Podcasts about iop

In this episode of RetinaLIVE, Kourous Rezaei, MD is joined by Lejla Vajzovic, MD, FASRS and Aleksandra Rachitskaya, MD, FASRS to discuss their experiences with UNITY® VCS in vitreoretinal surgery. The conversation covers instrument design, workflow, training and the integration of new technology in clinical practice, offering perspectives on collaboration and adapting to evolving surgical tools.  For Important Product Information, visit unityvcs.com. Featured surgeons are paid Alcon consultants. The views expressed are their own. Disclaimers: 1:15, 19:31, 26:25: Compared to CONSTELLATION® Vision System. Based on bench data. 1:47, 2:15, 2:42, 3:19, 9:55: Compared to HYPERVIT 20K 2:15, 2:21, 7:24: Based on bench data. For both 25 Ga and 27 Ga vitrectomy probes. 7:24, 7:54, 18:46: Versus Alcon's Non-Dynamic Stiffener 27+ technology 9:55, 12:21: When the Dynamic Stiffener is fully retracted 16:20: MSLP(4) is 3 times faster than SSLP 23:58: Compared to CONSTELLATION® Vision System. Based on bench data. Mean fluctuation at flow vs. setpoint of 2.36 ± 2.13, 4.19 ± 1.97, 1.84 ± 2.82, and 2.13 ± 2.86 mmHg during phacoemulsification, irrigation/aspiration (IA), vitrectomy, and extrusion/fragmentation, respectively. †IOP setpoint as low as 16 mmHg (posterior) and 20 mmHg (anterior) without exceeding a mean fluctuation of 4.19 ± 1.97 mmHg.   References: Hypervit Directions for Use. TetraSpot Multi-spot Laser Probe Directions for Use. UNIFEYE Directions for Use. Alcon Data on File, 2024. [REF-24644] Alcon Data on file, 2024. [REF-24615] Alcon Data on File, 2024. [REF-24379] Alcon Data on File, 2024. [REF-24615] Alcon Data on File, 2024. [REF-24576] UNITY VCS and CS User Manual. Alcon Data on File, 2024. [REF-27800] Gerardo GS, Chow DR. Shovel and Cut Technique: Beveled Vitrectomy Probes to Address Diabetic Tractional Retinal Detachments. Retina. 2023. 1;43(7):1207-1208 Berrocal MH. All-probe vitrectomy dissection techniques for diabetic tractional retinal detachments: Lift and shave. Lift and Shave. Retina. 2018 Sep;38 Suppl 1:S2-S4. González-Saldivar G, Chow DR. The Shovel and cut technique: Beveled vitrectomy probes to address diabetic tractional retinal detachments. Retina. Published online ahead of print. doi:10.1097/IAE.0000000000002938. Po-Lin Chen, Yan-Ting Chen, San-Ni Chen, Comparison of 27-gauge and 25-gauge vitrectomy in the management of tractional retinal detachment secondary to proliferative diabetic retinopathy. Plos One. 2021:16(3) Kasi SK, Hsu J, Hariprasad SM. Making the Jump to 27-Gauge Vitrectomy: Perspectives. Ophthalmic Surgery, Lasers and Imaging Retina. 2017;48(6):450-456. doi:10.3928/23258160-20170601-02 James M. Lai, et all. Mechanical Property Comparison of 23-, 25- and 27-gauge Vitrectors Across Vitrectomy Systems. Ophthalmology Retina. 2022. Alcon Data on File, 2024. [REF-09694] Alcon Data on File, 2024. [REF-25374] Alcon Data on File, 2024. [REF-24899] Scarfone HA, Rodriguez EC, Rufiner MG, Riera JJ, Fanego SE, Charles M, Albano R. Vitreous-lens interface changes after cataract surgery using active fluidics and active sentry with high and low infusion pressure settings. J Cataract Refract Surg. 2024 Apr 1;50(4):333-338. doi: 10.1097/j.jcrs.0000000000001359. PMID: 37938025; PMCID: PMC10959530. Liu Y, Hong J, Chen X. Comparisons of the clinical outcomes of Centurion® active fluidics system with a low IOP setting and gravity fluidics system with a normal IOP setting for cataract patients with low corneal endothelial cell density. Front Med (Lausanne). 2023 Nov 23;10:1294808. doi: 10.3389/fmed.2023.1294808. PMID: 38076276; PMCID: PMC10704024. Taiki Kokubun, et al. Verification for the usefulness of normal tension cataract surgery. Hanga Beres, et al. Does low infusion pressure microinsision cataract surgery (LIPMiCS) reduce the frequency of post-occulsion breaks? 2022. 66(2) Rauen MP, Joiner H, Kohler RA, O'Connor S. Phacoemulsification using an Active Fluidics System at Physiologic versus High IOP: Impact on Anterior and Posterior Segment Physiology. J Cataract Refract Surg. 2024 Apr 8. doi: 10.1097/j.jcrs.0000000000001457. Epub ahead of print. PMID: 38595209.   © 2026 Alcon Inc.   04/26   US-UVC-2600054

Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis When a suicidal teen is in crisis, is the hospital really the safest call? What outpatient therapists need to know. Curt Widhalm, LMFT, leads this episode from his work running a comprehensive DBT private practice in Los Angeles that specializes in higher-acuity adolescent cases, including teens with serious suicidality, self-harm, and emotional dysregulation. These are exactly the clients most often routed toward psychiatric hospitalization or platform-based care, and Curt argues the default-to-hospital reflex frequently makes things worse, not better. Drawing on recent research and his clinical experience, Curt walks through the iatrogenic harms of adolescent psychiatric inpatient care, why post-discharge is the highest-risk window for completed suicide, and how clinician anxiety can drive premature 5150 holds and crisis referrals. Katie Vernoy, LMFT, joins with years of LPS-designated assessment experience from community mental health, naming what really happens when a teen gets sent in, including the relational rupture that often starts the moment a crisis evaluation is requested. Together they show outpatient therapists, including solo practitioners, how to build the clinical infrastructure that makes hospital diversion a real option: standardized risk assessment, collaborative safety planning that starts at intake, verbal de-escalation, family-integrated care, and wraparound treatment teams that include both formal providers and informal natural supports. This is a continuing education podcourse. Therapists can earn 1 CE credit through the Modern Therapist Learning Community at moderntherapistcommunity.com. What you'll take away: - How to recognize when a teen client really needs inpatient care, and when escalation will cause more harm than help - How to use standardized risk assessment tools (C-SSRS, LRAMP) without losing the therapeutic relationship - How to build a safety plan that actually works, and what to leave out (hint: no-suicide contracts) - What to teach parents about verbal de-escalation and environmental modifications at home - How to construct a mini Intensive Outpatient Program inside a solo or small-group practice - Who belongs on a wraparound treatment team, and how to find informal supports that families often forget to mention - How systemic barriers and health disparities shape access and outcomes for Black, Hispanic, and lower-SES adolescents Timestamps: 00:15 - CE intro and how to earn 1 CE credit 05:17 - Why outpatient therapists need real de-escalation protocols 11:23 - What actually happens during a crisis evaluation, with Katie's LPS-designated insights 18:46 - Iatrogenic harm and post-discharge suicide risk in adolescents 26:27 - Distant admissions, capped beds, and reentry into school and community 30:43 - Building safety plans from the first session, not the first crisis 34:32 - What belongs in a comprehensive adolescent safety plan 41:05 - When a teen says "I want to die," and why language matters 47:27 - Family-integrated care in solo private practice 48:56 - Building a mini IOP without the institutional overhead 55:29 - Wraparound teams and the role of informal natural supports 59:51 - ROIs, HIPAA-compliant communication, and minor consent 1:01:00 - Health disparities and access for marginalized adolescents Earn 1 CE credit: Therapists can earn 1 CE credit for this episode through the Modern Therapist Learning Community. Register, purchase the course, pass the post-test, and complete the evaluation to receive your certificate. Therapy Reimagined is approved by the California Association of Marriage and Family Therapists (CAMFT CEPA #132270). Please check with your licensing board to confirm eligibility. Full show notes, references, and transcript: mtsgpodcast.com CE enrollment: moderntherapistcommunity.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

*What is intensive treatment for OCD — and who is it actually for?*   In this episode of The OCD Whisperer Podcast, Kristina Orlova speaks with Dr. Chad Brandt, clinical psychologist and OCD specialist. Together, they explore intensive ERP treatment for severe OCD, the Bergen 4-Day Treatment model, and why longer-form exposure therapy can create rapid breakthroughs in recovery.   Dr. Chad Brandt opens up about: • His background treating severe OCD and anxiety disorders • What makes ERP (Exposure and Response Prevention) the gold standard for OCD treatment • How intensive OCD treatment differs from traditional weekly therapy and IOP programs • Why “doing exposures fully” matters more than simply doing more exposures • The most common fears and objections people have before starting ERP • Why OCD recovery is about changing your response to uncertainty — not eliminating thoughts   Whether you're navigating OCD yourself or supporting someone you love, this episode offers hope, practical insight, and a deeper understanding of what real OCD treatment can look like.  

Your teen has completed a residential rehab program to help them recover from their addiction, but it seems like they still need more support. What's next? Experts say a PHP or IOP may be worth considering. Learn more at https://clearforkacademy.com/php-iop-fort-worth/ Clearfork Academy City: Fort Worth Address: 7820 Hanger Cutoff Road Website: https://clearforkacademy.com/ Phone: +1-888-430-5149 Email: info@clearforkacademy.com

Can OCD therapy actually make OCD worse if it's done incorrectly?   In this episode of The OCD Whisperer Podcast, Kristina Orlova speaks with Dr. Fugen Neziroglu, one of the pioneers in OCD treatment and the founder of the BioBehavioral Institute. With over 50 years of experience and more than 4,000 OCD patients treated, Dr. Neziroglu shares what most people still misunderstand about OCD therapy, ERP, CBT, and recovery.   Dr. Neziroglu opens up about: • How OCD treatment looked in the 1970s before ERP, SSRIs, and CBT even existed • The surprising story behind the first OCD medication studies in the United States • Why many people think they're getting ERP therapy when they're actually not • What “real” OCD treatment should look like for severe OCD cases • Why some people need more support than once-a-week therapy • How intensive outpatient programs (IOP) and residential treatment can help people reclaim their lives   If you've ever felt like you're doing everything “right” in OCD treatment but still feel stuck, this episode may help you understand why. Whether you're struggling with contamination OCD, intrusive thoughts, severe anxiety, compulsions, or treatment-resistant OCD, this conversation offers real hope and practical insight from someone who helped shape modern OCD treatment itself.  

This episode of the Physics World Weekly podcast features an interview with Paul Howarth, who became president of the Institute of Physics (IOP) in February. The IOP is the professional body and learned society for physics in the UK and Ireland. Representing 21,000 members, it supports physicists at all stages of their careers and seeks to make physics accessible to people from all backgrounds. With a PhD in nuclear physics, Howarth has had a long career in the nuclear sector working on the European Fusion Programme and at British Nuclear Fuels, as well as co-founding the Dalton Nuclear Institute at the University of Manchester and serving as chief executive officer of the National Nuclear Laboratory. He talks to Physics World's Michael Banks about his career in nuclear energy and his priorities now as president of the IOP. These include improving physics education and raising the profile of physics and physicists across society. Howarth also voices concerns about recent funding cuts to particle physics, astronomy and space science in the UK, saying it could hamper the flow of students into the subject, with a potential impact on burgeoning areas such as quantum tech. The Institute of Physics owns IOP Publishing, which brings you Physics World.

No episódio de hoje do Check-up Semanal, o Dr. Ronaldo Gismondi, editor-chefe médico do Portal Afya e do Whitebook, comenta os principais destaques recentes em Ginecologia e Obstetrícia, com foco em insuficiência ovariana primária, úlceras vulvares, síndrome dos ovários policísticos, saúde mental na menopausa e histerectomia. Leia na íntegra os artigos mencionados hoje:Estudo analisa se início precoce da TH na IOP reduz risco de doenças crônicasÚlceras vulvares: algoritmo da ISSVD para diagnóstico e manejoGLP-1 na SOP: emagrecimento sem impacto metabólico relevante?Menopausa: 1 em cada 3 mulheres apresenta ansiedade, depressão ou insôniaHisterectomia vaginal versus laparoscópica

C.T.'s story begins with loss and instability— Like many recovering alcoholics, C.T. grew up in a fractured family. His mother died when he was five and he'd never met his biological father, early family contention centered on where C.T. should stay. He never knew why his grandparents didn't take him in, C.T. ended up being raised by his “Auntie” Irene, from whom C.T. learned values, virtues, and how to be a decent human being in a society where the pursuit of ease and comfort could morph into serious addiction to alcohol and drugs. During the 1960s, 70's, and early 80's,, C.T.'s life was disrupted many times by alcohol and drugs. Fortunately, his employer health plan afforded him treatment, IOP, and sober living as the first steps toward sobriety. The balance of C.T.'s story exemplifies the saying that, “AA is not for people who need it or want it. It's for people who do it.” Listen carefully to my interview with C.T. and you will learn dozens of ways to enrich a well-worked program as well as valuable ideas for recommitting and re-invigorating your AA Program. If you've enjoyed the interviews in this podcast series, will you do a little service work by spreading the word about this rich and meaningful listening experience? This show is another helping hand of AA we can all to extend alcoholics everywhere. AA Recovery Interviews is available on Apple Podcasts, Spotify, YouTube Music, and all other podcast providers. Or visit our website, aarecoveryinterviews.com where you can listen to every episode of AA Recovery Interviews. And if you want to contact me directly with any comments or suggestions, simple email howard@aarecoveryinterviews.com. Please also take a minute to leave a rating & review on Apple Podcasts or Spotify. If you've found meaning, hope, or inspiration through my AA Recovery Interviews podcast, I invite you to go even deeper with a truly essential resource for recovery:“Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered From Alcoholism.” This is a word-for-word, cover-to-cover reading of the First Edition of the Big Book, originally published in 1939—brought vividly to life through careful narration that lets the wisdom, clarity, and power of the text fully land. Listening allows the Big Book to meet you wherever you are: at home, on the road, or in moments when opening the book just isn't possible. It's a comfortable, meaningful, and deeply engaging way to enrich your AA program through focused listening.You can listen to a free sample  at Audible, iTunes, or Amazon. I also invite you to explore my latest audiobook:Lost Stories of the Big Book: 30 Original Stories Missing from the 3rd and 4th Editions of Alcoholics Anonymous. Narrated by me, Howard L., this audiobook restores powerful, long-forgotten personal stories that many AA members have never encountered. These original testimonials were removed to make room for newer stories in later editions—but their messages of surrender, transformation, and hope are just as vital today as when they were first written. For many listeners, this will be the first time hearing these voices speak again—honest, raw, and deeply human. Lost Stories of the Big Book is available on Audible, Amazon, and iTunes. It's also available as a Kindle book and in Paperback from Amazon for those who wish to read along while listening. Whether you're newly sober or decades into the journey, these audiobooks are must-have companions—designed to deepen understanding, strengthen connection, and help keep the message alive, one careful listen at a time. By the way, this podcast strictly adheres to AA's 12 Traditions and all General Service Office guidelines for safe-guarding anonymity on-line. I pay all podcast production costs, and no one receives financial gain from the show. AA Recovery Interviews and my guests do not speak for or represent AA at-large. This podcast is simply my way of giving back to AA that which has been so freely given to me. The next episode of AA Recovery Interviews is on the way, so keep coming back, it'll be here soon.

In episode 536 I chat with Dr. Fugen Neziroglu. Fugen is a board-certified cognitive and behavior psychologist and the Co-Founder and Executive Director of the Bio Behavioral Institute in Great Neck, NY. Fugen has published more than 150 papers in scientific journals and authored or co-authored 15 books. We discuss her rich background in the field of OCD, being mentored by the late Dr Edna Foa, the dosage of therapy, when to level up care, some of the earliest signs once a week therapy isn't working for someone, intensive outpatient programs (IOP), residential treatment, inpatient treatment, medical treatments, what an IOP should look like, adapting the IOP to the clients timeframe. We then discuss overvalued ideation (OVI), low insight, the need to deal with OVI to improve treatment effectiveness, motivational interviewing, shame, and much more. Hope it helps.  Show notes: https://theocdstories.com/episode/fugen-536  The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

This special French-language episode, hosted by Prof. Florent and featuring Prof. Philippe Denis and Dr. Alice Grise-Dulac, explores the shift toward earlier interventional glaucoma integrated into routine phaco surgery. Techniques like Elios excimer laser trabeculotomy enable safe IOP reduction and decreased medication burden, making them a practical, modern approach to glaucoma care.    The ELIOS system (Bausch & Lomb) is manufactured by MLase GmbH, located at 82110 Germering, Industriestr. 17, Germany and by WEINERT Fiber Optics GmbH, Mittlere-Motsch-Strasse 26, 96515 Sonneberg, Germany.  ELIOS is CE marked for use in adult patients with glaucoma and is currently under investigational use in the US as part of an ongoing IDE study (FDA). The ExTra II (laser class 4) has the brand name ELIOS. The ExTra II is equivalent to ExTra and AIDA devices.  Find out more about ELIOS : http://bit.ly/4lWBJZ1

Kate discusses the new paranormal podcast she started with cohosts CG Wolff and Chris Kelly. She talks about cryptids, and how she thinks they truly exist. She also gets into how many conspiracies are real, the importance of surrendering, her spiritual journey with IOP, and then pulls a tarot card. Thanks for listening! Playing with the Paranormal links:https://podcasts.apple.com/us/podcast/playing-with-the-paranormal/id1894699146https://open.spotify.com/show/4evSeANxLNiRXFP9tQp0behttps://www.youtube.com/watch?v=_NzLKiDAxzk&t=27sFollow on IG: @thekatewolff @playingwiththeparanormalAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

CME credits: 1.00 Valid until: 20-04-2027 Claim your CME credit at https://reachmd.com/programs/cme/beyond-iop-integrating-ocular-surface-resilience-into-glaucoma-management/49097/ Glaucoma care is shifting from a narrow focus on pressure targets to a broader, patient-centered approach that balances durable intraocular pressure (IOP) control with preservation of the ocular surface, comfort, and real-world adherence. But, daily practice often still defaults to drop-heavy regimens that can erode the very ocular surface on which long-term success depends. The chronic use of preserved topical medications can compromise the cornea and conjunctiva, perpetuating ocular surface disease (OSD) and ocular surface inflammation (OSI). These conditions not only degrade comfort and quality of life but also undermine adherence, accelerate treatment failure, and reduce the success rates of both medical and surgical interventions. Recent expert consensus underscores that every glaucoma patient should be screened for OSD/OSI, yet implementation remains inconsistent in daily practice. Contemporary perspectives and data support a shift toward ocular surface-sparing strategies, including preservative-free options, earlier laser strategies, and newer tear-restorative, anti-inflammatory, and neuromodulatory therapeutic options when OSD does occur.=

Today we have Lidia. She is 41 years old from Seattle, WA and she took her last drink of alcohol on August 31st, 2025.   This episode is brought to you by:   Sign up and get 10% off: Better Help   [01:40] Thoughts from Paul:   Some of you may have seen the title of today's episode which is The Best Way to Feel Better. And that's why you're tuning in – to feel better. Maybe you're in early sobriety and you're not feeling good.   Paul shares with us how the best way of feeling better has taken place in his life. It comes when he may be having a bad day but has an interview with a new guest scheduled. There have been a few times where he was hoping that they wouldn't show but has discovered that within the first few minutes of talking with them – he feels better.   The best way to feel better is to talk to another human being. Talk to someone you trust, maybe make an unplanned visit to a friend's house. There is a reason they call it the 10,000-pound phone. Because the mind (or addiction) wants you alone. Just knowing this makes it easier to pick up the phone.   [06:09] Paul introduces Lidia:   Lidia is 41 years old, and lives outside of Seattle with her husband, their daughter and their dog. For fun, Lidia enjoys hiking, puppy yoga, her daughter's Girl Scouts and the local community theater.   Lidia was born in Warsaw, Poland to young parents and says alcohol was a big part of the culture. She recalls having her first drink to celebrate her second or third birthday. When she was six, she and her mom immigrated to the US. Her mother worked a lot, which left Lidia to fend for herself a good bit.   During her teen years, Lidia would attend summer camps where it was easy to find older kids to buy her alcohol. The closest relationship she had was with     Throughout the teen years and college, Lidia says she was good at drinking and wore it as a badge of honor. After reaching adulthood, the drinking was a daily occurrence finding any excuse to drink whether at home or out with friends. Alcohol was correlated with fun at this time in her life.   Lidia met her husband when she was 27. They were both members of a rock-climbing community and became climbing partners. It wasn't long after meeting that they ended up married and having their daughter. This was the first time that her relationship with alcohol was threatened because she felt they needed to be more responsible with a child.   Lidia used alcohol to cope with postpartum depression. The first red flag first showed when she realized she was drinking and driving with her daughter. Lidia didn't know much about recovery or how to support herself through it, so she was full of shame and guilt. Eventually she told her husband and ended up enrolling in an IOP, attending AA and got sober for four years.   Because Lidia had quit for her daughter and not herself, she began to have resentments and felt like she wasn't having any fun. Since she related fun with alcohol, she went back to drinking. It was then that others were watching her and she assured them she was fine. Lidia began trying to hide her drinking because she didn't want to feel the judgment.   Last summer, Lidia was told by her husband that she would lose her family if she continued drinking like she was. They chose a quit date of September 1st and for motivation, Lidia registered for an RE trip to Costa Rica which was five months away.   The first 30 days went well for Lidia. The pink cloud arrived and she started feeling better physically. Month two found her crashing a bit and she began learning how to slow down. Going forward, Lidia is looking forward to spending more time with her daughter and the Girl Scout troop, getting involved in the local community theater and celebrating all of her wins, big and small.   Recovery Elevator We took the elevator down; we've got to take the stairs back up. We can do this. I love you guys.     RE Instagram Sobriety Tracker iTunes  RE YouTube Café RE    

Erick Rivera Grana, MD, meets with host Ogul Uner, MD, to review a case of a 34-year-old woman who experienced blurred vision and mild discomfort in her right eye with an IOP of 38 mm Hg. The patient also presented with conjunctival injection and posterior synechiae. Dr. Rivera Grana describes his diagnostic approach to this case and explains the management of uveitic ocular hypertension and uveitic glaucoma.

Have you ever felt ashamed in therapy because your behaviors aren't changing fast enough? In this episode of Ask Kati Anything, licensed marriage and family therapist Kati Morton answers 8 listener questions on eating disorders, therapy, intimacy, ego death, depression, and mental health recovery. Topics covered include eating disorder recovery, higher levels of care (IOP and PHP), what therapists notice about body language and appearance, caregiver burnout, intimacy struggles after trauma, ego death and psychedelics, DASS questionnaires, and returning depression after remission. This Week's Sponsors: Care.com — 20% off a subscription or Senior Care Advisor plan using code KATI at https://www.care.com/ Hero Bread — 10% off your order using code KATI at https://www.hero.co/ MY BOOKS Why Do I Keep Doing This? Traumatized Are u ok? ONLINE THERAPY (enjoy 10% off your first month) While I do not currently offer online therapy, BetterHelp can connect you with a licensed, online therapist: ⁠https://betterhelp.com/kati PARTNERSHIPS Nick Freeman | nick@biglittlemedia.co Disclaimer The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship. Learn more about your ad choices. Visit megaphone.fm/adchoices

Our podcast guest, Dr John Jarstad is a pioneering ophthalmologist, innovator, and humanitarian at USF Tampa in Florida, USA. Throughout his distinguished career, Dr. Jarstad has taught surgery in 25 countries and is credited with training approximately 90% of the phaco surgeons in Indonesia. He is the inventor of the "Zombie" Double Tap technique, a highly efficient method for managing IOP at the end of cataract surgery (which I use). His other innovations include the first Array MFIOL, the Sunshine CXL technique, and authoring a book about his humanitarian work.We feature a new podcast every week on Sundays and they are uploaded to all major podcast services (click links here: Apple, Google, Spotify) for enjoying as you drive to work or exercise. The full video of the podcast is here on CataractCoach as well as on our YouTube channel. Starting now we have sponsorship opportunities available for the top podcast in all of ophthalmology. Please contact us to inquire.

Dr. Jeffrey DeSarbo is a neuropsychiatrist and eating disorder specialist who draws on decades of clinical experience to examine the realities of modern-day eating disorder treatment. His insight on the evolution of ED treatment is derived from working at all levels of care, including hospitalization, residential, PHP, IOP and private practice. He discusses the evolution of treatment professionals, treatment centers, the expansion of virtual care, the insurance and monetary climate, and the increasing pressures placed on patients, families, and clinicians alike.Eating disorder care has changed dramatically over the past decade, but not all change is progress. While not dismissive of progress, Dr. DeSarbo does not shy away from difficult truths. This is an open, thoughtful dialogue grounded in clinical experience, research, and advocacy with an emphasis on placing patients and families at the center of the conversation rather than professional comfort or institutional balance sheets of the current state of eating disorder care, how it has changed over the past decade, where we are today, and where we may be headed with AI and super intelligence.This discussion also examines how clinicians are trained, where education succeeds, and where it falls short. It addresses the growing tension between research, clinical practice, and real-world outcomes, and openly acknowledges the role that financial and structural incentives can play in shaping treatment systems. Dr DeSarbo can be reached at:drdesarbo@gmail.comDrDBucketList.comED-180.comBucketListDoctor.comRecorded at ROC Vox Recording & Production Studios, Rochester, NY  rocvox.com

Dr. Georgina Smith is the founder of Revolve Recovery, a trauma-focused IOP in California, and creator of the Trauma Ecology Integration Model (TEIM™). TEIM™ views trauma as a dynamic ecology, shaped not only by individual experience but also by relational, generational, institutional, and cultural ecosystems. This approach reframes healing beyond individual resilience, helping both clinicians and clients understand trauma's wider orbits of harm and adaptation.  In This EpisodeGeorgina's websiteIGBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.You can learn more about what I do here:The Trauma Therapist Newsletter: celebrates the people and voices in the mental health profession. And it's free! Check it out here: https://bit.ly/4jGBeSa———If you'd like to support The Trauma Therapist Podcast and the work I do you can do that here with a monthly donation of $5, $7, or $10: Donate to The Trauma Therapist Podcast.Click here to join my email list and receive podcast updates and other news.Thank you to our Sponsors:Jane App - use code GUY1MO at https://jane.app

In The Peer Perspective episode 3 we dive into the college process and senior year! Our hosts talk about their own experiences with the college process and Ava's time in an IOP program during her senior year of high school. We also interview a peer to get an additional view of the college process and see how it effects individuals. 

Do you have a family member/loved one struggling with addiction? Join Our FREE WEBCLASS! https://familyreconnectprogram.com/optin-page She got sober at 18 years old — before she ever had a legal drink. In this episode, I sit down with Anna, a 19-year-old who went through multiple treatment attempts, residential, PHP, IOP — the whole process — and came out the other side with a year and a half of sobriety, a job in treatment, and a life she's actually proud of. We talk about what finally made it click, what her parents did right (and what they struggled with), and why waiting for someone to "hit rock bottom" might not mean what you think it means. If you're a parent watching this wondering what you could have done differently — this episode is for you. And if you're young and think you're too young to have a real problem — this one's for you too.  

This milestone episode marks the first COPE-approved CE activity offered through The 20/20 Podcast in partnership with the New England College of Optometry. Dr. Harbir Sian presents his signature lecture on “The Business of Myopia,” focusing not on clinical refraction techniques, but on the real-world systems required to deliver effective myopia management in everyday practice. Dr. Sian reframes myopia as an ocular disease with a refractive component and outlines how optometrists must move beyond simple correction toward comprehensive, lifelong management. The lecture walks listeners through the entire patient experience—from online discovery and front-desk scripting to consultation design, equipment decisions, treatment selection, documentation, pricing, and marketing. Whether you are just starting with myopia control or refining an established program, this episode provides a practical blueprint for building a scalable, profitable, and patient-centered myopia service. Key TakeawaysThink Beyond Correction → Think ManagementMyopia must be treated as an ocular disease, not just a refractive error. True management spans prevention, treatment, monitoring, and lifelong eye health.The Patient Journey Starts Before the ExamWebsites, phone scripting, intake forms, and in-office messaging determine whether families engage in myopia care before the doctor ever enters the room.Start Small, Build Systems FirstBegin with one treatment modality and focus on protocols, staff training, and communication tools before expanding to multiple options.Axial Length Is the Critical MetricJust as IOP guides glaucoma care, axial length measurement is essential for tracking myopia progression and treatment success.Compliance Drives OutcomesThe “best” therapy is the one the child will actually use—treatment selection must be individualized around lifestyle, motivation, and family preferences. How to Earn Your CE CreditListen to the full episode on your preferred platform.Visit: https://neco.pdx.catalog.canvaslms.com/Register for the course and complete the short quiz.Download your COPE certificate for 1 hour of CE credit.Connect with Harbir:InstagramLinkedInYouTube

Say It Brave On Campus, Episode 1 We chose to honor this year's National Eating Disorders Awareness Week by trying something new - our first ever mini-series. The topic? Real stories from the intersection of college life, mental health, and eating disorders. So, for the next few days you'll see three back-to-back episodes appear in your feeds, each taking a different angle on these pivotal years. You'll also have the chance to meet a new guest host, Shannon Kopp, who has spent years cultivating recovery-focused relationships on campuses around the country.  For the first episode, Shannon talks with UC Davis graduate, Eli Teel, about navigating a mental and physical metamorphosis during college. He shares how academic pressure, gender dysphoria, and the shift to college contributed to the development of an eating disorder — and why coming out about it felt harder than coming out as trans.  Shannon and Eli's conversation brings a personal perspective to the intersections of LGBTQ+ mental health and eating disorders, the role of different treatment levels -  residential, IOP and PHP - and why multiple rounds of treatment can feel like failure, but is actually meaningful progress.  Links: Eli Teel:  eatingrecoverycenter.com/profile/eli-teel Mental Note Podcast www.mentalnotepodcast.com  Pathlight Mood & Anxiety Center: www.pathlightbh.com     Eating Recovery Center: www.eatingrecoverycenter.com Free Group Support: https://www.pathlightbh.com/support-groups    Free Evaluation with a Trained Therapist:  (877) 850-7199 

Too busy to read the Lens? Listen to our weekly summary here! In this week's episode we discuss:Glaucoma patients who sleep with 2 pillows at night may have increased nocturnal IOP, worse IOP fluctuations, and lower ocular perfusion pressure.Glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter-2 inhibitors, commonly used for weight loss and type 2 diabetes treatment, may be associated with increased risk of developing non-arteritic ischemic optic neuropathy.Radiomics analysis of optical coherence tomography imaging with machine learning demonstrates accuracy in identifying microscopic corneal texture features in the early stages of keratoconus with potential to serve as an image biomarker for disease detection.

In this episode, Marc Bloomenstein, OD, FAAO, talks with Mitch Ibach, OD, FAAO, who practices at Vance Thompson Vision, in Sioux Falls, South Dakota, an OD-MD tertiary referral center. The pair opened the conversation with what's new and exciting in patient care, including a newly-approved presbyopia combination drop, carbachol and brimonidine tartrate (Yuvezzi, Tenpoint Pharmaceuticals). Dr. Ibach then shared a few developments coming out of Vance Thompson, including an ocular IOP-adjusting pump for significant glaucomatous disease and the benefits of cultured endothelial cells for Fuchs dystrophy.

Welcome to GT: The Podcast! In this episode, glaucoma specialists share the approaches and pearls they wish they had discovered sooner, as featured in the November/December 2025 issue of Glaucoma Today. Kateki Vinod, MD, and Won I. Kim, MD, share their reflections on IOP monitoring and how home tonometry has changed their respective practices. Later, Jenny Lu describes age-related neuroretinal alterations and how these changes can mimic glaucomatous damage, as covered in an article by Shuning Li, MD, PhD, and Ying Han, MD, PhD.

Text Me!White-knuckling through detox and hoping for the best isn't a strategy, and for many people, it's the reason they keep ending up back in crisis.In this episode of the Sober Vibes Podcast, I chat with addiction recovery specialist and nurse practitioner Trent Carter to unpack a smarter, more sustainable approach to recovery, one that treats addiction like the chronic condition it is and builds a real bridge from crisis to long-term stability.Trent explains why ER detox loops and one-size-fits-all treatment scripts leave people stranded, and how targeted medications, clear education, accountable follow-up, and real-life structure can make sobriety feel achievable instead of fragile.Together, we talk through the Three Pillars of Change — awareness, education, and action and show how these pillars turn lofty recovery goals into daily, realistic wins. Trent breaks down when medications like naltrexone or buprenorphine can be helpful, why “meds as a crutch” is the wrong frame, and how to think about tapering versus long-term maintenance with honesty and clarity.This episode is practical, science-backed, and deeply hopeful, reminding listeners that recovery becomes sustainable when the plan actually matches real life.In this episode, you'll learn:Why ER detox loops and poor discharge planning fail peopleGaps in addiction care quality and educationWhy medication-assisted treatment is a bridge, not a crutchHow outpatient and IOP programs support real-life recoveryWhy inpatient treatment must be followed by strong aftercareResources Mentioned:Subscribe to my YouTube Channel1:1 CoachingMy Book Connect with Trent:WebsiteBookPODCAST SPONSOR:This episode is sponsored by Soberlink, a trusted accountability tool for anyone navigating early recovery. Whether you're rebuilding trust with loved ones or want more structure in your sobriety, Soberlink offers a discreet and empowering way to stay on track.Sober Vibes listeners, sign up HERE and claim our $100 Enrollment Bonus.This episode is sponsored by ExactNature, a trusted holistic tool for anyone navigating recovery and sobriety. Use code SV25 at checkout to save on your order. Click here to shop and save. Grab my Masterclass for Free:Gain access to my Masterclass when you submit a review on iTunes. Email me sobervibes@gmail.com with a screenshot of the review, and I will send you the code to unlock mThank you for listening! Help the show by Rating, Reviewing, and/or Subscribing to the Sober Vibes Podcast. Connect w/ Courtney:InstagramJoin the Sobriety Circle Apply for 1:1 CoachingOrder the Sober Vibes Book

Sobriety is hard—and recovery is a full-time job. Parenting is hard—and more than a full-time job. Sarah Allen Benton is an Advanced Alcohol and Drug Counselor and Licensed Mental Health Counselor. She is Chief Clinical Officer and co-owner of Waterview Behavioral Health. She is co-owner of Benton Behavioral Health Consulting, LLC, offering clinical and business support services to innovative addiction and mental health companies. She holds a Master of Science in Counseling Psychology with an emphasis in Health Psychology. Sarah has been sober for more than 20 years; she has been a mother for 13. She is far from alone, approximately 20.9 million consider themselves in recovery from a substance use disorder (SUD). It is fair to say millions are also parents. In PARENTS IN RECOVERY: Navigating a Sober Family Lifestyle (Rowman & Littlefield), Sarah draws on research, professional expertise and deeply personal experience to support mothers and fathers as they navigate their way through parenting while embracing a sober lifestyle. From “wine mom culture” to social media FOMO, Benton covers every aspect of living sober while raising children. Amazon: Parents in Recovery: Parents in Recovery: Navigating a Sober Family Lifestyle Understanding the High-Functioning Alcoholic: https://www.amazon.com/Underst... Facebook: https://www.facebook.com/sarah... Parents in Recovery Support Group Facebook: https://www.facebook.com/share... Linked In: https://www.linkedin.com/in/sa... Instagram - @parentsinrecovery Website:www.bentonbhc.comwww.waterviewbh.com Sarah Allen Benton, M.S., LMHC, CADC, is a leading authority in addiction and mental health, known for her clinical expertise and published work. As an Advanced Alcohol and Drug Counselor (CADC) and Licensed Mental Health Counselor (LMHC), she brings over 20 years of lived experience as a parent in recovery from alcohol use disorder to her practice. Clinical and Business Leadership Chief Clinical Officer & Co-founder: Sarah Allen Benton is the CCO and co-founder of Waterview Behavioral Health (Wallingford, CT), a specialized mental health intensive outpatient program (IOP) providing crucial services for individuals with complex needs. Website: https://www.waterviewbh.com/ Co-owner: She is also the co-owner of Benton Behavioral Health Consulting, LLC, which offers clinical and business support services, including strategic consulting, to innovative mental health and addiction companies across the industry. Website: https://www.bentonbhc.com/ Expertise: Her background includes roles as a therapist and clinical consultant across various levels of care, practices, and start-ups, including experience at McLean Hospital in their dual diagnosis transitional treatment program. Published Work and Education Author: Benton is the highly-regarded author of Understanding the High-Functioning Alcoholic (2009), a foundational text that provides insight into high-achieving individuals struggling with alcohol use disorder, a common area of her expertise. Education: She holds a Master of Science in Counseling Psychology with an emphasis in Health Psychology from Northeastern University, Bouvé School of Health Sciences. Location and Credentials Location: Killingworth, Connecticut Credentials: M.S., LMHC, CADC This profile emphasizes her dual role as a clinical expert and a behavioral health entrepreneur, making her a highly discoverable authority in addiction recovery, sober parenting, and high-functioning alcoholism treatment. Meet Ash Brown, the dynamic American powerhouse and motivational speaker dedicated to fueling your journey toward personal and professional success. Recognized as a trusted voice in personal development, Ash delivers uplifting energy and relatable wisdom across every platform. Why Choose Ash? Ash Brown stands out as an influential media personality due to her Authentic Optimism and commitment to providing Actionable Strategies. She equips audiences with the tools necessary to create real change and rise above challenges. Seeking inspiration? Ash Brown is your guide to turning motivation into measurable action. The Ash Said It Show – Top-Ranked Podcast With over 2,100 episodes and 700,000+ global listens, Ash's podcast features inspiring interviews, life lessons, and empowerment stories from changemakers across industries. Each episode delivers practical tools and encouragement to help listeners thrive. Website: AshSaidit.com Connect with Ash Brown: Goli Gummy Discounts: https://go.goli.com/1loveash5 Luxury Handbag Discounts: https://www.theofficialathena.... Review Us: https://itunes.apple.com/us/po... Subscribe on YouTube: http://www.youtube.com/c/AshSa... Instagram: https://www.instagram.com/1lov... Facebook: https://www.facebook.com/ashsa... Blog: http://www.ashsaidit.com/blog #atlanta #ashsaidit #theashsaiditshow #ashblogsit #ashsaidit®Become a supporter of this podcast: https://www.spreaker.com/podcast/ash-said-it-show--1213325/support.

Contributor: Taylor Lynch, MD Educational Pearls: What is orbital compartment syndrome, and how is it assessed in the emergency room? Orbital compartment syndrome (OCS) is an emergent ophthalmic condition in which intraorbital pressure in the orbital compartment rises dramatically, compromising perfusion of the optic nerve and retina, leading to risk of irreversible vision loss. OCS occurs in the context of traumatic lesions with retrobulbar hemorrhage. Intraocular pressures (IOP) are measured via tonometry as a surrogate for intraorbital pressures, with emergent pathology being present when IOP exceeds 30-40 mmHg (normal being around 20 mmHg). What might be some physical exam findings beyond increased IOP for orbital compartment syndrome? Proptosis (physical outward protrusion of eye) with resistance to being pushed posterior. Afferent pupillary defect (when the non-impacted eye has light shown into it, the impacted eye will have pupillary constriction, and when light is removed it will begin to dilate, but when light is shown into the impacted eye, it will not constrict and continue to dilate). Generalized complaints of vision loss or an inability to move the eye. What is the treatment for orbital compartment syndrome? Lateral canthotomy must be performed immediately upon clinical suspicion as permanent vision loss can occur within minutes to hours.  Lateral canthotomy Step-by Step: Ideally have the patient sedated or highly cooperative. Numb and vasoconstrict the surrounding eye/orbital skin tissue with lidocaine and epinephrine. Take hemostats and clamp the interior and exterior eyelid at the lateral canthus at a 90º angle towards the orbital rim for 30-60 seconds to further devascularize the region. Take iris scissors and cut laterally to the orbital bone/rim to reveal the lateral lanthal tendon. Cut the inferior crus of the lateral lanthal tendon as this will provide the most significant reduction in IOP. Reassess IOP during each step of the procedure to measure procedure efficacy. If no pressure reduction is noted with inferior cantholysis, cutting the superior crus of the lateral canthal tendon may be required to further allow the eye to bulge out and reduce intraorbital pressure. Big takeaways? Ocular compartment syndrome is a rare but emergent vision threatening condition that requires immediate lateral canthotomy to reduce intraocular and intraorbital pressures. Lateral canthotomy done within 30-60 minutes of symptom development can save the patient from permanent vision loss. References: Mohammadi F, Rashan A, Psaltis A, et al. Intraocular Pressure Changes in Emergent Surgical Decompression of Orbital Compartment Syndrome. JAMA Otolaryngol Head Neck Surg. 2015;141(6):562-565. doi:10.1001/jamaoto.2015.0524 Haubner F, Jägle H, Nunes DP, et al. Orbital compartment: effects of emergent canthotomy and cantholysis. Eur Arch Otorhinolaryngol. 2015;272(2):479-483. doi:10.1007/s00405-014-3238-5 Bailey LA, van Brummen AJ, Ghergherehchi LM, Chuang AZ, Richani K, Phillips ME. Visual Outcomes of Patients With Retrobulbar Hemorrhage Undergoing Lateral Canthotomy and Cantholysis. Ophthalmic Plast Reconstr Surg. 2019;35(6):586-589. doi:10.1097/IOP.0000000000001401 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Gaby: Hello! Hope your having a great day. I searched your podcast for something on birth defects, but didn't find a lot. Can you tell me what causes birth defects (besides genetics) and how to prevent them (even with genetics). And if I have MTHFR, should I be concerned about using 1020 mcg of L-5MTHF? I heard that that amount can build up in the body even with this form. I'm using a prenatal with that amount and I'm hoping to become pregnant next year.                                      Derrick: Hi there. My dad is on dialysis and needs to have a kidney transplant. I would love him to see a FM doctor but at 71, the approach feels completely foreign. Please can you help with any diet/supplement recommendations / foundations that could support him. The smallest tips that provide the biggest impact would be so appreciated.              Dana: Hi Dr. Cabral, I listened to your review of the Neuropod. I was wondering if you measured the emf's? And what level were they? Thank you, Dana                                                                                                                                                   Mohamed: Good day Dr.Cabral, appreciate all the work you do and the entire Equilife team. Thanks for everything. My question is regarding IOP pressure. Laser eye surgery due to "drainage" was mentioned however it seems like it's more for "preventative purposes". However the alternative mentioned was a 20-30% risk of developing acute glaucoma. Her IOP is normal for now… no other alternatives were suggested. I feel like they are jumping to laser eye surgery (risk).. thoughts? Any other tips for eye health in general, nutrition supplements.. etc. I know you mentioned Lutin before. Thanks                                                                                                                                             Sarah: I heard you mention that you add psyllium husk to your shake every day. I am starting to add psyllium husk to my diet, but I am wondering about timing. I read that you should take psyllium one hour before or two hours after any supplements as it can combine with certain nutrients and reduce absorption. If you add the psyllium to your shake with the DNS Powder, does that not reduce absorption of any of the nutrients? I just started taking it and have been careful to take it away from my supplements, but it would be much easier to just take with my shake or meal. I really appreciate your help!           Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3586 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Too busy to read the Lens? Listen to our weekly summary here! In this week's episode we discuss...Nearly half of childhood glaucoma surgeries in a new IRIS analysis failed, with younger age, higher IOP, poorer visual acuity, active uveitis, and heavier medication use as predictors for failure.Diabetes does not impair endothelial outcomes at one year, supporting greater inclusion of transplant donors with diabetes and widening the pool of corneal tissue availability.Statins may be beneficial in slowing age related macular degeneration progression in type 2 diabetics with dyslipidemia.Anti-mRNA-184 in vivo and vitro models reveal significantly faster corneal epithelial wound healing, turnover, and migration.

In today's episode, I'm joined by someone whose work feels both timely and deeply needed — Licensed Marriage & Family Therapist and eating disorder specialist, Chantia Sturman. She's the founder of Darling, Arise, a powerful self-paced course designed to help moms raise confident daughters who feel at peace with food and at home in their bodies.Chantia has spent years walking with women and girls through healing — from IOP and PHP levels of care, to outpatient therapy, to nearly three years serving in schools. She brings wisdom from every stage of the journey, and she delivers it with a calm strength that mothers will feel the moment she speaks.In this conversation, we talk about:What daughters actually need from us in order to develop a healthy relationship with food and identityHow to speak truth into our girls without making their bodies the focusSubtle ways diet culture sneaks into Christian homes — and how to gently guard against itHow God invites us to root our worth in who He says we are, not how we appearPractical tools you can start using in your home todayAnd how moms can heal their own relationship with food and body so they can model freedom for their daughtersChantia's mission is simple and so aligned with our heart here: to help families build homes where identity, purpose, and God-given worth run deeper than appearance. Through therapy, education, and compassionate guidance, she equips moms with the tools they need to raise girls who walk confidently in who God made them to be.This episode is gentle, rich, and full of the kind of truth that stays with you. Whether you're raising daughters or simply wanting to heal parts of your own story, you will feel encouraged, seen, and strengthened.Grab a cup of something warm, settle in, and join us for this beautiful and important conversation.Find Chantia at:Private Practice: www.tapestrycounselingco.comOnline Course: www.darlingarise.com

Ogul Uner, MD, invites Ta Chen Peter Chang, MD, a pediatric glaucoma specialist, to review a case of a 9-month-old boy who presented with significant photophobia in both eyes. Examination showed IOP of 32 mm Hg in the right eye and 29 mm Hg in the left eye with moderate optic nerve cupping in both eyes. Dr. Chang shares what additional information he would look for to make a diagnosis of pediatric glaucoma. He also shares insights from the Childhood Glaucoma Research Network, a consortium of glaucoma specialists that has developed a consensus of diagnostic criteria. 

Girlfriend, maybe you've been struggling with disordered eating for decades and you don't want to put your life on hold to go into a full-blown treatment facility. Maybe you have kids at home, aging parents to care for, or a career you can't walk away from. Or maybe you don't even know what options are available, so you just stay stuck thinking you'll manage it all by yourself. Girl, you weren't meant to do this alone. In this episode, host Lindsey Nichol breaks down the 6 different levels of eating disorder treatment and care - from outpatient support to acute medical stabilization - so you can understand what's available and what might be best for YOUR unique situation and life circumstances. Lindsey shares her own treatment journey through IOP and day treatment, and why finding the right level of care that fits your life is so important. Whether you're a busy mom, working woman, caregiver, or someone who simply can't leave home for residential treatment, this episode will help you understand all your options - including recovery coaching as a personalized support option. You deserve a life free from the chains of disordered eating. And it starts with knowing what treatment options are out there. In This Episode, You'll Learn: The 6 Levels of Eating Disorder Treatment: Level 1: Outpatient Care What it is: Weekly sessions with a care team while living at home Who it's for: Those deemed medically stable who need ongoing support What's included: Dietitian, therapist, medical doctor, support groups Best for: Maintaining school, work, family life while getting treatment Level 2: Intensive Outpatient Program (IOP) What it is: Multiple sessions per week in specialized settings Where it happens: Treatment centers or hospitals What's included: Group therapy, individual therapy, structured programming Lindsey's experience: This is where she spent the majority of her recovery Level 3: Partial Hospitalization Program (PHP) / Day Treatment What it is: 5-6 days per week, 6-8 hours per day Structure: More intensive than outpatient, includes meals and therapies What happens: You return home in the evenings Lindsey's experience: Combined with IOP while in school - included therapies and support groups Level 4: Residential Treatment What it is: 24-hour care and supervision (inpatient experience) Who it's for: Those medically stable but requiring intensive support Where it happens: Medical hospitals, centers, or homelike facilities Structure: Full-time structured environment with comprehensive care Level 5: Inpatient Hospitalization What it is: Most appropriate for high-intensity medical/psychiatric needs Structure: 24-hour medical psychiatric facility Who it's for: Those not responding to other treatments, experiencing self-harm, severe depression, or needing intensive medical oversight Level 6: Acute Medical Stabilization What it is: The highest level of critical care for eating disorders Who it's for: Those medically unstable due to severity or medical complications Primary focus: Physical stabilization before moving to other treatment levels Plus: Recovery Coaching as a Treatment Option What it is: One-on-one virtual support for guided accountability and actionable recovery steps Who it's for: Those who can't or won't go into residential but need support How it works: Weekly sessions focused on action, not diagnosis Can be layered: Works alongside therapy, dietitian, and medical care Key Takeaways: ✨ Treatment is personalized - what works for someone else may not work for you, and that's okay ✨ You don't have to choose residential - there are multiple levels of care that allow you to stay home ✨ Recovery is NOT black and white - you can get support at various levels based on your life circumstances ✨ You weren't meant to do this alone - even if you can't go to residential, you need SOME level of support ✨ Everyone's recovery is their own - your journey is unique and valid regardless of which level of care you choose ✨ Recovery coaching is a valid option - especially when layered with other care team members ✨ You owe you, sister - putting yourself first isn't selfish, it's necessary ✨ More options exist now - compared to years ago, there are so many more treatment options available Powerful Quotes from This Episode: "You deserve a life that's free from the chains of disordered eating" "Maybe you don't even know what options are available for you, so you just stay here thinking you're gonna manage it all by yourself" "Everyone's recovery is your recovery. Your journey is your journey" "What's best for you might not be best for me. What worked for me might not work for someone else" "You weren't meant to do life alone. You definitely weren't meant to do the hard things alone" "You owe you, sister" "It's not black and white. There's so many other options" "What matters is that you're standing up for you" "You are worth it. You deserve it" "Everyone else in your life is gonna benefit when you can start putting you first" Important Information About Each Treatment Level: When to Consider Outpatient: You're medically stable You can maintain work/school/family responsibilities You need ongoing support and accountability You're in maintenance or relapse prevention phase When to Consider IOP: You need more structure than weekly appointments You can still live at home You benefit from group support You need multiple therapy modalities When to Consider PHP/Day Treatment: You need daily structure but can return home at night You require meal support You need more intensive care than IOP You're transitioning from residential or preventing residential When to Consider Residential: You need 24-hour support but are medically stable Your home environment isn't supportive of recovery You need complete immersion in treatment Outpatient options haven't been effective When to Consider Inpatient: You're experiencing severe symptoms There's self-harm or suicidal ideation You need medical and psychiatric oversight You require the highest level of structure When to Consider Recovery Coaching: You can't or won't do residential treatment You have kids, aging parents, or career obligations You want actionable support, not diagnosis You're looking for relapse prevention You want to layer support with existing care team What Makes Recovery Coaching Different: Not therapy: Coaches don't diagnose or address trauma - they focus on forward action Accountability structure: Weekly sessions keep you committed to your recovery goals Actionable support: Focused on practical steps like facing fear foods, getting off the scale, eating out with family Virtual and flexible: Fits into busy lives with kids, work, caregiving responsibilities Layered care: Works alongside dietitians, therapists, and medical professionals Relapse prevention: Helps maintain recovery after intensive treatment Questions to Ask When Choosing Treatment: What level of medical stability am I at currently? What are my life circumstances? (Kids, work, caregiving, school) Can I leave home for treatment, or do I need to stay local? What treatment options are available in my area? What does my insurance cover? Do I need 24-hour support or can I manage with weekly sessions? Am I willing to commit to doing the work required at each level? What has or hasn't worked for me in the past? Do I have a support system at home? What does my healthcare team recommend? Action Steps After This Episode: Assess where you are: Are you medically stable? What symptoms are you experiencing? Talk to a healthcare professional: Schedule appointments with your doctor to discuss which level of care is appropriate Research local options: Google treatment centers, IOP programs, PHP programs in your area Consider online options: Virtual recovery coaching, online support groups, telehealth therapy Build your care team: Even if you can't do residential, assemble support (dietitian, therapist, coach, doctor) Stop doing this alone: Commit to getting SOME level of support starting today Reach out: If recovery coaching interests you, visit lindseynickel.com to learn more Who This Episode Is For: This episode is essential listening if you: Don't know what eating disorder treatment options exist Think residential is your only option (and you can't do it) Have been doing this alone and need to know what help is available Are a busy mom, working woman, or caregiver who can't leave home Have been in treatment before and need to know what's next Are researching options for a loved one struggling with disordered eating Want to understand the difference between IOP, PHP, and residential Need permission to choose the treatment level that fits YOUR life Are looking for alternatives to inpatient treatment Want to layer recovery coaching with your existing care team Resources Mentioned: National Alliance for Eating Disorders: Information on treatment levels and resources National Eating Disorders Association (NEDA): Comprehensive treatment information and support Recovery Coaching with Lindsey: One-on-one virtual support, weekly sessions, actionable recovery tools Her Best Self Facebook Community: Support group for women in recovery Important Reminder: Lindsey is NOT a medical professional. The information in this episode is based on her personal experience and education but should not replace consultation with a licensed healthcare professional. Always speak with your doctor, therapist, or treatment team to determine which level of care is most appropriate for your specific situation. Connect with Lindsey Website: www.herbestself.co  Private Facebook Community: Her Best Self Society www.herbestselfsociety.com  Client Applications: HBS Co. Recovery Coaching - Client Application - Google Forms About the Host Lindsey Nichol is a former competitive figure skater turned God-led entrepreneur, boy mom, and digital CEO. She understands how core beliefs formed in childhood can create and maintain eating disorder patterns, and she's passionate about helping women identify and transform these beliefs to find lasting freedom. If this episode helped you identify the core beliefs feeding your eating disorder, please share it with someone who needs to hear this message. Your support helps more women break the chains of limiting beliefs. *While I am a certified health coach, anorexia survivor & eating disorder recovery coach, I do not intend the use of this message to serve as medical advice. Please refer to the disclaimer here in the show & be sure to contact a licensed clinical provider if you are struggling with an eating disorder.

What do you want out of life?Six pack abs?Millions of dollars?A life full of loving relationships?Anything worthwhile also has a cost.Are you willing to pay the price to have those things?Learn how to evaluate that cost…And how to create a community of people to help you keep going when you feel like it's not worth it…In today's episode.Listen on the Strong Men Strong Marriages Podcast. https://strongmenstrongmarriages.buzzsprout.com/Watch on YouTube here.https://www.youtube.com/watch?v=JMlSxHQEuNYDr. MikeP.S. Strong Men Strong Marriages is becoming Grounded in God in 2026. We'll be starting with a group of 5-7 men as our Founder's Group. Reply to this email if you're interested in joining. More details to come. P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

Let's be honest: the decision to go into a treatment program can feel terrifying. You're juggling work, kids, a million invisible tasks—and the idea of raising your hand and stepping away (even briefly) can feel impossible. What if people judge you? What if your boss notices? What if your partner uses it against you? What if the moms at the bus stop whisper? Here's the truth I wish someone had told me: the fear of getting help is almost always louder than the reality of it. I was much more worried about what people might think if I stopped drinking than I ever was about showing up hungover on a Tuesday. (Make it make sense, right?) To pull back the curtain and demystify treatment, I sat down with Jana Wu, Director of Clinical Integration at Mountainside Treatment Center and a mom in recovery who's helped women navigate every pathway: detox, inpatient, PHP, IOP, outpatient, medication—without shame and without blowing up their lives.  I asked Jana to share how to choose the right level of care, what modern programs actually look like, and how families can support—not sabotage—your healing. For the full shownotes, kindly go to this podcast episode link: https://hellosomedaycoaching.com/scared-to-try-rehab-real-talk-on-inpatient-outpatient-detox-and-recovery-options-for-women/ 4 Ways I Can Support You In Drinking Less + Living More Join The Sobriety Starter Kit, the only sober coaching course designed specifically for busy women. My proven, step-by-step sober coaching program will teach you exactly how to stop drinking  — and how to make it the best decision of your life. Save your seat in my FREE MASTERCLASS, 5 Secrets To Successfully Take a Break From Drinking  Grab the Free 30-Day Guide To Quitting Drinking, 30 Tips For Your First Month Alcohol-Free. Connect with me for free sober coaching tips, updates + videos on YouTube, Instagram, Facebook, Pinterest and TikTok @hellosomedaysober. Love The Podcast and Want To Say Thanks? ☕ Buy me a coffee! In the true spirit of Seattle, coffee is my love language. So if you want to support the hours that go into creating this show each week, click this link to buy me a coffee and I'll run to the nearest Starbucks + lift a Venti Almond Milk Latte and toast to you! https://www.buymeacoffee.com/hellosomeday 

Rachel Chapman recaps her article, “Tube Erosion,” which was written with Matthew Henderson, MD; Dan Arreaza-Kaufman, MD; Jonathan Eisengart, MD; and Mary Qiu, MD, and was featured in the May/June issue of Glaucoma Today. Glaucoma drainage implants can lower IOP and preserve patients' vision, but the devices carry the risk of tube erosion, a serious complication that requires prompt surgical management. Ms. Chapman reviews the rates of tube erosion, risk factors, strategies for prevention, and techniques for surgical revision.

Send us a textThe hardest conversations often happen in the quiet minutes between calls. We sat down with clinician and co-response partner Amanda Rizoli to explore how real support for first responders is built—on language, trust, and the discipline to show up when services are thin and the need is loud. Amanda works alongside the Milford Police Department's Family Services Unit and partners with Community Impact, Chris's Corner Recovery Resource Center, and New England Medical Group to create a wraparound model that meets people where they are.We talk through the realities of police and EMS life: constant hypervigilance, the pull toward numbing after shift, and the challenge of switching from fight-or-flight to family dinner. Amanda breaks down how she approaches alcohol as a coping strategy without judgment, how she teaches practical skills like structured decompression and tactical breathing, and why brief, timely check-ins during ride-alongs can open doors that a formal office visit can't. She also shares how a therapy canine lowers defenses on scene, and how clinicians earn credibility by respecting patrol's turf and knowing when to step back.Culture and language shape access. As a trilingual clinician, Amanda navigates the nuances of Portuguese and Spanish dialects across Portugal, Brazil, and Latin America, where stigma can be high and immigration status complicates care. We dig into the shift among younger parents willing to break cycles of silence, and how targeted outreach, transparent pathways, and confidentiality build trust. Families matter here: spouses can act as early warning systems, keeping communication open and knowing when work stress is spilling into home. Periodic joint sessions help couples tune the signal without turning the house into a clinic.If you care about officer wellness, community trust, and practical ways to prevent burnout, this conversation delivers a grounded playbook: co-response done right, multilingual services, stepped care from outpatient to IOP, and the small, repeatable habits that actually make a difference after shift. Subscribe, share with someone who needs it, and leave a review to help more first responders and families find these tools.Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast

Do you have to do things?Work? Be a good dad? Be a good husband?Do your kids have to do things? Get their jobs done? Go to school?Does your wife have to do things? Give you attention, appreciation, affection and sex?Here's the thing.When we think we and others HAVE TO do things…It creates BURDEN.And, most people don't want to be in a relationship that feels like a burden.Instead, what do you WANT to create in your relationships?And how can you align what you want with what the important people in your life want?This question unlocks creativity, freedom and happy relationships.Listen on the Strong Men Strong Marriages Podcast. https://strongmenstrongmarriages.buzzsprout.com/Watch on YouTube here.https://www.youtube.com/watch?v=0DMR62z2mgADr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

I know. We talk about how you shouldn't really need these things from your wife.But, we all want them.And, there're nothing wrong with wanting them.After a tough therapy session this week, God helped me understand how taking care of a wife actually works.So that she freely gives attention, affection, appreciation and sex to her husband.Learn what it is in today's episode.Listen on the Strong Men Strong Marriages Podcast. https://strongmenstrongmarriages.buzzsprout.com/Watch on YouTube here.https://www.youtube.com/watch?v=hkvJVRQj50EDr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

For some people struggling with OCD, specialized weekly therapy isn't enough. The symptoms can be too intense, the progress too slow, or the support just not consistent enough to make a real change. That's where higher levels of care could be in play. In this video, clinician Lori Johnson and Dr. Patrick McGrath explain what intensive programs like IOP and PHP actually look like, who they're for, and why needing more help doesn't mean you're failing — it just means you're ready for the next step toward recovery.At NOCD, we specialize in Exposure and Response Prevention therapy, the most effective treatment against the disorder. Want to explore your treatment options? Book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd Hosted on Acast. See acast.com/privacy for more information.

What is your main goal as a husband?What is your main goal as a father?Not what are your many goals, but what is your MAIN goal?If you haven't really defined this, you're probably optimizing for something unconscious.And, that's probably based on your own upbringing.So, if you're not quite getting the results you want as a husband and father…It's time to be more conscious of what you are optimizing for…Defining it…And working daily towards it.Learn how in today's episode.Watch on YouTube here.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

I had a tougher day today.Wishing that my wife would give me more attention, appreciation, affection and sex.Feeling like I couldn't be happy until she did.Then, God reminded me: Who is in charge of your happiness?If I can only be happy if the people around me are acting certain ways…I'm giving my power over to them.Does that mean I just wait patiently forever and not get anything I want?No. It means I ask for what I want, work with my wife and others to find win-wins, and set boundaries of what I will and will not do if my requests are not met.That's where wisdom, prayer, and coaching come in.To help you learn to do that.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

Most people think OCD treatment is just meeting with a therapist once or twice a week. But what happens when that's not enough?In this episode of the Get to Know OCD podcast, Dr. Patrick McGrath sits down with Lori Johnson — a clinician who has worked in every level of care, from inpatient hospitals to outpatient therapy. They explain what “higher levels of care” really mean, including intensive outpatient programs (IOP), partial hospitalization programs (PHP), and residential treatment. Lori shares her journey from working in addiction centers to leading OCD programs, and explains how these different options give people the support they need without always requiring a hospital stay.At NOCD, we specialize in Exposure and Response Prevention therapy, the most effective treatment against the disorder. Want to explore your treatment options? Book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd Hosted on Acast. See acast.com/privacy for more information.

When it comes to asking for what you want in marriage, men make some common mistakes:-Not asking at all-Asking in a passive aggressive way-Pouting-Asking in a demanding wayAll of these are unattractive and unlikely to get what you want.There is, however, a “goldilocks zone” that will give you the BEST chance of getting what you want in marriage.Whether it's attention, appreciation, affection, food, or sex…There's a formula that can help you get it.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

THANK YOU for your prayers to help me find freedom in relationships.I had some MAJOR breakthroughs this week that have me feeling better than I EVER have in my marriage and as a father.This one I think you should listen to vs giving you the highlights here.Watch on YouTube here.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

Our Healing Heroine series continues with Jodi, joined by Hero and Mindset Coach Katie Wee. Jodi opens up about her son, Pao, and her experience helping him navigate his mental health struggles. In this heartfelt conversation we discuss his passions, the community that loved him, and her journey of navigating life after his suicide learning to carry her grief while still honoring his story.Almost a year after Pao's passing, Jodi attended Katie's Happy Camp retreat, where she began to discover that healing isn't about “moving on,” but about finding small ways to move forward—sometimes just one moment at a time. From creating safe spaces at home to finding supportive spaces in your community, to healing modalities like meditation and grief counseling, Jodi reflects on what has helped her keep going in moments when it felt impossible.This conversation is a reminder that while grief has no ending, you can still find joy again. What You Will Learn [00:13:30] The transition process for teens after crisis care, including partial hospitalization and IOP [00:15:00] Creating a “safe house” with no sharps, weapons, or medications — and the social limits that can come with it for a teenager [00:16:30] Jodi's son's passions, including his for Japanese culture and anime [00:19:30] Why it's so difficult to distinguish crisis from “normal teenage” behavior [00:36:15] The importance of surrounding yourself with a community during grief [00:38:30] How hitting rock bottom pushed Jodi to try every possible healing practice [00:40:30] Taking the leap to attend Katie's Happy Camp as a major turning point in Jodi's healing [00:45:00] The power of Katie's guided meditation and why it was life-changing for Jodi [01:05:45] A grief truth: “Grief has a beginning. It has a middle, but it doesn't have an end.” Let's Connect!Follow The Healing Heroes on Instagram & LinkedIn.Jodi Aroma Wellness BoutiqueCode: HEROES20 for 20% Off (from now until Columbus Day Weekend)Katie WeeWebsite | InstagramChandler StroudWebsite | LinkedIn | InstagramMixing and editing provided by Next Day Podcast.

This week I need a break.So, the podcast is just reminding me and you to rest when we need to.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

We all have rules for life.The things that tell us how we're supposed to act… and how other people are supposed to act.Are you supposed to be in shape? What kind of shape?Are you supposed to make money? How much money?Are your kids supposed to listen to you? What if they don't?How is your wife supposed to treat you? What are her jobs?We all have answers to these, but often we're not totally aware of them.But, aware of them or not, they run how we treat ourselves and others…And they may not be taking us where we want to go.Learn how to figure out and evaluate your rules for life…So that you end up with the success you actually want…In today's episode.Listen on the Strong Men Strong Marriages Podcast. https://strongmenstrongmarriages.buzzsprout.com/Watch on YouTube here.https://www.youtube.com/watch?v=6ZEPGqbQpMADr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

I'm not sure what the next step is for you.What needs to change to take you to new levels of joy and intimacy in your marriage.But, God does.So, instead of worrying about things never getting better…Or setting a plan on your own…Take some time alone and open yourself to receive the ideas, perspective changes or encouragement that God has for you.I had a very meaningful shift this week that I share in today's episode.Watch on YouTube here.Dr. Mike P.S. Join our email list and get the training, How To Be More Attractive To Your Wife In The Next 7 Days, at StrongMen.io http://strongmen.ioP.P.S. Able to invest 5 figures and want to work more intensively with Dr. Mike and his team? Our Intensive Program is only open to a few men each month after a call with Dr. Mike. Apply here. https://form.jotform.com/230614546765157

Today we have Thea. She is 55 years old from Madison, WI and took her last drink on February 10th, 2019   This episode brought to you by: Better Help – 10% off of your first month #sponsored Exact Nature – 20% off your order with code RE20   We have just a couple of cabin spots left for our upcoming retreat in Bozeman, Montana. This retreat is from August 6th through 10th.   Coming in January 2026, our AF Ukelele Course. Registration for that opens in December.   Also coming next year in October 2026, we will have an in-person ukelele retreat where we're having Spanish instruction in the afternoons. This will be in Costa Rica. More information will be coming soon about that event.   [02:45] Thoughts from Paul:   On the journey into an alcohol-free life, it almost always consists of a chapter where we are trying to control the uncontrollable. But something takes place that we aren't aware of and that's that alcohol has become uncontrollable – and we haven't realized it yet.   You might be asking yourself if your drinking has reached that point and may have searched for a sobriety podcast because there were aspects of your drinking that you were unable to control. The longer you try to control the uncontrollable, the less sanity you are left with.   Paul wants you to ask yourself if you are trying to control the uncontrollable thing. He and many of us have learned that we cannot control our drinking, but the opportunities are endless in what we CAN do without alcohol in our lives, the same can be true for you.   [07:06] Paul introduces Thea:   Thea is 55 years old, grew up in a small town in Wisconsin but now lives in Madison with her husband of almost 30 years, and they have three grown boys. Thea works in education. She loves to cook, bake, read, and attend sporting events.   Thea says she drank a little in high school, but it wasn't out of control. After going to college where the culture involved binge drinking, Thea drank more. Being someone that didn't suffer from hangovers, she never looked at her drinking as a problem.   Thea met her husband after college when they married and had three kids. She says she would binge drink occasionally, but not enough to create red flags and her husband can take it or leave it. Thea says she didn't drink during her pregnancies or drink every night, but as her kids got older and needed her less, she fell into the habit of drinking more.   Thea would drink socially but preferred to drink covertly at home where she could have as much as she wanted. Over time she began to feel like she needed the alcohol to function and was becoming physically addicted to it.   A few years later, some family members had an intervention with Thea. The message she took away was that she needed to hide her drinking better in the future. The following summer, Thea's sister-in-law called her out on her drinking again, and they went to the ER. It was recommended that she go to a detox center which Thea refused to do. She opted to detox on her own, which is not recommended. After doing that, she enrolled in an IOP but was just going through the motions to try and become a normal drinker again – she had no intention of quitting.   Thea feels she was getting nudges from God to address the issue. It wasn't until February 10th, 2019, that the message finally got through. Thea was very sick and throwing up blood. She was in and out of the hospital dealing with the symptoms of her failing liver. Thea feels that something finally clicked, and she has not wanted to have a drink since that first day when she went to the hospital.   After two years sober, Thea started listening to podcasts and reading quit lit. She eventually found her way back to AA and it feels like home this time. Thea is very open about her recovery with her family and is grateful they never gave up on her.   Recovery Elevator It all starts from the inside out. I love you guys.   RE on Instagram Recovery Elevator YouTube Sobriety Tracker iTunes  Café RE