Podcasts about general psychiatry

In this episode of the Meaning Project Podcast, Dr. Daniel A. Franz engages in a comprehensive discussion with Dr. Mark Hrymoc, a double board-certified psychiatrist specializing in addiction medicine. They explore the current landscape of addiction treatment, including the effectiveness of traditional methods like AA and the integration of modern medications. The conversation delves into the complexities of addiction, the role of genetics, and the emergence of behavioral addictions. They also discuss the impact of vaping, the potential of psychedelics in therapy, and the importance of destigmatizing mental health treatment.TakeawaysAddiction treatment is evolving with modern science.AA 12-step recovery remains foundational in addiction treatment.Listening to clients is crucial for effective treatment.Behavioral addictions are increasingly recognized and treated.Medications like naltrexone and Suboxone are game-changers.Genetics play a significant role in addiction susceptibility.Vaping poses new challenges in addiction treatment.Psychedelics show promise in treating mental health issues.Destigmatizing mental health treatment is essential for recovery.Long-term treatment may be necessary for chronic conditions.Dr. Hrymoc has extensive expertise in the psychopharmacology of addiction and other mental health disorders. He is double Board-certified in General Psychiatry and Addiction Psychiatry and was previously board-certified in Addiction Medicine. Dr. Hrymoc previously held the position of Assistant Clinical Professor of Psychiatry at UCLA, where he supervised training psychiatrists at their Addiction Psychiatry Clinic. He completed his subspecialist training in Addiction Psychiatry at Cedars-Sinai Medical Center in Los Angeles and currently serves as a consulting physician to several prestigious drug and alcohol treatment centers in the area.Dr. Hrymoc completed his psychiatric residency training at Harbor-UCLA Medical Center and also trained at UCLA Medical Center and the West Los Angeles Veterans Administration Hospital. He obtained an MD degree at Rutgers New Jersey Medical School and did his undergraduate studies at the University of Pennsylvania. He has worked in a variety of treatment settings, from non-profit community mental health clinics to federally-sponsored multi-site medication development studies.In addition to his clinical work, Dr. Hrymoc continues to be active in the local addiction treatment community. In September 2008, he founded Perspectives on Addiction, an interdisciplinary educational group for addiction professionals in Los Angeles. Dr. Hrymoc has served as the representative of the states of California, Alaska, and Hawaii to the American Academy of Addiction Psychiatry and was a member of the education committee of the California Society of Addiction Medicine. Dr. Hrymoc co-authored a chapter in Principles of Addiction Medicine, the main textbook of the American Society of Addiction Medicine and has been published in several academic journals.

In this video, Dr. Ettensohn examines the growing claim that Narcissistic Personality Disorder (NPD) is almost entirely genetic, offering a critical, clinically grounded reflection on what the current science actually supports—and where it falls short. He discusses how genetic contributions to personality traits are often misunderstood, and why claims of “hardwired narcissism” oversimplify a profoundly complex developmental process. Drawing from empirical research, neurodevelopmental theory, and clinical observation, Dr. Ettensohn explores how narcissistic pathology emerges not simply from temperament, but from early relational experiences—especially chronic emotional neglect, inconsistent attunement, and conditional regard. He addresses how brain plasticity, diagnostic controversies, and the misunderstood vulnerable core of NPD further complicate the genetic narrative. This video offers a nuanced perspective for anyone seeking to understand NPD beyond reductive models, emphasizing the importance of relational context, developmental history, and psychological depth. References: Brummelman, E., Thomaes, S., Nelemans, S. A., Orobio de Castro, B., Overbeek, G., & Bushman, B. J. (2015). Origins of narcissism in children. Proceedings of the National Academy of Sciences, 112(12), 3659–3662. https://doi.org/10.1073/pnas.1420870112 Chen, Y., Jiang, X., Sun, Y., & Wang, Y. (2023). Neuroanatomical markers of social cognition in neglected adolescents. NeuroImage: Clinical, 38, 103501. https://doi.org/10.1016/j.nicl.2023.103501 Gatz, M., Reynolds, C. A., Fratiglioni, L., Johansson, B., Mortimer, J. A., Berg, S., & Pedersen, N. L. (2006). Role of genes and environments for explaining Alzheimer disease. Archives of General Psychiatry, 63(2), 168–174. https://doi.org/10.1001/archpsyc.63.2.168 Horton, R. S., Bleau, G., & Drwecki, B. (2006). Parenting Narcissus: What are the links between parenting and narcissism? Journal of Personality, 74(2), 345–376. https://doi.org/10.1111/j.1467-6494.2005.00380.x Luo, Y. L. L., Cai, H., & Song, H. (2014). A behavioral genetic study of intrapersonal and interpersonal dimensions of narcissism. PLOS ONE, 9(4), e93403. https://doi.org/10.1371/journal.pone.0093403 Nenadić, I., Lorenz, C., & Gaser, C. (2021). Narcissistic personality traits and prefrontal brain structure. Scientific Reports, 11, 15707. https://doi.org/10.1038/s41598-021-94920-z Otway, L. J., & Vignoles, V. L. (2006). Narcissism and childhood recollections: A quantitative test of psychoanalytic predictions. Personality and Social Psychology Bulletin, 32(1), 104–116. https://doi.org/10.1177/0146167205279907 Schulze, L., Dziobek, I., Vater, A., Heekeren, H. R., Bajbouj, M., Renneberg, B., & Roepke, S. (2013). Gray matter abnormalities in patients with narcissistic personality disorder. Journal of Psychiatric Research, 47(10), 1363–1369. https://doi.org/10.1016/j.jpsychires.2013.05.017 Skodol, A. E. (2012). The revision of personality disorder diagnosis in DSM-5: What's new? Current Psychiatry Reports, 14(1), 39–43. https://doi.org/10.1007/s11920-011-0243-2

The field of addiction medicine and mental health has seen incredible innovation over the past two decades. Dr. Mark Hrymoc discusses those innovations and where they may lead. Dr. Hrymoc is the Founder of the Mental Health Center in Los Angeles, California. He has extensive expertise in the psychopharmacology of addiction and other mental health disorders. He is double board-certified in General Psychiatry and Addiction Psychiatry and was previously board-certified in Addiction Medicine. Dr. Hrymoc previously held the position of Assistant Clinical Professor of Psychiatry at UCLA, where he supervised training psychiatrists at the Addiction Psychiatry Clinic. He and the Mental Health Center can be reached at https://www.mentalhealthctr.com/ The views and opinions of the guests on this podcast are theirs and theirs alone and do not necessarily represent those of the host, Westwords Consulting or the Kenosha County Substance Abuse Coalition. We're always interested in hearing from individuals or organizations who are working in substance use disorder treatment or prevention, mental health care and other spaces that lift up communities. This includes people living those experiences. If you or someone you know has a story to share or an interesting approach to care, contact us today! Follow us on Facebook, LinkedIn, and YouTube. Subscribe to Our Email List to get new episodes in your inbox every week!

In this episode of The Psychedelic Podcast, Paul F. Austin welcomes Sam Mandel, co-founder and CEO of Ketamine Clinics Los Angeles (KCLA). Find full show notes and links here: https://thethirdwave.co/podcast/episode-301-sam-mandel/?ref=278 Sam shares his journey co-founding KCLA with his father in 2014, pioneering ketamine infusion therapy when few were exploring its potential for mental health. From humble beginnings in a storage closet to becoming a leading mental health center with over 30,000 infusions administered, Sam discusses the challenges and triumphs of building a patient-centric practice. He explains the science behind ketamine's effectiveness compared to alternatives like Spravato, highlights the importance of individualized treatment, and offers a passionate critique of the current mental healthcare system while envisioning what meaningful reform could look like. Co-founder & CEO of Ketamine Clinics Los Angeles (KCLA), Sam Mandel has channeled his lifelong passion for healthcare advocacy into transforming mental health care. From volunteering at a teen-to-teen suicide prevention hotline at twelve to pioneering one of the foremost Ketamine Infusion Therapy clinics in 2014 alongside his father, Dr. Steven L. Mandel, Sam has been featured in Entrepreneur's Top 10 Inspiring Healthcare Entrepreneurs (2023) and earned two 2024 Stevie Awards. Under his leadership, KCLA has provided over 30,000 infusions to more than 6,000 patients with an 83% success rate, establishing gold-standard treatment protocols while expanding services to include General Psychiatry and TMS therapy. Highlights:  The founding story of KCLA and early skepticism from the medical community Why IV ketamine outperforms nasal Spravato in efficacy and cost-efficiency Creating individualized ketamine protocols for optimal patient outcomes How insurance companies create barriers to effective mental healthcare KCLA's 83% success rate compared to 50-70% in controlled research settings Expanding from ketamine to TMS and general psychiatry Preparing for future psychedelic medicines like MDMA and psilocybin The critical flaws in America's mental healthcare system Episode Links:  Ketamine Clinics Los Angeles (KCLA) The difference between Ketamine and Spravato (esketamine) Third Wave's Ultimate Guide to Ketamine Episode Sponsor: Psychedelic Coacing Isntitute's Intensive for Psychedelic Professionals in Costa Rica - a transformative retreat for personal and professional growth.

Et si, demain, on traitait l'anxiété non pas avec des médicaments, mais… avec des bactéries ? Aussi surprenant que cela puisse paraître, cette idée est de plus en plus prise au sérieux par les chercheurs. Une nouvelle revue d'études publiée en 2023 dans la revue General Psychiatry affirme que le microbiote intestinal – c'est-à-dire l'ensemble des micro-organismes qui vivent dans notre intestin – joue un rôle clé dans la survenue de troubles anxieux. Et qu'il pourrait aussi faire partie de la solution.Les scientifiques parlent aujourd'hui de l'axe intestin-cerveau. Ce lien étroit entre nos intestins et notre système nerveux central est désormais bien établi. En effet, notre intestin produit à lui seul 90 % de la sérotonine de notre corps, un neurotransmetteur impliqué dans la régulation de l'humeur, du sommeil… et de l'anxiété.Mais ce que met en lumière cette revue, c'est que certaines bactéries spécifiques du microbiote pourraient moduler l'anxiété. En analysant les résultats de 21 essais cliniques, les auteurs montrent que la prise de psychobiotiques – autrement dit, de probiotiques ciblés – a permis de réduire les symptômes anxieux chez de nombreux participants, parfois avec une efficacité comparable à celle des traitements classiques.Alors, comment ces bactéries agissent-elles ? Plusieurs mécanismes sont envisagés. D'abord, elles participeraient à la production de neurotransmetteurs comme la dopamine ou la GABA, connus pour leurs effets calmants sur le cerveau. Ensuite, elles pourraient réduire l'inflammation chronique, souvent observée chez les personnes anxieuses. Enfin, elles influenceraient la réponse au stress via le système immunitaire et le nerf vague, la grande autoroute nerveuse qui relie l'intestin au cerveau.Il ne s'agit pas de dire que les anxiolytiques actuels n'ont plus leur place. Mais les chercheurs estiment que, dans certains cas, les probiotiques pourraient constituer une alternative naturelle, ou au moins un complément efficace, avec moins d'effets secondaires.Des bactéries comme Lactobacillus ou Bifidobacterium sont aujourd'hui les plus étudiées. Elles se trouvent dans certains aliments fermentés comme le yaourt, le kéfir, ou encore sous forme de compléments.Bien sûr, ces recherches en sont encore à leurs débuts, et tous les experts appellent à la prudence. Mais une chose est sûre : notre ventre n'est pas seulement le siège de la digestion. C'est aussi un acteur essentiel de notre santé mentale. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Lesley Logan sits down with Sam Mandel, co-founder of Ketamine Clinics Los Angeles, to discuss the transformative potential of ketamine therapy for mental health. They debunk common misconceptions, explore its impact on PTSD, anxiety, and depression, and highlight how it empowers individuals to reshape their personal narratives.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:What ketamine therapy is and how it differs from traditional treatments.How ketamine enhances neuroplasticity and helps reframe traumaThe science behind ketamine's impact on depression, anxiety, and PTSD.The difference between medical ketamine use and recreational misuse.What to expect during a ketamine therapy session.How ketamine therapy can help individuals reconnect with themselves and regain motivation.Episode References/Links:Ketamine Clinics LA Website - https://Ketamineclinics.comInstagram - https://www.instagram.com/ketamineclinicslaFacebook - https://www.facebook.com/KetamineClinicsLASam Mandel Instagram - https://www.instagram.com/thesammandelGuest Bio:Co-founder & CEO of Ketamine Clinics Los Angeles (KCLA), Sam Mandel, is a tour-de-force of compassion and innovation in mental health care. From volunteering at a teen-to-teen suicide prevention hotline at twelve to pioneering one of the world's foremost Ketamine Infusion Therapy clinics in 2014 alongside his father, Dr. Steven L. Mandel, Sam has channeled his lifelong passion for healthcare advocacy into transforming lives for the better. Sam was featured in Entrepreneur's list of Top 10 Inspiring Healthcare Entrepreneurs to Watch in 2023 and acknowledged by MSN as an Entrepreneur Leading the Business Frontier in 2024. Numerous media outlets have interviewed Sam for his expertise in Ketamine Infusion Therapy, and he is a frequent speaker at medical conferences and events. Under his leadership, KCLA has provided over 30,000 infusions to over 6,000 patients with an 83% treatment success rate, establishing the field's gold standard treatment protocols and patient satisfaction. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox.DEALS! DEALS! DEALS! DEALS!Check out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSoxBe in the know with all the workshops at OPCBe It Till You See It Podcast SurveyBe a part of Lesley's Pilates MentorshipFREE Ditching Busy Webinar Resources:Watch the Be It Till You See It podcast on YouTube!Lesley Logan websiteBe It Till You See It PodcastOnline Pilates Classes by Lesley LoganOnline Pilates Classes by Lesley Logan on YouTubeProfitable Pilates Follow Us on Social Media:InstagramThe Be It Till You See It Podcast YouTube channelFacebookLinkedInThe OPC YouTube Channel Episode Transcript:Sam Mandel 0:00  When you look at trauma, for example, ketamine is extremely helpful for depression and anxiety, but also for PTSD and a lot of people have some trauma that is at the root of one of those issues, and ketamine helps people to recraft the story around that trauma. Lesley Logan 0:16  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 0:59  Okay, Be It babe. This is going to be a different kind of episode, but in the best way. I have Sam Mandel, who is a founder of Ketamine Clinics in LA and I was really intrigued by what I know about ketamine from my friends' holistic doctors. And when he came up as someone I could interview, I was like, oh, we need to do this, because there is a lot of misinformation about ketamine and what ketamine can be used for, and I'm on a mission to help you be it till you see it. And I really want you to understand all the different ways that you can have support in feeling more like yourself and not letting things get in your way. And so that is why we're going to talk about ketamine today. And if you think you know what it is, I strongly encourage you to just stay and listen, because I thought I knew and I learned so much. And then on top of all of that, I really enjoy Sam's story of how he started these clinics and what he and his dad did. And so there's just a lot of beautiful information in this episode, and I can't wait for you to hear it. So here is Sam Mandel. Lesley Logan 2:00  All right, Be It babe. I am really excited. I can tell you for a fact, we've never talked about this on the Be It Pod. And only is it quite timely, I think it's actually extremely imperative that we have this discussion so we have Sam Mandel here on the show. We're gonna talk about ketamine and all things about it, ketamine therapy. Sam, can you tell everyone who you are and probably why you rock at ketamine therapy?Sam Mandel 2:25  Yes, yeah. Thank you so much for having me, Lesley. So, I am Sam Mandel. I'm the co-founder and CEO of Ketamine Clinics Los Angeles. We're one of the first ketamine clinics in the country, established in 2014 and we specialize in IV infusions of ketamine for mental health, but we also offer several other innovative therapeutics for mental health. Lesley Logan 2:45  I love that mental health is something more people are talking about, and there's like more awareness around it, but also that there can be clinics that are working on different ways of helping, supporting mental health, including these infusions. For people who have heard about ketamine, and maybe not the positive ways, can we kind of, can we just dive in and ease their nerves about what we're talking about here?Sam Mandel 3:07  Let's do it. Some of your listeners are definitely like, ketamine what? And there's five different people saying that it's five different things, and all of them are correct. So that's one of the interesting things about ketamine. It is, first and foremost, an FDA-approved anesthetic for humans. It was FDA-approved in 1970. This is an old medicine. It's also commonly used in veterinary medicine. So a lot of people know of it as a horse tranquilizer or a cat tranquilizer. In some circles, it's more commonly known as that than as a drug for humans. But there's a lot of medications that we use for humans, that we also use in veterinary medicine. And it's also a drug of abuse, or something that people use recreationally or self-medicate with, depending on how you want to look at it, known as Special K. Same drug. It's used as an analgesic, as a pain reliever, in emergency room departments and crisis situations, trauma situations, when someone's in a terrible accident, they're in pain, they need sedation, or someone goes in and they need their shoulder reset, they commonly will use ketamine for conscious sedation. So it is a ubiquitous drug. It has a lot of different uses and applications, and one of its most recent, or probably its most recent, addition to that list of its identities, if you will, is as a mental health treatment. And in the last 25 years, there's been a growing body of clinical research proving ketamine to really be among the fastest, if not the fastest-acting, safest, most effective depression treatments available today.Lesley Logan 4:36  I mean, it's kind of amazing that it can be all these different things, also not, right? Like there's so many things, I feel like there's a lot of untapped medicines out there that we're already using, and we don't realize it could be done for other things. Can we talk about how it helps? Because I'll say my family's understanding of mental health treatment is when you sit on a couch and you talk to a therapist and you go weekly if you're depressed, you can take a pill that will kind of help with some hormonal imbalances. But that's not what this is. Sam Mandel 5:01  Yes, that is not what this is. And by the way, talk therapy is great. I go to therapy every week, you know, even when I'm in a good place and I don't necessarily feel like I have a lot to talk about, it's like going to the gym. I just go. I show up every week no matter what. And I think that's really good and healthy, especially if you have a therapist who you think cares about you and is invested in you, and you can just talk about, you know, life. And I'll tell you, sometimes when I go and I don't have anything bothering me or an agenda is when I do the most important work in those sessions, sometimes, so you just never know. But talk therapy is great, but it can only go so far. The conscious mind really gets in the way. Finding someone who cares is difficult the right credentialed person is expensive. A lot of the best people typically don't take insurance. It's not true for all of them. There's wonderful people out there who do, but a lot of the really good ones don't, and so it's a tough thing, but it has its limitations, like with anything. Ketamine and other psychedelic medicines, because ketamine, for all intended purposes, really is a psychedelic, and it's really the only legally available psychedelic in the United States, has the ability to really dissolve these barriers that get in our way. It helps people to get out of their own way and with exponential growth in ways that really are not possible and haven't been seen in any other treatment or modality. And the way it does that is really two primary mechanisms of action. The first is the neuro chemical effects and what's going on in the brain and how ketamine is impacting the brain and our neurochemistry in ways that really nothing else does. And the other is the experiential component, psychologically, what is going on during the experience or the trip that people have when they're receiving this medicine. And both of those are profound and really create lasting impact. On the neuro-chemical level, there's a neurotransmitter called glutamate. It's the most abundant neurotransmitter in the brain. It's present in 85% of the brain. All the other neurotransmitters combined comprise only 15% but for some reason, we've been disproportionately focused on them with mental health treatment. Those are the common ones you know of. Serotonin, dopamine, norepinephrine, you know, the most common class of antidepressant medications are SSRIs. Those are selective serotonin reuptake inhibitors, and those are targeting serotonin. They're a tool. They help some people. They really don't help a lot of people, too, and the people they do help, they really cause a lot of negative side effects and weight gain, sexual dysfunction, dried mouth, blurred vision, even increased suicidality, and the list goes on and on, really terrible side effects that are really debilitating for a lot of people. Even when those side effects are not as debilitating, the quality of relief is typically not very good. So people will say, oh, well, I definitely am not as depressed, but I don't feel happy either. I'm just kind of existing. They have the spectrum of life and of the human experience narrowed, so the lows are not as low, but they're not really thriving either. Not a nice place to be. Is it better than being in bed all day? Absolutely. But that's not the goal. That's not my goal for my life. That's not my goal for other people's lives and for the patients who come to our clinic. We want people to really thrive. Ketamine has the ability to help people to truly thrive. It restores compassion for self and others. It is enhanced energy and motivation for most people. It's a genuine reconnection of self. One of the things that happens with this, with the glutamatergic system and other processes that are occurring in the brain with IV infusions of ketamine, is it causes and promotes neurogenesis, enhanced neuroplasticity, actual new pathways, new connections forming in the brain. This helps people to form new habits, new patterns, new ways of thinking and being that can be very, very positive by disrupting a lot of the automatic responses and reactions we have in our day to day life that get so deeply enmeshed in us that they become a part of our personality, and ketamine can kind of push the reset button on that so that we have the opportunity to consciously choose who we want to be and how we want to be, and helps us call into question the things that we've accepted as just that's the way that I am, or that's the way that it is, and that's not the case most of the time. You look at trauma, for example, ketamine is extremely helpful for depression and anxiety, but also for PTSD, and a lot of people have some trauma that is at the root of one of those issues, and ketamine helps people to recraft the story around that trauma. So what happened is fixed and can never change. The past is the past, but our stories about it can change at any given moment, who we are and who we were and the other people and our role in it, and their role in it, and what happened and what didn't happen, and ketamine provides this kind of objective clarity on that that can be extremely healing and transformational for people.Lesley Logan 9:50  Yeah, this is fascinating. What I've known about ketamine, and I have friends who, I have a holistic doctor friend who offers it as a treatment, and I've heard of these amazing effects that can happen, but I never understood on the brain level, like what's going on and why it's different than the antidepressants that people are on, and how it could, so if someone comes in, first of all, what are some of the reasons why they're coming in for treatment, and then what is the, what are the expectations? Are they coming in one time for an IV infusion? Is this a weekly thing? And how long can the effects last? Can it be forever? Do they have to keep coming back? Can I get the lowdown on that? Sam Mandel 10:25  Yeah, you're asking all the right questions. So what treatment looks like is typically a series of six infusions over two to three weeks after that process I just explained where people are cleared for treatment. They come in, we have them fill out some paperwork, do a brief physical exam, and they come back to a private room. We help them to become comfortable in a recliner with noise canceling headphones, a sleep mask, unlimited selection of relaxing music, pillows, blankets, and we start an IV, and then we infuse the ketamine for 50 to 55 minutes. And it's a slow, gradual, steady state of infusion. People are conscious and awake the entire time. There's a level of dissociation where we don't want them to go so far that they don't know what's happening, but we want them to go into it far enough that they can kind of have a little bit of that quieting of the noise and chatter in their minds, and get a little bit of that clarity that I was describing earlier, and this separation really from themselves in a healthy way to take a look at things that can be really therapeutic, and doing that inner work. We monitor them the whole time. We use hospital-grade monitoring equipment. So that's like pulse, oxygen, EKG, blood pressure, continuous monitoring. I mean, it's a very safe medicine when it's used responsibly in a clinical setting like Ketamine Clinics Los Angeles. We still do all the proper monitoring just to make sure that people are comfortable and safe. And yeah, it's, that's pretty much the, you know, summary of the experience.Lesley Logan 11:53  Yeah, no. Thank you for sharing that, because I think, I don't think anyone's ever explained that, and I'm trying to think about people listening. It's like, well, what does it look like, you know, because let's just talk about what, we have heard about ketamine in the news lately, and it will continue to be in the news as people are going on trial, like when we hear Matthew Perry pass away from not the best use of ketamine, I think people are like, well, then how do you, what does it look like? Am I doing this myself? And I love that you have a wonderful protocol that allows people to be safe and use it in the best way that gets them the best results. But can we talk about the dark sides of ketamine, and what are some signs that people might not be in the safest situations using ketamine?Sam Mandel 12:30  Yeah, well, I'll definitely answer that with your reference to Matthew Perry, which is obviously a really sad situation. He was taken advantage of by people he trusted. He was a addict. He had a really, he's really struggled with addiction. He was very public about that, and not with ketamine specifically, but with really any substance that he could get his hands on. And was in a lot of pain, obviously, and it's a terrible situation. I think it's really important that people understand, though, that that has nothing to do with ketamine therapy. And the media created a lot of confusion for people saying that he had had ketamine therapy a few weeks ago and but that wasn't really a part, a factor in his death. But by the way, he had that and, you know, saying that he died from the acute effects of ketamine, that's just it was really, really distorted. He took more than 10 times the dose of ketamine that we give in the clinic by himself, in combination with buprenorphine, which is essentially an opioid, and Lorazepam, a benzodiazepine, which is another sedative. So he's combined three powerful sedatives, one of them in really absurd doses, by himself in a hot tub. And of course, what happens? He becomes incapacitated and he drowns. This is not, this is such a departure from what we do when we use ketamine in a therapeutic context. There's no correlation, but the way that it's been reported on, and what the average person hears is, oh, ketamine is a bad, dangerous drug, and that's it. That's the takeaway, and that's really a sad thing for people to to get from it. What they should get is that addiction is a serious illness. What they should get is taking lots of sedatives in combination is dangerous. Taking drugs unsupervised, alone in a hot tub is dangerous. These are the takeaways. There was even medical doctors involved in supplying it to him, but they were part of an illicit, underground, illegal drug ring. You know, this is not like mental health care, you know?Lesley Logan 14:25  I know. It's so sad because, well, first of all, the whole situation is sad. It's sad that someone was taken advantage of. It's sad that someone died from combining too many things, but also because they had doctors doing it, like all of that is sad, and, but, really, what I find, and one of the reasons I wanted to talk with you is, so this podcast is called Be It Till You See It, and one of the things that I am always on a search for is like, what can keep us from being it until we see it, what's holding us back in our life, or what can help us more? And the facts of what ketamine therapy that you do that is supervised, and you have pre-screened people to make sure that this is the right therapy for them, the benefits can actually change people's lives, like you said at the beginning, to choose what they want, and that allows them to step into the person that they want to be, like to me, this can be an amazing option for people who they know what they want, but they are just stuck, and they've got other things going on that with their mental health that the talk therapy hasn't helped with, or antidepressants haven't helped with. And so I really wanted to, like, clear the air and go, this can be an option for the right person.Sam Mandel 15:30  Absolutely and I'm really grateful for the opportunity to speak with you and for you creating a platform to have conversations like this, because people deserve to know the truth. And you know, you talk about talk therapy. I mean, a number of patients have literally said that was like 20 years of therapy in an hour. I mean, it really is that exponentially transformational. And it's not instead of therapy, but in addition to, right? When you can do a treatment like this and then work through the material and the learnings that come up for you with someone who understands mental health, who you trust, that's where a lot of even more growth can happen, and you can implement those learnings into your day to day life in the weeks to come. That process is usually referred to as integration, and it can look a lot of different ways, but then you have your experience. How do you integrate it into your life and actually make lasting change? Ketamine really does produce transformation for most people. In the almost 11 years that we've been doing this, we have done over 30,000 infusions. We have an 83% success rate, and we're typically not seeing people who are just wanting to have growth because they're stuck. We're seeing people who have treatment resistant depression, complex PTSD, severe anxiety, suicidality. I mean, there are definitely more moderate cases, but we see a lot of people have really just they've tried a lot, and some of them tried everything, and they haven't benefited. And this really works for them, because it works on under a completely different mechanism of action than the conventional treatments like antidepressant pills or even ECT or talk therapy, or really anything else out there. Lesley Logan 17:04  Yeah, when I think about PTSD, we obviously a lot of things about vets. People have been in the military, but there are people with PTSD who have had other traumas. It doesn't have to be that you've been to war. You could have been in a bad car accident, you could have been assaulted. Can you kind of explain and maybe it's redundant, but just how does ketamine help with PTSD, and then what does someone's life look like? What with one, do you have a case that a person who you can talk about, like, who had PTSD and like, what their life was like after the ketamine treatment? Sam Mandel 17:29  I'm glad you bring that up, because while a lot of us do think of military and war, there's actually many more cases of PTSD among the civilian population in the examples that you mentioned with violence, assault, accidents, etc. So it's super common, unfortunately. I believe there's around 16 million Americans suffering from PTSD who are at least diagnosed. There's many more, I'm sure, who are undiagnosed. And ketamine really does help with the neurochemistry in the brain and helping to rewire the brain, and it also really helps with the perception that we have of ourselves, of the event. People who have trauma are able to go back and revisit the trauma without being as emotionally triggered by it. And so sometimes, when I've talked about this with you know, friends, they say, yeah, you can revisit your trauma and work through it, and it's so great. And they're like, whoa, whoa, whoa. Why would I want to revisit my trauma? What are you talking about? I'm going to go and spend time and money to go there? No, thank you. I spent time and money avoiding my trauma, not going to visit it. But it isn't like that. You know? There's this ability to work through it without having the kind of pain of going there that is so often keeping people from addressing it head on in talk therapy and in life. We avoid, naturally, what's painful, but it isn't painful for most people in this context, they're able to have this detachment that is healthy in this way, to revisit it and to understand who we are, who we were, what our role was, what It was and etc, and to get clarity on that. And it can be really healing. It can really provide closure for a lot of people. And just with the whole cascade of different chemicals going on in the brain, it gives people generally a better mood and more positive outlook and demeanor, and enhanced feelings of compassion towards oneself and towards others and energy and motivation and just all around wellness, it's an elevator in that way which can just be really motivating for people to be able to do the things that most of us know we need to do and just struggle with in terms of our lifestyle, like fitness and eating healthy and sleeping well and talk therapy and having healthy relationships with people, getting outdoors and getting some sun and some fresh air, doing things we enjoy, all that stuff is absolutely critical for longevity, and for someone who's really severely depressed or anxious or dealing with real trauma, they can also feel like it's almost impossible to do a lot of those things. Lesley Logan 20:00  Yeah, yeah. You know, it's really interesting. If you're not someone who has PTSD, or you haven't had, like, severe depression, it can be hard to understand that it becomes all encompassing, you know? But if you think about it, like, when you've had an injury, you've been sick for a few days and you can't leave the bed, that's the the domino effect of what happens to your strength, and then what happens to your ability to, like, feel like you can reach out and that you can connect with people because you've been sick for a week. It's an easy way to see like, oh, if that's my life all the time, you know, it's not easy to go outside, and it doesn't feel easy to connect with people. And so it becomes part of their whole life. And so it's really cool to hear that with ketamine treatments over a couple of weeks that they could have a new lease on life and enjoy it. And I love that you brought up longevity, because I think we forget that how we treat our bodies now is what dictates how long will you get to have them? Hopefully, there won't be anything that stops us from living the life that we're supposed to but if you don't see like a lease on life there, what longevity do you have, you know, so it must be really amazing to get to do what you do every day. You really help so many people.Sam Mandel 21:01  I love it. It's the most gratifying thing ever, you know. When I tell people a lot of my job, the reality of what I do on a day to day basis, I have to do a lot of things I don't like to do, I don't want to do. I'm the CEO of my company. I get the worst, toughest problems that no one else can deal with. I get the fires to put out, the problems, the issues that got escalated to me, and all the weight and pressure and responsibility of it, and there's a lot of stuff, this is not fun, frankly, but I do it because of the, for the patients and for my team, and the work that we're doing, the impact that we're having. It's hugely motivating and gratifying. And when I see patient who I pass in the hallway in the clinic, and they just, can I just give you a hug, or I just want to say thank you so much, or we get a new Yelp review, and someone goes through and lists, you know, half my team by name and how amazing each one of them is, and how life-changing this has been for them. That's what gets me up in the morning, and that's what helps me to keep going every day. I just love it. The transformations are very abundant. And, you know, like I said, 83% it's not magic. It doesn't work for every person every time. It's not perfect, but it is a really incredible treatment.Lesley Logan 22:04  Yeah, yeah, I do understand that. I mean, my husband and I run our own businesses, and sometimes you can forget what you do while you're doing it, because you're doing all the fires, yeah? But then you do get stopped by someone who's been helped by it, or their life has changed, and you're like, oh, that's why I do this. Obviously, you know, it's been a journey to get to do this. Can you take us back how you figured out how to create a space where people could have ketamine therapy? You know, you are the first in the country. So, like, there wasn't really a model to go off of. So I feel like there's a be it till you see it story in there.Sam Mandel 22:36  Oh yeah. Started with me building the website with GoDaddy website builder, drag and drop modules, not knowing a lick of code, never built a website or anything of the sort, not even the most tech savvy guy, and literally just dragging and dropping and, you know, doing research on articles and clinical research, and conferring with my father, who I co-founded the practice with. He's a physician, and I'm talking about, what do you think about this? I'm just trying to make sense of it all in a way that I could understand it well enough to then be able to put it into layman's terms and explain it to other people. What is this? How does it work? And just putting it together, and then going to Radio Shack and getting a motorLesley Logan 23:17  That's how long ago this is because I don't even think they're around anymore.Sam Mandel 23:20  They're not, They went bankrupt. Lesley Logan 23:22  Was it the Radio Shack on Santa Monica Boulevard underneath the yoga place? Because that was my favorite. Sam Mandel 23:27  It was the Radio Shack in Marina Del Rey by the CVS and little strip mall off of Max Stella or something. Anyways, I got a Motorola flip phone prepaid, and I said to my father, you ready to launch the site? We're going to make it live. And made it live, and started taking calls on this cell phone. We were renting space in another doctor's office that was literally this closet. No kidding, they used it as a utility closet before we rented it, and once we moved out and got our own space. They went back to just keeping boxes in there. That's how tiny this room was, no kidding, and it was just really a trip. We had a operating room, recovery area, recovery room for an OR right outside of that little closet that we were in, which, by the way, we were sitting at literally just two folding chairs, a folding table with two laptops, and that was it, no kidding. And we use this recovery area to see patients. And we saw our first few patients, and their transformations were so incredible. We went, this is just too special. We have to do whatever it takes to do more of this. And my father was working as an anesthesiologist. He also has a master's degree in psychology. He was chief of anesthesia in this plastic surgery suite where we were. And so it started out with, well, he's already there, doing anesthesia for the surgery. Maybe we see a couple patients here or there, see how it goes. And next thing we knew, we just started getting busier and busier. The word got out. This was such a radical thing that a lot of people were very incredulous, very suspicious. A lot of people were very critical, but we were like, it doesn't matter. I mean, this is just too special. And it got to the point where my father had to choose between doing our cases or doing ketamine infusions for patients. And I, I remember that quite vividly, where I said, it's really gotta pick. We can't continue to do both. And it was a big risk, you know, it was a really big risk. So I have a lot of respect, you know, for him, for that and that we both just said, let's be all in on this. And, you know, we bootstrapped it. We put everything on credit cards. We had no investors, no financing, no loans, nothing. It's just a little bit of cash, credit cards. And really, just brick by brick, built it up, and now we have 15 employees, 5000 square feet, a really beautiful purpose-built office. I still have, well after the falling table, I had a custom desk built because of maximizing every inch of that space. So I had, there was a little nook between two pillars in that room, under a window, where they made this skinny little desk that was probably literally eight inches wide by three and a half feet long or something. Just stick it in this little nook so I could sit at a proper desk, and I still have that here in our suite now, and so that's kind of fun, but, yeah, it's just truly been an incredible journey.Lesley Logan 26:12  I thank you for taking this back, because we do have a lot of people who are entrepreneurs, and I think that they need to hear that like even a ketamine clinic, the first of its kind, starts in a utility closet. You know, people don't realize, because if you, one, you have to know if people want the thing. You knew it was great. You knew it could be amazing. But you have to get people to buy in, and especially on something that long ago, where people might not know all the amazing things that it can do. And even today, now, even with a beautiful space that can attract people in and make them feel super safe, doing something that changes lives, but also going up against where misconceptions, misinterpretations, and also the people who are misusing it can affect the majority getting the help that they need. I love hearing the stories of how things come to be. And also that is pretty amazing that your dad was like, yeah, I'm gonna quit my safe job. There's always gonna be surgeries, you know. So that's so, so, so cool, and it's really amazing. Is there anything about ketamine therapy that I haven't asked you, that you want to make sure people know? Is there anything else that we can help people understand why this would be something they might need to use, or might use so that they can have the life they want to have?Sam Mandel 27:19  Yeah, I do want to mention, you know, I was talking about how, you know, Matthew Perry was misusing it, and how different that situation is from what we do. And ketamine is still something that people do use recreationally or abuse or misuse. It's not as common, I think, as sometimes it's portrayed, but it definitely can happen, but it's also not in the same category as most other substances, because ketamine is not addictive in the way that most others are. And what I mean by that is you don't develop a physical dependence on it if, for example, like nicotine or opioids or alcohol or benzodiazepines, all you can get to the point where you actually need it to not feel sick. I mean, you have physical symptoms of feeling like nausea, headaches, wanting to throw up. Even with benzos, you can actually, if you abruptly stop taking high doses, you can literally have seizures and die. And you know, you can have symptoms from abrupt cessation of alcohol if you're a heavy alcoholic. That doesn't happen with ketamine. So some people can use it in the way that they're using it as a means to escape, but that's not really that different as far as the psychological dependence in the way that someone can use ice cream or chocolate or, you know, sour candies or sex or any of these other video games as a means of escape or avoiding or to self-soothe. So I think it's important that people understand that. It also has a very, very high therapeutic index. There's actually no known lethal dose of ketamine, so you can obviously be in a bad, unsafe environment, where, if you take a bunch and get into a car, that's not a not such a great outcome for you, or in a jacuzzi, but the medicine itself is unlikely to hurt you on its own. Most of the issues are people in bad situations, or they're combining it with other drugs. Virtually, almost all of the fatalities that are related to ketamine were one of those two, either in combination with other drugs and or in a situation like behind the wheel of a car. So I just want people to know that it's not to say that there aren't people who have an issue with misusing ketamine, because there are, but it really is distinct from most other substances that people are misusing or abusing.Lesley Logan 29:20  Thank you for saying that, because I do think, as a child of the night, you know, I grew up in the 80s, so it's, like, always just say no to drugs. Sam Mandel 29:25  The cocaine epidemic. Lesley Logan 29:28  Yeah, so I know they really that didn't really help them, did it? But, like, they thought it would. But I, like, grew up, so it's really funny when I have friends who, like, talk about doing some sort, some psychedelics, or do I have this innate like, I don't, I don't know, I don't know if I could do that. I'm afraid to try. I'm like, I'll be addicted on the first dose. Sam Mandel 29:45  Right, right, right. Lesley Logan 29:47  This is my fear, which is why I drink, right? That's what people do. And so they said no to drugs, but then they drink. But I really appreciate because it's nice to know that if I were to do a ketamine therapy, I'm not going to be dependent on coming to ketamine therapy every single week or I'll be using it at home, like, it's nice to know that it's a non-addictive thing that people can use to get the benefits. And I think that can make a lot of people feel more comfortable, you know. Sam Mandel 30:08  Yeah, because people are afraid of that, they think, God, well, if I go and do this, even if it's in a therapeutic way, am I going to become a ketamine addict? You know? I'm going to go and then be looking to score some on the street the next day. It's really a sad perception that some people might have due to the media or for whatever reason or they know somebody who misuse ketamine or the DARE program, like you said, or the 80s. A lot of baloney. Lesley Logan 30:28  Oh, and by the way, the DARE program was a lot of baloney. I just heard a whole podcast about it, and I was like, ah. So, but it, but it does put in people's minds, and also good for good reason. Like, I don't want people going out there doing other drugs we do know our addictive and like, hoping that they are fine out there the first time, but I am on this mission of helping people figure out how to get out of their own way and live their best life, and sometimes our own way are things that are really outside of our control, the PTSD, the depressions, the mental health, the suicide like I think it's important that people have access to forms of therapy out there that they may not know about or they may have misconceptions. Because we do know that the media does like to click bait things into headlines that get people to look at them, but don't actually give all the information. So I'm just so grateful that you were here to just really explain all this and the benefits of it.Sam Mandel 31:22  Absolutely, yeah, no, I appreciate the opportunity. Yeah, there are drugs that you can do once or twice and develop a real serious problem with pretty fast, methamphetamine, probably not one that you need to ever try. You know, if you're curious about trying drugs, I'd say take that one off the list. Heroin, probably not a good idea. Pretty easy to die, pretty easy to get addicted to that one, right? Opioids, crack, cocaine. These are some that maybe you don't need to, you don't need to check out, but maybe there's some others that if you really want to with the right mindset in the right context, if you're going to be safe or responsible, maybe you'd be okay with. And by the way, I'm not advocating for you to go do illicit drugs illegally either. But there are some that you can have, even in a controlled environment, such as ours, where you don't need to be afraid of them. I'll tell you what are the most dangerous, though, is the prescription legitimate drugs. As a matter of fact, prescriptions are more commonly abused than any of the other illicit drugs. You look at your stimulants like Adderall, your benzodiazepines, like Xanax, opioids, I mean, these are drugs that are a lot of people are really hooked on and that are killing a lot of people, especially the opioids, but because they're from big pharma, they're not all that bad. I mean, people are finally starting to scrutinize the opioids, but the others are still kind of under the radar, and they're really widely abused, but the focus is on the big, bad, illegal ones. Lesley Logan 32:39  I know of a client who's a social worker, and she used to work in a hospital, and we're talking about pain meds, and she's like Lesley, I watched a 14 year old kid come in super healthy, just had a broken arm. They had to have surgery, but within the three days they were there, they were extra tapping the pain meds. And she's like, we create addicts with these pharmaceutical drugs quickly, but we don't think of it like that, because they had a prescription written. And so it's important for us to educate ourselves, to be informed and to be able to advocate for ourselves or advocate for others when we have this information we can. So, thank you so much. I'm not gonna let you go. We actually are gonna take a brief break, and then we're gonna find out Be It Action Items from you. Lesley Logan 33:19  All right, Sam, where can people find you, follow you, connect with you. If they want to know more about ketamine therapies, if they want to come to your clinics, how can they connect with you best?Sam Mandel 33:28  Yeah, so ketamineclinics.com. That's K-E-T-A-M-I-N-E-C-L-I-N-I-C-S dot com. Lots of great information on there. People are more than welcome to call us, 310-270-0625. Consultations are free. We're always happy to chat see how we can help you. We do offer other treatments we really didn't talk about today, TMS, General Psychiatry, medication management, we take 12 of the biggest insurance networks in California, including Medicare, so there's a lot more that we can cover with you. Whether or not ketamine is the right fit if you are dealing with a mental health condition, I would encourage you to call and see if there's anything we can do to help. And we're on social it's ketamineclinicsLA on all socials and my personal is theSamMandel on all socials. And just really happy to connect with people and hear their stories, answer questions and help in any way that we can. Lesley Logan 34:23  I love it. Thank you. And that's also so cool, because we mentioned, like, it can be really hard to find a therapist these days because they don't always take insurance. So to hear that you do. It's really nice. Okay, we always ask people bold, executable, intrinsic or targeted steps they can take to be it till they see it. What do you have for us?Sam Mandel 34:41  Oh, I wasn't ready for that one. I would say action. Take action. Just do it. Take Nike slogan. I mean, honestly, planning and strategizing is important, and thinking things through and figuring out who you are. What you want, what you like, what you don't like, putting together a plan matters. But I think most of us, or almost all of us, spend too much time on that, and there's just too many unknowns and too many things that you really can't solve for until you're in it and doing it, and it's too easy to let perfectionism keep us from taking the steps that we need to take to get done what we want, become, who we want to be, and who what our potential is. And I personally struggle with this too. So I say that from, you know, my own experience, and I really strive, and I want to encourage other people to really strive, to just get out there and do it, and you're going to make mistakes, and that's okay, but it's really the only way to succeed in life. You have to be on the fields, on the court, in it, and behind the scenes, thinking, planning, strategizing is only going to get you so far.Lesley Logan 35:58  Yeah, yeah. Oh, thank you for that. And also, I can tell you, practice what you just preached, because it's true. You started with a utility closet and some folding chairs and a Motorola phone, I mean. But also, you're correct. People do spend too much time in the planning, or they're waiting for it to be perfect, or they're waiting for the perfect decoration, and then they have the perfect branding and all the things. And if you guys had done that, you wouldn't have been able to help the thousands of people that you have today. So thank you so much, Sam for being here, for educating us, for informing us. Lesley Logan 36:29  And, you guys, how are you gonna use these tips in your life? Please share this episode with a friend as you hear conversations come up about the misuse of ketamine, and now you know you could share this with them to educate them, and also, if you have friends and family or yourself who needs this, please contact Sam and his team, because there's help out there for you. Until next time, Be It Till You See It.Lesley Logan 36:50  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 37:33  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 37:38  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 37:42  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 37:49  Special thanks to Melissa Solomon for creating our visuals. Brad Crowell 37:53  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Join me for a conversation as we celebrate the most important love of all—self-love!  I'm thrilled to welcome Dr. Mena.Dr. Nina Joy Mena, known as Dr. NJoy, is an Atlanta-based community psychiatrist, author, and motivational speaker, committed to reducing mental health stigma in the Black community. A wife and mother of three, she is double board-certified in General Psychiatry and Child & Adolescent Psychiatry, with licenses in ten states.Dr. NJoy serves as Chief Medical Officer at CHRIS 180 and has held academic roles at Morehouse and Emory University School of Medicine. As founder of NJoy LIFE LLC and host of the Journey to Joy Live podcast, she champions mental wellness, resilience, and joy.Her journal, NJoyNAL: Nurturing Authentic Living, released in 2024, highlights holistic self-care and growth. An avid runner, Dr. NJoy has completed 36 half marathons and 9 full marathons, using running as therapy. A proud member of Alpha Kappa Alpha Sorority, Inc., she embodies leadership and service.Connect with Dr. Mena:Facebook: @NJoy LIFEInstagram: @Dr.NJoy.LifeYoutube: @DrNJoyLifeMDTik Tok: @Dr.NJoy.Life

Looking to connect with a community of physician podcasters? We provide the tools, connections, and resources you need to amplify your voice and grow your audience. Be part of something exciting as we prepare to launch. Join the Doctor Podcast Network today!—----------Dr. Noshene Ranjbar joins Dr. Kristine Goins in this episode to discuss embodied leadership, health equity, and integrative psychiatry. Dr. Ranjbar defines embodied leadership as a holistic integration of mind, body, and spirit, rooted in indigenous wisdom and community-centered leadership. She shares how her upbringing in post-revolution Iran, immigration to the U.S., and experiences in medicine exposed her to systemic oppression and disembodied leadership, fueling her commitment to transformative leadership.She talks about shifting away from traditional, rigid medical models and embracing a more holistic way of supporting patients and communities. Throughout the conversation, she emphasizes the importance of intuition, emotional awareness, and non-hierarchical collaboration. She also shares how reconnecting with her Iranian heritage has fueled her passion for liberation and healing on a global scale.BioBorn and raised in Tehran, Iran until immigrating to the US in adolescence, Dr. Noshene Ranjbar developed a passion for a holistic view of medicine and healing from early on in her life. Throughout her studies and life experiences, including her own illness as well as caring for her mom who suffered from several autoimmune illnesses and cancer, to fostering refugee children with PTSD, to working with American Indian communities across the U.S., she developed a keen interest in approaches to healing trauma and advocating for holistic mental health in empowering, culturally appropriate ways.Dr. Ranjbar completed undergraduate and medical school at the University of Virginia, followed by Family Medicine Internship at Middlesex Hospital/Hartford Hospital, Psychiatry Residency at the University of Arizona-Tucson, and Child and Adolescent Psychiatry Fellowship at Boston Children's Hospital/Harvard Medical School. Board Certified in General Psychiatry, Child & Adolescent Psychiatry, and Integrative Medicine, Dr. Ranjbar currently serves as Associate Professor of Psychiatry and Director of the Integrative Psychiatry Program at the University of Arizona. She also serves on Faculty with The Center for Mind-Body Medicine, the Andrew Weil Center for Integrative Medicine, and the Integrative Psychiatry Institute.Her research focuses on training the next generation of psychiatrists to offer a holistic approach to mental health, while serving children and families most in need. As a Robert Wood Johnson Culture of Health Leader, she is expanding her work in integrative mental health and indigenous mental health nationally and internationally. Socials:LinkedIn: https://www.linkedin.com/in/noshene-ranjbar-2039949/Instagram: https://www.instagram.com/nosheneranjbar/Webpages:www.DrNRanjbar.comhttps://psychiatry.arizona.edu/profile/noshene-e-ranjbar-mdhttps://samehereglobal.org/expert-profile-noshene-ranjbar/https://cmbm.org/faculty-member/noshene-ranjbar-md/ Did you know…You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter   Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Watch the Q&A session here: https://youtu.be/UzxyNc8vuNsTraditional risk factors for mental illness include genetics, perinatal factors, substance use, negative life events, trauma and organic disorders. Yet, more recently, it has been found that higher rates of mental illness are also seen in minoritised and marginalised groups. This lecture outlines the different types of discrimination – personally mediated, structural/institutional and internalised – and the evidence linking these with an increased risk of mental illness.This lecture was recorded by Lade Smith on 21st November 2024 at Barnard's Inn Hall, London.SDr Shubulade (Lade) Smith CBE is the President of the Royal College of Psychiatrists.Having trained in General Psychiatry and worked in Forensic Psychiatry, she is now the Lead for the Acute Forensic Pathway of the South London Partnership and Clinical Director of the Forensic Services at SLaM.In 2019, Lade was awarded a CBE in the Queen's Birthday Honours for services to Forensic Intensive Psychiatric care and was awarded Psychiatrist of the Year by the Royal College of Psychiatrists She is also the former Clinical and Strategic Director of the National Collaborating Centre for Mental Health at the Royal College of Psychiatrists, providing medical leadership for the team developing mental health policy and guidelines. The transcript of the lecture is available from the Gresham College website: https://www.gresham.ac.uk/watch-now/inequality-mental-healthGresham College has offered free public lectures for over 400 years, thanks to the generosity of our supporters. There are currently over 2,500 lectures free to access. We believe that everyone should have the opportunity to learn from some of the greatest minds. To support Gresham's mission, please consider making a donation: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todayWebsite:  https://gresham.ac.ukTwitter:  https://twitter.com/greshamcollegeFacebook: https://facebook.com/greshamcollegeInstagram: https://instagram.com/greshamcollegeSupport Us: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todaySupport the show

This episode was recorded sometime between Love is Blind (Season 7) and the 2024 election. We are excited to welcome our podcast back with special guest, Dr. Nina Joy Mena, affectionately known as Dr. NJoy, Owner of "NJoy LIFE Living In Full Empowerment LLC" and Board Certified in General Psychiatry and Child & Adolescent Psychiatry across 11 states! Dr. NJoy shares gems and inspires us with the quote that "Joy is medicine for the body". Joy is also a powerful tool that we can control for improving mental health, and reducing stress while improving spiritual health and overall emotional/mental health. Topics: Why Dr. NJoy became a therapist Understanding Psych Differences(psychiatry and psychology) The Intersection of Exercise/Physical  and Mental Health Differences from indoor or outdoor physical health and impact on mental health Cortisol level and its role in mental and physical health Dr. NJoy's new book release - NJoyNal Nurturing Authentic Living: A Journal and Therapy Companion using the INSPIRE-JOY Method Dr. NJoy's Podcast Recommendation: Her own podcast, *Journey to Joy Live* podcast, she promotes mental wellness Entre MD Podcast by Dr. Una Dr. NJoy's Self-Care Activity: Running Dr. NJoy's favorite musician: Hans Zimmer Call to Action: Order Dr. NJoy's book, NJoynal on Amazon Visit Dr. NJoy's website: https://www.drnjoylife.com/about-5 Download FitRadio Workout Music for some musical Fitspiration Follow Dr. NJoy on Tiktok and Instagram @dr.njoy.life and Facebok NJoy LIFE Follow us on Instagram and Facebok: Queen Beauty Podcast /@queenbeautypodcast Website: https://www.queenbeautypodcast.com/podcast For questions or to be a guest on our show. Email: queenbeautypodcast@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/queenbeauty/support

Бие Хүний Завсрын эмгэг нь бидний сэтгэл хөдлөл болон нөхцөл байдалд тохиромжтой хариу үйлдэл үзүүлэхэд доголдол үүсгэдэг эмгэг юм. Бие Хүний Завсрын эмгэг нь Borderline Personality Disorder хэмээн англи хэлнээ хөрвүүлэгддэг бөгөөд энэхүү сэтгэцийн эмгэгтэй хүмүүст сэтгэлзүйн хэт тогтворгүй байдал, огцом сэтгэл хөдлөлөө буруугаар илэрхийлэх мөн өөрийн дотоод мөн чанараа тодорхойлох чадварт нөлөөлдөг байна. Энэхүү эмгэг үүсэхэд олон хүчин зүйлс нөлөөлдөг бөгөөд бага насандаа сэтгэлзүйн болон бие махбодын хүчирхийлэлд өртөж байсан хүмүүс энэхүү эмгэгт өртөх боломж илүү байдаг байна. Нийгмийн амьдралд Бие Хүний Завсрын эмгэгтэй хүмүүс оролцоход хүндрэлтэй байдаг бөгөөд энэ нь тэдний хурц зан үйл мөн сэтгэл хөдлөлтэй холбоотой байна. Мөн нийгмийн сэтгэлзүйн эрүүл мэндийн мэдлэг дутмагаас болж олон хүмүүс эдгээр хүмүүсийг буруугаар ойлгож үүнээс болоод сэтгэцийн эмгэгтэй хүмүүс нийгэмд буруугаар ойлгогдох суур нь тавигддаг байна. Volunteer-оор орох сонирхолтой хүмүүс доорх линкээр орж application бөглөөрэй. Link: https://forms.gle/8tn8Dmx2bHNQFFrGA Бичвэрийн болон подкастын эх сурвалж:Chapman J, Jamil RT, Fleisher C. Borderline Personality Disorder. [Updated 2023 Jun 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430883/Stone, M. H. (2000). Violence in adolescents : Background factors ; implications for treatment. Personality and Conduct Disorders, 175–192. https://doi.org/10.3917/greu.isap.2000.01.0175Kristalyn Salters-Pedneault, P. (2020, March 31). What are the genetic causes of borderline personality disorder?. Verywell Mind. https://www.verywellmind.com/genetic-causes-of-borderline-personality-disorder-425157Sun, C., Zhang, W., & Zhou, X. (2023). Causes and treatment of borderline personality disorder in light of genetic and environmental influences. Lecture Notes in Education Psychology and Public Media, 7(1), 492–500. https://doi.org/10.54254/2753-7048/7/2022905Fonagy, P., & Luyten, P. (2016). A multilevel perspective on the development of borderline personality disorder. Developmental Psychopathology, 1–67. https://doi.org/10.1002/9781119125556.devpsy317Schimelpfening, N. (2023, November 2). How dialectical behavior therapy (DBT) works. Verywell Mind. https://www.verywellmind.com/dialectical-behavior-therapy-1067402Linehan, M. M. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48(12), 1060. https://doi.org/10.1001/archpsyc.1991.01810360024003U.S. Department of Health and Human Services. (n.d.). Borderline personality disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/borderline-personality-disorderДэд сэдвүүд:0:00:00 - Эхлэл болон сэтгэцийн өвчний оношилгоо 0:02:38 - Бие хүний завсрын эмгэгийн тухай ойлголт0:08:26 - Онцлох шинж тэмдгүүд0:17:59 - BPD бидний амьдралд хэрхэн нөлөөлөх вэ?0:20:14 - BPD бий болоход ямар хүчин зүйлс нөлөөлдөг вэ?0:26:33 - BPD-ийн үед хийдэг эмийн болон эмийн бус эмчилгээ0:41:17 - Гэр бүл болон ойр дотны хүмүүсийн дэмжлэг хэр чухал вэ?0:43:28 - Сэтгэцийн яаралтай тусламж0:44:11 - Сайн дурын ажлын тухай зарлалBecome a supporter of this podcast: https://www.spreaker.com/podcast/podlogy-podcast--4323328/support.

Read the longform article at:https://gettherapybirmingham.com/healing-the-modern-soul-part-2/   The Philosophy of Psychotherapy The Corporatization of Healthcare and Academia: A Threat to the Future of Psychotherapy The field of psychotherapy is at a critical juncture, facing numerous challenges that threaten its ability to effectively address the complex realities of the human experience. Chief among these challenges is the growing influence of corporate interests and the trend towards hyper-specialization in academic psychology, which have led to a disconnect between the profession and its roots, as well as a lack of understanding of the physical reality of the body, anthropology, and the history of the field. In this article, we will explore the ways in which the corporatization of healthcare and academia is impacting psychotherapy, and argue that in order for the profession to remain relevant and effective, it must embrace a more holistic and integrative approach that recognizes the interconnectedness of the mind, body, and spirit. This requires a renewed commitment to developing a coherent concept of self, a shared language and understanding of implicit memory, and a vision of psychotherapy as a means of empowering individuals to become more effective at being themselves in the world and, in turn, better at transforming the world for the better. The Corporatization of Healthcare and Academia The influence of corporate interests on healthcare and academia has had a profound impact on the field of psychotherapy. The pressure to maximize profits and minimize costs has led to a shift away from comprehensive diagnosis and towards a reliance on quick fixes like medication and brief, manualized therapies. This trend is particularly evident in the way that psychiatry has evolved over the past few decades. Psychiatrists used to spend an entire hour with their patients doing psychotherapy, but now the majority of the profession relies solely on drug therapy. In fact, a staggering 89% of psychiatrists used only drug therapy in 2010, compared to just 54% in 1988 (Mojtabai & Olfson, 2008). Patients are often left feeling frustrated and unheard, with many giving up on medication after their psychiatrist writes a script in the first and last five minutes of their first session. The same forces are at work in academia, where the cost of education has skyrocketed and the focus has shifted towards producing "products" rather than fostering critical thinking and innovation. Adjunct professors, who often lack the expertise and experience to teach psychotherapy effectively, have replaced tenure-track faculty, and students are graduating with a narrow understanding of the field that is ill-suited to the realities of private practice (Collier, 2017). The result is a profession that is increasingly disconnected from its roots and the physical reality of the body. Anthropology, humanities and the history of the profession, which offer valuable insights into the nature of the human experience and the evolution of psychotherapy, are largely ignored in favor of a narrow focus on cognitive-behavioral interventions and symptom reduction pushed largely to help psychopharm companies' bottom lines (Frances, 2013). The current academic publishing system is also broken. Academics work hard to come up with original ideas and write papers, only to give their work away for free to publishers who make trillions of dollars in profits while the authors get no compensation (Buranyi, 2017). Peers often cite papers to support their own points without actually reading them in depth. And the "best" journals frequently publish absurd psychology articles that would make you laugh if you said their main point out loud, but hide their lack of substance behind academic jargon (Sokal, 2008). Meanwhile, students spend years in graduate school being forced to research what their advisor wants, not what's truly innovative or needed to advance the field. After a decade of study and compromise, the pinnacle achievement is often creating a new 30-question screener for something like anxiety, rather than developing therapists who can actually discern and treat anxiety without needing a questionnaire. The system fails to properly vet or pay therapists, assuming they can't be trusted to practice without rigid manuals and checklists. This hyper-rationality, the madness arising from too much logic rather than too little, is very useful to moneyed interests like the Department of Defense in how they want to fund and control research. Large language models and AI are the pinnacle of this - spreadsheets sorting data points to mimic human speech, created by people so disconnected from a real sense of self that they believe you can turn people into robots because they've turned themselves into robots (Weizenbaum, 1976). But psychology and therapy can't be reduced to hard science and pure empiricism the way fields like physics can (at least until you get to quantum physics and have to rely on metaphor again). We can't remove all intuition, subjective experience and uncertainty (Rogers, 1995). The reproducibility crisis in psychology research shows the folly of this over-rationality (Open Science Collaboration, 2015). Studies that throw out any participant who dropped out of CBT treatment because it wasn't helping them are not painting an accurate picture (Westen et al., 2004). Developing a Coherent Concept of Self A History of the Self Our understanding of the self has evolved throughout history: Ancient Greek Philosophy (6th century BCE - 3rd century CE) Socrates introduces the idea of the self as a distinct entity, emphasizing self-knowledge and introspection (Plato, trans. 2002). Plato's concept of the soul as the essence of the self, distinct from the physical body (Plato, trans. 1997). Aristotle's notion of the self as the unity of body and soul, with the soul being the form or essence of the individual (Aristotle, trans. 1986). Medieval Philosophy (5th century CE - 15th century CE) St. Augustine's concept of the self as a reflection of God, with the inner self being the source of truth and self-knowledge (Augustine, trans. 2002). St. Thomas Aquinas' synthesis of Aristotelian and Christian concepts of the self, emphasizing the soul as the form of the body (Aquinas, trans.1981). Renaissance and Enlightenment (16th century CE - 18th century CE) Descartes' famous "cogito ergo sum" ("I think, therefore I am"), establishing the self as a thinking, conscious being (Descartes, trans. 1996). Locke's idea of the self as a blank slate shaped by experience and the continuity of consciousness (Locke, trans. 1975). Hume's skepticism about the self, arguing that it is merely a bundle of perceptions without a unified identity (Hume, trans. 2000). Romantic Era (late 18th century CE - mid-19th century CE) The self is seen as a creative, expressive force, with an emphasis on individuality and subjective experience (Berlin, 2013). The rise of the concept of the "self-made man" and the importance of personal growth and self-realization (Trilling, 1972). 20th Century Philosophy and Psychology Freud's psychoanalytic theory, which posits the self as composed of the id, ego, and superego, with unconscious drives and conflicts shaping behavior (Freud, trans.1989). Jung's concept of the self as the center of the psyche, integrating conscious and unconscious elements (Jung, 1959). Existentialism's emphasis on the self as a product of individual choices and actions, with the need to create meaning in a meaningless world (Sartre, trans. 1956). The rise of humanistic psychology, with its focus on self-actualization and the inherent potential of the individual (Maslow, 1968). Postmodernism's deconstruction of the self, challenging the idea of a unified, coherent identity (Jameson, 1991). Contemporary Developments (late 20th century CE - present) The influence of neuroscience and cognitive science on the understanding of the self as an emergent property of brain processes (LeDoux, 2002). The impact of social and cultural factors on the construction of the self, with the recognition of multiple, intersecting identities (Gergen, 1991). The rise of narrative theories of the self, emphasizing the role of storytelling in shaping personal identity (Bruner, 1990). The influence of Eastern philosophies and contemplative practices on Western concepts of the self, with an emphasis on mindfulness and interconnectedness (Epstein, 1995). Psychotherapy and the Concept of Self Sigmund Freud (1856-1939) - Psychoanalysis: Freud, the founder of psychoanalysis, conceived of the self as being composed of three elements: the id, the ego, and the superego. The id represents the primitive, instinctual drives; the ego mediates between the demands of the id and the constraints of reality; and the superego represents the internalized moral standards and values of society. Freud believed that the goal of psychotherapy was to bring unconscious conflicts and desires into conscious awareness, allowing the ego to better manage the competing demands of the id and superego (Freud, trans. 1989). Carl Jung (1875-1961) - Analytical Psychology: Jung, a former collaborator of Freud, developed his own theory of the self, which he saw as the central archetype of the psyche. Jung believed that the self represented the unity and wholeness of the personality, and that the goal of psychotherapy was to help individuals achieve a state of self-realization or individuation. This involved integrating the conscious and unconscious aspects of the psyche, including the persona (the public face), the shadow (the repressed or hidden aspects of the self), and the anima/animus (the inner masculine or feminine) (Jung, 1959). Alfred Adler (1870-1937) - Individual Psychology: Adler, another former collaborator of Freud, emphasized the importance of social relationships and the drive for superiority in shaping the self. He believed that individuals develop a unique lifestyle or way of being in the world based on their early experiences and relationships, and that the goal of psychotherapy was to help individuals overcome feelings of inferiority and develop a healthy, socially-oriented way of living (Adler, trans. 1964). Fritz Perls (1893-1970) - Gestalt Therapy: Perls, the founder of Gestalt therapy, saw the self as an ongoing process of self-regulation and self-actualization. He believed that the goal of psychotherapy was to help individuals become more aware of their present-moment experience and to take responsibility for their thoughts, feelings, and actions. Perls emphasized the importance of contact between the self and the environment, and the need to integrate the different aspects of the self into a cohesive whole (Perls et al., 1951). Internal Family Systems (IFS) - Richard Schwartz (1950-present): IFS is a more recent approach that sees the self as being composed of multiple sub-personalities or "parts." These parts are seen as having their own unique qualities, desires, and beliefs, and the goal of IFS therapy is to help individuals develop a greater sense of self-leadership and inner harmony. The self is seen as the core of the personality, with the capacity to lead and integrate the different parts (Schwartz, 1995). As Schwartz writes in the introduction to his book on IFS, the model was heavily influenced by Gestalt therapy and the work of Carl Jung. Schwartz aimed to create a non-pathologizing approach that honored the complexity and wisdom of the psyche. IFS shares Jung's view of the self as the central organizing principle, surrounded by various archetypes or subpersonalities. It also draws on the Gestalt emphasis on present-moment awareness and the need for integration of different aspects of the self. However, IFS offers a more user-friendly language than classical Jungian analysis, without the need for extensive explanations of concepts like anima/animus. In IFS, a patient can quickly identify different "parts" - for example, a protector part that taps its foot and bites its nails to avoid painful feelings. By directly engaging with and embracing that part, the patient can access the vulnerable feelings and memories it is protecting against, fostering self-compassion and integration over time. The IFS model is an example of how contemporary approaches are building on the insights of depth psychology while offering more transparent, experience-near practices suitable for a wider range of patients and practitioners. It reflects an ongoing effort to develop a cohesive yet flexible understanding of the self that remains open to unconscious processes. Cognitive-Behavioral Therapy (CBT) - Aaron Beck (1921-2021) and Albert Ellis (1913-2007): CBT, developed by Beck and Ellis, focuses on the role of thoughts and beliefs in shaping emotional and behavioral responses. CBT sees the self as being largely determined by the individual's cognitions, and the goal of therapy is to help individuals identify and modify maladaptive or irrational beliefs and thought patterns. CBT places less emphasis on the unconscious or intrapsychic aspects of the self, and more on the conscious, rational processes that shape behavior (Beck, 1979; Ellis & Harper, 1975). Applied Behavior Analysis (ABA) - B.F. Skinner (1904-1990): ABA, based on the work of Skinner and other behaviorists, sees the self as a product of environmental contingencies and reinforcement histories. ABA focuses on observable behaviors rather than internal states or processes, and the goal of therapy is to modify behavior through the systematic application of reinforcement and punishment. ABA has been widely used in the treatment of autism and other developmental disorders, but has been criticized for its lack of attention to the inner experience of the self (Skinner, 1953; Lovaas, 1987). What is Self? One of the key challenges facing psychotherapy today is the lack of a coherent concept of self. The self is a complex and dynamic entity that is shaped by a range of internal and external factors, including our experiences, relationships, and cultural context (Baumeister, 1987). Unfortunately, many contemporary models of therapy fail to adequately capture this complexity, instead relying on simplistic and reductionistic notions of the self as a collection of symptoms or behaviors to be modified (Wachtel, 1991). To develop a more coherent and holistic concept of self, psychotherapy must draw on insights from a range of disciplines, including psychology, philosophy, anthropology, and the humanities (Sass & Parnas, 2003). This requires a willingness to engage with the messy and often paradoxical nature of the human experience, recognizing that the self is not a fixed entity but rather a constantly evolving process of becoming (Gendlin, 1978). The psychoanalyst Carl Jung's concept of the self as the central archetype, connected to the divine and the greater unconscious, offers a useful starting point for this endeavor. Jung believed that by making the unconscious conscious and dealing with ego rigidity, individuals could embody a deeper sense of purpose and connection to the universe (Jung, 1959). While we may not need to fully embrace Jung's metaphysical language, his emphasis on the dynamic interplay between conscious and unconscious processes, as well as the importance of symbol, dream, and myth in shaping the self, remains highly relevant today (Hillman, 1975). Other approaches, such as Internal Family Systems (IFS) therapy and somatic experiencing, also offer valuable insights into the nature of the self. IFS sees the self as a core of compassion, curiosity, and confidence that is surrounded by protective parts that arise in response to trauma and other challenges. By working with these parts and fostering greater integration and self-leadership, individuals can develop a more coherent and authentic sense of self (Schwartz, 1995). Similarly, somatic experiencing emphasizes the role of the body in shaping the self, recognizing that trauma and other experiences are stored not just in the mind but also in the muscles, nerves, and other physical structures (Levine, 1997). Models like IFS, somatic experiencing, and lifespan integration are appealing because they see the self as a dynamic ecosystem that is always evolving and striving for integration and actualization (Boon et al., 2011; Ogden et al., 2006; Pace, 2012). They don't try to label and categorize everything, recognizing that sometimes we need to just sit with feelings and sensations without fully understanding them intellectually. Lifespan integration in particular views the self as a continuum of moments threaded together like pearls on a necklace. Traumatic experiences can cause certain "pearls" or ego states to become frozen in time, disconnected from the flow of the self-narrative. By imaginally revisiting these moments and "smashing them together" with resource states, lifespan integration aims to re-integrate the self across time, fostering a more coherent and flexible identity (Pace, 2012). In contrast, the more behavioral and manualized approaches like CBT and ABA have a much more limited and problematic view. They see the self as just a collection of cognitions and learned behaviors, minimizing the role of the unconscious and treating people more like programmable robots (Shedler, 2010). If taken to an extreme, this is frankly offensive and damaging. There has to be room for the parts of the self that we can feel and intuit but not fully articulate (Stern, 2004). Ultimately, developing a coherent concept of self requires a willingness to sit with the tensions and paradoxes of the human experience, recognizing that the self is always in communication with the world around us, and that our sense of who we are is constantly being shaped by implicit memory and other unconscious processes (Schore & Schore, 2008). It requires remaining open to uncertainty and realizing that the self is never static or finished, but always dynamically unfolding (Bromberg, 1996). Good therapy helps people get in touch with their authentic self, not just impose a set of techniques to modify surface-level symptoms (Fosha et al., 2009). Understanding Implicit Memory Another critical challenge facing psychotherapy today is the lack of a shared language and understanding of implicit memory. Implicit memory refers to the unconscious, automatic, and often somatic ways in which our past experiences shape our present thoughts, feelings, and behaviors (Schacter et al., 1993). While the concept of implicit memory has a long history in psychotherapy, dating back to Freud's notion of the unconscious and Jung's idea of the collective unconscious, it remains poorly understood and often overlooked in contemporary practice (Kihlstrom, 1987). This is due in part to the dominance of cognitive-behavioral approaches, which tend to focus on explicit, conscious processes rather than the deeper, more intuitive and embodied aspects of the self (Bucci, 1997). To effectively address the role of implicit memory in psychological distress and personal growth, psychotherapy must develop a shared language and framework for understanding and working with these unconscious processes (Greenberg, 2002). This requires a willingness to engage with the body and the somatic experience, recognizing that our thoughts, feelings, and behaviors are deeply rooted in our physical being (van der Kolk, 2014). One way to think about implicit memory is as a kind of "photoshop filter" that our brain is constantly running, even when we are not consciously aware of it. Just as the center of our visual field is filled in by our brain based on the surrounding context, our implicit memories are constantly shaping our perceptions and reactions to the world around us, even when we are not consciously aware of them. This is why it is so important for therapists to be attuned to the subtle cues and signals that patients give off, both verbally and nonverbally. A skilled therapist can often sense the presence of implicit memories and unconscious processes long before the patient is consciously aware of them, and can use this information to guide the therapeutic process in a more effective and meaningful direction (Schore, 2012). At the same time, it is important to recognize that implicit memories are not always negative or pathological. In fact, many of our most cherished and meaningful experiences are encoded in implicit memory, shaping our sense of self and our relationships with others in profound and often unconscious ways (Fosshage, 2005). The goal of therapy, then, is not necessarily to eliminate or "fix" implicit memories, but rather to help individuals develop a more conscious and intentional relationship with them, so that they can be integrated into a more coherent and authentic sense of self (Stern, 2004). The Future of the Unconscious Many of the most interesting thinkers in the history of psychology understood this symbolic dimension of implicit memory, even if their specific theories needed refinement. Freud recognized the dynamic interplay of conscious and unconscious processes, and the way that repressed material could manifest in dreams, symptoms, and relational patterns (Freud, trans. 1989). Jung saw the unconscious as not just a repository of repressed personal material, but a deep well of collective wisdom and creative potential, populated by universal archetypes and accessed through dream, myth, and active imagination (Jung, 1968). Jung urged individuals to engage in a lifelong process of "individuation," differentiating the self from the collective while also integrating the conscious and unconscious aspects of the psyche (Jung, 1964). Reich connected chronic muscular tensions or "character armor" to blocked emotions and neurotic conflicts, pioneering body-based interventions aimed at restoring the free flow of life energy (Reich, 1980). While some of Reich's later work veered into pseudoscience, his core insights about the somatic basis of psychological experience were hugely influential on subsequent generations of clinicians (Young, 2006). More recently, emerging models such as sensorimotor psychotherapy (Ogden & Fisher, 2015), accelerated experiential dynamic psychotherapy (AEDP; Fosha, 2000), and eye movement desensitization and reprocessing (EMDR; Shapiro, 2017) aim to access and integrate implicit memories through body-based and imagistic techniques. By working with posture, sensation, movement, and breath, these approaches help patients bring nonverbal, affective material into conscious awareness and narrative coherence. Process-oriented therapies such as Arnold Mindell's process work (Mindell, 1985) offer another compelling framework for engaging implicit memory. Mindell suggests that the unconscious communicates through "channels" such as vision, audition, proprioception, kinesthesia, and relationship. By unfolding the process in each channel and following the flow of "sentient essence," therapists can help patients access and integrate implicit memories and in turn catalyze psychological and somatic healing. These contemporary approaches build on the insights of earlier clinicians while offering new maps and methods for navigating the realm of implicit memory. They point towards an understanding of the self as an ever-evolving matrix of conscious and unconscious, cognitive and somatic, personal and transpersonal processes. Engaging implicit memory is not about pathologizing the unconscious so much as learning its unique language and honoring its hidden wisdom. At the same time, this is tricky terrain to navigate, personally and professionally. As therapist and patient venture into the uncharted waters of the unconscious, it is crucial to maintain an attitude of humility, compassion, and ethical integrity (Stein, 2006). We must be mindful of the power dynamics and transference/countertransference currents that can arise in any therapeutic relationship, and work to create a safe, boundaried space for healing and transformation (Barnett et al., 2007). There is also a risk of getting lost in the fascinating world of the unconscious and losing sight of external reality. While depth psychology and experiential therapies offer valuable tools for self-exploration and meaning-making, they are not a replacement for practical skills, behavioral changes, and real-world action. We must be careful not to fall into the trap of "spiritual bypassing," using esoteric practices to avoid the hard work of embodying our insights and values in daily life (Welwood, 2000). Ultimately, the future of psychotherapy lies in integrating the best of what has come before while remaining open to new discoveries and directions. By combining scientific rigor with clinical artistry, cognitive understanding with experiential depth, and technical skill with ethical care, we can continue to expand our understanding of the self and the transformative potential of the therapeutic relationship. As we navigate the uncharted territories of the 21st century and beyond, we will need maps and methods that honor the full complexity and mystery of the human experience. Engaging with the unconscious and implicit dimensions of memory is not a luxury but a necessity if we are to rise to the challenges of our time with creativity, resilience, and wisdom. May we have the courage to venture into the depths, and the humility to be transformed by what we find there. Empowering Individuals to Be Themselves The ultimate goal of psychotherapy, in my view, is to empower individuals to become more effective at being themselves in the world and, in turn, better at transforming the world for the better. This requires a fundamental shift in the way that we think about mental health and well-being, moving beyond a narrow focus on symptom reduction and towards a more holistic and integrative approach that recognizes the interconnectedness of mind, body, and spirit. To achieve this goal, psychotherapy must embrace a range of approaches and techniques that are tailored to the unique needs and experiences of each individual. This may include somatic therapies that work with the body to release trauma and promote healing, such as somatic experiencing, sensorimotor psychotherapy, or EMDR (Levine, 1997; Ogden & Fisher, 2015; Shapiro, 2017). It may also include depth psychologies that explore the unconscious and archetypal dimensions of the psyche, such as Jungian analysis, psychosynthesis, or archetypal psychology (Jung, 1968; Assagioli, 1965; Hillman, 1975). And it may include humanistic and experiential approaches that emphasize the inherent worth and potential of each person, such as person-centered therapy, gestalt therapy, or existential psychotherapy (Rogers, 1995; Perls et al., 1951; Yalom, 1980). At the same time, psychotherapy must also be grounded in a deep understanding of the social, cultural, and political contexts in which individuals live and work. This requires a willingness to engage with issues of power, privilege, and oppression, recognizing that mental health and well-being are intimately connected to the broader structures and systems that shape our lives (Prilleltensky, 1997). It also requires a recognition that the goal of therapy is not simply to help individuals adapt to the status quo, but rather to empower them to become agents of change in their own lives and in the world around them (Freire, 1970). Therapists as Agents of the Post-Secular Sacred One way to think about this is through the lens of what depth psychologist David Tacey calls the "post-secular sacred" (Tacey, 2004). Tacey argues that we are moving into a new era of spirituality that is grounded in a deep respect for science and reason, but also recognizes the importance of myth, symbol, and the unconscious in shaping our experience of the world. In this view, the goal of therapy is not to strip away our illusions and defenses in order to reveal some kind of objective truth, but rather to help individuals develop a more authentic and meaningful relationship with the mystery and complexity of existence. This requires a willingness to sit with the discomfort and uncertainty that often accompanies the process of growth and transformation. It also requires a recognition that the path to wholeness and healing is not always a straight line, but rather a winding and often circuitous journey that involves confronting our deepest fears and vulnerabilities (Jung, 1959). Therapists of Agents of the Post Secular Sacred Riddle in the Garden by Robert Penn Warren My mind is intact, but the shapes of the world change, the peach has released the bough and at last makes full confession, its pudeur had departed like peach-fuzz wiped off, and We now know how the hot sweet- ness of flesh and the juice-dark hug the rough peach-pit, we know its most suicidal yearnings, it wants to suffer extremely, it Loves God, and I warn you, do not touch that plum, it will burn you, a blister will be on your finger, and you will put the finger to your lips for relief—oh, do be careful not to break that soft Gray bulge of blister like fruit-skin, for exposing that inwardness will increase your pain, for you are part of this world. You think I am speaking in riddles. But I am not, for The world means only itself. In the image that Penn Warren creates in "Riddle in the Garden" is a labyrinth leading back to the birth of humans in the garden of Eden.  Life itself is a swelling of inflammation from a wound or a need in both blisters and in peaches. You cannot have one part of the process without accepting all of it. The swelling in the growth of the fruit is also the swelling in the growth of a blister of pain. The peach must swell and become a sweet tempting blister or else no one would eat it and expose the "inwardness" of the seed to grow more trees.  exists to be eaten to die. We eat the peach to grow the next one. Not to touch the “suicidal” peach is not to touch life itself. For to live is to be hurt and to grow. To touch the peach is to become part of the world like Adam and Eve found out. It hurts it blisters us turning us into fruit.  For Penn Warren it is the separation of the self from the world of divine connection with nature that creates our need for meaning. This need is the reason that patients come to therapy. God tells us that “I am the lord your God” but Penn Warren tells us “I am not”. For “The world means only itself”. This process only has the meaning that we allow ourselves to give it. This is not a riddle, Penn Warren tells us.  It is only something we have to deal with but cannot not solve. The world means only itself. There is no gimmick or solution to the problem of being human.  In other words, the process of becoming more fully ourselves is not always easy or comfortable. It requires a willingness to confront the pain and suffering that is inherent in the human condition, and to recognize that growth and healing often involve an alchemical kind of death and rebirth. But it is precisely through this process of facing our fears and vulnerabilities that we can begin to develop a more authentic and meaningful relationship with ourselves, with others, and with the world around us. Ultimately, the goal of psychotherapy is not to provide answers or solutions, but rather to create a space in which individuals can begin to ask deeper questions about the nature of their existence and their place in the world. It is to help individuals develop the tools and capacities they need to navigate the complexities of life with greater courage, compassion, and wisdom. And it is to empower individuals to become more effective at being themselves in the world, so that they can contribute to the greater whole and help to create a more just, equitable, and sustainable future for all. The Future of Psychotherapy The corporatization of healthcare and academia poses a serious threat to the future of psychotherapy, undermining its ability to effectively address the complex realities of the human experience. To remain relevant and effective in the face of these challenges, the field must embrace a more holistic and integrative approach that recognizes the interconnectedness of the mind, body, and spirit. This requires a renewed commitment to developing a coherent concept of self, a shared language and understanding of implicit memory, and a vision of psychotherapy as a means of empowering individuals to become more effective at being themselves in the world and, in turn, better at transforming the world for the better. It also requires a willingness to engage with the full complexity and paradox of the human experience, recognizing that growth and healing often involve a kind of death and rebirth, and that the path to wholeness is not always a straight line. As the psychologist Carl Jung once wrote, "The privilege of a lifetime is to become who you truly are." Psychotherapy and the Dialectic of Self and World As we have explored throughout this essay, the self does not exist in a vacuum, but is always in dynamic interaction with the world around it. Our sense of who we are, what we value, and what is possible for us is shaped by a complex interplay of internal and external factors, from our earliest experiences of attachment and attunement to the broader social, cultural, and political contexts in which we are embedded. In many ways, psychotherapy can be seen as a process of exploring and working with the dialectical tension between self and world, between our innermost longings, fears, and aspirations and the often harsh realities of the environments we find ourselves in. When we enter therapy, we bring with us not only our own unique histories, personality structures, and ways of being, but also the internalized messages, expectations, and constraints of the world around us. For many individuals, these internalized messages and constraints can feel suffocating, limiting their sense of possibility and agency in the world. They may find themselves feeling stuck, trapped, or disconnected from their authentic selves, playing roles and wearing masks that no longer fit who they really are. In the face of external pressures to conform, to achieve, to fit in, the self can become fragmented, disempowered, or lost. The task of psychotherapy, then, is to help individuals rediscover and reclaim a sense of self that feels vital, authentic, and empowered, while also developing the skills and capacities needed to navigate the complexities of the world with greater flexibility, resilience, and integrity. This requires a delicate balance of supportive and challenging interventions, of validating the individual's unique experience while also gently questioning and expanding their assumptions about what is possible. On one end of the spectrum, an overly supportive or myopic approach to therapy can run the risk of enabling individuals to remain stuck in limiting patterns and beliefs, reinforcing a sense of helplessness or dependence on the therapist. While providing a warm, empathic, and nonjudgmental space is essential for building trust and safety in the therapeutic relationship, it is not sufficient for fostering real growth and change. Individuals need to be challenged to step outside their comfort zones, to experiment with new ways of being and relating, and to take responsibility for their choices and actions in the world. On the other end of the spectrum, an overly challenging or confrontational approach to therapy can be experienced as invalidating, shaming, or even retraumatizing, particularly for individuals with histories of abuse, neglect, or marginalization. Pushing individuals to "toughen up," to adapt to oppressive or toxic environments, or to simply accept the "reality" of their situation without questioning or resisting it can lead to a kind of false or forced adaptation, a loss of self that is no less harmful than remaining stuck. The key, then, is to find a middle path between these extremes, one that honors the individual's inherent worth, agency, and potential while also recognizing the very real constraints and challenges of the world they inhabit. This requires a deep understanding of the ways in which power, privilege, and oppression shape our experiences and identities, as well as a willingness to grapple with the existential questions of meaning, purpose, and authenticity that arise when we confront the gap between who we are and who we feel we ought to be. In practice, this might involve helping individuals to: Develop a clearer and more coherent sense of self, one that integrates the various parts of their personality, history, and identity in a way that feels authentic and meaningful to them. Identify and challenge limiting beliefs, assumptions, and patterns of behavior that keep them stuck or disconnected from their true desires and values. Cultivate greater self-awareness, self-compassion, and self-acceptance, learning to embrace the full range of their thoughts, feelings, and experiences with curiosity and kindness. Develop the skills and capacities needed to communicate effectively, set healthy boundaries, and navigate relationships and social situations with greater ease and confidence. Explore and experiment with new ways of being and relating in the world, taking risks and stepping outside their comfort zones in service of their growth and healing. Engage critically and creatively with the social, cultural, and political contexts that shape their lives, developing a sense of empowerment, agency, and social responsibility. Connect with a deeper sense of meaning, purpose, and spirituality, one that transcends the ego and connects them to something greater than themselves. Ultimately, the goal of psychotherapy is not simply to help individuals adapt to the world as it is, but to empower them to become active agents of change, both in their own lives and in the larger systems and structures that shape our collective reality. By developing a stronger, more integrated, and more authentic sense of self, individuals can begin to challenge and transform the limiting beliefs, oppressive power dynamics, and dehumanizing narratives that keep us all stuck and disconnected from our shared humanity. In this sense, psychotherapy is not just a personal journey of healing and self-discovery, but a deeply political and moral enterprise, one that calls us to envision and create a world that is more just, compassionate, and sustainable for all. As therapists, we have a unique opportunity and responsibility to support individuals in this process, to bear witness to their pain and their resilience, and to help them find the courage, clarity, and creativity needed to live a life of purpose, integrity, and connection. As the existential psychiatrist Viktor Frankl once wrote, "Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom." By creating a space for individuals to explore and expand their capacity to choose, to respond to the world with authenticity and agency, psychotherapy can play a vital role in the ongoing dialectic of self and world, of personal and collective transformation. May we rise to the challenge and opportunity of this sacred work, and may we never lose sight of the inherent beauty, complexity, and potential of the human spirit as it unfolds in the therapy room and beyond. https://youtu.be/iAof2cim5Wk References Adler, A. (1964). The individual psychology of Alfred Adler: A systematic presentation in selections from his writings (H. L. Ansbacher & R. R. Ansbacher, Eds.). Harper & Row. Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Erlbaum. Aquinas, T. (1981). Summa theologica (Fathers of the English Dominican Province, Trans.). Christian Classics. Aristotle. (1986). De anima (On the soul) (H. Lawson-Tancred, Trans.). Penguin. Assagioli, R. (1965). Psychosynthesis: A manual of principles and techniques. Hobbs, Dorman & Company. Augustine of Hippo. (2002). Confessions (R. S. Pine-Coffin, Trans.). Penguin. Baumeister, R. F. (1987). How the self became a problem: A psychological review of historical research. Journal of Personality and Social Psychology, 52(1), 163-176. Beck, A. T. (1979). Cognitive therapy of depression. Guilford Press. Berlin, I. (2013). The roots of romanticism (2nd ed.). Princeton University Press. Boon, S., Steele, K., & Van der Hart, O. (2011). Coping with trauma-related dissociation: Skills training for patients and therapists. W. W. Norton & Company. Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. Basic Books. Boyd, D. (2014). It's complicated: The social lives of networked teens. Yale University Press. Bromberg, P. M. (1996). Standing in the spaces: The multiplicity of self and the psychoanalytic relationship. Contemporary Psychoanalysis, 32(4), 509-535. Bruner, J. (1990). Acts of meaning. Harvard University Press. Buber, M. (1958). I and thou (R. G. Smith, Trans.). Scribner. Buranyi, S. (2017, June 27). Is the staggeringly profitable business of scientific publishing bad for science? The Guardian. https://www.theguardian.com/science/2017/jun/27/profitable-business-scientific-publishing-bad-for-science Burkeman, O. (2012). The antidote: Happiness for people who can't stand positive thinking. Faber & Faber. Carr, N. (2010). The shallows: What the internet is doing to our brains. W. W. Norton & Company. Christakis, N. A., & Fowler, J. H. (2009). Connected: The surprising power of our social networks and how they shape our lives. Little, Brown and Company. Collier, R. (2017, December 12). Half of psychology studies fail reproducibility test. Nature. https://doi.org/10.1038/nature.2015.18248 Comas-Díaz, L. (2012). Multicultural care: A clinician's guide to cultural competence. American Psychological Association. Cozolino, L. (2014). The neuroscience of human relationships: Attachment and the developing social brain (2nd ed.). W. W. Norton & Company. Dalai Lama, & Ekman, P. (2009). Emotional awareness: Overcoming the obstacles to psychological balance and compassion. Times Books. Descartes, R. (1996). Meditations on first philosophy (J. Cottingham, Ed. & Trans.). Cambridge University Press. (Original work published 1641) Doctorow, C., & Wang, H. (2020, September 28). How to destroy surveillance capitalism. OneZero. https://onezero.medium.com/how-to-destroy-surveillance-capitalism-8135e6744d59 Ellis, A., & Harper, R. A. (1975). A new guide to rational living. Prentice-Hall. Epstein, M. (1995). Thoughts without a thinker: Psychotherapy from a Buddhist perspective. Basic Books. Erikson, E. H. (1968). Identity: Youth and crisis. W. W. Norton & Company. Fosha, D. (2000). The transforming power of affect: A model for accelerated change. Basic Books. Frances, A. (2013). Saving normal: An insider's revolt against out-of-control psychiatric diagnosis, DSM-5, Big Pharma, and the medicalization of ordinary life. William Morrow. Frankl, V. E. (2006). Man's search for meaning. Beacon Press. (Original work published 1946) Freud, S. (1989). The ego and the id. W. W. Norton & Company. (Original work published 1923) Fromm, E. (1955). The sane society. Rinehart & Company. Gawande, A. (2009). The checklist manifesto: How to get things right. Metropolitan Books. Gendlin, E. T. (1978). Focusing. Bantam Books. Gergen, K. J. (1991). The saturated self: Dilemmas of identity in contemporary life. Basic Books. Goodman, D. M., & Freeman, E. E. (2015). Psychology and the art of compassion: Issues in transpersonal psychology. Journal of Transpersonal Psychology, 47(2), 192-207. Goodman, R. D., Williams, J. M., Chung, R. C.-Y., Talleyrand, R. M., Douglass, A. M., McMahon, H. G., & Bemak, F. (2004). Decolonizing traditional pedagogies and practices in counseling and psychology education: A move towards social justice and action. In R. L. Carter (Ed.), Handbook of racial-cultural psychology and counseling: Vol. 2. Training and practice (pp. 147-160). Wiley. Greenberg, L. S. (2002). Emotion-focused therapy: Coaching clients to work through their feelings. American Psychological Association. Greenberg, L. S., & Goldman, R. N. (2019). Clinical handbook of emotion-focused therapy. American Psychological Association. Griffith, J. L., & Griffith, M. E. (2002). Encountering the sacred in psychotherapy: How to talk with people about their spiritual lives. Guilford Press. Grof, S. (1985). Beyond the brain: Birth, death and transcendence in psychotherapy. State University of New York Press. Harari, Y. N. (2018). 21 lessons for the 21st century. Spiegel & Grau. Hillman, J. (1975). Re-visioning psychology. Harper & Row. Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., Jr., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353-366. Hook, J. N., Farrell, J. E., Davis, D. E., DeBlaere, C., Van Tongeren, D. R., & Utsey, S. O. (2016). Cultural humility and racial microaggressions in counseling. Journal of Counseling Psychology, 63(3), 269-277. Hopwood, C. J., & Bleidorn, W. (Eds.). (2018). The Oxford handbook of personality and social psychology. Oxford University Press. Hume, D. (2000). A treatise of human nature (D. F. Norton & M. J. Norton, Eds.). Oxford University Press. (Original work published 1739-1740) Jameson, F. (1991). Postmodernism, or, the cultural logic of late capitalism. Duke University Press. Jung, C. G. (1959). The archetypes and the collective unconscious (R. F. C. Hull, Trans.). Princeton University Press. Jung, C. G. (1964). Man and his symbols. Dell. Jung, C. G. (1968). Analytical psychology: Its theory and practice (The Tavistock lectures). Vintage Books. Jung, C. G. (1973). C. G. Jung letters: Volume 1, 1906-1950 (G. Adler, Ed.; R. F. C. Hull, Trans.). Princeton University Press. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delacorte Press. Kihlstrom, J. F. (1987). The cognitive unconscious. Science, 237(4821), 1445-1452. Knill, P. J., Levine, E. G., & Levine, S. K. (2005). Principles and practice of expressive arts therapy: Toward a therapeutic aesthetics. Jessica Kingsley Publishers. LeDoux, J. (2002). Synaptic self: How our brains become who we are. Viking. Levine, P. A. (1997). Waking the tiger: Healing trauma. North Atlantic Books. Locke, J. (1975). An essay concerning human understanding (P. H. Nidditch, Ed.). Oxford University Press. (Original work published 1689) Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3-9. Malchiodi, C. A. (Ed.). (2003). Handbook of art therapy. Guilford Press. Maslow, A. H. (1968). Toward a psychology of being (2nd ed.). Van Nostrand Reinhold. May, R. (1969). Love and will. W. W. Norton & Company. McNiff, S. (1981). The arts and psychotherapy. Charles C. Thomas. McWilliams, N. (2004). Psychoanalytic psychotherapy: A practitioner's guide. Guilford Press. Mearns, D., & Cooper, M. (2005). Working at relational depth in counselling and psychotherapy. Sage. Mindell, A. (1985). River's way: The process science of the dreambody. Routledge & Kegan Paul. Mitchell, S. A. (1988). Relational concepts in psychoanalysis: An integration. Harvard University Press. Mojtabai, R., & Olfson, M. (2008). National trends in psychotherapy by office-based psychiatrists. Archives of General Psychiatry, 65(8), 962-970. Nietzsche, F. (1967). The will to power (W. Kaufmann & R. J. Hollingdale, Trans.). Vintage Books. (Original work published 1901) Norcross, J. C., & Goldfried, M. R. (Eds.). (2005). Handbook of psychotherapy integration (2nd ed.). Oxford University Press. Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. W. W. Norton & Company. Ogden, P., & Fisher, J. (2015). Sensorimotor psychotherapy: Interventions for trauma and attachment. W. W. Norton & Company. Open Science Collaboration. (2015). Estimating the reproducibility of psychological science. Science, 349(6251), aac4716. https://doi.org/10.1126/science.aac4716 Pace, P. (2013). Lifespan integration: Connecting ego states through time (5th ed.). Lifespan Integration. Pargament, K. I. (2007). Spiritually integrated psychotherapy: Understanding and addressing the sacred. Guilford Press. Pariser, E. (2011). The filter bubble: What the internet is hiding from you. Penguin Press. Perls, F., Hefferline, R. F., & Goodman, P. (1951). Gestalt therapy: Excitement and growth in the human personality. Julian Press. Piaget, J. (1954). The construction of reality in the child (M. Cook, Trans.). Basic Books. (Original work published 1937) Plante, T. G. (Ed.). (2007). Spirit, science, and health: How the spiritual mind fuels physical wellness. Praeger. Plato. (1997). Phaedo (G. M. A. Grube, Trans.). In J. M. Cooper & D. S. Hutchinson (Eds.), Plato: Complete works (pp. 49-100). Hackett. (Original work published ca. 360 BCE) Plato. (2002). Apology (G. M. A. Grube, Trans.). In J. M. Cooper & D. S. Hutchinson (Eds.), Plato: Complete works (pp. 17-36). Hackett. (Original work published ca. 399 BCE) Pollan, M. (2018). How to change your mind: What the new science of psychedelics teaches us about consciousness, dying, addiction, depression, and transcendence. Penguin Press. Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton & Company. Post, B. C., & Wade, N. G. (2009). Religion and spirituality in psychotherapy: A practice-friendly review of research. Journal of Clinical Psychology, 65(2), 131-146. Prilleltensky, I., & Fox, D. (1997). Introducing critical psychology: Values, assumptions, and the status quo. In D. Fox & I. Prilleltensky (Eds.), Critical psychology: An introduction (pp. 3-20). Sage. Reich, W. (1980). Character analysis (3rd, enlarged ed.; V. R. Carfagno, Trans.). Farrar, Straus and Giroux. (Original work published 1933) Rogers, C. R. (1961). On becoming a person: A therapist's view of psychotherapy. Houghton Mifflin. Rogers, C. R. (1995). A way of being. Houghton Mifflin. Sartre, J.-P. (1956). Being and nothingness: An essay on phenomenological ontology (H. E. Barnes, Trans.). Philosophical Library. Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29(3), 427-444. Schacter, D. L., Chiu, C.-Y. P., & Ochsner, K. N. (1993). Implicit memory: A selective review. Annual Review of Neuroscience, 16, 159-182. Schore, A. N. (2012). The science of the art of psychotherapy. W. W. Norton & Company. Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: The central role of affect regulation in development and treatment. Clinical Social Work Journal, 36(1), 9-20. Schwartz, R. C. (1995). Internal family systems therapy. Guilford Press. Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are. Guilford Press. Skinner, B. F. (1953). Science and human behavior. Macmillan. Sokal, A. (2008). Beyond the hoax: Science, philosophy and culture. Oxford University Press. Sokal, A. D. (1996). Transgressing the boundaries: Toward a transformative hermeneutics of quantum gravity. Social Text, (46/47), 217-252. Stein, M. (2006). The principle of individuation: Toward the development of human consciousness. Chiron Publications. Stern, D. N. (2004). The present moment in psychotherapy and everyday life. W. W. Norton & Company. Sue, D. W., & Sue, D. (2013). Counseling the culturally diverse: Theory and practice (6th ed.). Wiley. Tacey, D. J. (2004). The spirituality revolution: The emergence of contemporary spirituality. Brunner-Routledge. Tervalon, M., & Murray-García, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117-125. Triandis, H. C. (1995). Individualism and collectivism. Westview Press. Trilling, L. (1972). Sincerity and authenticity. Harvard University Press. Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6(1), 3-17. van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking. Vieten, C., Scammell, S., Pilato, R., Ammondson, I., Pargament, K. I., & Lukoff, D. (2013). Spiritual and religious competencies for psychologists. Psychology of Religion and Spirituality, 5(3), 129-144. Wachtel, P. L. (1991). From eclecticism to synthesis: Toward a more seamless psychotherapeutic integration. Journal of Psychotherapy Integration, 1(1), 43-54. Wallin, D. J. (2007). Attachment in psychotherapy. Guilford Press. Warren, R. P. (1998). The collected poems of Robert Penn Warren (J. Burt, Ed.). Louisiana State University Press. Weizenbaum, J. (1976). Computer power and human reason: From judgment to calculation. W. H. Freeman and Company. Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130(4), 631-663. Wilber, K. (2000). Integral psychology: Consciousness, spirit, psychology, therapy. Shambhala. Yalom, I. D. (1980). Existential psychotherapy. Basic Books. Young, C. (2006). One hundred and fifty years on: The history, significance and scope of body psychotherapy today. In J. Corrigall, H. Payne, & H. Wilkinson (Eds.), About a body: Working with the embodied mind in psychotherapy (pp. 14-28). Routledge.   #Psychotherapy #CorporateInfluence #HolisticHealing #AuthenticSelf #ImplicitMemory #PostSecularSacred #MentalHealthTransformation #IntegrativePsychotherapy #EmpoweringIndividuals #PsychotherapyChallenges #jung #philosophy #PsychotherapyInCrisis #MentalHealth #Self #eikonosphere #ImplicitMemory #Empowering #AuthenticSelf #capitalism 

Do you wonder what causes chronic depression? Perhaps, you yourself are diagnosed with clinical depression or you know someone who has depression, but you aren't sure why they suffer from depression? Depression is an extremely complex mental health problem ranging from combination of genetic to environmental causes. Even professionals are not 100% certain of what causes depression and furthermore, depression varies by individual cases and history. It this video, we do our best to cover three possible causes of depression: NEGATIVE ATTRIBUTIONAL STYLES and causes, & having a NEGATIVE SELF IMAGE. Hopefully, you find this video helpful in shedding some light on the topic of depression. If you would like a video on other possible signs or causes of depression, be sure to turn on the notification bell. We will make a follow up video. #psych2go #depression #lecture101series Also, please welcome a new member to our team, Amine Bouzaher. He is currently a UBC student and helping us with script writing, research and voice over. If you yourself are interested in being a part of the team, do reach out :) Animated by: Ben Carswell Check out his animation work here: https://www.youtube.com/Twisted4kStudiosBen's goal is to one day work as a director for animation. Credits: Script Writer: Amine Bouzaher Script Editor: Amine Bouzaher VO: Amine Bouzaher Animator: Ben Carswell YouTube Manager: Cindy Cheong For Business Inquiries - editorial@psych2go.net For further readings (important): Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62:593–602.doi:10.1001/archpsyc.62.6.593. [PubMed] World Health Organization . The global burden of disease: 2004 update. WHO Press; Geneva: 2008. Rose DT, Abramson LY. Developmental predictors of depressive cognitive style: Research and theory. In: Cicchetti D, Toth S, editors. Rochester Symposium of Developmental Psychopathology.Vol. 4. University of Rochester Press; Rochester, NY: 1992. pp. 323–349. Metalsky GI, Joiner TE., Jr Vulnerability to depressive symptomatology: A prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression. Journal of Personality and Social Psychology. 1992;63:667–675. [PubMed] [Google Scholar] Please share and like our videos if they've helped you out! Want to support our mission, consider becoming a channel member of Psych2Go. We will send you exclusive perks.

ADHD Coach Katherine Sanders ADHD and Procrastination - three kinds of procrastination, three causes and more than three ways for you to get long-term strategies in place.Warning: This podcast contains ADVANCED strategies for ADHD procrastination - but you'll love them when you understand how they get to the roots of your stickiness for good.In this episode of "ADHD Powerful Possibilities," Katherine, your friendly ADHD coach, explores the nuanced relationship between ADHD and procrastination, especially within the context of entrepreneurship. Understanding Procrastination - is it about laziness? The ADHD Brain and Procrastination: Dive into how the ADHD brain's wiring and executive function challenges intensify procrastination. Learn about impulsivity, the need for immediate rewards, and the difficulty in perceiving tasks as interesting unless they align with personal interests.Three types of Procrastination and three reasons ADHD can make them feel even worse?Strategies to Overcome Procrastination: From enhancing self-efficacy and task value to managing impulsivity, discover a variety of strategies tailored for the ADHD entrepreneur. Learn about micro-tasking, engagement shifting and a sneaky mention of my new book on Procrastination.Next episode:we discuss why focusing on strengths rather than deficits can significantly improve daily life and self-perception for those with ADHD.Connect with me on Instagram or by email for further discussions, insights, and personal stories related to ADHD and entrepreneurship.Remember, everything is possible. Stay tuned for more powerful possibilities with Katherine, your ADHD coach.Connect with Katherine here:WebsiteInstagramTiktokFacebookYoutubeLinkedINThreads Previous episode on Procrastination: https://pod.fo/e/20d8caHear about my new Procrastination Book soon: Click Here.Dopamine & Motivation in ADHD:Volkow, N. D., Wang, G.-J., Newcorn, J. H., Telang, F., Solanto, M. V., Fowler, J. S. & Swanson, J. M. (2007). Depressed dopamine activity in caudate and preliminary evidence of limbic involvement in adults with attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 64(8), 932-940.Prefrontal Cortex & ADHD:Arnsten, A. F. T. (2009). Toward a new understanding of attention-deficit hyperactivity disorder pathophysiology: an important role for prefrontal cortex dysfunction. CNS Drugs, 23(Suppl 1), 33-41.Segment 2: Emotional Drivers of ProcrastinationEmotional Dysregulation & Procrastination:Barkley, R. A. (2015). Emotional dysregulation is a core component of ADHD. In Handbook...

GUEST 1 OVERVIEW: Andrew Langer is a long-time activist for free-market and limited-government principles, and a well-recognized analyst of politics and public policy. He currently serves as the President the Institute for Liberty, the Host of the Andrew Langer Show on WBAL NewsRadio1090. A long time fighter for small business, Andrew came to IFL from NFIB, where he headed that organization's regulatory practice for six years. GUEST 2 OVERVIEW: Brian Hardin is a native son of Scottsbluff, NE and, after a business career in Colorado, he moved back to his hometown, where he was elected last November to represent District 48 in Nebraska's unicameral legislature. He is already hitting the ground running, being involved in passing important legislation involving Second Amendment rights, the right to life, and protecting our children from the transgender mania sweeping the nation. GUEST 3 OVERVIEW: Dr. Daniel Bober, D.O., is board-certified in General Psychiatry, Child and Adolescent Psychiatry, and Forensic Psychiatry by the American Board of Psychiatry and Neurology He is also a Diplomate of the American Board of Addiction meaning he is a certified Addiction Medicine physician. Dr. Bober has been a practicing psychiatrist for over 15 years.

In this podcast episode, Dr. Jonathan H. Westover talks with Dr. Randy Brazie and Dr. Geoffrey VanderPal about steadfast leadership.  Dr. Randy Brazie, MD, SEP® (https://www.linkedin.com/in/randy-brazie-491b1398/), is the former chief medical officer for Resilient Health, an Arizona nonprofit healthcare provider of innovative multimodal services for both public and private sectors. He currently serves as a medical director for Blue Cross Blue Shield of Arizona and has a private practice. He is board-certified by the American Board of Psychiatry and Neurology in General Psychiatry and is a Somatic Experience Practitioner. Brazie has extensive experience in multiple sectors, including both clinic and hospital-based services, as well as emergency and urgent care settings. Dr. Geoffrey VanderPal, DBA, CFP® (https://www.linkedin.com/in/gvanderpal/), Project Management Professional, Society of Human Resource Managers Senior Certified Professional, is a professor in the Master of Science in Finance program at Purdue University Global, where he teaches financial planning–related courses. He has taught at various universities on four continents in the areas of finance, leadership, and business. He also spent over twenty years as an entrepreneur founding several successful businesses and leading teams. VanderPal is the author of Invincible Investing and several dozen peer-reviewed research articles.  Check out all of the podcasts in the HCI Podcast Network! Check out the ⁠HCI Academy⁠: Courses, Micro-Credentials, and Certificates to Upskill and Reskill for the Future of Work! Check out the LinkedIn ⁠Alchemizing Human Capital⁠ Newsletter. Check out Dr. Westover's book, ⁠The Future Leader⁠. Check out Dr. Westover's book, ⁠'Bluer than Indigo' Leadership⁠. Check out Dr. Westover's book, ⁠The Alchemy of Truly Remarkable Leadership⁠. Check out the latest issue of the ⁠Human Capital Leadership magazine⁠. Each HCI Podcast episode (Program, ID No. 655967) has been approved for 0.50 HR (General) recertification credit hours toward aPHR™, aPHRi™, PHR®, PHRca®, SPHR®, GPHR®, PHRi™ and SPHRi™ recertification through HR Certification Institute® (HRCI®). Each HCI Podcast episode (Program ID: 24-DP529) has been approved for 0.50 HR (General) SHRM Professional Development Credits (PDCs) for SHRM-CP and SHRM-SCPHR recertification through SHRM, as part of the knowledge and competency programs related to the SHRM Body of Applied Skills and Knowledge™ (the SHRM BASK™). Human Capital Innovations has been pre-approved by the ATD Certification Institute to offer educational programs that can be used towards initial eligibility and recertification of the Certified Professional in Talent Development (CPTD) and Associate Professional in Talent Development (APTD) credentials. Each HCI Podcast episode qualifies for a maximum of 0.50 points.

Welcome to the Social-Engineer Podcast: The Doctor Is In Series – where we will discuss understandings and developments in the field of psychology.   In today's episode, Chris and Abbie are discussing Irrational Fears & Phobias. They will talk about the similarities, the differences, why some are necessary and how to overcome the ones that aren't. [March 4, 2024]   00:00 - Intro 00:21 - Dr. Abbie Maroño Intro 00:50 - Intro Links -          Social-Engineer.com - http://www.social-engineer.com/ -          Managed Voice Phishing - https://www.social-engineer.com/services/vishing-service/ -          Managed Email Phishing - https://www.social-engineer.com/services/se-phishing-service/ -          Adversarial Simulations - https://www.social-engineer.com/services/social-engineering-penetration-test/ -          Social-Engineer channel on SLACK - https://social-engineering-hq.slack.com/ssb -          CLUTCH - http://www.pro-rock.com/ -          innocentlivesfoundation.org - http://www.innocentlivesfoundation.org/                                                04:55 - The Topic of the Day: Irrational Fears & Phobias  05:09 - Fear vs Phobia 06:33 - Attack of the Lizard People 08:57 - Fear of the Dark 11:28 - In the Heights 13:54 - Might As Well Jump 15:32 - Flight Mode 17:04 - Send in the Clowns 17:32 - Phobias! We Mean It 19:18 - Genetics Squared 21:06 - Beware the Ladybug! 24:35 - Was it a Bunny? 26:09 - Classical Conditioning 27:10 - Little Albert 29:51 - Fear Factor 32:11 - Animal Intuition 33:40 - Mister Ed              34:50 - Fur Babies 36:01 - Learned Response 38:21 - Changing Minds 42:05 - Safety First! 43:21 - Virtual Assistant 44:55 - Words Matter 47:21 - Next Month: David Matsumoto 48:07 - Wrap Up & Outro                              -          www.social-engineer.com -          www.innocentlivesfoundation.org   Find us online: -          Twitter: https://twitter.com/DrAbbieofficial -          LinkedIn: linkedin.com/in/dr-abbie-maroño-phd-35ab2611a -          Instagram: @DoctorAbbieofficial -          Twitter: https://twitter.com/humanhacker -          LinkedIn: linkedin.com/in/christopherhadnagy   References: De Jongh, A., Muris, P., ter Horst, G., Van Zuuren, F., Schoenmakers, N., & Makkes, P. (1999). One-session cognitive treatment of dental phobia: Preparing dental phobics for treatment by restructuring negative cognitions. Behaviour Research and Therapy, 37(S1), S89-S100. Dilger, S., Straube, T., Mentzel, H. J., Fitzek, C., Reichenbach, J. R., Hecht, H., ... & Miltner, W. H. (2003). Brain activation to phobia-related pictures in spider phobic humans: An event-related functional magnetic resonance imaging study. Neuroscience Letters, 348(1), 29-32. Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 158(10), 1568-1578. Kendler, K. S., Myers, J., & Prescott, C. A. (2002). The etiology of phobias: An evaluation of the stress-diathesis model. Archives of General Psychiatry, 59(3), 242-248. Lacey, C., Frampton, C., & Beaglehole, B. (2022). oVRcome – Self-guided virtual reality for specific phobias: A randomised controlled trial. Australian & New Zealand Journal of Psychiatry, 000486742211107. https://doi.org/10.1177/00048674221110779 Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on the etiology of anxiety disorders: It's not what you thought it was. American Psychologist, 61(1), 10-26. Ollendick, T. H., Ost, L. G., Reuterskiöld, L., Costa, N., Cederlund, R., Sirbu, C., ... & Jarrett, M. A. (2009). One-session treatment of specific phobias in youth: A randomized clinical trial in the United States and Sweden. Journal of Consulting and Clinical Psychology, 77(3), 504-516. Rauch, S. L., Whalen, P. J., Shin, L. M., McInerney, S. C., Macklin, M. L., Lasko, N. B., ... & Pitman, R. K. (2000). Exaggerated amygdala response to masked facial stimuli in posttraumatic stress disorder: A functional MRI study. Biological Psychiatry, 47(9), 769-776. University of York. (2023, February 6). Facing fears in just three hours of therapy could resolve phobias in children. Retrieved from https://www.york.ac.uk/news-and-events/news/2023/research/facing-fears-phobias-children/

Anthony Defulio & Rosemarie Davidson join us to talk about their paper, Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone-Based Contingency Management Intervention for Buprenorphine Adherence   Show Notes Remember to join us on Facebook to suggest articles to review and questions for authors. https://www.facebook.com/BApractice Acknowledgments Host and Executive Producer: Cody Morris, Ph.D., BCBA-D, LBA https://salve.edu/users/dr-cody-morris Assistant Producers Megan Ellsworth Jesse Perrin Organizational Support ABAI https://www.abainternational.org/welcome.aspx Behavior Analysis in Practice Editor, Stephanie Peterson, Ph.D., BCBA-D, LBA https://www.abainternational.org/journals/bap.aspx Music Cruising Altitude by Jim Carr and his band New Latitude http://www.newlatitudemusic.com Link to Article Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone-Based Contingency Management Intervention for Buprenorphine Adherence | Behavior Analysis in Practice (springer.com) References Dallery, J., Defulio, A., & Raiff, B. R. (2023). Digital contingency management in the treatment of substance use disorders. Policy Insights from the Behavioral and Brain Sciences, 10(1), 51–58. https://doi.org/10.1177/23727322221144648 DeFulio A. (2022). Dissemination of contingency management for the treatment of opioid use disorder. Perspectives on Behavior Science, 46(1), 35–49. https://doi.org/10.1007/s40614-022-00328-z Defulio, A., Brown, H. D., Davidson, R. M., Regnier, S. D., Kang, N., & Ehart M. (2023). Feasability, acceptability, and preliminary efficacy of a smartphone-based contingency management intervention for buprenorphine adherence. Behavior Analysis in Practice, 16(2), 450-458. https://doi.org/10.1007/s40617-022-00730-8 Dinsmoor K. (1987). "Money's the cheapest thing we've got"?. Journal of the Experimental Analysis of Behavior, 48(3), 472–475. https://doi.org/10.1901/jeab.1987.48-472 Higgins, S.T., Delaney, D.D., Budney, A.J., et al. (1991). A behavioral approach to achieving initial cocaine abstinence. American Journal of Psychiatry, 148, 1218-1224. https://doi.org/10.1176/ajp.148.9.1218 Higgins, S.T., Budney, A.J., Bickel, W.K., et al. (1993). Achieving cocaine abstinence with a behavioral approach. American Journal of Psychiatry, 150, 763-769. https://doi.org/10.1176/ajp.150.5.763 Higgins, S.T., Budney, A.J., Bickel, W.K., et al. (1994). Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. Archives of General Psychiatry, 51, 568-576.https://doi:10.1001/archpsyc.1994.03950070060011

Welcome to the first episode of DNA Dialogues! Today is February 29th, 2024. It is a leap year, so today marks an extra special rare disease day.    Rare diseases can impact so many people - from patients themselves, to families, to broader communities. To celebrate rare disease day, we are going to dive into two recent articles from the Journal of Genetic Counseling that showcase the rare disease experience. The following interviews provide insight into the wider impact of rare disease, with a special focus on families.   Segment 1: “Understanding type and quality of relationships between individuals with chromosome 18 syndromes and their siblings”   Dr. Catherine Larson joins us in the first segment to talk about her recent article titled, “Understanding type and quality of relationships between individuals with chromosome 18 syndromes and their siblings”.    Dr. Catherine Larson is a Child and Adolescent Psychiatrist and a sibling to Elizabeth, who has a Chromosome 18 deletion. After earning her undergraduate degree, she worked as a research assistant at the Chromosome 18 Research Center, where she began her research on Sibling relationships. Dr. Larson earned her Medical Degree from the University of Texas School of Medicine at San Antonio. She then went on to complete a General Psychiatry Residency Program, followed by a Fellowship in Child and Adolescent Psychiatry at The University of Texas at Austin, Dell Medical School. As a practicing psychiatrist, she opened her private practice in Austin, Texas, and she also returned to join the research team at the Chromosome 18 Research Center.   Dr. Catherine Larson is double Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry and Child and Adolescent Psychiatry. Dr. Larson earned her Medical Degree from the University of Texas School of Medicine at San Antonio. She then went on to complete a General Psychiatry Residency Program, followed by a Fellowship in Child and Adolescent Psychiatry at The University of Texas at Austin, Dell Medical School. In addition to her private practice, she is currently an Adjunct Assistant Professor at The University of Texas Health School of Medicine at San Antonio.  Segment 2 “Families' experiences accessing care after genomic sequencing in the pediatric cancer context: ‘It's just been a big juggle'”   Authors Sarah Scollon and Blake Vuocolo talk about their recent Journal of Genetic Counseling paper in the pediatric cancer space.    Sarah Scollon is an Assistant Professor in the Department of Pediatrics at Baylor College of Medicine and certified genetic counselor for the Texas Children's Hospital Cancer Genetics and Genomics Program. She has served in dual clinical and research roles across the course of her career. Her research interests engage the overarching themes of (1) adaptation of genetic counseling practice to implement evolving technologies (2) optimization of patient-provider communication and education and (3) equity and inclusion for diverse populations in genetic medicine and research. Ms. Scollon has had a longstanding dedication to the care of children and families affected by cancer. She is an advocate for including genetic counseling into pediatric cancer care. She works to educate others on the role genetics and genomics can play in the care of patients with pediatric cancer and their families both from a clinical and psychosocial standpoint.   Blake Vuocolo is a certified research genetic counselor in the Department of Molecular and Human Genetics at Baylor College of Medicine. She graduated from the Baylor College of Medicine Genetic Counseling Program in 2022, and her thesis work focused on access to follow-up hereditary cancer care in underserved pediatric populations through the KidsCanSeq study. Currently, her work focuses on exome and genome sequencing of medically underserved populations with undiagnosed diseases throughout Texas. Ms. Vuocolo is passionate about finding sustainable ways to improving genomic health equity worldwide. Her interests include exploring access barriers to receiving genomic care in different healthcare contexts and improving genetics education for non-genetics healthcare providers in under resourced regions of the country and beyond.   Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”.    For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others.    Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com.    DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. 

Die Themen in den Wissensnachrichten: +++ Formel für den perfekten Puzzle-Tisch entwickelt +++ Was heilende Musik ausmacht +++ In der Atacama-Wüste wachsen Bakterien-Korallen +++**********Weiterführende Quellen zu dieser Folge:How big a table do you need for your jigsaw puzzle?, arXiv, 05.12.23Uncovering potential distinctive acoustic features of healing music, General Psychiatry, 19.12.2023A unique ecosystem in an inhospitable desert, University of Colorado Boulder, 05.12.2023Was Wüstenlagunen über das erste Leben verraten, scinexx, 28.12.2023Exploring geomagnetic variations in ancient Mesopotamia: Archaeomagnetic study of inscribed bricks from the 3rd–1st millennia BCE, PNAS, 18.12.23Recent human-induced atmospheric drying across Europe unprecedented in the last 400 years, Nature, Geoscience, 27.12.23Volcanic Diffuse Volatile Emissions Tracked by Plant Responses Detectable From Space, Geochemistry Geophysics Geosystems, 03.11.23**********Ihr könnt uns auch auf diesen Kanälen folgen: Tiktok und Instagram.

It was an honor having Bishoy on my show as a BHI special guest! Dr. Bishoy is a Child and Adolescent Psychiatrist, who also collaborates and advise on projects that utilizes AI to further advance knowledge of mental illnesses. In this special live episode we get into great discussion topics on raising mental health awareness of parents of children with depression. We dive into the symptoms of depression, the signs of self harm, and what to do if you notice this in your child. We get into different types of interventions and actions parents or care givers can take to better help their children. We also get into the many different ways doctors and mental health professionals can collaborate together to help a child and family who is struggling with depression among other mental health issues. Bishoys contact information bgoubran@gmail.com linkedin.com/in/bishoy-goubran-md-b71109201 Sponsor CalmiGo Enter the code BHIPODCAST  for $30 off the device. calmigo.com?fid=614&utm_source=affiliatly&utm_medium=influencer&utm_campaign=Jacob_Minnig-614&utm_content=facebook-ig&utm_term=BHIPODCAST&source=affiliatly&placement=facebook-ig&medium=influencer&aff_id=614&aff_name=Jacob_Minnig&coupon_code=BHIPODCAST

Бие Хүний Завсрын эмгэг нь бидний сэтгэл хөдлөл болон нөхцөл байдалд тохиромжтой хариу үйлдэл үзүүлэхэд доголдол үүсгэдэг эмгэг юм. Бие Хүний Завсрын эмгэг нь Borderline Personality Disorder хэмээн англи хэлнээ хөрвүүлэгддэг бөгөөд энэхүү сэтгэцийн эмгэгтэй хүмүүст сэтгэлзүйн хэт тогтворгүй байдал, огцом сэтгэл хөдлөлөө буруугаар илэрхийлэх мөн өөрийн дотоод мөн чанараа тодорхойлох чадварт нөлөөлдөг байна. Энэхүү эмгэг үүсэхэд олон хүчин зүйлс нөлөөлдөг бөгөөд бага насандаа сэтгэлзүйн болон бие махбодын хүчирхийлэлд өртөж байсан хүмүүс энэхүү эмгэгт өртөх боломж илүү байдаг байна. Нийгмийн амьдралд Бие Хүний Завсрын эмгэгтэй хүмүүс оролцоход хүндрэлтэй байдаг бөгөөд энэ нь тэдний хурц зан үйл мөн сэтгэл хөдлөлтэй холбоотой байна. Мөн нийгмийн сэтгэлзүйн эрүүл мэндийн мэдлэг дутмагаас болж олон хүмүүс эдгээр хүмүүсийг буруугаар ойлгож үүнээс болоод сэтгэцийн эмгэгтэй хүмүүс нийгэмд буруугаар ойлгогдох суур нь тавигддаг байна. Volunteer-оор орох сонирхолтой хүмүүс доорх линкээр орж application бөглөөрэй. Link: https://forms.gle/8tn8Dmx2bHNQFFrGA Бичвэрийн болон подкастын эх сурвалж: 1. Chapman J, Jamil RT, Fleisher C. Borderline Personality Disorder. [Updated 2023 Jun 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430883/ 2. Stone, M. H. (2000). Violence in adolescents : Background factors ; implications for treatment. Personality and Conduct Disorders, 175–192. https://doi.org/10.3917/greu.isap.2000.01.0175 3. Kristalyn Salters-Pedneault, P. (2020, March 31). What are the genetic causes of borderline personality disorder?. Verywell Mind. https://www.verywellmind.com/genetic-causes-of-borderline-personality-disorder-425157 4. Sun, C., Zhang, W., & Zhou, X. (2023). Causes and treatment of borderline personality disorder in light of genetic and environmental influences. Lecture Notes in Education Psychology and Public Media, 7(1), 492–500. https://doi.org/10.54254/2753-7048/7/2022905 5. Fonagy, P., & Luyten, P. (2016). A multilevel perspective on the development of borderline personality disorder. Developmental Psychopathology, 1–67. https://doi.org/10.1002/9781119125556.devpsy317 6. Schimelpfening, N. (2023, November 2). How dialectical behavior therapy (DBT) works. Verywell Mind. https://www.verywellmind.com/dialectical-behavior-therapy-1067402 7. Linehan, M. M. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48(12), 1060. https://doi.org/10.1001/archpsyc.1991.01810360024003 8. U.S. Department of Health and Human Services. (n.d.). Borderline personality disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/borderline-personality-disorder

Join Dr. Holmes and Dr. Fisher as they discuss Dr. Fisher's model of medication for working with the spectrum population. Basics on types of medications and their functions are discussed as well as the dangers of stacking meds and drug-drug interactions often missed. Dr. Fisher completed his General Psychiatry residency at the University of Texas-Galveston and a Child/Adolescent Psychiatry Fellowship at the University of South Carolina. He serves as the Medical leader of Springbrook Autism's Residential and Outpatient Treatment Program (specializing in treating Autism Spectrum Disorders) and is an authority in the minimal medical management of ASD and ASD with comorbidities. Dr. Fisher speaks at Autism Conferences on Medical Overview of Autism Spectrum Disorders, Medication Management for Autism Spectrum Disorders, Myths and Misconceptions in Autism, Autism and Co-Morbid Conditions, and Helping Siblings and other Children Understand Autism.

Jeremy Hodges has worked for the San Diego Zoo for 19 years. Much of this time was spent as an aviculturist in Hawaii where he managed a captive population of some of the most endangered birds on the planet. He currently works as the lead zookeeper for the veterinary hospital of the zoo. He throws exceptionally fancy and delicious dinner parties. He has introduced the family to raising chickens, bees, rabbits, and finches. Alan was raised in Colorado and earned his BS degree in Microbiology from Colorado State University and his MD degree from Harvard University. He completed residency in General Psychiatry at the University of California, San Diego. He enjoys working in both graduate medical education and as a psychiatrist specializing in treatment resistant depression and addiction medicine. He serves as the family handyman, plays guitar and piano, and collects antique stereoscopic viewing cards. Ian Jenkins earned his MD from the University of VA and completed residency in internal medicine at Beth Israel Deaconess Medical Center of Harvard University. Since 2004 he's served as a hospital doctor and faculty at UC San Diego Health, where he leads patient safety initiatives and teaches a medical school course and clinical practice to students and resident physicians. He's been active in healthcare quality on a national scale with his professional society and has given over 100 invited talks around the country. He writes as a hobby and published a memoir on his unique family, "Three Dads and a Baby," which made the news, podcasts, and morning shows on five continents. He's currently working on a hospital medicine memoir, "How to Die," and a young-adult romance, "Romeo and Julian." His home- made pizza is excellent. Listen as Jeremy, Ian, and Alan discuss with Ellen and Jenn: • The beginning of their romance story, with Alan and Ian meeting on the job. • Jeremy entering the picture when he began dating Ian and Alan in a polyamorous relationship in 2012, the same year he officially came out to his parents. • Coming out and coming to terms with the idea that they may never have children. • Being approached by friends offering for them to adopt their remaining embryos to start a family, sparking the conversation about children! • When the embryo donation journey did not end as hoped, pivoting in a new direction with a friend offering to be their egg donor. • Pleading their case in court to each be legally recognized as parents of their child. • Successfully being granted an order that all three of their names be included on their child's birth certificate! • A few years later, having their second child through a much smoother process. Want to share your story or ask a question? Call and leave us a message on our hotline: 303-997-1903. Check out their book Three Dads and a Baby: https://www.simonandschuster.com/books/Three-Dads-and-a-Baby/Ian-Jenkins-MD/9781627783101 Learn more about our podcast: https://iwanttoputababyinyou.com/ Learn more about our surrogacy agencies: https://www.brightfuturesfamilies.com/ Get your IWTPABIY merch here! https://iwanttoputababyinyou.com/merch Learn more about Ellen's law firm: http://trachmanlawcenter.com/

Dr. Stephen Cozza and Dr. Christin Ogle talk about safety practices for young military families in and around the home and highlight resources available in the Safe is Strong toolkit, developed and designed to strengthen family health and safety.   This podcast is made possible by generous funding from the Mildenhall Spouses' Association.  To learn more, visit https://www.mildenhallspousesassociation.com/.   Audio mixing by Concentus Media, Inc., Temple, Texas.   Show Notes: Resources: https://www.cstsonline.org/safe/welcome   https://www.cstsonline.org/   Bios: Stephen J. Cozza, MD, is Professor of Psychiatry and Pediatrics at the Uniformed Services University where he serves as Associate Director, Center for the Study of Traumatic Stress (CSTS) and is responsible for the Child and Family Program. He is a graduate of the United States Military Academy at West Point, New York. He received his medical degree from the George Washington University School of Medicine and Health Sciences. He completed his residency in General Psychiatry and fellowship in Child and Adolescent Psychiatry at Walter Reed Army Medical Center in Washington, DC. Dr. Cozza is a diplomate of the American Board of Psychiatry and Neurology in the specialties of General Psychiatry and Child and Adolescent Psychiatry. He has served in a variety of positions of responsibility in the Department of Psychiatry at Walter Reed Army Medical Center to include Chief, Child and Adolescent Psychiatry Service, Program Director of the Child and Adolescent Psychiatry Fellowship Program and Chief, Department of Psychiatry. He retired from the U.S. Army in 2006 after 25 years of military service. Dr. Cozza's professional interests have been in the areas of clinical and community response to trauma in both military and civilian communities, including the impact of deployment and combat injury, illness and death on military service members, their families and their children. Dr. Cozza has highlighted the impact of deployment, injury, illness and death on the children and families of military service members. He has also examined the risk for prolonged grief disorder, a unique grief-related clinical condition, in families affected by sudden and violent deaths, including those bereaved due to combat, suicide, homicide, accident, and terrorism. He is published in the scientific literature and has presented on these topics at multiple national and international scientific meetings. Dr. Cozza serves as a scientific advisor to several national organizations that focus on the needs of military children and families.   Christin M. Ogle, Ph.D. is a Research Assistant Professor of Psychiatry at the Uniformed Services University of the Health Sciences' Center for the Study of Traumatic Stress (CSTS). Dr. Ogle's research examines the impact of traumatic events and trauma-related psychopathology on health and development across the lifespan. Dr. Ogle received undergraduate training at Reed College (Portland, Oregon); doctoral training in Developmental Psychology at the University of California, Davis; and post-doctoral training at Duke University Medical Center's Center for the Study of Aging and Human Development as well as Duke University's Department of Psychology and Neuroscience. Prior to her position at CSTS, Dr. Ogle served as the American Psychological Association's Executive Branch Science Fellow at the National Institute of Justice (NIJ), Department of Justice where she provided subject-matter expertise and programmatic support for NIJ's research portfolios on children's exposure to violence and violence against women. Dr. Ogle currently holds leadership positions within the International Society of Traumatic Stress Studies and the National Child Traumatic Stress Network.

Take a listen to Dr. Stephanie Homes and Dr. Matthew Fisher as they discuss part 2 of myths about Autism as well as questions answered regarding medication!Dr. Fisher completed his General Psychiatry residency at the University of Texas-Galveston and a Child/Adolescent Psychiatry Fellowship at University of South Carolina. He serves as Medical leader of Springbrook Autism's Residential and Outpatient Treatment Program (specializing in treating Autism Spectrum Disorders) and is an authority in minimal medical management of ASD and ASD with comorbidities. Dr. Fisher speaks at Autism Conferences on Medical Overview of Autism Spectrum Disorders, Medication Management for Autism Spectrum Disorders, Myths and Misconceptions in Autism, Autism and Co-Morbid Conditions, and Helping Siblings and Other Children Understand Autism.www.convergeautism.com

It was an honor having Bishoy on my show as a BHI special guest! Bishoy is a Child and Adolescent Psychiatrist, Fellow Physician at Rush University Medical Center with post doctoral clinical research training in Behavioral and Cardiovascular medicine . In this episode we talked about Bishoys passion for wanting to be a medical doctor as well as what motivated him to get into the field of both child and adult psychiatry. We discuss what is life and educational journey was like which led him to being the medical professional that he is today. We get into amazing topics such as psychiatry patient care and medication management. We discuss medications such as antidepressants, anti anxiety, ADHD, and so much more disorders. Another significant consideration in the mental health and addiction realm is the diagnosing which we discuss the importance of proper diagnosing and the negative implications it can have on the patient and there overall well being. In the child psychiatry portion Bishoy discusses the many factors that are involved when working with children as well as collaborating with there parents/ caregivers to help provide the child with optimal care. Bishoys contact information bgoubran@gmail.com linkedin.com/in/bishoy-goubran-md-b71109201 Sponsor CalmiGo Enter the code BHIPODCAST  for $30 off the device. calmigo.com?fid=614&utm_source=affiliatly&utm_medium=influencer&utm_campaign=Jacob_Minnig-614&utm_content=facebook-ig&utm_term=BHIPODCAST&source=affiliatly&placement=facebook-ig&medium=influencer&aff_id=614&aff_name=Jacob_Minnig&coupon_code=BHIPODCAST

Low testosterone in men is becoming a bigger problem with each passing decade. But what is the most significant cause of hypogonadism (the technical term for low testosterone)? It isn't diet. It's not environmental toxins or concussions, though they can affect a guy's levels. It isn't even drinking Bud Light. As you might surmise from the article's title, the most significant cause of low testosterone is circadian syndrome, a condition related to a disrupted circadian rhythm and sleep debt. A new study shows how much of a problem this is for American men. In this article, I'll discuss some of the key findings and what we can do about them. What is the prevalence of low testosterone? The most current research shows that 20-50% of U.S. males have testosterone deficiency.Kwong JCC, Krakowsky Y, Grober E. Testosterone deficiency: a review and comparison of current guidelines. J Sex Med. (2019) 16:812–20. doi: 10.1016/j.jsxm.2019.03.262 The cutoff for clinically diagnosed testosterone deficiency is a blood level 300 ng/dl, which is where the data comes from, suggesting that up to half of American men have low testosterone. In comparison, optimal testosterone levels are between 800-1200 ng/dl.  The problem is likely worse than that, as American men are less likely to get a checkup with their doctor than women, and even if they do, their doctors rarely check testosterone levels. What happens to men with low testosterone? Low testosterone leads to physical, mental, and sexual problems, including: Physical Changes: increased body fat, decreased muscle mass and strength, fragile bones, hot flashes, fatigue, and increased cholesterol levels.Mulligan, T., Frick, M. F., Zuraw, Q. C., Stemhagen, A., & McWhirter, C. (2006). Prevalence of hypogonadism in males aged at least 45 years: the HIM study. International Journal of Clinical Practice, 60(7), 762-769. Mental and Emotional Changes: changes in mood and mental capacity, including feelings of depression, irritability, trouble concentrating, and impaired memory.Shores, M. M., Sloan, K. L., Matsumoto, A. M., Moceri, V. M., Felker, B., & Kivlahan, D. R. (2012). Increased incidence of diagnosed depressive illness in hypogonadal older men. Archives of General Psychiatry, 61(2), 162-167. Sexual Dysfunction: reduced sexual desire, fewer spontaneous erections, and infertility.Khera, M. (2016). Male hormones and men's quality of life. Current Opinion in Urology, 26(2), 152-157. In many cases, as men develop any of these health problems, the health problems themselves lead to a greater decline in testosterone, which worsens the problems, which further tanks testosterone. You must break the downward cycle, and sleep is likely the most important place to start. What is Circadian Syndrome (CircS)? According to the study authors, CircS is primarily diagnosed based on hypertension, dyslipidemia, central obesity, diabetes, short sleep duration, and depression. Each of those symptoms is mainly governed by circadian rhythms, which are major regulators in almost every aspect of human health and metabolism. Association between the prevalence rates of circadian syndrome and testosterone deficiency in US males: data from NHANES (2011–2016) The Circadian Syndrome is diagnosed when a person has at least 4 of the following: Central obesity: waist circumference ≥102 cm (40 inches); High triglycerides (TG): TG ≥150 mg/dl or using TG-lowering drugs Low high-density lipoprotein cholesterol: high-density lipoprotein cholesterol

In this episode our guest interviewer, Dr. Neera Jain, Senior Lecturer at the Centre for Medical and Health Sciences Education at The University of Auckland interviews Dr. Emily Green, a PGY 3 psychiatry resident at the University of Wisconsin School of Medicine and Public Health.   Drs. Jain and Green first met many moons ago as part of the AAMC lived experience project research study, which included interviews with trainees at all levels. At that time, Dr. Green was a medical student. In this episode, Dr. Green discusses how she navigates medicine as a black woman with a disability, how she uses her disability in powerful ways to connect with her patients, and why talking about disability is an important step in reducing stigma.  Transcript https://bit.ly/DWD_Podcast_67_Part1 Emily Green, MD, MA Dr. Emily Green is a current 3rd year resident at the University of Wisconsin in their General Psychiatry program. She received her Masters in Clinical Psychology from Wheaton college in 2010 and was a Licensed Professional Counselor in the state of Illinois and worked in several not-for-profit organizations helping people with chronic mental health challenges until her transition to medical school in 2016. During her time in medical school she created the student group MSAE (Medical students for accessible education) which is a student-run support and advocacy group for medical students with disabilities. She is interested in Child and Adolescent Psychiatry, specifically in helping students with disabilities gain easier access to 504 plans, IEPS, and accommodations throughout their schooling.    Tags: Dyslexia, ADHD, Residency, Psychiatry, Child Psychiatry, Advocacy, NBME, BIPOC, Black, Medical Education, DocsWithDisabilities disabled docs, disability, disclosure.

This episode is a continuation of Episode 67, part 1. In this episode, Drs. Green and Jain discussing the delicate distinction between the risk of stigma vs. the reward of accommodation and inclusion, and how people navigating  the decision to disclose disability and request accommodation face a multitude of barriers. Transcript: https://bit.ly/DWD_Podcast_67_Part2 Emily Green, MD, MA Dr. Emily Green is a current 3rd year resident at the University of Wisconsin in their General Psychiatry program. She received her Masters in Clinical Psychology from Wheaton college in 2010 and was a Licensed Professional Counselor in the state of Illinois and worked in several not-for-profit organizations helping people with chronic mental health challenges until her transition to medical school in 2016. During her time in medical school she created the student group MSAE (Medical students for accessible education) which is a student-run support and advocacy group for medical students with disabilities. She is interested in Child and Adolescent Psychiatry, specifically in helping students with disabilities gain easier access to 504 plans, IEPS, and accommodations throughout their schooling.    Tags: Dyslexia, ADHD, Residency, Psychiatry, Child Psychiatry, Advocacy, NBME, BIPOC, Black, Medical Education, DocsWithDisabilities disabled docs, disability.  

The Converge Autism conference is just around the corner! Take a listen to Dr. Stephanie Homes and Dr. Matthew Fisher as they discuss myths about Autism as well as questions answered regarding medication!Dr. Fisher completed his General Psychiatry residency at the University of Texas-Galveston and a Child/Adolescent Psychiatry Fellowship at University of South Carolina. He serves as Medical leader of Springbrook Autism's Residential and Outpatient Treatment Program (specializing in treating Autism Spectrum Disorders) and is an authority in minimal medical management of ASD and ASD with comorbidities. Dr. Fisher speaks at Autism Conferences on Medical Overview of Autism Spectrum Disorders, Medication Management for Autism Spectrum Disorders, Myths and Misconceptions in Autism, Autism and Co-Morbid Conditions, and Helping Siblings and Other Children Understand Autism.www.convergeautism.com

The Psychology of Exercise and Why We Struggle to SucceedGuest: Dr. Domenick SportelliBio: Dr. Domenick Sportelli is a medical physician who received a Bachelors degree in Biology as well as a Masters of Science degree in Biology from Montclair State University. Upon graduation from NYIT School of Osteopathic Medicine, Dr. Sportelli started off in General Family Medicine, and then pivoted to focus on mental health and began his four-year Residency Training in General Psychiatry at Robert Wood Johnson Medical School. Dr. Sportelli is Board Certified by the American Board of Psychiatry and Neurology and he is Fellowship Trained in Child and Adolescent PsychiatryDr. Sportelli was and remains very involved in academic medicine through publishing his research teaching residents and medical students at RWJ Medical School as well as being involved with The American Psychiatric Association and American Academy of Child and Adolescent Psychiatry.Domenick has also become a noted expert media personality, appearing regularly as a guest on the TV show The Doctors, FoxNews and various other new outlets.Links:https://drdsportelli.comhttps://linktr.ee/Drsportelli@drsportelli on Instagram and Twitter

John Kane e colaboradores publicaram em 1988, no Archives of General Psychiatry, um ensaio clínico que, ao resgatar a clozapina de longos anos de banimento das prescrições médicas, mudou substancialmente a maneira como tratamos pacientes com esquizofrenia, principalmente os casos mais graves e refratários. No episódio 223 do PQU Podcast, eu vou apresentar este artigo clássico e falar dos bastidores da elaboração dele. Vale a pena escutar!

Videos: Brought to you by… Pfizer! FORMER PFIZER VP, DR. MIKE YEADON – EVERYTHING WE HAVE BEEN TOLD ABOUT COVID-19 WAS A LIE Fauci didn't want autopsies done on Covid victims. I wonder why? Dr. Peter McCullough SLAMS Pfizer board member over censorship and propaganda | Redacted News Study explores effects of dietary choline deficiency on neurologic and system-wide health Arizona State University, January 16, 2023 Choline, an essential nutrient produced in small amounts in the liver and found in foods including eggs, broccoli, beans, meat and poultry, is a vital ingredient for human health. A new study explores how a deficiency of dietary choline adversely affects the body and may be a missing piece in the puzzle of Alzheimer's disease. It's estimated that more than 90% of Americans are not meeting the recommended daily intake of choline. The current research, conducted in mice, suggests that dietary choline deficiency can have profound negative effects on the heart, liver and other organs. Lack of adequate choline is also linked with profound changes in the brain associated with Alzheimer's disease. These include pathologies implicated in the development of two classic hallmarks of the illness: amyloid plaques, which aggregate in the intercellular spaces between neurons; and tau tangles, which condense within the bodies of neurons. The new research, led by scientists at Arizona State University and published in Aging Cell, describes pathologies in normal mice deprived of dietary choline and in choline-deficient transgenic mice, the latter of which already exhibit symptoms associated with the disease. In both cases, dietary choline deficiency results in liver damage, enlargement of the heart and neurologic alterations in the AD mice, typically accompanying Alzheimer's disease and including increased levels of plaque-forming amyloid-beta protein and disease-linked alterations in tau protein. Further, the study illustrates that choline deficiency in mice causes significant weight gain, alterations in glucose metabolism (which are tied to conditions such as diabetes), and deficits in motor skills. In the case of humans, “it's a twofold problem,” according to Ramon Velazquez, senior author of the study and assistant professor with the ASU-Banner Neurodegenerative Disease Research Center. “First, people don't reach the adequate daily intake of choline established by the Institute of Medicine in 1998. And secondly, there is vast literature showing that the recommended daily intake amounts are not optimal for brain-related functions.” The research highlights a constellation of physical and neurological changes linked to choline deficiency. Sufficient choline in the diet reduces levels of the amino acid homocysteine, which has been recognized as a neurotoxin contributing to neurodegeneration, and is important for mediating functions such as learning and memory through the production of acetylcholine. The growing awareness of choline's importance should encourage all adults to ensure proper choline intake. This is particularly true for those on plant-based diets, which may be low in naturally occurring choline, given that many foods high in choline are eggs, meats, and poultry. Plant-based, choline-rich foods, including soybeans, Brussels sprouts and certain nuts can help boost choline in these cases. Moreover, inexpensive, over-the-counter choline supplements are encouraged to promote overall health and guard the brain from the effects of neurodegeneration. The new study examines mice at 3-12 months, or early to late adulthood (roughly equivalent to 20-60 years of age for humans). In the case of both normal and transgenic mice displaying symptoms of Alzheimer's, those exposed to a choline-deficient diet exhibited weight gain and adverse effects to their metabolism. Damage to the liver was observed through tissue analysis, as was enlargement of the heart. Elevated soluble, oligomeric and insoluble amyloid-beta protein were detected, as well as modifications to tau protein characteristic of those leading to neurofibrillary tangles in the brain. Further, choline-deficient mice performed poorly in a test of motor skills, when compared with mice receiving adequate choline in their diet. These adverse effects were heightened in the transgenic mice. Translating these findings to humans, this implies that people who are predisposed to Alzheimer's disease or in the throes of the illness should ensure they are getting enough choline.”Our work provides further support that dietary choline should be consumed on a daily basis given the need throughout the body,” Velazquez says. (NEXT) Melanoma: Vitamin D supplements linked to reduced skin cancer risk University of Eastern Finland & Kuopio University, January 15, 2023 A new study finds that the regular use of vitamin D is associated with lower rates of melanoma skin cancer. The cross-sectional study was a collaboration between the University of Eastern Finland and Kuopio University Hospital. The research involved 498 Finnish adults determined by dermatologists to be at high risk of skin cancer, such as melanoma, as well as squamous cell carcinoma and basal cell carcinoma. According to researchers, people who took vitamin D regularly were less likely to have had melanoma in the past or currently and were deemed by dermatologists to be less likely to develop melanoma in the future. Study participants ranged in age from 21 to 79 years old, including 253 males and 245 females. Participants were divided into three groups based on their intake of vitamin D supplements: non-use, occasional use, or regular use. The researchers were also interested in finding out whether regular use of vitamin D supplements corresponded to higher blood levels of vitamin D, known as serum calcidiol or 25-hydroxy-vitamin D3. This is the “storage form” of vitamin D in the body. Some research has linked low serum calcidiol with increased cancer risk, while other research has suggested otherwise. Nonetheless, it is a measure often used to determine a person's vitamin D levels. After testing serum calcidiol levels in 260 participants, researchers found that regular vitamin D supplementation corresponded with the highest levels of serum calcidiol and non-supplementation with the lowest levels. “Human skin itself expresses [the enzyme] CYP27A1 that produces calcidiol from vitamin D, and CYP27B1 that produces biologically very active calcitriol from calcidiol,” Dr. Harvima explained, noting that enzyme expression determines the level of vitamin D and its metabolites in the body. (NEXT) New research furthers case for exercise promoting youthfulness University of Arkansas, January 17, 2023 A recent paper published in the Journal of Physiology deepened the case for the youthfulness-promoting effects of exercise on aging organisms, building on previous work done with lab mice nearing the end of their natural lifespan that had access to a weighted exercise wheel. For this paper, the researchers compared aging mice that had access to a weighted exercise wheel with mice that had undergone epigenetic reprogramming via the expression of Yamanaka factors. The Yamanaka factors are four protein transcription factors (identified as Oct3/4, Sox2, Klf4 and c-Myc, often abbreviated to OKSM) that can revert highly specified cells (such as a skin cell) back to a stem cell, which is a younger and more adaptable state. The Nobel Prize in Physiology or Medicine was awarded to Dr. Shinya Yamanaka for this discovery in 2012. In the correct dosages, inducing the Yamanaka factors throughout the body in rodents can ameliorate the hallmarks of aging by mimicking the adaptability that is common to more youthful cells. Of the four factors, Myc is induced by exercising skeletal muscle. Myc may serve as a naturally induced reprogramming stimulus in muscle, making it a useful point of comparison between cells that have been reprogrammed via over expression of the Yamanaka factors and cells that have been reprogrammed through exercise—”reprogramming” in the latter case reflecting how an environmental stimulus can alter the accessibility and expression of genes. Ultimately, the team determined that exercise promotes a molecular profile consistent with epigenetic partial programming. That is to say, exercise can mimic aspects of the molecular profile of muscles that have been exposed to Yamanaka factors (thus displaying molecular characteristics of more youthful cells). This beneficial effect of exercise may in part be attributed to the specific actions of Myc in muscle. Murach sees their research as further validation of exercise as a polypill. “Exercise is the most powerful drug we have,” he says, and should be considered a health-enhancing—and potentially life-extending—treatment along with medications and a healthy diet. (NEXT) Exploiting the synergy of nutraceuticals for cancer prevention and treatment Research suggests that free radicals (ROS) generated upon mixing two nutraceuticals—resveratrol and copper—can help ameliorate various diseases by inactivating cell-free chromatin particles Tata Memorial Centre (India), January 16, 2023 Chromatin comprises a complex mixture of DNA and proteins that forms the structural basis of chromosomes in the cellular nuclei. When cells die, they release cell-free chromatin particles or “cfChPs” into the circulatory system. In 1996, evidence for tumour-derived DNA circulating in the blood of cancer patients was first reported. This evidence caught the interest Dr. Indraneel Mittra, who is now Professor Emeritus and the Dr. Ernest Borges Chair in Translational Research at Tata Memorial Centre in Mumbai, India. His tryst with research on genetic material in cancer metastases began, and after 15 years of research he has presented various papers, developing a body of evidence that indicates the critical role of cfChPs in orchestrating development of not only cancer, but various other diseases. Emerging evidence indicates that cfChPs play an essential role in ageing, sepsis, cancer development, and chemotherapy-related toxicity. With respect to the latter, Prof. Mittra explains, “Chemo-toxicity is not primarily caused by chemotherapeutic drugs, but rather by cfChPs that are released from the first cells that die after chemotherapy. The released cfChPs set in motion a cascading effect, increasingly damaging the DNA of healthy host cells, and triggering inflammatory processes in a vicious cycle that perpetuates and prolongs the toxicity of chemotherapy.” Recently, a team from Tata Memorial Centre have demonstrated the therapeutic benefits of a pro-oxidant mixture of resveratrol and copper, R-Cu, in patients undergoing chemotherapy for advanced gastric cancer. Combining R with Cu (R-Cu) leads to the generation of free oxygen radicals which can inactivate the offending cfChPs. In this context, the research team launched a single-arm phase II clinical trial to study the synergistic effects of R-Cu administration on cfChPs inactivation in patients with advanced gastric cancer. The primary objective was to determine whether R-Cu, via cfChPs' inactivation, was successful in reducing the grade ≥ 3 toxicity seen with docetaxel-based chemotherapies. To this end, the researchers monitored the likely changes in the toxicities of chemotherapeutic treatments using a grading system that provides a framework for the assessment of unwanted physiological effects. The results were promising—although R-Cu did not reduce haematological toxicities, it significantly reduced the incidence of non-haematological toxicities comprising hand-foot syndrome, diarrhoea, and vomiting. Moreover, R-Cu reduced docetaxel exposure compared to the control arm without affecting efficacy in terms of overall survival. (NEXT) Deep meditation may alter gut microbes for better health Shanghai Jiao Tong University School of Medicine (China), January 16, 2023 Regular deep meditation, practiced for several years, may help to regulate the gut microbiome and potentially lower the risks of physical and mental ill health, finds a small comparative study published in the open access journal General Psychiatry. The gut microbes found in a group of Tibetan Buddhist monks differed substantially from those of their secular neighbors, and have been linked to a lower risk of anxiety, depression, and cardiovascular disease. Research shows that the gut microbiome can affect mood and behavior through the gut–brain axis. This includes the body's immune response, hormonal signaling, stress response and the vagus nerve—the main component of the parasympathetic nervous system, which oversees an array of crucial bodily functions. The significance of the group and specimen design is that these deep-thinking Tibetan monks can serve as representatives of some deeper meditations. Although the number of samples is small, they are rare because of their geographical location. The researchers analyzed the stool and blood samples of 37 Tibetan Buddhist monks from three temples and 19 secular residents in the neighboring areas. None of the participants had used agents that can alter the volume and diversity of gut microbes: antibiotics; probiotics; prebiotics; or antifungal drugs in the preceding 3 months. Sample analysis revealed significant differences in the diversity and volume of microbes between the monks and their neighbors.”Collectively, several bacteria enriched in the meditation group [have been] associated with the alleviation of mental illness, suggesting that meditation can influence certain bacteria that may have a role in mental health,” write the researchers. These include Prevotella, Bacteroidetes, Megamonas and Faecalibacterium species, the previously published research suggests. Finally, blood sample analysis showed that levels of agents associated with a heightened risk of cardiovascular disease, including total cholesterol and apolipoprotein B, were significantly lower in the monks than in their secular neighbors by their functional analysis with the gut microbes. (NEXT) Curcumin/Boswellia shows promise in chronic kidney disease Baylor University, January 14, 2023. The Journal of Complementary and Integrative Medicine reports the finding of researchers at Baylor University of a reduction in a marker of inflammation among chronic kidney disease patients given a combination of Curcuma longa (curcumin) and Boswellia serrata. The study included sixteen individuals receiving standard care for chronic kidney disease who were not undergoing dialysis. Participants were randomized to receive capsules containing curcumin from turmeric extract plus Boswellia serrata, or a placebo for eight weeks. Blood samples collected before and after treatment were analyzed for plasma interleukin-6 (IL-6), tumor necrosis factor alpha (markers of inflammation), and the endogenous antioxidant enzyme glutathione peroxidase, as well as serum C-reactive protein (CRP, another marker of inflammation.) Blood test results from the beginning of the study revealed increased inflammation and reduced glutathione peroxide levels. At the study's conclusion, participants who received curcumin and Boswellia serrata experienced a reduction in interleukin-6 in comparison with pretreatment values, indicating decreased inflammation, while IL-6 values rose among those who received a placebo. In their discussion of the findings, the authors remark that curcumin and Boswellia serrata have been separately shown to lower interleukin-6 via inhibition of the nuclear factor kappa beta and mitogen activated protein kinase (MAPK) signaling pathways.

#STSNation,In this episode, dive into the latest news surrounding the disappearance of Ana Walshe. Our thoughts are with Ana and her 3 young children. WE WANT TO REMIND EVERYONE THAT BRIAN WALSHE IS PRESUMED INNOCENT UNTIL PROVEN GUILTY IN A COURT OF LAWThe #BestGuests in #TrueCrime breakdown the very latest:An internationally recognized expert in the security realm, Anthony Amore has also worked in homeland security field at the federal level in aviation and facility security as well as immigration enforcement. He is also an expert in matters related to security fine art and in the theft of highly-valuable property, including rare masterpieces. He is one of the world's top experts in the field of stolen art investigations.Anthony is the best-selling author of "Stealing Rembrandts" (2011). His second book, "The Art of the Con," was published in 2015 and was a New York Times Best Seller in Crime. His next, "The Woman Who Stole Vermeer” Boston Globe: Brian Walshe and the art of the (sloppy) conDr. Daniel Bober, D.O., is board-certified in General Psychiatry, Child and Adolescent Psychiatry, and Forensic Psychiatry by the American Board of Psychiatry and Neurology. He is also a Diplomate of the American Board of Addiction Medicine, meaning he is a certified Addiction Medicine physician. #AnaWalshe #BrianWalshe #MissingMom #TrueCrime #AnaWalsheMissing #AnaWalsheCase #AnaWalsheStory #DomesticViolence #BrianWalsheArrested #BrianWalsheArriagnment #BrianWalsheSentencing #Cohasset For Ad-Free & BTS Content ...Support the show ❤️https://www.patreon.com/survivingthesurvivor

Join Stephanie and Dr. Matthew Fisher, MD (and therapy dog Jessie is present too) here to help professionals, parents, and educators better understand typical health, environmental, and behavioral myths that are common in the Autism population. Information challenging these myths along with tools on how to effectively deal with a person on the Autism spectrum will be presented from a psychiatrist's perspective.Dr. Fisher will discuss medications and his philosophy of working with individuals on the spectrum at Springbrook Behavioral HealthDr. Fisher completed his General Psychiatry residency at the University of Texas-Galveston and a Child/Adolescent Psychiatry Fellowship at the University of South Carolina. He serves as Medical leader of Springbrook Autism's Residential and Outpatient Treatment Program (specializing in treating Autism Spectrum Disorders) and is an authority in minimal medical management of ASD and ASD with comorbidities. Dr. Fisher speaks at Autism Conferences on Medical Overview of Autism Spectrum Disorders, Medication Management for Autism Spectrum Disorders, Myths and Misconceptions in Autism, Autism and Co-Morbid Conditions, and Helping Siblings and Other Children Understand Autism.  

About Today's GuestUmar Latif, MD is a Fellow of the American Psychiatric Association and a Diplomate of the American Board of Psychiatry & Neurology with board certification in General Psychiatry, Geriatric Psychiatry, and Addiction Medicine. He was selected as a George W. Bush Institute Scholar as part of the 2021 Stand-To Veteran Leadership program in service of improving veteran outcomes.Dr. Latif currently serves as the National Medical Director of Help for Heroes, a multisite specialty program he helped design as co-founder, to meet the clinical needs of active-duty service members, veterans and first responders who are dealing with mental health and substance abuse issues. He also works as the Medical Director of Carrollton Springs Hospital and has a private practice at The Noesis Clinic: an adult and geriatric outpatient private practice that specializes in early detection of Alzheimer's dementia and TMS (Transcranial Magnetic Stimulation).For a decade prior to this, Dr. Latif co-founded and served as the Medical Director of Freedom Care at UBH Denton, which he helped develop. Under his leadership, this program grew into a multi-location inpatient psychiatry program specializing in PTSD and dual diagnosis treatment for active duty military members and veterans referred from 120 plus national & international installations.His other professional roles in the past have included the position of Medical Director of the Telepsychiatry program at Dallas VA Medical Center, and faculty appointment as Assistant Professor of Psychiatry at UT Southwestern Medical Center.Dr. Latif completed his residency training at Wayne State University in Michigan and postgraduate fellowship training at University of Texas Southwestern Medical Center in Dallas. He also earned a certificate in “Executive Healthcare Leadership” from Cornell University. Links Mentioned In This EpisodeHelp for Heroes ProgramPsychArmor Resource of the WeekThe PsychArmor Resource of the Week is the PsychArmor course Barriers to Treatment. In this course, you will learn how differences in military culture affect mental health and how to help service members or veterans overcome barriers to seeking treatment.  You can find a link to the resource here: https://learn.psycharmor.org/courses/barriers-to-treatment   This Episode Sponsored By:This episode is sponsored by PsychArmor, the premier education and learning ecosystem specializing in military culture content. PsychArmor offers an online e-learning laboratory with custom training options for organizations.Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Sleep is one of the most essential functions of the human body, and yet it is often overlooked or given short shrift. Sleep Is critical for our physical and mental health; It helps protect our immune system, repair cell damage, and support brain function. Sleep also plays a vital role in emotional regulation and has been linked to improved mood, decreased anxiety, and reduced stress levels.In this podcast, Dr. Daniela Steyn talks to Dr. Cara Ooi. Dr. Ooi is a sleep physician and psychiatrist working in Toronto, Canada. She obtained her medical degree from Western University, followed by her residency and subspecialty training in General Psychiatry and Child & Adolescent Psychiatry at the University of Toronto. Dr. Ooi subsequently completed a fellowship in Sleep Medicine, during which she received training in cognitive-behavioural therapy for insomnia.Dr. Cara Ooi helps teenagers and young adults get their sleep on track to have more time, energy, and motivation for what matters to them. She is the creator of DECODE ONLINE, an online course for youth and parents.Dr. Ooi explains why teenagers suffer more from insomnia and sleep difficulties. She also explains why traditional sleep advice does not work for teenagers and what mistakes parents make while guiding their teens through this challenging phase. Dr. Ooi shares some valuable tips on how to get optimal sleep.This podcast is a must-listen if you or someone you know is struggling with sleeplessness. Thanks for tuning in!*Legal Disclaimer: This podcast is intended for educational purposes only. For your medical advice, please get in touch with your own Health Care provider. Never ignore medical advice because of something you have heard on this podcast.www.wellnessmdhealth.comFor a video recording of this podcast on Youtube: WellnessMDFollow us on Instagram at WellnessMDHealthYou can also visit Dr. Cara Ooi at www.decodeinsomnia.com or on Instagram @decodeinsomniaWelcome to this episode of your Wellness MD podcast.Family Physician and Wellness Expert Dr. Daniela Steyn have meaningful conversations that will take your health to the next level.She explores the connection between a healthy body, mind and soul.Dr. Steyn has helped thousands of people have a better quality of life.Join us today, empowering you to live your best life with optimal health! Follow Dr. Daniela Steyn on YouTube!

Dr. DeSarbo is a board certified Psychiatrist specializing in the treatment of Eating Disorders and General Psychiatry including Mood Disorders, Anxiety Issues, ADHD, OCD, Relationship Issues and more. In addition to Psychopharmacology, he also practices CBT and Existential Therapy. He speaks with us today about Anorexia and Bulimia. He shares some interesting perspective as a Neuroscience which society doesn't speak about generally. Be Informed. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/unfilteredbygade/support

According to a study in the Archives of General Psychiatry, nearly 1 in 5 American adults will have a diagnosable mental health condition in any given year, and 46 percent of Americans will meet the criteria for a diagnosable mental health condition sometime in their life, and half of those people will develop conditions by the age of 14. Other studies have shown that engaging in nature photography can help those struggling with mental health challenges.  As such, it was a true honor to sit down and chat with this week's guest on today's episode of my podcast, Andrew Baruffi.  I actually learned about Andrew and his work after seeing his submissions to the Natural Landscape Photography Awards last year and since have followed him and his journey closely. On this week's episode, we discuss: Andrew's journey into photography as a way to cope with depression and suicidal ideation, How Andrew's photography has changed over the years, The book-making process, And a lot more! Other topics discussed on the podcast this week: Purchase Andrew's book, Heal. Join me over on Nature Photographer's Network. Enter the Natural Landscape Photography Awards. Support the podcast on Patreon. Here is who Andrew recommended on the podcast this week: Eric Erlenbusch. Loren Root. Martin Gonzalez. If you enjoyed the conversation with Andrew, you can find our bonus recording over on Patreon where we discuss his strategies for naming his photographs, which is something I know a lot of photographers struggle with a great deal! I love hearing from the podcast listeners! Reach out to me via Instagram, Facebook, or Twitter if you'd like to be on the podcast or if you have an idea of a topic we can talk about. We also have an Instagram page, a Facebook Page, and a Facebook Group - so don't be shy! Did you also know we have listener after-parties on Twitter Spaces? This is a great opportunity to interact with other listeners, guests, and the host (when I can) regarding your thoughts on the episode. We also have a searchable transcript of every episode! Thanks for stopping in, collaborating with us, and listening. See you next week. P.S. you can also support the podcast by purchasing items through our B+H affiliate link.

Je suis ravie de vous retrouver cette semaine pour un sujet qui m'est extrêmement familier puisque c'est celui sur lequel je me suis spécialisée il y a quelques années. Je parle du stress ! J'avais hâte de vous en parler dans un épisode, et après 40 épisodes de Neurosapiens, c'est chose faîte aujourd'hui ! Dans cet épisode, on va aborder plein d'informations hyper cool concernant le stress. Vous allez apprendre la réaction en cascade du stress dans le cerveau et dans le corps. Vous allez apprendre comment votre microbiote et votre alimentation peuvent vous provoquer du stress. Vous découvrirez aussi que le stress est aussi une question de perception, et vous repartirez avec trois tips pour apprendre à gérer votre stress.  Soutenir et s'abonner à NeurosapiensProduction, animation, réalisation et illustration : Anaïs RouxInstagram : https://www.instagram.com/neurosapiens.podcast/neurosapiens.podcast@gmail.comMusique d'intro KEEP ON GOINGMusique proposée par La Musique LibreJoakim Karud - Keep On Going : https://youtu.be/lOfg0jRqaA8Joakim Karud : https://soundcloud.com/joakimkarudSOURCESElisabeth Wieduwild et al., β2-adrenergic signals downregulate the innate immune response and reduce host resistance to viral infection, J. Exp. Med., vol. 217, e20190554, 2020.B. Hitze et al., How the selfish brain organizes its supply and demand, Frontiers in Neuroenergetics, vol. 2, pp. 1-13, 2010N. Kataoka et al., A central master driver of psychosocial stress responses in the rat, Science, le 6 mars 2020.“Signal value of stress behaviour” by Jamie Whitehouse et al. Evolution and Human BehaviorMénard, C., Pfau, M., Hodes, G. et al. Immune and Neuroendocrine Mechanisms of Stress Vulnerability and Resilience. Neuropsychopharmacol 42, 62–80 (2017). https://doi.org/10.1038/npp.2016.90Felger, J., Li, Z., Haroon, E. et al. Inflammation is associated with decreased functional connectivity within corticostriatal reward circuitry in depression. Mol Psychiatry 21, 1358–1365 (2016). https://doi.org/10.1038/mp.2015.168Bonaz, B. L. & Bernstein, C. N. Brain-Gut Interactions in Inflammatory Bowel Disease. Gastroenterology 144, 36–49 (2013).Yang B, Wei J, Ju P, et alEffects of regulating intestinal microbiota on anxiety symptoms: A systematic reviewGeneral Psychiatry 2019;32:e100056. doi: 10.1136/gpsych-2019-100056Chevalier G, Siopi E, Guenin-Macé L, Pascal M, Laval T, Rifflet A, Boneca IG, Demangel C, Colsch B, Pruvost A, Chu-Van E, Messager A, Leulier F, Lepousez G, Eberl G, Lledo PM. Effect of gut microbiota on depressive-like behaviors in mice is mediated by the endocannabinoid system. Nat Commun. 2020 Dec 11;11(1):6363. doi: 10.1038/s41467-020-19931-2. PMID: 33311466; PMCID: PMC7732982. Voir Acast.com/privacy pour les informations sur la vie privée et l'opt-out. Become a member at https://plus.acast.com/s/neurosapiens.

Join Dr. Matthew Fisher, MD here to help professionals, parents, and educators better understand typical health, environmental, and behavioral myths that are common in the Autism population. Information challenging these myths along with tools on how to effectively deal with a person on the Autism spectrum will be presented from a psychiatrist's perspective. Dr. Fisher completed his General Psychiatry residency at the University of Texas-Galveston and a Child/Adolescent Psychiatry Fellowship at the University of South Carolina. He serves as Medical leader of Springbrook Autism's Residential and Outpatient Treatment Program (specializing in treating Autism Spectrum Disorders) and is an authority in minimal medical management of ASD and ASD with comorbidities. Dr. Fisher speaks at Autism Conferences on Medical Overview of Autism Spectrum Disorders, Medication Management for Autism Spectrum Disorders, Myths and Misconceptions in Autism, Autism and Co-Morbid Conditions, and Helping Siblings and Other Children Understand Autism.  

Dr. Anne Marie O'Melia   Nutrition matters, brain, and personality come back  Dr. O'Melia makes a pact – “Give it one year after we restore nutrition before you decide you want to go back to the eating disorder.  How to retrain those neurons that have fired together for so long  TMS – trans magnetic stimulation for ED with depression  NOTHING WORKS WITHOUT NUTRITION  Medications, interactions, and modalities are discussed, like TMS and Ketamine  Dr. O'Melia's Seasonings:  EARLY INTERVENTION involving the family is important for full recovery  Let's get this thing turned around before it gets worse. Eating Recovery Center Bio:  Anne Marie O'Melia, MS, MD, FAAP joined the medical staff at Eating Recovery Center in 2014. She is a Triple Board trained physician, with board certifications in Pediatrics and General Psychiatry. She also holds subspecialty board certifications in Child & Adolescent Psychiatry and in Psychosomatic Medicine. Prior to attending medical school, she earned her Master's Degree in Counseling Psychology from the University of Kentucky College of Education and then practiced as a psychologist in rural regions of Kentucky. She earned her MD with Distinction from the University of Kentucky College of Medicine and completed her residency training at the University of Utah Triple Board Program. Dr. O'Melia has co-authored multiple articles and book chapters on eating disorders and served as a co-investigator for various clinical trials related to psychopharmacology in the treatment of eating disorders and mood disorders. Dr. O'Melia has been listed as one of the “Best Doctors in America” every year since 2007.  Prior to moving to Denver and joining the staff at Eating Recovery Center, Dr. O'Melia was a dual-appointed Assistant Professor first at the University of Utah and then in the University of Cincinnati Departments of Psychiatry and Pediatrics. Both at the University of Utah and the University of Cincinnati, she has served as Medical Director of programs that serve children and adults at all levels of care and with a wide range of complex medical and psychiatric comorbidities.    With your host Beth Harrell

Today on the Naturally Inspired Podcast Dr Peter Breggin is joining us. Peter R. Breggin MD is a lifelong reformer known as “The Conscience of Psychiatry” for his criticism of biological psychiatry and his promotion of more effective, empathic, and ethical forms of psychological, educational, and social approaches to people with emotional suffering and disability. He graduated from Harvard College with Honors and his psychiatric training included a Teaching Fellowship at Harvard Medical School. Following his training, he became a Full Time Consultant in the U.S. Public Health Service at NIH, assigned to the National Institute of Mental Health. Since then, he has taught at several universities, including Johns Hopkins, George Mason, and the University of Maryland, as well as at the Washington School of Psychiatry.           Dr. Breggin is the author of more than 20 medical and scientific texts, as well as popular books, including the bestseller and highly-documented Talking Back to Prozac. Coauthored in 1994 with his wife Ginger, Talking Back to Prozac has sold close to one million copies and continues to sell. Dr. Breggin's more than 70 peer-reviewed scientific reports and articles have been published in many journals, including JAMA (the Journal of the American Medical Association), the American Journal of Psychiatry, the AMA Archives of General Psychiatry, and most recently several European journals, including Medical Hypotheses and Children and Society. He is known worldwide as the leading critic of authoritarian biological psychiatry and an advocate of psychosocial approaches to healing the mind and spirit.  Learn more about Dr Peter Breggin at https://breggin.com/     Please welcome Dr Peter Breggin to the Naturally Inspired Podcast.    

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers perinatal psychiatry with Dr. Tuong Vi Nguyen, Assistant Professor, Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University and Scientist, RI-MUHC, Brain Repair and Integrative Neuroscience (BRaIN) Program, Centre for Outcomes Research and Evaluation.    The learning objectives for this episode are as follows:   By the end of this episode, you should be able to… Define the field of reproductive psychiatry Discuss the possible neurobiological pathways impacting mood and cognition during the reproductive cycle of women.  Discuss the influence of sociocultural gender roles on psychopathology.    List the DSM-V diagnostic criteria of premenstrual dysphoric disorder. Recall the epidemiology of premenstrual dysphoric disorder. Describe the steps in the diagnostic evaluation for premenstrual dysphoric disorder. List lifestyle and psychopharmacologic interventions for premenstrual dysphoric disorder. Discuss common mental health concerns during the perimenopausal period. Guest: Dr. Tuong Vi Nguyen   Hosts: Nima Nahiddi (PGY4), Audrey Le (PGY1), and Arielle Geist (PGY2)    Audio editing by: Audrey Le   Show notes by: Arielle Geist    Interview content: Introduction - 00:00 Learning objectives - 01:00 Defining the field of perinatal psychiatry - 01:50 Discussing neurobiological pathways impacting mood and cognition during the reproductive cycle - 02:47 The influence of sociocultural gender roles on psychopathology -05:28 DSM-V criteria of premenstrual dysphoric disorder - 11:18 Epidemiology of premenstrual dysphoric disorder - 13:40 Diagnostic evaluation of premenstrual dysphoric disorder - 14:38 Management of premenstrual dysphoric disorder  Pharmacologic - 17:45 Lifestyle - 24:15 Perimenopausal period - 24:45 Closing comments - 31:39   Resources: Brzezinski, A., Brzezinski-Sinai, N.A., & Seeman, M.V. (2017). Treating schizophrenia during menopause. Menopause, 24(5), 582-588. doi: 10.1097/GME.0000000000000772. Epperson, C.N., Steiner, M., Hartlage, A., Eriksson, E., Schmidt, P.J., Jones, I., & Yonkers, K.A. (2012). Premenstrual dysphoric disorder: evidence for a new category for DSM-5. The American Journal of Psychiatry, 169(5), 465-475. DOI: 10.1176/appi.ajp.2012.11081302 Marsh, W.K., Gershenson, B., & Rothschild, A.J. (2015). Symptom severity of bipolar disorder during the menopausal transition. International Journal of Bipolar Disorders, 3(1), 35. DOI: 10.1186/s40345-015-0035-z Soares, C.N., Almeida, O.P.,  Joffe, H., & Cohen, L.S. (2001). Efficacy of estradiol for the treatment of depressive disorders in perimenopausal women a double-blind, randomized, placebo-controlled trial. Archives of General Psychiatry, 58(6), 529-534. doi:10.1001/archpsyc.58.6.529 Weber, M.T., Maki, P.M., & McDermott, M.P. (2013). Cognition and mood in perimenopause: A systematic review and meta-analysis. The Journal of Steroid Biochemistry and Molecular Biology, 142, 90-98. https://doi.org/10.1016/j.jsbmb.2013.06.001   References: Kornstein S.G., & Clayton, A.H. (2004). Sex differenes in neuroendocrine and neurotransmitter systems. In Women's mental health: A comprehensive textbook (pp.3-30). Guilford Press.  Chrisler, J. C., & Johnston-Robledo, I. (2002). Raging hormones?: Feminist perspectives on premenstrual syndrome and postpartum depression. In M. Ballou & L. S. Brown (Eds.), Rethinking mental health and disorder: Feminist perspectives (pp. 174–197). Guilford Press. American Psychiatric Association. (2013). Depressive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.   CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.   For more PsychEd, follow us on Twitter (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.

Matthew Stanley serves as the Vice President of the Behavioral Health Clinical Service Line and as the Medical Director of the Avera McKennan Behavioral Health Center and the Avera Addiction Care Center, Sioux Falls, SD, and the Avera Marshall Behavioral Health Center, Marshall, MN.  He received his doctorate in osteopathic medicine from the University of Osteopathic Medicine and Health Sciences, Des Moines, IA.  Dr. Stanley completed his residency at Western Missouri Mental Health Center, Kansas City, MO, and at the University of South Dakota in General Psychiatry. He has more than 20 years of experience as a psychiatrist at Avera and is Board Certified in Psychiatry by the American Board of Psychiatry and Neurology and in Addiction Medicine by the American Board of Preventative Medicine. He is a Distinguished Fellow of the American Psychiatric Association. 

Trigger warning: This episode includes discussions about suicide and depression Dr. Joanna Quigley is a Clinical Associate Professor of Psychiatry at the University of Michigan. She has also been on faculty at the University of Pittsburgh and trained in Pediatrics, General Psychiatry, and Child and Adolescent Psychiatry at the University of Kentucky. She engages in a number of collaborative efforts to support mental health care in the primary care setting, the care of children with chronic illness and mental health care needs, as well as for adolescents struggling with substance use.  Dr. Quigley serves as a consulting child psychiatrist for the Michigan Child Collaborative Care (MC3) program at the University of Michigan providing outreach support to primary care pediatric, family medicine, and obstetric providers across the state of Michigan.  Dr. Quigley was the lead author on the 2019 AAP Policy Statement “Alcohol Use by Youth.”   [00:01] Opening Segment How serious is the problem of alcohol use among kids? Dr. Joanna Quigley shares her insights What pediatricians and patients should know about the CRAFFT questionnaire [06:29] Screening Tools for Kids  How to screen kids the right way for alcohol use according to Joanna Joanna gives some tips to start a conversation with kids properly Why families should watch out for binge drinking [16:55] Alcohol Use and Related Issues How mental health and substance abuse relates to alcohol use among kids Pediatricians should also consider their pre-conceived biases when screening kids: Here's why These sectors have a high risk for alcohol use and substance use disorders: Listen to our discussion [26:40] Family-Based Approaches on Alcohol Use Is there a connection between alcohol use and ADHD and autism spectrum disorders? The downsides of some resources in relation to substance and alcohol use abuse The importance of family-based approaches in treating alcohol use among kids [36:28] The Right Way to Talk With Kids About Alcohol Use How to help the parents in talking with their kids about alcohol use The latest data about the parents' perception of underage drinking The advantages of routine screening according to Joanna  [41:21] Closing Segment   Final takeaways Acknowledgment of Joanna's work for kids and pediatricians Alcohol use being a common issue among kids The evidence-based tool that pediatricians can use Administering questionnaires both written and verbal Substance Use Disorder transcends race, ethnicity, religion, gender, socioeconomic status, and sexual identity, among others Our definition of binge drinking An alternative way to talk about alcohol use with kids Relation of comorbidities to drinking Mental health and substance use disorder Kids with a high risk of alcohol use How treatment of alcohol use should be Joanna's message for parents to prevent substance abuse among their kids Available resources below What should be the end goal for kids Key Quotes: “When we're seeing patients and thinking about who should we be ‘worried' about…it's not just teenage boys…binge drinking is a problem for girls as well.” - Dr. Joanna Quigley “Family-based work is often essential when we're addressing substance use disorders in adolescents…that is a big component of the care. ” - Dr. Joanna Quigley Resources mentioned: https://publications.aap.org/pediatrics/article/144/1/e20191356/37084/Alcohol-Use-by-Youth~ (Alcohol Use by Youth) https://nida.nih.gov/ast/s2bi/#/ (The Screening to Brief Intervention) http://www.niaaa.nih.gov/YouthGuide (Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide) http://teens.drugabuse.gov (National Institute on Drug Abuse) https://crafft.org/wp-content/uploads/2019/02/CRAFFT-2.0_Clinician-Interview.pdf (The CRAFFT Interview (version 2.0)) https://www.samhsa.gov/ (Substance Abuse and Mental Health Services Administration) Pediatric...

Psychiatrist Kahlil Michael Saliba, M. D., earned his medical degree in 1987 from the American University of Beirut. In 2001, Dr. Saliba became a double board certified psychiatrist with the American Board of Psychiatry and Neurology for both Child and Adolescent Psychiatry and General Psychiatry. He practiced psychiatry at Laureate St. Francis for over 10 years. From 2010 to 2017, Dr. Saliba served as the Medical Director of Shadow Mountain Hospital. He has extensive experience in inpatient and outpatient evaluation and treatment of children, adolescent and adults. Dr. Saliba is also especially knowledgeable with ADHD and mood disorders, such as depression and bipolar disorders. As a practicing psychiatrist for over 25 years, Dr. Saliba's passion for medicine comes from his life vocation to help patients and see their lives improve. Dr. Saliba attends to many different mental health conditions, stating, “No issue is too small or too large for this practice to handle.” He sincerely cares for all of his patients. Patient care is the heart of his practice. He has lived with his wife, Dr. Lodie Naimeh, a specialist in Allergy and Immunology, and two children in Tulsa for over twenty years. In his free time Dr. Saliba enjoys running, cycling, and traveling, and is an avid soccer fan. If you want go from feeling hopeless to hopeful, lonely to connected and like a burden to a blessing, then go to 1-on-1 coaching, go to www.thrivewithleo.com. Let's get to tomorrow, together. National Suicide Prevention Lifeline800-273-TALK [800-273-8255]1-800-SUICIDE [800-784-2433]Teen Line (Los Angeles)800-852-8336The Trevor Project (LGBTQ Youth Hotline)866-488-7386National Domestic Violence Hotline800-799-SAFE [800-799-7233]Crisis Text LineText "Connect" to 741741 in the USALifeline Chathttps://suicidepreventionlifeline.org/chat/International Suicide Hotlines: http://www.suicide.org/international-suicide-hotlines.htmlhttps://www.nowmattersnow.org/skillshttps://sobermeditations.libsyn.com/ www.suicidesafetyplan.com https://scaa.club/

In this podcast episode, we interview Dr. Brook Choulet, MD of Choulet Wellness. Dr. Choulet has achieved financial freedom through multiple streams of income. We discuss real estate licensure, differences between being a real estate agent vs. investor, the types of income generated, and the tax implications. We then discuss concierge psychiatry, tele-psychiatry, home visits, and building a practice during fellowship. Fantastic interview. Bio: Brook Choulet MD, is a concierge psychiatrist, physician coach, real estate investor, entrepreneur, and speaker. Dr. Choulet is also the founder of Choulet Wellness in Scottsdale, Arizona. Dr. Choulet was raised in San Diego, California, and graduated from La Jolla Country Day School. She completed a Bachelor's Degree in Liberal Arts and her medical degree at the University of Missouri Kansas City's rigorous six year BA/MD program. She obtained her medical degree at the age of 24 and pursued training in General Psychiatry at the University of Arizona College of Medicine Phoenix. Dr. Choulet continued her training in Child and Adolescent Psychiatry through Creighton University's fellowship program in Phoenix, Arizona. She is currently in her last year of the program and had the honor of being nominated as Vice Chief Fellow. Following in the footsteps of her mother and grandfather, she will be a third-generation adult, child and adolescent psychiatrist. Aside from her career as a psychiatrist, Dr. Choulet has a passion for helping other physicians identify their career goals and grow their practices. She built her business during her residency training and began to expand and hire other practitioners while still in fellowship. Dr. Choulet sees adults and adolescents currently in her private practice, Choulet Wellness, and focuses on using a combination of medication management and therapy utilizing a modern approach to mental health care. The concierge services include house visits and after hours phone/text availability. Choulet Wellness is currently located in Scottsdale, AZ and will be expanding into Paradise Valley, AZ in the fall of 2021. Dr. Choulet also obtained her Arizona real estate license and is an active investor. She can be reached at: www.chouletwellness.com and IG @chouletwellness This week's show is sponsored by The Scope of Practice Marriage and Money MD Summit happening November 15-17, where you will hear form 18+ different physician speakers discuss money, finances, and marriage and strategies for strengthening each pillar. It is completely free to sign up with optional VIP upgrades and bonuses.

Dr. Beckford interviews, psychiatrist Dr. Randie Schacter in this episode of UR Caring Docs. This episode is all about therapy, social distancing, mental health, depression. You don't want to miss this if: