Podcasts about hypoactive

“As a child, I knew people who endured Sexual dysfunction. Sexual dysfunction can be classified into four categories: sexual desire disorders, arousal disorders, orgasm disorders, and pain disorders. Dysfunction among men and women are studied in the fields of andrology and gynecology respectively.[6]” “DSM: The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders lists the following sexual dysfunctions: Hypoactive sexual desire disorder (see also asexuality, which is not classified as a disorder) Sexual aversion disorder (avoidance of or lack of desire for sexual intercourse)[54][55] Female sexual arousal disorder (failure of normal lubricating arousal response)[56] Male erectile disorder Female orgasmic disorder (see anorgasmia)[57] Male orgasmic disorder (see anorgasmia)[58] Premature ejaculation Dyspareunia Vaginismus Additional DSM sexual disorders that are not sexual dysfunctions include: Paraphilias PTSD due to genital mutilation or childhood sexual abuse.” “Other sexual problems edit Sexual dissatisfaction (non-specific) Lack of sexual desire Anorgasmia Impotence Sexually transmitted diseases Delay or absence of ejaculation, despite adequate stimulation Inability to control timing of ejaculation Inability to relax vaginal muscles enough to allow intercourse Inadequate vaginal lubrication preceding and during intercourse Burning pain on the vulva or in the vagina with contact to those areas Unhappiness or confusion related to sexual orientation Transsexual and transgender people may have sexual problems before or after surgery. Persistent sexual arousal syndrome Sexual addiction Hypersexuality All forms of female genital cutting Post-orgasmic diseases, such as Dhat syndrome, PCT, POIS, and sexual headaches.” -Wikipedia I knew people that endured The WHO report describes the consequences of sexual abuse: Gynecological disorders Reproductive disorders Sexual disorders Infertility Pelvic inflammatory disease Pregnancy complications Miscarriage Sexual dysfunction Acquiring sexually transmitted infections, including HIV/AIDS Mortality from injuries Increased risk of suicide Depression Chronic pain Psychosomatic disorders Unsafe abortion Unwanted pregnancy (see Pregnancy from rape)[25], and criminal transmission of STD's and STI's.” --- Send in a voice message: https://podcasters.spotify.com/pod/show/antonio-myers4/message Support this podcast: https://podcasters.spotify.com/pod/show/antonio-myers4/support

“DSM The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders lists the following sexual dysfunctions: Hypoactive sexual desire disorder (see also asexuality, which is not classified as a disorder) Sexual aversion disorder (avoidance of or lack of desire for sexual intercourse)[54][55] Female sexual arousal disorder (failure of normal lubricating arousal response)[56] Male erectile disorder Female orgasmic disorder (see anorgasmia)[57] Male orgasmic disorder (see anorgasmia)[58] Premature ejaculation Dyspareunia Vaginismus Additional DSM sexual disorders that are not sexual dysfunctions include: Paraphilias PTSD due to genital mutilation or childhood sexual abuse Other sexual problems Sexual dissatisfaction (non-specific) Lack of sexual desire Anorgasmia Impotence Sexually transmitted diseases Delay or absence of ejaculation, despite adequate stimulation Inability to control timing of ejaculation Inability to relax vaginal muscles enough to allow intercourse Inadequate vaginal lubrication preceding and during intercourse Burning pain on the vulva or in the vagina with contact to those areas Unhappiness or confusion related to sexual orientation Transsexual and transgender people may have sexual problems before or after surgery. Persistent sexual arousal syndrome Sexual addiction Hypersexuality All forms of female genital cutting Post-orgasmic diseases, such as Dhat syndrome, PCT, POIS, and sexual headaches.” When I say secular establishments, I mean organizations that claim to cater to all kinds of people but are quiet about their pain. --- Send in a voice message: https://podcasters.spotify.com/pod/show/antonio-myers4/message Support this podcast: https://podcasters.spotify.com/pod/show/antonio-myers4/support

In this episode of Causes or Cures, Dr. Eeks chats with Dr. Comninos about Hypoactive Sexual Desire Disorder (HSDD) and his and his team's research on a potential new treatment called Kisspeptin. He will discuss prevalence, diagnosis, symptoms, how the diagnosis may be misdiagnosed as Erectile Dysfunction Disorder, and current treatment approaches to HSDD. In detail, he'll describe what Kisspeptin is and how it might help. He'll also talk about the clinical trials he has conducted involving both men and women diagnosed with HSDD and how well Kisspetin worked in those clinical trials. Dr. Comninos is a Consultant Endocrinologist at Imperial College London where he also leads the Imperial Endocrine Bone Unit. He has authored over 75 clinical and translational publications in reproductive endocrinology, with a focus on reproductive hormones and their influence on both behavior and bones. You can learn more about him here.You can contact Dr. Eeks at bloomingwellness.com.Follow Dr. Eeks on Instagram here.Or Facebook here.Or Twitter.Subcribe to her newsletter here!Support the show

Nikki and Dr. Diane Mueller discuss hypoactive sexual desire (aka low libido) in women and what it means for your health. Dr. Diane shares how to restore libido, hormone function, and romantic relationships. In this episode, we cover: -Different situations that can impact libido—inflammation, infection, xenoestrogens and metalloestrogens which can disrupt hormones -Mental and emotional health and the impact of trauma -Connection between our brain, our thoughts, and the physical manifestation of libido -How do we talk about it and how do we learn about our bodies? -Connection with our own bodies as women is integral to connection with our partner Meet Dr. Diane: As a survivor of mold illness, Lyme Disease and chronic IBS symptoms and low libido, Dr. Diane Mueller (aka Dr. Diamond) is able to deeply empathize and understand how these sorts of conditions are beyond just the physical body. Just like many of her patients, Dr. Diane struggled with chronic fatigue, extreme digestive dysfunction and chronic pain for many years with conventional medicine only offering mildly palliative treatments. Relationships were impacted as social isolation was part of life due to the nature of the disease. Dr. Diane's journey to heal herself lead her to complete two doctorate degrees in holistic health care. She has two different medical clinics: Her clinic, MyLymeDoc.com, is dedicated to helping those with lyme, mold and other chronic infections/toxins that are driving symptoms such as fibro, headaches, hormonal imbalances, cognitive decline, chronic fatigue and more. TheLibidoDoctor.com is focused on helping those that are looking to optimize their life, find their sense of pleasure and passion and have healthy hormonal balance in their intimate connections in life. Websites: MyLymeDoc.com and TheLibidoDoctor.com Instagram: https://www.instagram.com/mylibidodoc LinkedIn: https://www.linkedin.com/in/drdianemueller Connect with Nikki: Website: https://www.tastelifenutrition.com Facebook: https://www.facebook.com/TasteLifeNutrition Instagram: https://www.instagram.com/tastelifenutrition Apple Podcasts: apple.co/3V8Q6wT Spotify: spoti.fi/3SZYQDw Sponsor: https://www.cellcore.com

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: June 21, 2018 This week's clinical case features a complex course of hospital-acquired delirium with an in-depth discussion on antipsychotics. Dr. Ayyappan Venkatraman reviews the pertinent psychopharmacology in dopaminergic and nondopaminergic signaling. Produced by James E Siegler. Music by Unheard Music Concepts, Kevin McLeod, Lee Rosevere, and Steve Combs. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Jeste DV, Caligiuri MP. Tardive dyskinesia. Schizophr Bull 1993;19(2):303-15. PMID 8100643 Lacasse H, Perreault MM, Williamson DR. Systematic review of antipsychotics for the treatment of hospital-associated delirium in medically or surgically ill patients. Ann Pharmacother 2006;40(11):1966-73. PMID 17047137 O'Keeffe ST, Lavan JN. Clinical significance of delirium subtypes in older people. Age Ageing 1999;28(2):115-9. PMID 10350406  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Cette semaine, on prend le temps de discuter d'un sujet qui reste nébuleux malgré sa popularité dans les médias : le désir sexuel. On définit ce que c'est (selon la science) tout en apportant les différences et nuances des autres termes similaires : désir spontané, désir provoqué, excitation sexuelle, intimité sexuelle… Roxanne, sexologue thérapeute, nous aide à clarifier le tout et donne des exemples tirés de sa pratique clinique. On explore les causes ayant des impacts sur le désir pour terminer l'épisode avec quelques conseils et recommandations pour mieux vous outiller à comprendre le désir sexuel. Bonne écoute!Informations sur le coffret Sexo 100% plaisir:Interforum Canada : Diffuseur de plus de 250 maisons d'édition francophones.Pour découvrir le coffret : https://interforumcanada.com/livres/sexo-100-plaisir/ Suivez Interforum Canada sur les réseaux sociaux!Instagram : https://www.instagram.com/interforumcanada/Facebook : https://www.facebook.com/InterforumCanadaTikTok : https://www.tiktok.com/@interforumcanadaRéférences discutées dans l'épisode:Bancroft, J., & Janssen, E. (2000). The dual control model of male sexual response: A theoretical approach to centrally mediated erectile dysfunction. Neuroscience & Biobehavioral Reviews, 24(5), 571-579.Brotto , L. (2019). Better sex through mindfulness: How women can cultivate desire (2019). Greystone.Brotto, L., & Velten, J. (2020). Sexual Interest/Arousal Disorder in Women. In  K. S. K. Hall, and Y. M. Binik, Principles and practice of sex therapy (6th ed., pp. 13-40). Guilford Publications.Caswell, C. &  Schwenck, G. (2022). What's the best way to let your partner know you're not in the mood?Bachet, J. (2020). Charge mentale et baisse de libidoDubé, J (2022). Does how I respond to my partner's low desire matter? Esther Perel (2013). L'intelligence érotique : faire (re)vivre le désir dans le couple. Pocket.Excitation sexuelle ; Intimité  Godbout et al. (2022). Motifs de consultation 2021-2022 des personnes consultant en sexothérapie auprès de stagiaires en sexologie clinique. Document inédit.Les troubles du désir et de l'excitation chez la femme Loss of libido | NHS informMasters, W. H., & Johnson, V. E. (1966). Human sexual response. Little, Brown and Company.Nagoski, E. (2015). Come As You Are: The Surprising New Science that will Transform your Sex Life. Publisher: Simon and Schuster, 416p.Natacha Godbout | Trace Parish, S. J., & Hahn, S. R. (2016). Hypoactive sexual desire disorder: a review of epidemiology, biopsychology, diagnosis, and treatment. Sexual medicine reviews, 4(2), 103-120.Trouver votre sexologue - OPSQ

Our guest this week is Kate Organ of The Menopause Specialists who is chatting to us about how our sex lives can change as the result of Menopause, whether this is through sex being painful, suffering from GMS (genitourinary menopause syndrome) or you find yourself single and menopausal, Kate discusses why orgasms are good for you but what if we have Hypoactive sexual desire disorder HSDD; ie low libido? Kate gives us the latest information on treatments for GMS, and we ask should you be using localised oestrogen or lubrication, or both? Menopause can have a huge impact on relationships and intimacy yet there is still much taboo and secrecy that surround it. Even the closest of friends may not discuss what is happening, or not happening in the bedroom. Kate tells us how our mental health can have a huge impact on an intimate relationship. It's not all bad either - we discuss how we can have the best sex and relationships at this time of life, finding our confidence and knowing what we want. Kate is the founder and consultant pharmacist at The Menopause Specialists South East Clinic, working alongside GP Katie Burlington. Kate completed her menopause training through the British Menopause Society and the Newson Health Menopause Society and holds numerous post graduate qualifications specialising in mental health care, leading her to be a menopause, PMS and PMDD specialist. She strongly believes in a holistic approach to health and says ‘We want every woman to have a positive experience of the menopause and perimenopause'. You can watch the full interview on our YouTube channel: https://www.youtube.com/channel/UCFgmHLcdx28eco-XlkWYwUA   We find out that Boris Johnson is wanting to bestow a knighthood on his father, Stanley Johnson. And ask should this be allowed after Stanley has been accused of domestic violence? Jinty investigates how Spain are leading the way into research on measuring acceptability of intimate violence against women and it's significance in normalising domestic abuse. Do you feel overwhelmed when you have a full diary of meetings and events planned? Lou asks if this is an after effect of the pandemic or if we want to slow the pace in menopause.   In our Book Collective we read chapter 9 of Rebel Bodies by Sarah Graham, ‘Death means we believe you now. Neurotic mothers in healthcare. We read the emotive stories of Claire Norton and her daughter Merryn, Steph and her daughter Daisy and the force of nature Caron Ryalls the mother of Emily. The real evidence of the gaping gender health gap.   There's a fantastic quote for you this week too and find out how we got on with our WI. It's another episode brimming with chat, your comments, and all the usual shenanigans. So, settle in for this hour(ish) podcast full of meaningful chat.   Our campaign for a Menopause Clinic in Devon is moving closer but we still need signatures on our petition: https://www.change.org/p/wheresmyclinic Or to send your testimonials please email us: menopauseclinicdc@gmail.com And finally, if you would like the templates to send to your MP or CCG please visit our website: https://menopauseclinicfordevon.co.uk   Kate Organ: Website: www.menopausespecialists.com                      Instagram: @the_menopause_specialists --- Send in a voice message: https://podcasters.spotify.com/pod/show/womenkindcollectivepodcast/message

She started with Slate Pharmaceuticals, which redefined long acting testosterone treatment for men then moved to Sprout Pharmaceuticals which broke through with the first ever FDA-approved drug for low sexual desire in women — dubbed “female Viagra” by the media. After selling the company for $1B in 2015, she successfully fought to get the drug back and launch it on her own terms. Meet Cindy Eckhart! Addyi - Filbanserin - The first FDA approved medication to treat the condition Hypoactive (low) Sexual Desire Disorder (HSDD), characterized as frustrating low libido, is the most common form of sexual dysfunction in premenopausal women. Though not fully understood, HSDD is believed to be caused by an imbalance of chemicals in the brain. Are we limiting women by “protecting them”? How did Addyi come into her life? Data on Addyi and breast cancer is coming out! Prescription versus supplements and what is “natural”? You make it look glam – but is it a slog? She wants to make 1 Billion of wealth for women! “Success comes from courage” – Cindy Eckhart https://addyi.com https://thepinkceiling.com https://www.instagram.com/cindypinkceo/ https://www.youtube.com/watch?v=DyuSZ80-kZI Love these interviews? Want to join them live with me? https://www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken

Join host, Dr. Carolyn Moyers, as she has an awesome conversation with Dr. Sameena Rahman, MD who is a board certified OBGYN who practices in downtown Chicago and is known as GynoGirl on all social media platforms. Listen as they discuss what sexual medicine really is. Hypoactive sexual desire disorder (HSDD) is a type of sexual dysfunction in which women lack motivation or lose desire to have sex for an extended period of time (at least 6 months), causing significant levels of personal distress. Symptoms of HSDD include decreased spontaneous sexual thoughts or fantasies, decreased responsiveness to stimulation, inability to maintain interest through sex, and loss of desire to initiate sex. Women with HSDD may also avoid situations that could lead to sexual activity. Did you know there are treatments available? Men have the little blue pill - now women have options. Listen to Sky Women podcast this week to learn about Addyi, Vylessi, and Testosterone use for low desire. Website: http://www.cgcchicago.com/ Instagram: https://www.instagram.com/gynogirl/ . . . Dr. Moyers is a fellow of the International Society for the Study of Women's Sexual Health (ISSWSH). Schedule a consultation at Sky Women's Health today to see what options are right for you. **This is not medical advice, just medical education. Please ask your doctor medical questions as they pertain to your specific situation. Educational purposes only. #menopause #vaginaowners #changethecycle #anatomy #painfulsex #sexmedicine #sexmed #obgyn #reproductivehealth #sexualhealth #gynogirl #libido #lowdesire #skywomenshealth . . . Dr. Carolyn Moyers, DO is a board certified OBGYN and Neuromusculoskeletal Medicine physician, and founder of Sky Women's Health, a boutique practice in Fort Worth, Texas. Welcome to the Sky Women community where we are all stronger together. COME SAY HI!!! Instagram: https://www.instagram.com/skywomenshealth Facebook: https://www.facebook.com/skywomenshealth Email: hello@skywomenshealth.com Sky Women's Health: Https://www.skywomenshealth.com 617 Travis Ave, Fort Worth, TX 76104 To become a patient: email hello@skywomenshealth.com or call 817-915-9803. Listen to the SKY WOMEN PODCAST here: ITUNES: https://podcasts.apple.com/us/podcast/sky-women/id1541657642 SPOTIFY: https://open.spotify.com/show/79VnnWYtGJwlB7NrjBck7o?si=qWXpiBtPSS6OVOt0ki8EiQ --- Send in a voice message: https://anchor.fm/skywomen/message

For all of the women who have ever wanted to feel sexy again; Dr. Brandye Manigat joins me in talking about cultivating pleasure and desire and reconnecting with one's libido. She shares her insights and discoveries throughout her journey of becoming a Women's Pleasure Coach. Her personal experience around low libido, as well as a lack of public information surrounding the topic, motivated Dr. Manigat to go from being an OB/GYN to a Women's Pleasure Coach, helping women to achieve lasting change in the perception of their bodies and desire. Teaching People About Arousal and Desire Dr. Manigat's teaching around arousal and desire involves having a conversation with the client about what their thoughts and ideas about sex and pleasure are, and where they stem from. These ideas are often learned through family and culture and are influenced by movies. Having a conversation about what an orgasm means to them and the steps they can take to consistently have an orgasm can help women to erase insecurities and achieve pleasure. When to Get Help? Dr. Manigat urges people to seek help when the lack of desire disrupts daily life. Sex drive is inconsistent through various stages of life; having kids, divorce, pre-menopause, menopause, etcetera. Though women can be technically diagnosed with Hypoactive sexual desire disorder (HSDD), not all women meet the criteria. This does not mean that they should not get help. How to get in touch with desire? Dr. Manigat recommends journaling as a way to untangle one's thoughts and emotions. She gives prompts to clients, such as what makes them feel sexy outside the bedroom. These prompts reveal things that could be practiced in everyday life, which helps transition pleasure both in and out of the bedroom. Low Libido at Different Ages Menopause doesn't necessarily cause low libido; however, you could experience low libido for the same reasons as before, such as fatigue and interrupted sleep, which causes depression, which in turn affects the libido. Medication taken during menopause could also lower libido. Young women could overcome low libido by reconnecting with their partner through meaningful conversations about dreams, sexual experiences, new fantasies and attempting to rekindle their intimacy. Approaches to Help Women Struggling With Orgasms Dr. Manigat advises women to educate themselves about their anatomy and multiple pleasure points and how to stimulate them to orgasm. Furthermore, she also emphasizes people being present and mindful during sex, to focus on any of the five senses to keep you in the present. Women who have never had an orgasm can educate themselves about the different ways orgasms manifest and the sensations one would feel. Take Away She leaves us with a valuable affirmation, saying, “You are worthy and deserving of pleasure. You don't have to work to earn it, it's not something you've to strive for.” Biography Dr. Brandye Wilson-Manigat, MD, also known as “Dr. Brandye”, is among the country's well-known physicians. As a board-certified OB/GYN and Women's Pleasure Coach, she brings a unique approach to women's sexual health, achieving a holistic integration of the physical, mental, emotional, and spiritual elements of you. This creates lasting positive change in how you view yourself, your body, and your pleasure. She is called upon by various local and national media outlets to give a fresh perspective and new information on women's health trends. Dr. Brandye is the founder and chief medical advisor for DrBrandyeMD.com, where she has created a safe space to discuss real-world strategies to help women learn the truth about sex and orgasms and embrace their feminine essence, and feel good both inside and outside of the bedroom. Her book, “My O My! A Committed Woman's Guide to Getting the Great Sex She Deserves”, is an Amazon #1 Bestseller and has helped numerous women to live their Best. Sex. Life. Ever! Resources and Links: Website: https://drbrandyemd.com/ Bio hacks pdf- https://biohacksforbettersex.com Sessions: https://drbrandyemd.com/services/ Book: In My O My: A Committed Woman's Guide to Getting the Great Sex She Deserves More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/185-cultivating-female-desire-dr-brandye-manigatMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast

For all of the women who have ever wanted to feel sexy again; Dr. Brandye Manigat joins me in talking about cultivating pleasure and desire and reconnecting with one's libido. She shares her insights and discoveries throughout her journey of becoming a Women's Pleasure Coach.Her personal experience around low libido, as well as a lack of public information surrounding the topic, motivated Dr. Manigat to go from being an OB/GYN to a Women's Pleasure Coach, helping women to achieve lasting change in the perception of their bodies and desire.Teaching People About Arousal and DesireDr. Manigat's teaching around arousal and desire involves having a conversation with the client about what their thoughts and ideas about sex and pleasure are, and where they stem from. These ideas are often learned through family and culture and are influenced by movies. Having a conversation about what an orgasm means to them and the steps they can take to consistently have an orgasm can help women to erase insecurities and achieve pleasure.When to Get Help?Dr. Manigat urges people to seek help when the lack of desire disrupts daily life. Sex drive is inconsistent through various stages of life; having kids, divorce, pre-menopause, menopause, etcetera. Though women can be technically diagnosed with Hypoactive sexual desire disorder (HSDD), not all women meet the criteria. This does not mean that they should not get help.How to get in touch with desire?Dr. Manigat recommends journaling as a way to untangle one's thoughts and emotions. She gives prompts to clients, such as what makes them feel sexy outside the bedroom. These prompts reveal things that could be practiced in everyday life, which helps transition pleasure both in and out of the bedroom.Low Libido at Different AgesMenopause doesn't necessarily cause low libido; however, you could experience low libido for the same reasons as before, such as fatigue and interrupted sleep, which causes depression, which in turn affects the libido. Medication taken during menopause could also lower libido. Young women could overcome low libido by reconnecting with their partner through meaningful conversations about dreams, sexual experiences, new fantasies and attempting to rekindle their intimacy.Approaches to Help Women Struggling With OrgasmsDr. Manigat advises women to educate themselves about their anatomy and multiple pleasure points and how to stimulate them to orgasm. Furthermore, she also emphasizes people being present and mindful during sex, to focus on any of the five senses to keep you in the present. Women who have never had an orgasm can educate themselves about the different ways orgasms manifest and the sensations one would feel.Take AwayShe leaves us with a valuable affirmation, saying, “You are worthy and deserving of pleasure. You don't have to work to earn it, it's not something you've to strive for.”BiographyDr. Brandye Wilson-Manigat, MD, also known as “Dr. Brandye”, is among the country's well-known physicians. As a board-certified OB/GYN and Women's Pleasure Coach, she brings a unique approach to women's sexual health, achieving a holistic integration of the physical, mental, emotional, and spiritual elements of you. This creates lasting positive change in how you view yourself, your body, and your pleasure. She is called upon by various local and national media outlets to give a fresh perspective and new information on women's health trends.Dr. Brandye is the founder and chief medical advisor for DrBrandyeMD.com, where she has created a safe space to discuss real-world strategies to help women learn the truth about sex and orgasms and embrace their feminine essence, and feel good both inside and outside of the bedroom. Her book, “My O My! A Committed Woman's Guide to Getting the Great Sex She Deserves”, is an Amazon #1 Bestseller and has helped numerous women to live their Best. Sex. Life. Ever!Resources and Links:Website: https://drbrandyemd.com/Bio hacks pdf- https://biohacksforbettersex.comSessions: https://drbrandyemd.com/services/Book: In My O My: A Committed Woman's Guide to Getting the Great Sex She DeservesMore info:Sex Health Quiz – https://www.sexhealthquiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclassBetter Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/185-cultivating-female-desire-dr-brandye-manigat

For all of the women who have ever wanted to feel sexy again; Dr. Brandye Manigat joins me in talking about cultivating pleasure and desire and reconnecting with one's libido. She shares her insights and discoveries throughout her journey of becoming a Women's Pleasure Coach.Her personal experience around low libido, as well as a lack of public information surrounding the topic, motivated Dr. Manigat to go from being an OB/GYN to a Women's Pleasure Coach, helping women to achieve lasting change in the perception of their bodies and desire.Teaching People About Arousal and DesireDr. Manigat's teaching around arousal and desire involves having a conversation with the client about what their thoughts and ideas about sex and pleasure are, and where they stem from. These ideas are often learned through family and culture and are influenced by movies. Having a conversation about what an orgasm means to them and the steps they can take to consistently have an orgasm can help women to erase insecurities and achieve pleasure.When to Get Help?Dr. Manigat urges people to seek help when the lack of desire disrupts daily life. Sex drive is inconsistent through various stages of life; having kids, divorce, pre-menopause, menopause, etcetera. Though women can be technically diagnosed with Hypoactive sexual desire disorder (HSDD), not all women meet the criteria. This does not mean that they should not get help.How to get in touch with desire?Dr. Manigat recommends journaling as a way to untangle one's thoughts and emotions. She gives prompts to clients, such as what makes them feel sexy outside the bedroom. These prompts reveal things that could be practiced in everyday life, which helps transition pleasure both in and out of the bedroom.Low Libido at Different AgesMenopause doesn't necessarily cause low libido; however, you could experience low libido for the same reasons as before, such as fatigue and interrupted sleep, which causes depression, which in turn affects the libido. Medication taken during menopause could also lower libido. Young women could overcome low libido by reconnecting with their partner through meaningful conversations about dreams, sexual experiences, new fantasies and attempting to rekindle their intimacy.Approaches to Help Women Struggling With OrgasmsDr. Manigat advises women to educate themselves about their anatomy and multiple pleasure points and how to stimulate them to orgasm. Furthermore, she also emphasizes people being present and mindful during sex, to focus on any of the five senses to keep you in the present. Women who have never had an orgasm can educate themselves about the different ways orgasms manifest and the sensations one would feel.Take AwayShe leaves us with a valuable affirmation, saying, “You are worthy and deserving of pleasure. You don't have to work to earn it, it's not something you've to strive for.”BiographyDr. Brandye Wilson-Manigat, MD, also known as “Dr. Brandye”, is among the country's well-known physicians. As a board-certified OB/GYN and Women's Pleasure Coach, she brings a unique approach to women's sexual health, achieving a holistic integration of the physical, mental, emotional, and spiritual elements of you. This creates lasting positive change in how you view yourself, your body, and your pleasure. She is called upon by various local and national media outlets to give a fresh perspective and new information on women's health trends.Dr. Brandye is the founder and chief medical advisor for DrBrandyeMD.com, where she has created a safe space to discuss real-world strategies to help women learn the truth about sex and orgasms and embrace their feminine essence, and feel good both inside and outside of the bedroom. Her book, “My O My! A Committed Woman's Guide to Getting the Great Sex She Deserves”, is an Amazon #1 Bestseller and has helped numerous women to live their Best. Sex. Life. Ever!Resources and Links:Website: https://drbrandyemd.com/Bio hacks pdf- https://biohacksforbettersex.comSessions: https://drbrandyemd.com/services/Book: In My O My: A Committed Woman's Guide to Getting the Great Sex She DeservesMore info:Sex Health Quiz – https://www.sexhealthquiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclassBetter Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/185-cultivating-female-desire-dr-brandye-manigat

The 4M's Framework: MENTATION with Tahira I. Lodhi MD "Mentation is about preventing, identifying, treating, and appropriately managing the 3Ds in geriatrics: dementia, delirium, and depression."-Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN “She’s just not right today”. When referring to an older adult, this simple phrase should be a signal to family and formal caregivers alike to begin to find out why.  If a child “wasn’t right” one day, no one would ignore it - and we cannot ignore it in an older adult. An altered mental state is a broad term for geriatric patients having issues with their cognitive level. Essentially, for older adults with altered mental states, early detection and diagnosis are essential, as the source could be life-threatening.  In line with that, today's episode of This Is Getting Old, will focus on continuing our special series on the Health Systems Initiative and the 4Ms Framework, explicitly talking about MENTATION.  Dr. Tahira I. Lodhi joins us, and we'll talk more about providing health care services to older adults with the limelight on the spheres of Mentation. Also check out these related podcasts: Ten Warning Signs of Dementia Six Tips for Talking to Someone You Think Has a Memory Problem How Dementia is Diagnosed Ten Tips for Preventing Alzheimer’s Disease How to Manage Repetitive Behaviors in Alzheimer’s Disease Part One of 'The 4M's Framework: MENTATION'. THE SPHERES OF MENTATION Mentation is about preventing, identifying, treating, and appropriately managing what is referred to as the 3D's in geriatrics; dementia, delirium, and depression. The 3D's are a cornerstone of geriatrics, and it can be challenging to tease these three apart when providing care to an older adult.  There are several characteristics in common with depression, dementia, and delirium. Apathy, detachment, and tearfulness can be present in both depression and delirium, especially hypoactive delirium. However, a reliable indicator lies with the onset and duration.  The onset of dementia is slow and insidious. However, deterioration is progressive over time. Delirium develops unexpectedly (for hours or days), and manifestations appear to fluctuate during the day. While a change in mood persisting for at least two weeks characterizes the onset of depression. The duration may coincide with life changes and can last for months or years. DELVING DEEPER INTO MENTATION DEPRESSION It is necessary to remember that depression is not an unavoidable aspect of becoming older, nor is it an indication of failure or character defects. Regardless of your history or past successes in life, it can happen to everyone, at any age. While life changes when you age, retirement, loved ones' demise, deteriorating health may also induce depression.   TOOLS FOR ASSESSING DEPRESSION For health care providers, it's essential to recognize depression. You can use several instruments, like PHQ-2, PHQ-9, and other Geriatric Depression Scales, to assess depression in older adults.  PHQ-2 (Patient Health Questionnaire-2) uses a valid and reliable depression screening tool for all ages. In comparison, a PHQ-9 is a screening test that can also be used to follow-up on a promising PHQ-2 outcome and to track response to therapy. "You may find that a person who was once active in the long-term care setting is now just sitting on the sidelines, not talking to anybody and say that they just feel down. That's the time to evaluate the person and make sure it's not depression." -Tahira I. Lodhi, MD SIGNS AND SYMPTOMS OF DEPRESSION IN OLDER ADULTS Recognizing depression starts with getting familiar with the signs and symptoms. Red flags for depression include: Sadness or feelings of hopelessness. Unexplained aches and aggravated pains Lack of interest in hobbies or socializing. Loss of weight or appetite. Feelings of desperation or helplessness. Lack of encouragement and energy. Sleep disruptions Slowed movement or discourse. Fixation on death; suicidal thoughts. Problems with memory. Neglecting personal treatment   WHAT TO DO: PREVENTIVE MEASURES AS FAMILY MEMBERS OR CAREGIVERS   To help older adults suffering from depression, you can evaluate psychological evaluation with or without starting SSRIs. Selective serotonin reuptake inhibitors (SSRIs) are prescribed for patients with mild to severe depression who initiate psychiatric treatment with an antidepressant. Among the countless antidepressants, SSRIs provide as much value in terms of efficacy and mitigating health risks.  Besides, SSRIs are the most commonly used antidepressants. Daily exercise can even help avoid depression and lift an older adult’s mood. Let them do everything that they want to do. Also, being physically healthy and consuming a healthy diet will help reduce ailments that may contribute to depression among older adults. Moreover, Psychotherapy, often referred to as "talk therapy," can help those with depression. Talk therapy is used to mitigate depression, and it works by assisting older adults to do away with harmful thoughts and any habits that could exacerbate depression. Part Two of 'The 4M's Framework: MENTATION'. DELIRIUM Delirium can be a medical urgency/emergency and can present as either hyperactive or hypoactive. Any sudden change in mental status should be considered delirium. The hallmark is in-attention. It can get tricky when a person already has a diagnosis of dementia - we refer to this as delirium superimposed on dementia. However, once we fix the delirium's underlying cause, the person will typically return to the baseline mental status. If you or a loved one are planning an elective surgery, be sure to review these considerations and discuss them with your provider and surgeon, in hopes of preventing postoperative delirium. Page 24 has a checklist of things that you and your provider should look for and many of the Confusion Assessment Methods (CAM), such as the CAM-ICU (p. 47). RECOGNIZING HYPOACTIVE DELIRIUM  AND HYPERACTIVE DELIRIUM Delirium progresses gradually, and the effects fluctuate throughout the day and worsen at night.  Hyperactive delirium is distinguished by Increased muscle movement, restlessness, anxiety, hostility, roaming, hyper-alertness, hallucinations, delusions, and inappropriate behavior.  On the other hand, Hypoactive delirium is characterized by reduced muscle movement, lethargy, withdrawal, drowsiness, and sleeping too much. SCREENING TOOLS THAT CAN BE USED TO ASSESS DELIRIUM Whether you're a family or caregiver of older adults at risk of or healing from delirium, you should take precautions to enhance the well-being of the individual better.  Assessment tools that may be used to test instances of delirium. Confusion Assessment Method (CAM) CAM-ICU for intensive care units 3D-CAM for medical-surgical units bCAM for emergency departments WHAT TO DO AS FAMILY MEMBERS The best thing you can do as a family member is to provide encouragement and orientation.  Remind the individual where they are, who they are, and also what time it is. It would also help if you alerted providers whenever delirium signs and symptoms are noticed in the patient. A matter of saying, "Mama just isn't right today." can make a difference.  WHAT TO DO AS PROVIDERS: PREVENTION STRATEGIES As a healthcare provider, you will play a critical part in having a positive and comforting presence during an older person's delirium.  Here are several straightforward steps to alleviate delirium and how you can help as a caregiver : Convey and resolve sensory disability. Use simple sentences to ask individual questions, and use interpreters where available. Minimizing the confusion of the patient. Place a large-font clock, calendars, and signs. Promote cognitive enhancement, such as learning about news or recalling. Discourage napping throughout the day to help the patient relax at night. Foster mobility and self-care Promote autonomy in everyday life tasks and minimize the possibility of crashes. Encourage patients to reduce the possibility of constipation, dehydration, and under-nutrition by eating and drinking. Consider calming, music, or massage therapies (this may also help with sleep). Stop using indwelling catheters because they can cause contamination. It is advised to minimize, stop or prevent the usage of psychoactive medications as they can aggravate delirium. Document the indications in the psychiatric background of the patient for the usage and stopping use of antipsychotic treatment Ensure that pain control is available and that a protocol for pain treatment is in effect. Keep the room silent, such as utilizing vibrating pagers instead of calling bells. "Recognizing delirium is the biggest thing. In some of the studies that I've seen, up to 60 to 75 % of health care providers don't recognize delirium." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN DEMENTIA RECOGNIZING DEMENTIA Dementia is not a particular illness; it's a broad concept that encompasses a wide variety of serious medical issues, including Alzheimer's disease.   Abnormal brain shifts are triggered by diseases clustered under the general word "dementia." These transitions cause a reduction in reasoning skills, which are incredibly severe to affect everyday life and autonomous functioning. They also influence actions, thoughts, and relationships. Check out these related podcasts to learn more: Ten Warning Signs of Dementia Six Tips for Talking to Someone You Think Has a Memory Problem How Dementia is Diagnosed Ten Tips for Preventing Alzheimer’s Disease How to Manage Repetitive Behaviors in Alzheimer’s Disease SCREENING TOOLS USED TO ASSESS DEMENTIA A clinical evaluation, experimental testing, and the observation of the irregular shifts in thought, day-to-day function, and patient actions are needed by physicians to identify Alzheimer's and other forms of dementia.  But the precise form of dementia is more difficult to ascertain since the signs and brain alterations of multiple dementias may overlap. For health care providers, some of the screening tools that are commonly used are MMSE (Mini-Mental State Exam), MoCA (Montreal Cognitive Assessment for Dementia, and the SLUMS Test. WHAT TO DO AS FAMILY MEMBERS AND HEALTHCARE PROVIDERS You can take measures to improve cognitive health and reduce your loved one or patient's risk of dementia. Please encourage them to maintain an active mind by playing word puzzles, memory games, and reading. Being physically active, exercising at least once a week, and making other positive lifestyle improvements will also lower the risk. Lifestyle and dietary improvements include avoiding smoking and consuming a diet high in, Fatty Acids omega-3, Fruit, Vegetable, and whole grains.    About Tahira I. Lodhi MD  Tahira I. Lodhi, MD, is an assistant professor at the University of George Washington for Geriatrics and Palliative Care. In 1999, she graduated from medical school and received her Family Medicine training at Virginia Commonwealth University and her Geriatrics Fellowship Training at George Washington University. Dr. Lodhi's expertise is in the training and practice of primary care geriatrics. She's often involved in developing workflows in healthcare systems and supporting her patients to receive streamlined, patient-centered services.     About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]:   I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.  

Richa Bhatia, MD, conducts a Masterclass on how to identify medical and neurologic illnesses that present with psychiatric symptoms and mimic psychiatric diagnoses. Dr. Bhatia is a board-certified general and child and adolescent psychiatrist in private practice. She has no disclosures. Take-home points Psychiatric diagnoses are diagnoses of exclusion. Psychiatric clinicians must maintain a high level of clinical suspicion for medical and neurologic illnesses that present with psychiatric symptoms and mimic psychiatric diagnoses. When patients have a “strange” presentation of their psychiatric illness, including being out of the usual age range, a fast progression, or an unusual constellation of symptoms, clinicians should pursue a medical work-up and think broadly about other diagnoses that might mimic the psychiatric diagnosis. Dr. Bhatia provides an overview of common medical and neurologic illnesses that mimic psychiatric diagnoses, including hypothyroidism, delirium, HIV/AIDS, Addison disease, autoimmune encephalitis, temporal lobe epilepsy, frontotemporal dementia, Wilson’s disease, and Parkinson’s disease. Summary Hypothyroidism is an endocrine disease that can mimic depression. The physical symptoms include constipation, edema, dry skin, hair loss, weight gain, and cold intolerance. Individuals with comorbid hypothyroidism and depression report inadequate response to antidepressants, so psychiatrists should check the patient’s thyroid-stimulating hormone or refer them to their primary care physician if they suspect hypothyroidism with elevated TSH. Delirium is a common yet underdiagnosed syndrome that occurs secondary to medical illness and can produce an array of neuropsychiatric symptoms, including psychosis, irritability, and disorganized behaviors, which can lead to misdiagnosis as schizophrenia or mania. Delirium presents as an abrupt change in cognition with disorientation and significantly impaired attention. Hypoactive delirium presents with lethargy, apathy, and decreased alertness, and is often mistaken for depression in the hospital setting. Simple beside tests such as the Confusion Assessment Method can be used to quickly aid in diagnosing delirium. HIV/AIDS can mimic psychiatric disease through direct effect on the nervous system, opportunistic disease, intracranial tumors, cerebral vascular disease, and medication adverse effects. HIV can mimic depression by causing neurovegetative symptoms; apathy, psychomotor slowing, and working memory deficits are more characteristic of the neuropsychiatric impairment from HIV rather than a primary depressive disorder. In late-stage HIV/AIDS, dementia can cause bizarre behaviors, delusions, and mood disturbance such as euphoria and irritability. Addison disease is characterized by low blood pressure, hyperpigmentation, nausea, vomiting, weakness, fatigue, hypokalemia, and hyponatremia. Addisonian crisis can present with neuropsychiatric symptoms of delirium, anxiety, agitation, cognitive impairment, and auditory and visual hallucinations. Autoimmune encephalitis, with anti–N-methyl-D-aspartate receptor encephalitis as the most common type, often masquerades as a primary psychotic symptom. Notable symptoms include subacute onset with fast progression and no clear prodrome, working memory impairment, agitation, or lethargy. Other presenting symptoms include focal neurologic deficits, new-onset or rapidly developing catatonia, fever, headaches, flu-like illness, and autonomic disturbance. Temporal lobe epilepsy also can mimic a primary psychiatric disorder. The symptoms of seizure-like staring, blinking, lip-smacking, and behavioral arrest are precipitated by a sensation of fear or epigastric sensation and depersonalization, which can lead to misdiagnosis as a panic attack. Frontotemporal dementia (FTD) can be mistaken for a primary psychiatric diagnosis in the initial stages. Hallmark symptoms include progressive behavioral change with disinhibition and a decline in executive functioning and language skills such as verbal learning and reasoning. FTD is the second most common dementia in people aged younger than 65 years. Patients with FTD struggle to give a history, and often lack a psychiatric history or exposure to psychotropic drugs. Clinicians should maintain a high degree of clinical suspicion for FTD in new-onset psychiatric syndromes in older individuals. Stroke can lead to poststroke depression and anxiety, apathy, emotional lability, and personality changes. Depression after stroke, occurring hours to days after the insult, is associated with greater cognitive impairment and increased mortality. The diagnosis of poststroke depression is challenging because of impairments in language and cognition after stroke. Apathy can occur separately from depression and diminish recovery. Wilson’s disease results in copper deposits in the brain and liver. The psychiatric symptoms, including psychosis, occur before neurologic changes. Parkinson’s disease also can result in depression-like symptoms, given the motor and neurovegetative symptoms from the neurodegeneration. Fatigue, psychomotor slowing with diminished facial expression, postural changes, and sleep disturbance are common conditions that can mimic depression. References  Carroll VK. Current Psychiatry. 2009 Aug;8(8):43-54. Welch KA and Carson AJ. Clin Med (Lond). 2018 Feb;18(1):80-7. Scarioni M et al. Ann Neurol. 2020;87(6):950-61. Evans DL et al. Neuropsychiatric manifestations of HIV-1 infection and AIDS, in “Neuropsychopharmacology: 5th Generation of Progress.” Philadelphia: Lippincott Williams & Wilkins, 2002, pp. 1281-99. Deng P and Yeshokumar A. Psychiatric Times. 2020 Jan. (37):1. Kumar A and Sharma S. Complex partial seizure, in “StatPearls [Internet].” Treasure Island, Fla.: StatPearls Publishing, 2020 Jan. (Updated 2020 Nov 20). Rao V. Neuropsychiatry of stroke. Geriatric Workforce Program. Johns Hopkins Medicine. *  *  * Show notes by Jacqueline Posada, MD, associate producer of the Psychcast; assistant clinical professor in the department of psychiatry and behavioral sciences at George Washington University in Washington; and staff physician at George Washington Medical Faculty Associates, also in Washington. Dr. Posada has no conflicts of interest. For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com        

In this week’s episode, we sat down with Shawna Chan, Mona Mojtahedzadeh, M.D., Salman Otoukesh, M.D., David Puder, M.D. and discussed different aspects of mental health in humans bravely facing cancer. Below is a link to the notes which go beyond the podcast episode in content and depth and hopefully equips you to have more empathy, compassion and knowledge. Link to Blog Link to Resource Library

See all the Healthcast at https://www.biobalancehealth.com/healthcast-blog/ This week we are examining the process the FDA calls Fast Tracking of drugs. Fast track is a process designed to facilitate the development and expedite the review of drugs to treat serious conditions and fill an unmet medical need. The purpose of fast tracking is to get important new drugs to the patient earlier.  The FDA acts to check the impact on such factors as survival, day to day functioning, or the likelihood that the condition if left untreated, will progress from less severe to more severe Filling an unmet medical need is defined as providing a therapy where none exists or providing a therapy which may be potentially better than ones that are available. If there are available therapies a fast track drug must show some advantage over existing ones: Superior effectiveness Avoiding serious side effects of existing ones Improving the diagnosis of serious conditions where early diagnosis results in improved outcomes Decreasing clinically significant toxicity of available therapies which often leads to discontinuation of treatment The thought is that by fast tracking, the FDA will have the ability to address emerging public health needs. A record high 43 drugs came through in 2018. This represents 73% of new drugs approved by the FDA in 018. The Wall Street Journal says the FDA generally fast tracks drugs intended to treat conditions that are debilitating or deadly and have few or no other treatments. FDA granted fast tracking to at least 60% of the new drugs approved in each of the last five years. 10 years ago, the FDA only approved 10 new drugs by this method. There are concerns about public safety because there are trade- offs. If they approve a drug and eventually they discover some negative side effects or issues the drugs will already be on the market……..   But the data tends to be positive in favor of fast tracking: 19% of the 42 cancer drugs significantly extended patient lives as well as 26% of the 34 expedited cancer drugs approved from 2011-2014. Still, fast tracking is somewhat controversial because of political issues and questions surrounding how these decisions are made. Viagra was fast tracked because there was a social concern about men needing to have a satisfying sex life.  It was approved within six months. A similar drug for women took six years, seemingly because society does not see the value of being concerned about sexual satisfaction among women.   Generally, society sees that if you are a man struggling to have a satisfying sex life it deserves not only a solution but one you don't have to pay for. Almost all insurance companies cover this cost for men. Women's rights to sexual desire, satisfaction, and birth control are more complicated in our history and are only recently getting serious attention. Now there is a disorder called HSDD. Hypoactive sexual desire disorder. A medical condition causing low libido that affects one in ten women. HSDD has two key hallmarks: decreased sex drive and libido, coupled with feelings of distress because of the decreased sex drive. (not everyone is worried about this when they lose it) Psychological factors are considered when treating HSDD and there are also biological imbalances that cause it and nonsexual diseases like arthritis, there are certain medications that can lower sex drive, fatigue or hormonal shifts during menopause and pregnancy can as well. There has been a societal narrative that reduced everything that went wrong in the bedroom with women to psychology and everything that went wrong in the bedroom with men to biology. We believe that this is changing, but ever so slowly. There are two new drugs for women to treat HSDD:             Ayddi and Vyleesi Vyleesi is an injectable medication meant to be taken within six hours before a person intends to have sex, and works in about 45 minutes lasting about 16 hours. Ayddi is a pill taken once a day but it can take at least two weeks to start working. It was originally developed as an antidepressant, and you cannot drink alcohol while taking it. With vylessi nausea is a common side effect. Low testosterone is an issue with sex drive for women as well. If you don't want to take a prescription drug or can't afford it or your insurance does not cover it, you may want to take a supplement. Herbs like Maca and Shatavari can help boost libido in both pre and postmenopausal women but results vary and there are consistency and standardization issues with herbals. On balance, we feel that it is a good thing that the FDA is working to increase the approval process for new drugs. They are finally starting to use the European model more regularly. Hopefully this will result in better health care for the American people.

Dr. Alyssa Dweck discusses this condition that many women are uncomfortable talking to their healthcare providers about. Hypoactive sexual desire disorder or HSDD is biological and not a result of issues or unhappiness. It can be handled with the proper care and treatment. Learn more at www.Vyleesi.com. PRODUCT IS ONLY APPROVED FOR USE IN THE U.S. Sponsor: Interview courtesy of AMAG Pharmaceuticals.

Dr Ramani and Silvia Saige take a break from narcissism to tackle a bevy of backlogged sex questions, including cross-dressing fantasies and rules for BDSM. ***DR RAMANI'S INDISPENSIBLE NEW BOOK "Don't You Know Who I Am?" IS NOW AVAILABLE FOR PRE-ORDER ON AMAZON! Click here to get it!*** A listener who identifies as straight wants to explore submissive, feminine style and behavior. Ramani says no worries, with one specific exception. Another listener wonders is there are universal rules for the BDSM community. Neither Ramani, Silvia or Producer Bill have ever participated in BDSM, but they all have stories involving people who have. Then, a lesbian woman struggles with a lack of sexual desire after starting a relationship with a newly out partner. And a concerned mother worries that her son is following in his dad's footsteps with a total lack of interest in sex. Ramani and Silvia aren't convinced she has anything to worry about. *** Write the show, ALWAYS ANONYMOUS, with your questions on sex, love, relationships and everything in between: sexualdisorientation@gmail.com Dr Ramani Durvasula (@doctorramani) is a licensed clinical psychologist, a Professor of Psychology, and the nation's leading expert on narcissism. Silvia Saige (@silviasaigexxx, @silviasaigesex) is an adult film actress and standup comedian. Please subscribe to Sexual Disorientation on Apple Podcasts , Stitcher, Google Play, or any podcast app! Follow Bail Bonds Media on Instagram for behind-the-scenes looks and other great content.

Palatin up 50% on a drug for treating Hypoactive sexual disorder, and twitter is talking about it! Could this be the female viagra? Check out https://www.behindthebid.com for more updates. I will continue to post news updates until the market opens: https://www.behindthebid.com/posts/morning-watchlist-for-monday-june-24 Stocks covered in the show: $PTN: Palatin $AMAG: Amag Pharma $BA: Boeing $ERI: Eldorado $CZR: Caesar $NERV: Minerva Neurosciences

Delirium is an acute change in a person’s sensorium (the perception of one’s environment or understanding of one’s situation). It can include confusion about their orientation, cognition or mental thinking. With hyperactive delirium, a patient can become aggressive, violent and agitated with those around them. A patient experiencing delirium can have hallucinations and hear things, they can become paranoid, and they are overall confused. A family or non-psychiatric medical staff might be concerned that the patient is experiencing something like schizophrenia. Hyperactive delirium symptoms in patients: Waxing and waning —it comes and goes Issues with concentration Pulling out medical lines Yelling profanities Throwing things Agitated Responding to things in the room that aren’t there Not acting like themselves Hypoactive delirium is much more common than hyperactive delirium (based on research studies), but it is often missed because the presentation is much less dramatic. People with hypoactive delirium are confused and disoriented, but they are not expressing their confusion verbally or physically. Hypoactive delirium symptoms: Slower movement Softer speech Slower responses Withdrawn Not eating as much For the rest of the article go: here For Dr. Lee’s powerpoints on delirium, go: here Instagram: dr.davidpuder Twitter: @DavidPuder Facebook: DrDavidPuder

Thousands of years ago, physicians prescribed seaweed as a treatment for goiters, or enlarged thyroids.  Was this quackery, or did doctors who worked in the age of togas and chariots know something? It turns out they did.  Seaweed is a source of iodine, a trace mineral critical for many functions of the body, including the thyroid.  But there are much better sources for the essential ingredients we need for healthy thyroid function.  

This week's clinical case features a complex course of hospital-acquired delirium with an in-depth discussion on antipsychotics. Dr. Ayyappan Venkatraman reviews the pertinent psychopharmacology in dopaminergic and non-dopaminergic signaling. Produced by James E. Siegler. Music by Unheard Music Concepts, Kevin McLeod, Lee Rosevere, and Steve Combs. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. For more information, check out http://brainwaves.me/. REFERENCES O'Keeffe ST and Lavan JN. Clinical significance of delirium subtypes in older people. Age and ageing. 1999;28:115-9. Lacasse H, Perreault MM and Williamson DR. Systematic review of antipsychotics for the treatment of hospital-associated delirium in medically or surgically ill patients. Ann Pharmacother. 2006;40:1966-73. Jeste DV and Caligiuri MP. Tardive dyskinesia. Schizophr Bull. 1993;19:303-15.

Available data suggest about 50% of delirium is hypoactive; this and the mixed motor subtype account for 80% of all cases of delirium. It can be more difficult to recognise, and is associated with worse outcomes, than hyperactive delirium. In this podcast, Christian Hosker, consultant liaison psychiatrist at the Leeds Liaison Psychiatry Service outlines when to suspect hypoactive delirium, how to assess, and appropriately manage patients. Infographic explaining diagnosis: http://www.bmj.com/content/bmj/suppl/2017/05/25/bmj.j2047.DC1/hosc038261.wi.pdf Read the full article: http://www.bmj.com/content/357/bmj.j2047