), for professionals. Here are some studies on the link between FND and Autism – Tamilson et al., 2024, Gonzalez-Herrero et al., 2024, Pun et al., 2020, Link between gender and FND – McLoughlin et al., 2023. Got questions for us?? Come along to our LIVE Q&A event! Held online on 27th June (with replay available to all ticket holders). Grab a ticket here and submit your question! Enjoyed the episode and want to support us further? Join our Patreon community! Patreon subscribers receive ad-free episodes, basic episode transcripts from Season 4 onwards, access to a monthly live zoom hang out, 50% off our episode articles, plus bonus monthly content (depending on subscription tier). Check out our Patreon page to support us, as we aim to make quality mental health care information accessible to everyone: www.patreon.com/ndwomanpod. Want polished copies of our episodes in beautiful and readable pdf article format? Grab them here. Contact us at ndwomanpod@gmail.com, or visit our website: www.ndwomanpod.comSee omnystudio.com/listener for privacy information.

Prof. Jon Stone talks with Dr. Laura Strom and Meagan Watson about changes in total emergency department and inpatient visits and costs before and after referral to a specialized, comprehensive functional seizure treatment clinic. Read the related article with Neurology® Clinical Practice. Disclosures can be found at Neurology.org.   

Jonny and Heather are joined by Craig as we record this episode on Trans Day of Visibility. We discuss visibility, the good and the bad kind, as Craig conemplates the consequences of the Trump Admin challenging California's laws aganst teachers mandated to report any and all gender variance in students t their parents. The consequences of related grade school traumas stay with us our entire lives. We also lean into fighting deliberate efforts at trans erasure. In the back half of the show, Jonny shares exerptes from oral histories that are (and are not) part of the upcoming installation in the Sharp Museum on the SIU Campus, "Queer Stories/Queer Spaces: Histories and Queertographies." He shares particularly oral histories about the local LGBTQ+ swimming hole, The Pit.

Jason and Jeff explore the vast housing market and its investment opportunities. They discuss the importance of the housing sector and cover a range of topics, including home builders, the impact of aging housing stock, and the benefits of home improvement companies like Lowe's and Home Depot. They also highlight specific stocks and REITs and address the challenges and risks associated with housing investments. 01:34 Exploring the Housing Market05:39 The Home Builders Sector13:07 Top Home Builder Stocks27:33 Home Improvement Giants: Lowe's and Home Depot32:05 Economic Impact of Home Injuries32:49 Home Depot and Lowe's: Long-term Investments33:41 Dividend Growth and Share Buybacks34:43 Specialty Retail in Housing36:37 Sherwin Williams: A Success Story38:49 Investing in Construction Material Companies41:47 Exploring Real Estate Investment Trusts (REITs)47:29 ETFs for Housing Market ExposureCompanies mentioned: AOS, AZEK, AVB, DFH, FND, GRBK, HD, INVH, LEN, LL, LOW, MAA, MTH, NVR, RDFN, SHW, TREX, TTSH, ZSubscribe to our portfolio on Savvy Trader Email: investingunscripted@gmail.comTwitter: @InvestingPodCheck out our YouTube channel for more content: To get 15% off any paid plan at finchat.io, visit https://finchat.io/unscriptedListen to the Chit Chat Stocks Podcast for discussions on stocks, financial markets, super investors, and more. Follow the show on Spotify, Apple Podcasts, or YouTubeInvesting Unscripted is brought to you by Public.com* Visit https://public.com/investingunscripted *All investing involves the risk of loss, including loss of principal. Brokerage services for US-listed, registered securities, options and bonds in a self-directed account are offered by Public Investing, Inc., member FINRA & SIPC. Public Investing offers a High-Yield Cash Account where funds from this account are automatically deposited into partner banks where they earn interest and are eligible for FDIC insurance; Public Investing is not a bank. Cryptocurrency trading services are offered by Bakkt Crypto Solutions, LLC (NMLS ID 1890144), which is licensed to engage in virtual currency business activity by the NYSDFS. Cryptocurrency is highly speculative, involves a high degree of risk, and has the potential for loss of the entire amount of an investment. Cryptocurrency holdings are not protected by the FDIC or SIPC. A Bond Account is a self-directed brokerage account with Public Investing, member FINRA/SIPC. Deposits into this account are used to purchase 10 investment-grade and high-yield bonds. The 6%+ yield is the average, annualized yield to worst (YTW) across all ten bonds in the Bond Account, before fees, as of 12/13/2024. A bond's yield is a function of its market price, which can fluctuate; therefore, a bond's YTW is not “locked in” until the bond is purchased, and your yield at time of purchase may be different from the yield shown here. The “locked in” YTW is not guaranteed; you may receive less than the YTW of the bonds in the Bond Account if you sell any of the bonds before maturity or if the issuer defaults on the bond. Public Investing charges a markup on each bond trade. See our Fee Schedule (https://public.com/disclosures/fee-schedule). Bond Accounts are not recommendations of individual bonds or default allocations. The bonds in the Bond Account have not been selected based on your needs or risk profile. See Bond Account Disclosures to learn more.Alpha is an AI research tool powered by GPT-4.  Alpha is experimental and may generate inaccurate responses.  Output from Alpha should not be construed as investment research or recommendations, and should not serve as the basis for any investment decision. Public makes no warranties about its accuracy, completeness, quality, or timeliness of any Alpha out. Please independently evaluate and verify any such output for your own use case.*Terms and Conditions apply.2025 Portfolio Contest2024 Portfolio Contest2023 Portfolio Contest

Welcome to this episode of It's Me, It's Me, It's F&D. In this special edition, we honor Functional Neurological Disorder Day, celebrated annually on March 25th. The episode provides an insightful overview of FND, a condition where the brain's ability to send and receive signals is disrupted. Unlike common neurological disorders, FND is akin to a software malfunction, impacting individuals in various life-altering ways. Learn about the challenges faced by those living with FND, the complexity of its diagnosis, and the array of symptoms, including fatigue, seizures, and migraines. Despite the daily struggles, there is hope, as discussed through available therapies and support from charitable organizations like FND Action, FND Hope, and the MyFND app. Join us in spreading awareness and understanding of FND, a disorder that demands attention, empathy, and comprehensive care. As we navigate through the intricacies of this condition, remember that every little step towards awareness counts. https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/functional-neurological-disorder/ for information on fnd and links to charities and help please follow 

On this Dialogue episode of The Synopsis, we  give an update on Dream Finders Homes and Floor & Decor. Check out our written business updates for $FND and $DFH below!  Dream Finders Homes 4Q24 Business Update  Floor & Decor 4Q24 Business Update ~Mentioned Memos~ Home Depot Memo: Priced to Outperform Perfection For full access to all of our updates and in-depth research reports, including our Dream Finders Homes Exploratory Report and our Floor & Decor Extensive Research Reports, become a Speedwell Member here. Please reach out to info@speedwellresearch.com if you need help getting us to become an approved research vendor in order to expense it. -*-*-*-*-*-*-*-*-*-*-*-*-*-*- Show Notes Dream Finders Homes 4Q24 Business Update  *~* (0:00) — Where's the Letter? (1:34) — High Level Overview (5:27) — Acquisition Model Similar to Constellation Software (9:20) — Rare Case where ROE makes more Sense, Riff on Bank Balance Sheets (12:57) — Operating Income, Tariffs, Non-homebuilder Acquisitions (20:04) — Valuation   Floor & Decor 4Q24 Business Update *~* (24:00) — Overview, Same Store Sales Controversy (33:45) — Founder Operators versus Professional Managers, Cabinet Selection Concerns, Store Roll Outs Slowing (42:00) — Tariffs, Spartan, Operating Leverage (49:12) — Valuation -*-*-*-*-*-*-*-*-*-*-*-*-*-*- For full access to all of our updates and in-depth research reports, become a Speedwell Member here. Please reach out to info@speedwellresearch.com if you need help getting us to become an approved research vendor in order to expense it. *-*-*- Follow Us: Twitter: @Speedwell_LLC Threads: @speedwell_research Email us at info@speedwellresearch.com for any questions, comments, or feedback. -*-*-*-*-*-*-*-*-*-*- Disclaimer Nothing in this podcast is investment advice nor should be construed as such. Contributors to the podcast may own securities discussed. Furthermore, accounts contributors advise on may also have positions in companies discussed. At the time of publication, one or more contributors to this report has a position in FND and DFH. Furthermore, accounts one or more contributors advise on may also have a position in FND and DFH. This may change without notice. Please see our full disclaimers here:  https://speedwellresearch.com/disclaimer/

We are excited to have Samantha Levy, PhD join the show again this week to discuss Functional Neurological Disorder (FND). Dr. Samantha Levy is a clinical psychologist specializing in youth with chronic pain disorders. She uses a biopsychosocial approach to address both physical and emotional struggles, working with children, families, and parents to help them align the mind and body for improved functioning. Dr. Levy also runs parent groups, writes a parenting blog for Creative Healing for Youth in Pain, and works as a psychologist for Whole Child LA. Functional neurological disorder (FND) is a condition in which often debilitating neurological symptoms appear without a clear medical cause, and this episode helps make some sense of FND, from the ways it manifests (paralysis, seizures, sensory disruptions) to the underlying emotional and psychological factors that ultimately shape it. We explore why FND tends to surface in individuals with a history of anxiety, depression, trauma, and/or other medical conditions and how social media and peers, particularly during the COVID-19 pandemic, have played a role in its seeming to be more common. In this episode, you will gain insight into how staying calm, validating emotions, and avoiding reinforcement of symptoms can help support recovery. Dr. Levy helps us understand that treatment for FND is not a one-size-fits-all approach. We discuss the importance of a multidisciplinary approach instead, including individual therapy to address emotional triggers, physical therapy to rebuild control over the body, and family therapy to create a stable support system. We also stress how schools and healthcare providers play a key role in recovery, and we explore strategies to ensure that the right team is in place. This episode of the podcast ultimately offers a message of hope – that FND can feel overwhelming, but with the right interventions, many children see significant improvement, and the experience can even lead to personal growth for the entire family!   Show Notes: [2:46] - Dr. Levy explains how FND causes real neurological symptoms without medical explanation and has historically been misdiagnosed. [4:49] - FND can involve paralysis, sensory loss, and/or seizures, resulting from the brain misinterpreting signals. [7:14] - FND often affects individuals with anxiety and can spread via social influence. [10:13] - Dr. Levy discusses how pandemic-related stress and social media exposure contributed to FND symptoms. [12:22] - Dr. Levy argues that identifying emotional, physical, and environmental triggers for FND episodes helps prevent and reduce symptoms. [15:14] - To avoid reinforcing FND symptoms, parents should minimize attention during non-epileptic episodes. [18:45] - Professional guidance is very important for parents who have children with FND. [19:19] - Encouraging open emotional expression helps children with FND take on triggers. [22:43] - Therapy for teens with FND tends to address anxiety, trauma, and coping strategies. [25:22] - Dr. Levy discusses how physical therapy, guided imagery, and emotional validation help teens with FND regain body confidence. [28:38] - Dr. Levy reflects on how a child's FND episodes decreased significantly after shifting family dynamics. [30:32] - Overprotectiveness can actually worsen FND symptoms, so teens should maintain safe, independent activities. [33:39] - Parents should seek support themselves because their stress can worsen their child's FND symptoms. [35:45] - Dr. Levy points out that FND can be a wake-up call, prompting families to develop healthier ways to handle emotions. [38:00] - Dr. Levy reflects on how a girl's involuntary kicking symbolized suppressed anger, stressing a need for emotional expression. [41:27] - Various resources such as reactive programs and CHIP webinars help provide support for FND treatment. Links and Related Resources: CHYP's Website Dr. Samantha Levy, PhD - “Navigating a Functional Neurological Disorder (FND) Diagnosis in Children: Understanding, Coping, and Finding Support” Episode 220: How to Support Children and Teens with Chronic Pain with Dr. Samantha Levy   Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia    Connect with Dr. Samantha Levy: CHYP's Website CHYP - Our Team  

I am joined in this episode by Robert Wilson Thomas to discuss his diverse perspectives of functional neurological disorder. This includes his experience as a patient, as narrated in his illness memoir FND: Lessons form a Rather Eventful Life, and his insights as an advocate for the disorder.Our discussion covered the triggers and vulnerabilities that led to Robert's FND, a theme that went back to his childhood and which covered the role of emotions. We also reviewed the manifestations of his FND, from seizures to gait difficulty and falls. We also reviewed the convoluted path he took to getting a diagnosis, and how the disorder has progressed over the years.Also relevant is Robert's exploration of the interventions that have been helpful, the unsatisfactory attitude of many in healthcare towards the disorder, and the prospects that research and better understanding are promising. The conversation also explored the importance of peer supports, and the prospects of the disease, and the impact of the disease on his career and relationships, and the stigma and myths that permeates society about FND.We also reviewed Robert's advocacy work for FND. Robert retired from formal employment in 2017, and since mid-2018, he has been a Director, Co-chair and Legal Advisor to FND Hope International, the global charity dedicated to support and advocate on behalf of people with FND, and their families.Robert is Welsh by birth, but as he had lived in Ireland since 2001, he now tends to identify as Irish-Welsh although native Irish people still regard him as a ‘blow-in'. He is a practicing Buddhist, and has been a barrister since 1977, although his first degree was in chemical engineering. He describes himself as autistic, bipolar, diabetic, an alcoholic in recovery, vegetarian, and a cancer survivor. His latest book is titled A Box of Frogs: Dwells On and Delves into my Neurodivergent Nature.

In this podcast episode, I tackle the theme of functional neurological disorders, and I explore their almost endless types and diverse presentations. I particularly highlight functional seizures, noting their risk factors, their characteristic, even if diverse, presentations, the ways by which they may be distinguished from organic seizures. I also review functional movement disorders with a special emphasis on functional tremors. I also highlight the negative attitudes by which people with FND are treated by medical staff, who are themselves often poorly trained in the condition, and the tendency for FND to be misdiagnosed. I highlight the principles of communicating the diagnosis of FND and the often negative emotions the diagnosis elicits in many patients and their families on account of the stigma associated with it. I also review the challenges that doctors face with making a diagnosis of FND, and the management approach to the disorder. I illustrate functional neurological disorders with the books The Shaking Woman or A History of My Nerves by Siri Hustvedt, FiNDing Hope, by Jocelyn Bystrom, and FND Stories by Greg Rawlings and colleagues. The podcast also discussed the evolving scientific understanding of functional neurological disorders, and for this I cited the book by neurologist Suzanne O'Sullivan titled It's All in Your Head. I also explore the fascinating history of the study of functional neurological disorders with reference to the role played by Jean-Martin Charcot, the acknowledged father of clinical neurology. In this context, I cited the book Medical Muses, written be Asti Hustvedt, which vividly captured the nature of hysteria, and the personalities of the famous hysterics that Charcot studied in Paris. This especially reviewed Blanche Wittman, Charcot's most famous patient, and factors of her life that predisposed her to developing hysteria. I also used this text to highlight the less well-known positive contributions that Charcot made to the subject.

In this episode, Brain & Life Podcast co-hosts Dr. Daniel Correa and Dr. Katy Peters answers your questions. They explain stiff person syndrome, prosopagnosia (also known as face blindness,) lissencephaly, and how to talk about functional neurologic disorder symptoms to your loved ones and other medical providers.   Additional Resources Celine Dion's Diagnosis Raises Awareness of Stiff Person Syndrome What Is a Functional Neurologic Disorder? What is Prosopagnosia? How Caregivers Deal with Anticipatory Grief FND Courage     We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org Social Media:   Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Welcome to season 6 of Hope for the Agora Podcast.Karen Kleine Deters shares her story of journeying with FND -- Functional Neurologic Disorder.Functional neurologic disorder (FND) refers to a neurological condition caused by changes in how brain networks work, rather than changes in the structure of the brain itself, as seen in many other neurological disorders. Physical symptoms of FND are genuine but cannot be explained by changes in the brain structure. The exact cause of FND is unknown.Resources:National Institute of Neurological Disorders and Stroke (NINDS). Functional Neurological Disorder Information Page. https://www.ninds.nih.gov/health-information/disorders/functional-neurological-disorderStone, J., Carson, A., & Sharpe, M. (2005). Functional symptoms and signs in neurology: assessment and diagnosis. *Journal of Neurology, Neurosurgery & Psychiatry, 76*(Suppl I), i2–i12. https://jnnp.bmj.com/content/76/suppl_1/i2Support & Awareness OrganizationsFND Hope International – https://fndhope.orgThe Functional Neurological Disorder Society (FNDS) – https://www.fndsociety.orgMayo Clinic: Functional Neurological Disorder – https://www.mayoclinic.org/diseases-conditions/conversion-disorder/symptoms-causes/syc-20355197Podscasts and storiesNeurology Podcast by the American Academy of Neurology (AAN) – https://www.aan.com/podcastFND Portal Podcast (FND Hope International) – https://fndhope.org/fnd-portal-podcast

Half year reports are playing their usual havoc on some of our stocks, as results disappoint the market. But is the market over-reacting in some cases? Tony thinks so. We're also talking about the RBA's decision to cut interest rates and how that affects our investing decisions. Stocks covered today include FND, AMP, CVL, PPM, and Tony's deep dive is on FSF. He also answers a listener's question about borrowing to buy shares. After hours includes discussions about Babylon, the ACO, racing updates and fasting.

Adam is joined by guest hypnotist and the founder of the Irish Hypnotherapy Conference John Scanlon. John discusses how hypnosis can help those who were adopted, or coping with FND and does a hypnosis session to help you feel more resourceful in life.  For more information on John visit:  https://www.empowergorey.com/  Adam and John will both be presenting at the Irish Hypnotherapy Conference in Dublin in April - tickets can be purchased here: https://irishhypnotherapyconference.ie/   More Info on John:   Hi! I am John, and I have a passion to empower people to live their best lives. Believing that when we live to our potential, we feel alive and we radiate happiness from the inside out. In a world where being on the go, and meeting others' needs always seems paramount, too often the changes we wish to make for ourselves get left and we accept the status quo, it's important that we meet our own needs and take time for ourselves. I believe that hypnotherapy has the power to change lives, to make our lives better, we just need to want to change. Our Mission We are a healing centre that offers hypnotherapy and meditations to help people relax, and overcome obstacles in their lives When we live life to our potential, we radiate happiness from the inside out. What stops us from living this life, we hold ourselves back due to our beliefs. Too often we think and speak to ourselves in a less than positive way and this limits us. If you wish to change, whether it's losing weight, quit smoking, deal with anxiousness, overcome a fear or phobia, or gain more confidence, hypnotherapy has the power to give you the keys to change to make that change by directly accessing your own subconscious and changing beliefs that may be limiting you to achieve which that you desire. Adam's course Hypnotic Wealth can be found here: https://www.adamcox.co.uk/hypnotic-wealth.html  Coming Soon - The Hypnotists's Secret Circle: Adam will soon be launching a new low-cost membership to access his entire hypnosis archive without the intro, outro, and explanation and an exclusive community only for members. In the meantime you can secure a free sleep download here: https://tr.ee/MCuZqKPnEg  Adam Cox is one of the world's most innovative hypnotists and is known for being the hypnotherapist of choice for Celebrities, CEO's and even Royalty. To book a free 30-minute consultation call to consider working with Adam go to: https://go.oncehub.com/AdamCox Adam's rates for hypnotherapy in pounds and US dollars are here: https://www.adamcox.co.uk/hypnotherapist.html  You can contact Adam at adam@adamcox.co.uk Further information on Adam is here: https://linktr.ee/AdamCoxOfficial  Tags: Adam Cox, the hypnotist, NLP, asmr, hypnosis, hypnotherapy, hypnotist, stress, sleep, worry, meditation, guided meditation, hypnotism, anxiety, hypnosis for abundance, hypnosis for confidence hypnosis, Guest Hypnotist John Scanlon, Adoption Hypnosis, FND hypnosis,

In this episode recorded on February 4, 2025, we dive into the impact of recent US tariff implementations and their immediate retraction. We also discuss the resignation of Resolute Mining's CEO following his detention in Mali and its effect on the company's share price, TK explains the Ricardo effect on national economic strategy, the collapse of Mosaic Brands, regulatory approval for FND, and a 'Pulled Pork' segment on Aurelia Metals (AMI), covering the company's history, current status, and future projections amid the booming gold prices. In After Hours, they offer tributes to Marianne Faithful and discuss pop culture, including 'Rogue Heroes' and 'Inland Empire', Nazi propaganda and 20th-century Russian literature.

In this episode of The Dr. Alex Show, Dr. Alex Nelson returns to shed light on Functional Neurological Disorder (FND), a condition at the crossroads of neurology and psychology. Drawing from his recent presentations and hands-on experience, Dr. Alex explores the predisposing factors, triggering events, and common misconceptions surrounding FND — especially in the wake of COVID-19. He emphasizes the importance of a multidisciplinary approach, involving neurologists, psychologists, and physical therapists, to provide effective care. Join us as we dive into this often-misunderstood disorder and the hope for better recognition and treatment. Additional resources and links from Dr. Alex: https://www.fndsociety.org/ https://neurosymptoms.org/en/ https://fndhope.org/ https://fndaction.org.uk https://www.ninds.nih.gov/health-information/disorders/functional-neurologic-disorder https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/functional-neurological-disorder/ - Scotland https://rarediseases.org/rare-diseases/fnd/

In this episode of the I Love Neuro podcast, host Erin Gallardo interviews speech-language pathologist Jenn Freeburn about her work treating patients with functional neurological disorders (FND). Freeburn, a specialist in acquired motor speech and cognitive communication disorders, provides a fascinating overview of the often overlooked role of speech therapy in this complex condition. Freeburn explains that 30-50% of patients with functional motor symptoms may also experience speech-related issues, ranging from stuttering and functional dysarthria to changes in prosody and vocal quality. SLPs can also work with patients with functional cognitive disorder, a lesser-known aspect of FND that can involve memory problems, word-finding difficulties, and other cognitive challenges. As well as functional swallowing disorders, which often overlap with vocal symptoms and can lead to significant weight loss and deconditioning. In terms of treatment, Freeburn emphasizes the importance of a thorough assessment and a patient-centered, collaborative approach. She shares examples of creative techniques, such as using external cues, distractions, and even mimicry, to help patients regain natural speech patterns. Freeburn also highlights the potential for significant improvement, noting that some patients can achieve near-complete recovery of their symptoms. Throughout the conversation, Freeburn advocates for increased awareness and understanding of the role of speech therapy in FND and a collaborative approach. Check out the resources shared: https://pubmed.ncbi.nlm.nih.gov/34210802/ and https://pubmed.ncbi.nlm.nih.gov/37775195/ FND Resources we've gathered

Functional neurological disorder (FND) results in fluctuating control of voluntary activities. Victor Mark, M.D., explains why FND has only recently begun to be acknowledged as a neurological rather than purely psychological disorder. He discusses conditions related to FND and effective rehabilitation coordinated between neurologists, psychologists, physical therapists, and others to moderate symptoms. Learn more about the persistent misunderstandings regarding FND within the medical community, which have often created a stigma for those living with it.

Are you feeling lost in the maze of social media buzzwords—dysautonomia, FND, or POTS—without clear guidance on what's actually going on with your body? Maybe you've been told to try one-size-fits-all solutions, like endless supplements or generic online programs, only to find yourself more confused and out of pocket. It's infuriating to see vulnerable populations being taken advantage of by flashy marketing or oversimplified solutions. The truth is, there's no magic pill for concussion recovery—it's a multi-layered, highly individualized process that demands expertise, collaboration, and real human connection. Let's talk truth bombs, spicy takes, and breaking free from the misinformation overload surrounding concussion care. In this episode, Natasha chats with the brilliant and fiery Dr. Michelle Eisenmann, a chiropractic neurologist who's unafraid to call out the BS in the field. From unmasking the buzzword traps to advocating for genuine, patient-centered care, Michelle shares her bold perspective on what it takes to truly heal from concussions—and why collaboration and personalized care are non-negotiable. Dr. Michelle Eisenmann attended Parker University where she earned her Doctorate degree in Chiropractic, her masters degree in clinical neurology and fellowship. She has a bachelors in Kinesiology from the University of North Texas and is a diplomate for the American Chiropractic Neurology Board.  She has also completed additional courses in neurological studies with an emphasis on neuroplasticity, traumatic brain injury, post stroke rehabilitation, vestibular dysfunction, dysautonomia and more. Due to her own health and family history Dr. Eisenmann has a passion for healthy lifestyles. After battling with her own health concerns and family concerns involving cancers, polyneuropathies, neurodegenerative diseases to name a few. She dedicated herself to helping others as well. When she is not working at the clinic she assists people with brain injuries by teaching them how to live a lifestyle that is supportive to recovery. In her free time she enjoys spending time with her husband and family, researching non toxic beauty products and learning how to play the ukulele.  Being born and raised in Puerto Rico, Dr. Eisenmann offers services in both English and Spanish. Dr. Eisenmann and Natasha are here to clear the fog. With their combined expertise in functional neurology and concussion recovery, they dive into actionable strategies, discuss why personalized care matters, and tackle the misinformation that's taking the internet by storm. Episode Sponsor: JANE APP To learn more about how Jane's intake forms can help, head to jane.app/guide to book a 1-on-1 demo with a member of their team. If you're ready to get started, you can use the code SYMPHONY1MO at the time of sign-up to get a 1-month grace period applied to your new account. ✨ Don't miss the Rethink Rehab Workshop —sign up before the founding price ends on January 23rd! ✨ Let's connect!   Instagram:  @concussionnerds https://www.instagram.com/concussionnerds/ @natasha.wilch https://www.instagram.com/natasha.wilch/ Email: hello@natashawilch.com Website: https://www.natasha-wilch.com Learn how to connect & understand your nervous system so you can have greater outcomes in your health & healing journey: Grab a copy of the workbook https://www.natashawilch.com/understanding-connecting-your-nervous-system-1   Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery: Mini School: https://www.natashawilch.com/concussion-mini-school Membership: https://www.natashawilch.com/concussion-mini-school-the-membership  

Working with clients with Functional neurologic disorders (FND) can be confusing and challenging. If you're stuck and aren't sure how to help your clients you've gotta check out this episode! Occupational therapists and industry leaders in the treatment of FND Julie MacLean and Jessica Ranford discuss their expertise in using a sensory-based approach to treatment. In their work they noticed certain patterns emerging for people experiencing FND. By conducting detailed sensory profiles and histories, the OTs were able to identify patterns in how these patients processed sensory information. Many exhibited heightened sensory sensitivity, sensory avoidance, and low sensory registration - leading to cognitive, emotional, and motor control issues. The OTs developed a multi-step treatment approach focused on: 1) Increasing patient self-awareness of their sensory processing and arousal levels 2) Exploring individualized sensory strategies to self-regulate 3) Creating personalized "sensory diets" of activities to maintain balance This sensory-based framework, combined with motor retraining when needed, has been effective in helping FND patients improve their symptoms and expand their participation in daily life. Overall, this discussion highlighted the valuable role occupational therapy can play in assessing and treating the complex sensory processing difficulties experienced by many individuals with functional neurological disorders. FND specific resources:  www.neurosymptoms.org  www.FNDhope.org Overcoming Functional Neurological Disorders Workbook, Reset and Rewire: The FND Workbook  OT and sensory processing specific resources:  Living Sensationally: Understanding Your Senses by Winnie Dunn  The Spiral Foundation Sensory Modulation & Environment: Essential Elements of Occupation by Tina Champagne The Sensory Connection Program and Workbooks by Karen Moore  Recent OT publications:  Sensory Processing Difficulties and Occupational Therapy Outcomes for Functional Neurological Disorder: A Retrospective Cohort Study. McCombs KE, MacLean J, Finkelstein SA, Goedeken S, Perez DL, Ranford J. Neurol Clin Pract. 2024 Jun;14(3):e200286.   Outpatient Approach to Occupational Therapy for Paroxysmal Functional Neurologic Symptoms: Sensory Modulation Training as an Emerging Treatment. Ranford J, MacLean J.  Neurol Clin. 2023 Nov;41(4):695-709. doi: 10.1016/j.ncl.2023.02.008. Epub 2023 Apr 20 Sensory Processing Difficulties in Functional Neurological Disorder: A Possible Predisposing Vulnerability? Ranford J, MacLean J, Alluri PR, Comeau O, Godena E, LaFrance WC Jr, Hunt A, Stephen CD, Perez DL.Psychosomatics. 2020 Jul-Aug;61(4):343-352. Occupational therapy consensus recommendations for functional neurological disorder. Nicholson C, Edwards MJ, Carson AJ, Gardiner P, Golder D, Hayward K, Humblestone S, Jinadu H, Lumsden C, MacLean J, Main L, Macgregor L, Nielsen G, Oakley L, Price J, Ranford J, Ranu J, Sum E, Stone J. J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1037-1045.

In this episode, while Tony is playing golf, I am joined by guest co-host QAV club member Geoff Fleming. We discuss Geoff's investing journey, then get into Anthony Scaramucci's book on Bitcoin "investing", recent updates from EHL and FND, ASIC's warnings about cybersecurity threats to share holdings, the latest market news including gold stocks like WestGold (WGX) and Resolute Mining (RSG), and a deep dive on Auswide Bank (ABA), including its recent acquisition, merger talks with MyState, and financial challenges. After hours chat includes Babylon, The Old Man, pumpkin pie, Pink Floyd / Roger Waters concerts, Jethro Tull lyrics, Bauhaus movement, Cobra Kai and The Life of Apollonius of Tyana by Philostratus.