Podcast appearances and mentions of jill johnson young

In this weeks episode, Jessica Fowler interviews Jill Johnson-Young, LCSW about her book The rebellious WIDOW: A practical Guide to Love and Life After Loss.  In this episode Jill is open about her own experience with grief after losing two of her wives. She shares about her experience with grief and because of that learned to do what is best for her and that does not always follow the "rules" of grief.  She explores how to challenge some of those believes and how to set boundaries.  Jill shares how it is important to allow people their own journey in grief and change.  Jill has authored several other books and is the co-owner of Central Counseling Services in Riverside, California.  You can connect with Jill Johnson-Young, LCSW on instagram, Facebook and other social media platforms.

https://youtu.be/QzfNO5-M2Z8 Jill Johnson-Young, at the 44th annual conference for the Association for Death Education and Counseling (ADEC).

https://youtu.be/yF3oYqKqwv0 Jill Johnson-Young, at the 44th annual conference for the Association for Death Education and Counseling (ADEC).

Hospice social worker and grief counselor Jill Johnson-Young is sharing wisdom and her perspective on end of life care for the LGBTQ+ community.  Just like every other patient and caregiver, members of the LGBTQ+ community and their caregivers want to feel safe and be treated with respect during their end of life experience.  Although it's difficult to do, end of life workers need to be aware of their own biases.  Members of the LGBTQ+ community might be hesitant to choose hospice care, withhold necessary information from their end of life team, or even go back in the closet during hospice care. While each of us have opinions, hospice interdisciplinary team members should never voice those opinions about patients' and caregivers' lives.  Quality of care suffers when healthcare professionals show prejudice and judgmental attitudes.  The care of people in the LGBTQ+ community should be no different than the care that's provided to any other patients.  Everyone deserves respect, compassion, tolerance, and empathy. You can connect with Jill Johnson-Young at jilljohnsonyoung.com. Read Jill's blog here. Buy your copy of The Rebellious Widow and Your Own Path Through Grief  here.   Want to encourage a caregiver or say thank you to a friend? Order a customized care package from BeyondWordsCo.com. Find care packages and workplace gift programs for corporate gifting, employees, co-workers and clients here.  Read more about how Catherine Hinz founded BeyondWords here.  Connect with podcast host Helen Bauer at helen@theheartofhospice.com. Find more information about hospice philosophy, end of life care, and self care for both personal and professional caregivers here.   Book podcast host Helen Bauer to speak for your podcast, event or conference by sending an email to helen@theheartofhospice.com.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)

We're having an open, honest discussion with hospice social worker and author Jill Johnson-Young about intimacy during a serious illness. Jill's been widowed twice, and knows the importance of physical intimacy even at the end of life.  As a hospice social worker, Jill has seen what it's like for terminally ill patients and their partners to struggle with physical intimacy.  Losing physical intimacy is just another loss of identity and who couples are together. It can be a source of anticipatory grief at a time when intimacy is so important.  There are many layers to physical intimacy, not just the sexual component.  After the death has occurred, it can be important for the partner to be involved in providing postmortem care, to bathe their loved one's body.  Hospice professionals can support and encourage the desire of patients and their partners to be physically intimate.  Humans need connection to thrive, and that doesn't stop in the presence of a serious illness. Connect with Jill Johnson-Young and her work at jilljohnsonyoung.com. If you're interested in booking Jill to speak at your event, connect with her here.  Buy Jill's book The Rebellious Widow by clicking here.  Purchase your copy of Jill's workbook Your Own Path Through Grief here. Interested in purchasing a GrandPad for a loved one?  Click here. Get information about GrandPad purchases for your facility or agency here. Find more information about hospice philosophy, end of life care, and self care for both personal and professional caregivers here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com) Connect with podcast host Helen Bauer at helen@theheartofhospice.com. Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.    

Kat and Val venture into uncharted territory while they explore their past experience with religious faith healing and living with chronic illness. Bantering while they explore being open to supernatural healing and recognizing the complexities of healthism and ableism in “spiritual” spaces. Our hosts share vulnerable stories about their own bodies and how each of their diagnosis' have impacted their lives. Listen to the good, the bad, the ugly, and the doggedly hopeful conversation that is sure to make you laugh, make you think, and challenge beliefs that may not be serving us. *This podcast is for entertainment purposes onlyFind us on Instagram:Kat and Val PodcastVal's offerings:So This is Love ClubReset Yourself for Love ProgramInstagram So This is Love ClubKat's offerings:Fat Liberation Art -Fat Mystic Etsy ShopInstagram Fat_Mystic_ArtAdditional resources/definitions referenced in most episodes:Jill Johnson Young- grief talkerFive Stages of GriefIntuitive eating.orgNAAFA National Association to Advance Fat AcceptanceTell Me I'm Fat - This American LifePrentis HemphillVitamin D gummies!!!!!!Adrienne Maree BrownPleasure Activism; The Politics of Feeling GoodCome as You Are: The Surprising New Science That Will Transform Your Sex LifeBook by Emily NagoskiAttached - Book by Amir Levine and Rachel S. F. HellerUnderstanding Dopamine: Love Hormones And The BrainEnneagramThe Four TendenciesMyers Briggs Personality ProfilesHighly Sensitive People (HSP)Fat Liberation MovementLipedemaExvangelical/deconstructing from ChristianityADHD

Kat and Val react together and hold space for some big feelings after the news that Roe v. Wade was overturned. After which, they explore the power of collective experiences in our lives as individuals. Bringing all their humor, wisdom and irreverence our hosts share personal stories of healing and transformation that happened as a result of communal experiences. *This podcast is for entertainment purposes onlyFind us on Instagram:Kat and Val PodcastVal's offerings:So This is Love ClubReset Yourself for Love ProgramInstagram So This is Love ClubKat's offerings:Fat Liberation Art -Fat Mystic Etsy ShopInstagram Fat_Mystic_ArtAdditional resources/definitions referenced in most episodes:Jill Johnson Young- grief talkerFive Stages of GriefIntuitive eating.orgNAAFA National Association to Advance Fat AcceptanceTell Me I'm Fat - This American LifePrentis HemphillVitamin D gummies!!!!!!Adrienne Maree BrownPleasure Activism; The Politics of Feeling GoodCome as You Are: The Surprising New Science That Will Transform Your Sex LifeBook by Emily NagoskiAttached - Book by Amir Levine and Rachel S. F. HellerUnderstanding Dopamine: Love Hormones And The BrainEnneagramThe Four TendenciesMyers Briggs Personality ProfilesHighly Sensitive People (HSP)Fat Liberation MovementLipedemaExvangelical/deconstructing from ChristianityADHD

Jill and Linda were a happy couple. They went about their lives and built a strong family with their three adopted foster children. They both knew a bit about grief and loss — Jill did hospice grief work and grief therapy, and Linda was an emergency room nurse. So when Linda got diagnosed with breast cancer, and survived, and then a 100% fatal pulmonary disease, they knew what to do — anticipatory grief work and planning for the inevitable future. Jill lost Linda. Shortly after, while ”not doing grief properly,” Jill remarried. Then Casper fell ill and died. Then Jill remarried again. Ricocheting back and forth from wife/partner to caretaker to widower and back again was a disorientating and challenging journey. Learn how Jill navigated loss, effectively used her “grief card,” and intentionally became the version of herself she really wanted to be through post loss growth. Talking Points: - The most important things to focus on once your loss occurs. - How a terminal diagnosis is about more than just one death. - The widow rules. - What does “go through grief and take them with you” mean when you lose someone? - How to keep your loved ones with you after they've transitioned. - The most amazing and beneficial possibility from grief and loss - The difference between anticipatory grief, and life after loss grief - How many people do you unexpectedly lose, by them walking away from you because of discomfort, when you have a death? - The internal attitude you need to face mortality. - The importance of understanding that your inner and outer support circles fluid - The most important gift to capitalize on during the grief process - The indignity of differential legal protections. - The magic of the grief card - How to move in and out of caregiver mode. - What the “giving back” at the end of the grieving process is. Bio Jill Johnson-Young, LCSW is the CEO of Central Counseling Services in Riverside, Murrieta, and Corona California. She specializes in grief and loss, dementia, and trauma and speaks internationally to therapists, allied health professionals, associations for grief, the funeral industry, and community groups. Her career has included more than a decade with hospice as a medical social worker and as director of social workers, chaplains and grief staff. Jill has authored several books for children and adults on grief and was a founding member of the Riverside Purple City Alliance. She also facilitates a monthly dementia support group in the community and a weekly FB live Grief Chat. Her most recent book release is “The Rebellious Widow,” which weaves some of her story into the book you need to prepare for a coming death, the dying process, and recovery. Jill teaches grief and dementia to therapists, and current courses are on her site. You can find more about Jill at www.therebelliouswidow.com and www.jilljohnsonyoung.com --- Send in a voice message: https://anchor.fm/julie-browne/message Support this podcast: https://anchor.fm/julie-browne/support

Kat and Val jump into what it looks like to live an “embodied” life. Can we cultivate a practice of centering our body's wisdom as we make decisions - big and small? What if trusting your gut was something we could all get better and better at? With their characteristic cackle-laughter and vulnerability Kat and Val share all their hard won wisdoms with as much swearing as possible and a big dose of good-natured playfulness. *This podcast is for entertainment purposes onlyFind us on Instagram:Kat and Val PodcastVal's offerings:So This is Love ClubReset Yourself for Love ProgramInstagram So This is Love ClubKat's offerings:Fat Liberation Art -Fat Mystic Etsy ShopInstagram Fat_Mystic_ArtAdditional resources/definitions referenced in most episodes:Jill Johnson Young- grief talkerFive Stages of GriefIntuitive eating.orgNAAFA National Association to Advance Fat AcceptanceTell Me I'm Fat - This American LifePrentis HemphillVitamin D gummies!!!!!!Adrienne Maree BrownPleasure Activism; The Politics of Feeling GoodCome as You Are: The Surprising New Science That Will Transform Your Sex LifeBook by Emily NagoskiAttached - Book by Amir Levine and Rachel S. F. HellerUnderstanding Dopamine: Love Hormones And The BrainEnneagramThe Four TendenciesMyers Briggs Personality ProfilesHighly Sensitive People (HSP)Fat Liberation MovementLipedemaExvangelical/deconstructing from ChristianityADHD

Our hosts jump into some big feelings as Kat shares about a recent romanic break up. Val imparts humor and wisdom from her own lived experiences along with some spectacular insights she's gleaned as a therapist. Get ready to laugh and heal with our hosts as they help us reconcile hard things and find peace in moments where love didn't go the way we had wanted. *This podcast is for entertainment purposes onlyFind us on Instagram:Kat and Val PodcastVal's offerings:So This is Love ClubReset Yourself for Love ProgramInstagram So This is Love ClubKat's offerings:Fat Liberation Art -Fat Mystic Etsy ShopInstagram Fat_Mystic_ArtAdditional resources/definitions referenced in most episodes:Jill Johnson Young- grief talkerFive Stages of GriefIntuitive eating.orgNAAFA National Association to Advance Fat AcceptanceTell Me I'm Fat - This American LifePrentis HemphillVitamin D gummies!!!!!!Adrienne Maree BrownPleasure Activism; The Politics of Feeling GoodCome as You Are: The Surprising New Science That Will Transform Your Sex LifeBook by Emily NagoskiAttached - Book by Amir Levine and Rachel S. F. HellerUnderstanding Dopamine: Love Hormones And The BrainEnneagramThe Four TendenciesMyers Briggs Personality ProfilesHighly Sensitive People (HSP)Fat Liberation MovementLipedemaExvangelical/deconstructing from ChristianityADHD

Welcome to the grief episode mother fuckers! Kat and Val have both experienced big losses in their lives. They are not strangers to profound grief. With their characteristic humor and irreverence, our hosts walk us through some hard earned insights about grief, healing and learning how to re-organize ourselves after collective and individual loss, tragedy, and trauma. *This podcast is for entertainment purposes onlyFind us on Instagram:Kat and Val PodcastVal's offerings:So This is Love ClubReset Yourself for Love ProgramInstagram So This is Love ClubKat's offerings:Fat Liberation Art -Fat Mystic Etsy ShopInstagram Fat_Mystic_ArtAdditional resources/definitions referenced in most episodes:Jill Johnson Young- grief talkerFive Stages of GriefIntuitive eating.orgNAAFA National Association to Advance Fat AcceptanceTell Me I'm Fat - This American LifePrentis HemphillVitamin D gummies!!!!!!Adrienne Maree BrownPleasure Activism; The Politics of Feeling GoodCome as You Are: The Surprising New Science That Will Transform Your Sex LifeBook by Emily NagoskiAttached - Book by Amir Levine and Rachel S. F. HellerUnderstanding Dopamine: Love Hormones And The BrainEnneagramThe Four TendenciesMyers Briggs Personality ProfilesHighly Sensitive People (HSP)Fat Liberation MovementLipedemaExvangelical/deconstructing from ChristianityADHD

Learn practical tips for navigating the caregiving journey and grief after the death of a spouse. My guest Jill Johnson-Young is a Licensed Clinical Social Worker who has worked in hospice and as a therapist specializing in grief, loss, dementia, and trauma. She shares her personal journey as a caregiver for two spouses and as… Continue reading Ep. 353 The Rebellious Widow: Love and Life After Loss with Jill Johnson-Young

On this episode, I speak with Jill Johnson-Young aka “The Rebellious Widow” about the importance of learning how to work effectively with grief. Jill educates about grief from both professional training and from being widowed twice. Jill Johnson-Young, LCSW is the CEO of Central Counseling Services in Riverside, California. She and her business partner opened CCS 12 years ago, and it has grown to include three locations. Jill's career has included more than a decade with hospice as a medical social worker and as director of social workers, chaplains, and grief staff, and child welfare for close to two decades, including adoptions. Jill has authored several books for children and adults on grief. Her most recent book, The Rebellious Widow, was released in March of this year. Jill and Debra Joy Hart provide a weekly grief chat on Facebook Live, and Jill also facilitates a monthly dementia support group in the community, and grief support groups online on a rolling basis.How to reach Jill: www.jilljohnsonyoung.comwww.therebelliouswidow.comhttps://www.facebook.com/fridaygriefchat Jill is offering a 40% discount on all her trainings. Use code: POD50  Listen to more podcast episodes: https://counselingcommunity.com/podcast Join our Counseling Community Facebook Group:  www.facebook.com/groups/counselingcommunitygroup 

We experience different types of grief as law enforcement couples, including the grief of the life we may have dreamed such as having dinner and holidays together. You may be grieving the support of a community or safety you once felt. You may be also grieving the death of an officer you know personally or in the community. For that reason, I have brought on Jill Johnson- Young, the grief guru. Jill is a LCSW, former hospice and child welfare worker that has worked very closely with law enforcement officers. Professionally and personally, Jill has seen grief firsthand. In this podcast, we talk about grief and support beyond thoughts, prayers, and casseroles.  About Me (jilljohnsonyoung.com)

Watch Along on YouTubeIn this episode, Jill Johnson Young teaches about solution-focused grief and loss, helping us to normalize the dying process. Although grieving can feel like a dark tunnel with no end, with the right resources, it can be a time for immense growth, to work on ourselves and make peace with death.Barb and Jill explore how we can identify grief and help ourselves (or others) through the process. They encourage us to take back our power rather than letting others tell us how we “should” grieve, allowing us to honor their memory as we enter a new chapter of our life (whatever that may look like.)After a long career in this field, including ten years as a hospice social worker and ten plus years in private practice, Jill is determined to help us understand dying, death, grief and dementia.Learn More About Jill Johnson-Young:https://jilljohnsonyoung.com/Learn More About Switch Research:https://switchresearch.org/Disclaimer: Therapy Talks does NOT provide medical services or professional counseling, and it is NOT a substitute for professional medical care.

I asked this week's guest, Jill Johnson-Young, the following question:"How are you still upright?" @RebelliousWidow experienced the loss of Linda, her first love, after 23 years. Linda had survived breast cancer but later succumbed to pulmonary fibrosis which was due to the chemo she received to beat the breast cancer.Jill would find herself, what she calls, a "rebellious widow" once more after her love, Casper, died of Lewy Body Dementia after 3 1/2 years. The capacity to love is plentiful in Jill's heart, along with Linda and Casper, who were also co-parents in their own time, to at-risk children who needed it most; children who had experienced grief and trauma, too. Jill weaves in stories of being an adoptive parent throughout this episode, providing tips and guidance in supporting grieving children. We are all "built" differently. Our environments, family unit, generational beliefs passed down, personal experience, our own uniqueness, and more all add to the tapestry of our lives. And, altogether greatly influence how we respond to grief and trauma. Growing up within a family unit that openly talked about death, dying, and grief at the kitchen table, Jill learned valuable lessons that would shape her path forward as a clinical social worker and set her up to embrace the grief that was to come rather than run from it. We talk about so many areas of grief and loss, as it pertains to children, death and dying, hospice/palliative care, boundaries, and the how of getting through it all. We are taught how to acquire things/people, not what to do when we lose them. Let this episode bring hope to your sorrowful heart if you are grieving today. As Jill states, "You can still go to Disney if you're grieving!"RESOURCES:Book, The Rebellious WidowTools & ResourcesGrief Recovery MethodCONTACT:WebsitePrivate Practice WebsiteFacebookInstagram______NEED HELP?National Suicide Prevention Lifeline: 1-800-273-8255Crisis Text Line provides free, 24/7 support via text message. Text HOME to 741741 to connect with a trained Crisis CounselorFree grief resources are HERE.Enjoy the podcast? You may enjoy The Unleashed Letters.

What's New in the DSM-5-TR? Curt and Katie interview Dr. Michael B. First, MD, editor and co-chair of the American Psychiatric Associations' DSM-5 Text revision, coming out March 2022. We explore: What are the differences between a full update and a text revision? What changes have been made (and how were these changes decided)? What new diagnoses can we expect? Can clinicians continue to use the older DSM-5? How can clinicians advocate for changes in future versions of the DSM? All of this and more in the episode. Interview with Dr. Michael B. First, MD Michael B. First, M.D, is a Professor of Clinical Psychiatry at Columbia University, a Research Psychiatrist in the Division of Behavioral Health Sciences and Policy Research, Diagnosis and Assessment Unit at the New York State Psychiatric Institute, and maintains a schematherapy and psychopharmacology practice in Manhattan. Dr. First is a nationally and internationally recognized expert on psychiatric diagnosis and assessment issues and has conducted expert forensic psychiatric evaluations in both civil and criminal matters, including the 2006 trail of the 9/11 terrorist Zacarias Moussaoui. Dr. First is the Editor and Co-chair of the American Psychiatric Associations' DSM-5 text revision, Editorial and Coding Consultant for the DSM-5, and the chief technical and editorial consultant on the World Health Organization's ICD-11 revision project. Dr. First was the Editor of the DSM-IV-TR, and the Editor of Text and Criteria for DSM-IV and the American Psychiatric Associations' Handbook on Psychiatric Measures. He has co-authored and co-edited a number of books, including the fourth edition of the two-volume psychiatry textbook, A Research Agenda for DSM-V, the DSM-5 Handbook for Differential Diagnosis, the Structured Clinical Interview for DSM-F (SCID-5) and Learning DSM-5 by Case Example. He has trained thousands of clinicians and researchers in diagnostic assessment and differential diagnosis. In this podcast episode we talk about latest updates for the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5-TR. With the upcoming release of the new DSM-5-TR, Curt and Katie reached out to Dr. First, the editor and co-chair of the American Psychiatric Association's DSM-5-TR, to find out what's new and how the DSM committee works. “During the development of [DSM-5-]TR, George Floyd happened, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So, we actually created a committee that went through the entire DSM.” – Dr. Michael First What changes have been made in the new DSM-5-TR? Text revisions occur to avoid letting the text become stale while supporting ongoing updates. New disorders, specifically Prolonged Grief Disorder, have been added. New codes, modeled off symptom codes, created for documenting suicidality and non-suicidal self-injury with another diagnosis. New categories of Unspecified Mood Disorder. New Criteria set for Autism Spectrum Disorder which is more conservative. How are cultural differences addressed in the DSM-5-TR? Starting with DSM-IV, there has been a special committee created for culture and culture related issues Hypothetically, the criteria sets should apply to everyone, but in the text, there is a section on Culture Related Features which is more specific. The impact of the George Floyd protests inspired the creation of a new committee to look for systemic racism, lack of nuances, and prevalence issues within the DSM. There are conflicting opinions if “transness” should be included in the DSM and if it's even a mental disorder. As the DSM is a diagnostic tool to code for insurance, the DSM takes the stance that the Gender Dysphoria diagnosis stay included so individuals can have access to medical intervention and treatment. The Steering Committee for new diagnosis is small, but there is diversity. Before a diagnosis is approved, it is posted for 45 days on the DSM website for all, including people with lived experience, to comment and advocate for diversity What is the Process for Accepting New Diagnose? The steering committee accepts proposals through the DSM portal for new diagnosis Some diagnoses are qualified based on the United States' continued use of ICD-10, whereas the ICD-11 is more progressive. With Complex Post Traumatic Stress Disorder, some of the criteria from the ICD have been incorporated into the DSM diagnosis of PTSD Proposals are floated around often, but they often don't have enough empirical research yet. Proposals need to show a pool of patients who don't fit other diagnoses, a gap in treatment, and a difference from other possible similar diagnoses. New diagnoses will be approved on a continuum, making the electronic DSM-V-TR the most up to date resource. The committee is more conservative in adding a new diagnosis to the DSM because it is hard to remove a diagnosis once it is included. “I'd say the biggest [change] is Prolonged Grief Disorder… Now for a number of years, the concept of Prolonged Grief Disorder was really a hole in the diagnostic system… patients were out there that… were suffering, so they had some kind of mental disorder… That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big hole in the system that allows people to come into your office and not have any place for them.” – Dr. Michael First Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: SuperBill Interested in making it easier for your clients to use their out-of-network-benefits for therapy? SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting started is simple - clients complete a quick, HIPAA-compliant sign-up process, and you send their superbills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. Superbill eliminates that hassle, and clients just pay a low monthly fee for the service. If your practice doesn't accept insurance, SuperBill can help your clients get reimbursed. SuperBill is free for therapists, and your clients can use the code SUPERBILL22 to get a free month of SuperBill. Also, you can earn $100 for every therapist you refer to SuperBill. After your clients complete the one-time, HIPAA-compliant onboarding process, you can just send their superbills to claims@thesuperbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement. By helping your clients get reimbursed without the stress of dealing with insurance companies, SuperBill can increase your new client acquisition rate by over 25%. The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Purchase the DSM-5-TR   Learn about the DSM Learn about the Changes for the DSM-5-TR Dr. Michael First's Email Dr. Michael First's Website Dr. Michael First on Wikipedia Provide Feedback on the DSM Submit Proposals for Changes to DSM-5 Relevant Episodes of MTSG Podcast: What the Grief Just Happened? Antiracist Practices in the Room with Dr. Allen Lipscomb Trans Resilience and Gender Euphoria Death, Dying, and Grief with Jill Johnson-Young, LCSW On the APA Guidelines for Boys and Men What to Know When Providing Therapy to Elite Athletes Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated):   Curt and Katie  00:00 This episode of the Modern Therapist Survival Guide is brought to you by SuperBill. interested in making it easier for your clients to use their out of network benefits for therapy. SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting Started as simple. Clients complete a quick HIPAA compliant signup process and you send their SuperBills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. SuperBill eliminates that hassle and clients just pay a low monthly fee for the service. Stay tuned for details on SuperBill therapist referral program and a special discount code for your clients to get a free month of service.   Announcer  00:42 You're listening to the Modern Therapist Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  00:58 Welcome back modern therapists. This is the Modern Therapist Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about all the things that we do. And we have a pretty big milestone coming up in our profession here where the DSM-5 is transforming into the DSM-5-TR. And we are joined today by one of the very instrumental people behind the updates to this Dr. Michael First. He's professor of psychiatry at Columbia University and editor and co-chair of the DSM-5 talking to us about some of the exciting updates that are happening and a little bit of the process behind it. So thank you very much for joining us here today Dr. First.   Dr. Michael First  01:44 Really, it's a pleasure to be here.   Katie Vernoy  01:46 We're so excited to have you and to have this conversation, we had reached out to our audience for some questions. So we'll try to get to some of those. But our first question that we ask all of our guests is, who are you and what are you putting out into the world?   Dr. Michael First  02:00 Okay, so um, I have a position at Columbia University. I also work at the New York state psychiatric institute. I also have a private practice in New York City, and also a forensic practice. That's pretty pretty busy. And I've my main thing to my life has been DSM, I actually got involved all the way back first at the VA that year, DSM-3 came out in 1986, because I did my residency at Columbia, where Robert Spitzer, who is the king, or whatever, he said, he created the DSM, he put it on the map, so I got to work with him. And I've been working with him and also with the person who did DSM for Alan Francis. And so I've been had my finger in some way, shape, or form every DSM. Oh, and I also work on the ICD 11, who has their own classification. And they're just recently updated theirs as well. So I asked to work on that project.   Katie Vernoy  02:54 Wow, that's awesome.   Curt Widhalm  02:56 So some of us have been practicing a while, my grad school we were on the DSM-4-TR. So I got to see through the transition of DSM-5, but can you maybe provide a little bit of context for what's the goal of a text revision as opposed to a full update and looking at, you know, just kind of jumping into the next number here.   Dr. Michael First  03:18 Let me give you a background of how the text, the 4-TR came about, there was those 3-TR, for example, was the first TR. So it's all started way back in 1980, with DSM-3, which was the first version that had diagnostic criteria. When they were working on it, they had this idea that it was just something that psychiatrist would be interested in. When they publish it, it became this huge hit, you know, it's sold millions of copies really transformed the field, people found that very, very useful. And so, seven years later, they did the DSM-3 are now why that wasn't called DSM-4 simply because the DSM are actually linked to the ICD. And ICD 10 was supposed to be coming out in 1992 or so. Here we were in 1987 today, so we're actually this is an in between DSM-3, DSM 4- revision, so that's why it was called the three R, then DSM-4 comes out in 1994. And then after DSM-4 came out, there was a lot of pushback in the field about APA grinding out a new DSM, every seven years, everybody had to learn it. So things really put the brakes on the DSM. So APA made a decision that we're not going to seven years from now, I'll do with the DSM-5 we're gonna wait and see. What the downside of doing that is the text which is 90 something percent of the book is actually text not just the criteria detects is a really good resource for mental health professionals about diagnosis and prevalence doesn't know anything but treatment, but it's kind of like a super textbook in the sense that it's got the top people in the world working on it. They've kept waiting, waiting, waiting DSM-5, which was clearly going to be at least 10 years if not more away. It ended up being closer to 20 years, the text would have gotten very stale. So that was the motivation to do the DSM-4-TR. Or when they did the 4-TR, or they made the decision, so people wouldn't be bent out of shape about yet another DSM only to revise the text, the diagnostic criteria will go into be unchanged, it turned out there for very, very small changes, because a couple of errors has been found in the DSM 4 like, for example, Tourette's, tic disorders had requirement that the, in order to call somebody diagnose somebody with Tourette's, it had to cause clinically significant impairment and distress. That's a standard DSM phrase. So you're trying to differentiate things that aren't problems, from things that are problems, the neurologist got all bent out of shape about that ticks a tick whether or not it causes impairment, it's still a tick. So we, for example, we deleted that, that criteria, but it's very small stuff like that. So that's why the TR really was just a text revision. So DSM-5 didn't come out until 2013. So with DSM-5 came out, it was a complete redo of all the criteria and the text. And then moving forward, what happened was, is the DSM-5-TR, now, now DSM-5-TR is actually different than the 4-TR, because it is this time, the criteria have changed, they've been changing the criteria. And the way that was accomplished was the fact that we now have APA as a process in place to allow changes to be made on an ongoing basis. That was one of the reasons why the DSM-4 criteria were changed was every time they do a revision, it's a huge expensive, you know, hundreds of people involved process and it because you really want to every time there's a change, you want to make sure that changes, it's been well researched, you consider the pros and cons. So it's a big process. So they realized that moving forward, they APA realized that now that we're not stuck using just books, they could actually have changes made in the DSM on an ongoing basis. And that's what happened since DSM-5 came out. In 2013, there's been a number of changes in the criteria set. So the criteria sets in there five to about 70 of them have some changes, most of them are very, very minor, you're correcting tiny errors, but there's some that are significant. So one of the differences, of course, is that when 4-TR are came out, you could say I want to buy that still say that about five here, but you can say I care about the criteria that he diagnoses, I don't really need to see the text. That's not true. This time, the actual definitions have changed. There's a new disorder in the DSM-5-TR.   Katie Vernoy  07:39 What are the big important changes that we should know about in DSM-5-TR?   Dr. Michael First  07:40 So we've added a disorder it's Prolonged Grief Disorder. So it's much more clinically relevant. The DSM-5-TR, really than the 4-TR was I'd say the biggest is Prolonged Grief Disorder. So you know, when you whenever a new disorders, DSM, that's big news, I've been going through many, many DSM, the press always gets what's the new disorder. So this is a this disorder was has been researched. Now for a number of years, let me the concept of Prolonged Grief Disorder is really a hole in the diagnostic system. So there are individuals who after losing a loved one, normally, you basically adjust at some point, it's always painful maybe to think about the loved one, but you move on with your life. And in that that's a very important part of the grieving process. There are individuals where they're unable to do that they're basically stuck in a grief reaction, month after month. So after a year has elapsed in the person's grieving and preoccupied with grieving, then you could meet the criteria for Prolonged Grief Disorder. So it's can be given until at least a year has elapsed. And these are individuals or a number of individuals who have that problem. And it was really unrecognized, wasn't in the system at all. Now in DSM-5 came out, and there's a pending research appendix in the back. So when DSM-5 was was in preparation, we already knew about this condition, and there was some controversy about how best to define it. So they actually put something in the research appendix called persistent, complex bereavement disorder in the back that is the precursor to what's now called Prolonged Grief Disorder. So it's been around but, So now, after this, we finally got to the point, we felt that the research was clear enough, the case was compelling enough that it would do more harm than good to put it in there. And it went through all the processes within the APA for approval, and it was approved and added to the online version, and now that's going it's in the hardcopy version as well. That's by far the biggest change. Probably the next biggest change has to do with suicide. Now suicide. If you look at the DSM now, suicide is basically a criterion in major depressive episodes, criterion number nine, that's like the biggest suicide of course, as a therapist, what are the most important things that we have to deal with very, very important but the DSM has a little sidelight so to speak. So we felt it was very important for therapists and clinicians and researchers to have a way to indicate the presence of suicidal behavior, independent of depression. Suicidal behavior can occur in a wide variety of mental disorders including no mental disorder at all. So we wanted to have a way to indicate that. So it turns out that there's a mechanism within the ICD 10, which is the coding system. You everybody know that when you write down the diagnostic code, you get paid. That's your that's how the DSM code, that's the code from the International Classification of Diseases, which is a government controlled system, we realize that there are these things called symptom codes in the ICD 10, which are not disorders, but they allow you to list a particular symptom, that is of particular importance. So we actually went and requested from the NCHS, the National Center for Health Statistics to have a new code created for suicidal behavior, current and history of suicidal behavior, and also current non suicidal self injury and history of non suicidal self injury. So there's four separate codes that are now in the book that will allow you, it's optional, obviously, to list those along with the diagnosis. So if you have somebody with Major Depressive Disorder, who's suicidal, you would list both major depressive disorder as a diagnosis. And we also list this special code. In addition, that's so that's a really nice addition. The rest are not quite... so one of them is there's a category that's been added actually restored, called unspecified mood disorder. And what's that? Why is that a big deal? It turns out that, you know, when you first see somebody who has a mixture of mood symptoms, you have to right, you're one of the things about getting paid is you need every time you see the patient or his client, you need to write down a diagnosis.   Katie Vernoy  08:32 Yep!   Dr. Michael First  08:32 What the person look like during that meeting. So let's say you have your first meeting with a client, and they have this, you know, mix of irritability and agitation and a little sad, what would you call that? And you say, Well, you know, I'm going to have to look into maybe I'll check their history more speak to some other previous treaters, we got to write something down. So what the DSM does in general, when you see someone and you don't know what the diagnosis is yet, either because it doesn't fit into any of the diagnoses, or because you simply don't have enough information. That's where these unspecified codes come from. So they typically do you see somebody who is psychotic, and either you don't have enough time to figure out what diagnosis it is, or there simply doesn't fit in the type of psychosis doesn't fit into any diagnosis, you would write down Psychotic Disorder, unspecified. So for mood, there is Bipolar Disorder, unspecified, and Depressive Disorder unspecified. The question is that person who is agitated and irritable, what is it? What would you call that? And there's some implication, if you wrote down Bipolar Disorder, unspecified, then in their record their medical record, the rest of their life will be something that says Bipolar disorder, when in fact, this may simply morph into a case of Major Depressive Disorder, because irritability and agitation is commonly seen in depression. So the real what we had to do, we introduced a new unspecified category that allows you to be neutral about whether it's bipolar or depression. So that's why it's called Unspecified Mood Disorder, which you can use that you're saying no, I don't know what it is. And I'm not I know it's a mood problem, because the symptom is a mood symptom. But I'm not going to commit myself to say whether it's either depressive or bipolar. So it's a new parking place, so to speak, to put your client before you figure out what's going on in a way that's going to be less stigmatized. And that's great. And if it's a couple of corrections to problems in the criteria, that's one of the ones is Autism Spectrum Disorder. So Autism Spectrum, so if you were called in, when we went from DSM-4 to five, that was a new category that was created that used to be autism, autistic disorder, and Asperger's disorder, there are several different and pdds are different types of autism disorders. For DSM-5, they decided to consider the entire thing a spectrum of conditions. So it's now Autism Spectrum Disorder. And it comes with three levels of severity. So Autism Spectrum Disorder is defined, there are two clusters of symptoms. There's the social interaction, social engagement, awkward social reading, social cue, cues, piece of autism, and then there's this preoccupation with unusual interests or repeating words. So there's two separate dimensions of autism, the autism spectrum, so the criteria set was reformulated. And we had to come up with a new algorithm. Now, the challenge here is Autism Spectrum Disorder is really had a huge amount of interest for the past 10, 15 years because of what appears to be this explosion in cases of Autism Spectrum Disorder. And part of that has been argued that people are recognizing it more, and that's why there's more cases, but part of it is over recognizing anyway, that's the kind of little weird and awkward Oh, they're on the spectrum, that's become a common phrase in the English language. Now, if you watch movies and TV start hearing, Oh, that guy's on the spectrum. So it's become incorporated into language. But it also shows that it's been overused and over diagnosed. So when you.. the diagnostic criteria sets, the prevalence often depends upon how you construct the criteria set. So when you have a criteria set, for example, the test five out of 10, if you were to make the requirement three out of 10, the prevalence would go up a lot. If you were to go up to eight out of 10, you would shrink the prevalence. So those kinds of criteria that give you a number out of a larger number has a big effect on prevalence. So when they reformulated the autism criteria set, they wanted to make sure that the the new criteria set was conservative. So that so the way it works is there are three items for the social impairment piece of it, and four of the interest restricted interests problem, the restricted interest is two out of four, the social one was supposed to be three out of three. But if you look at the criteria itself, it just says, including the following wasn't clear if you had to have all the following or any of the following, or whatever it was intended to be all the following because they were very worried about not inflating the rates of Autism Spectrum Disorder. So the new version now has very clearly all of the following. So that I think is good. I don't know how many people were making that error, but certainly was there to be made. And you opened up to different interpretation. I think those are some of the bigger ones. There's lots of small number of small tinkering around. But I think those are probably the most one of the greatest political interest.   Curt Widhalm  16:47 We received a lot of listener feedback and some specific questions as far as some diagnostics that may not be appearing and specifically, some things like Complex PTSD, Developmental Trauma Disorder, Orthorexia, can you explain to our audience a little bit here, as far as what your process is for inclusion, or further research into maybe an inclusion of these in the future? These are things that are being discussed with the APA, and kind of how the decision is made, as far as what do we include? What we kind of continue to  just monitor and see what's out there.   Dr. Michael First  17:21 So that's another a change in process when the DSM-5 was done over, however, eight years, they had all these committees, and they would would look what's out there in the literature, and people would write in suggestions. So there's a whole process during the DSM-5 to make lots of major major changes, those committees don't exist anymore. Instead, there's a steering committee. And what the steering committee does is we entertain proposals for new new disorder. So the Prolonged Grief Disorder, even though it was in the appendix, somebody had to come and propose that it be added to DSM-5. But when you put together the proposal, that is, on the DSM portal, there's a whole complicated... we they give an indication of what kind of empirical information is required you and submit your evidence of validity, reliability will make your cost benefit analysis is the harm versus the advantages is balanced in the right direction. So yeah, there's some hurt hurdles to go through to get one of these things in there. And the website lays out what those hurdles are. So now, the system is more reacting to what people suggest rather than coming up with diagnoses on our own. So he says, a little bit of a change. So that's now the process. All the changes you've just mentioned so far were suggested, and then ultimately approved, but let's cover some of the ones you met. So right now, there's really no unless somebody were to write in and say I want Complex PTSD in there. We're not going to be considered unless somebody actually outside the system proposes it and makes it formal proposals. Now, complex PTSD is interesting, because the ICD 11 I mentioned in the beginning that I worked on the ICD 11. On past Complex PTSD, they both PTSD and complex PTSD, in ICD 11. So they made the decision to include that condition. Now, the DSM, turns out that the DSM version of PTSD if you compare it to the ICD, PTSD and complex PTSD, they're elements in the complex PTSD, much of that has been incorporated to the criteria set for PTSD. So it's kind of a little blurry with what's and what's not emphasized, is it typically when Complex PTSD was first proposed, it was a type of PTSD that happened in response to chronic early traumatic experiences often ongoing. That was the original concept, but it turns out, this is from the ICD 11. If you look at the ICD 11 definition, even though they say that's often the kind of trauma that causes Complex PTSD, that's not required. That defines Complex PTSD, at least in the ICD. It's like PTSD, plus some chronic changes in the person to soon have a chronic sense of disconnection, chronic inability to social impairments, they basically been changed, the trauma is so extensive, it's almost like change them as a person. So you have more typical symptoms of PTSD like re experiencing, and avoiding things plus these more fundamental differences in the person. Now, some of those complex PTSD symptoms are now in the PTSD criteria set. So that's what I meant by saying that we sort of took some of the complex and added it to the regular one. So that so here's an example where there are a number of examples where the ICD 11 and the DSM-5 differ. And that's one of them, you know, DSM-5 decided to have a single PTSD category that was a little bit more broad, where ICD 11 decided that they wanted to have two. Some of the other proposals, some I've heard some other proposals, but a lot of these proposals that have been floating around, haven't really reached the stage of enough empirical research, really, to be able to be seriously considered for the DSM, they're potentially good ideas, but none of them have been offered as actual proposals, with proposed evidence to be able to be evaluated, but any of those somebody, and if you're any people listening, want to make such a proposal, you go to the way which you could do that. There's a website, which is easy, www.DSM5.org, if you go to that website, that's the DSM website. On the front page, you'll see there's a it tells you how you can make a proposal and what you need to do to fill out the application.   Katie Vernoy  21:44 It seems like what you're describing is a process to really allow a feedback loop to the steering committee. And you also described the the DSM as being because it's electronic, being a little bit more dynamic in being able to pick these things up.You know, what is the likelihood that one of these diagnoses assuming they've got the empirical research attached with my ended up in the next DSM like like is that?   Dr. Michael First  22:10 Well, to say that there is no next DSM for the time being, it could go in if somebody were to write a proposal today, for Complex PTSD and arguing that the current PTSD isn't covering a very important group of patients that there's a these are the kinds of things you would kind of argument you could make for something like that would include things like the fact that I that diagnosis does exist is hurting people because people are not recognizing it. More so the reason it's hurting them, the treatment for complex PTSD would be different than regular PTSD. That's another part of the compelling case. Another part of the argument is that you need to show that it's somehow distinct from regular PTSD and distinct from other conditions, like adjustment disorder, or, or, you know, this new Prolonged Grief Disorder. So those are the kinds of things you would need to do to make a convincing case, and then you would submit it. And if it goes through the whole process, and was approved, it would now go into the DSM. The hardcopy version, of course, you know, it's not if you buy it, it's not in your version you bought, but the electronic version, it will go into there. So we're in a funny transition now where you have the hardcopy version and the electronic version living side by side. And therefore, if you buy the hardcopy version, you're not, you know, it's it's easy to see the ongoing changes, but APA considers what's approved and in the electronic version to be the official DSM. And the hardcopy, like, the one that's going on sale now is a snapshot of where the electronic version looks like, you know, it looks like now. So everything that's in electronic version is now in hardcopy version. But as things happen, if somebody were to get complex PTSD in there, and it gets in there before the next hardcopy version comes out, then you'll have the situation where it's only on the electronic version, and not in the hardcopy version, but it's it's on the electronic version, you could use it, you know, it doesn't have to be in the hardcopy version to be legitimate diagnosis to make when one of your clients   Katie Vernoy  24:03 That's decided then, I'm not buying a new copy, then I'm just gonna get the electronic version.   Curt Widhalm  24:11 So when you're looking at the research that's submitted, what kind of thresholds are you looking at here? It sounds like part of this is not only the criteria that's maybe showing up in people's offices, but also some of the ways that things are being treated as some of the factors that you look at in how things are included, how things are rolled out, you're kind of kept under some of the existing diagnostics that are there, but what are you really looking for in the research that people are proposing?   Dr. Michael First  24:43 Well, this does not that no one thing I mean, I personally, I'm a clinical utility persons so to me, the most compelling thing is making a case that is going to help people and not hurt them. I mean that person, but that's not sufficient. I mean, you can make a proposal that that's the case but if because there's two things. One is this, say this is a good category to put in there. And then it's how to define it. That's a big problem and lots of concepts are out there. But what would be the criteria set, for example, for Complex PTSD that actually is a distinct group, and wouldn't by accident, include people who don't have complex PTSD? So it's a technical thing is the case for complex PTSD is, like, let's look at what happened with Prolonged Grief Disorder. There's a perfect, so that's already happened. How did that get in there? Well, patients were out there that people were noticing that didn't fit in any of the DSM categories. And they clearly were suffering. So they had some kind of mental disorder. They didn't have as I people say, Oh, well, they have Major Depression. That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big home system that allows people to come into your office and not have any place for them. So that's the first piece of it, then another compelling thing about comp, Prolonged Grief Disorder is is that psychotherapy that has specifically been developed, it's a variation when a CBT for treating Prolonged Grief Disorder that's been successful. So that's another compelling reason not only are you calling it something, but you have something to offer your clients by saying, Well, this is the recommended treatment. So that's the kind of argument you know, the DSM, it's very the spin, especially since DSM-4 detector, in fact it was a paper that came out before DSM-4 came out called holding the line on diagnostic proliferation, it was very easy, used to be very easy, it sounds like a good idea, we go into the DSM, a couple of problems is that once a category gets into the DSM, it's very, very, very hard to get it out. There's been very few diagnoses which have been deleted, because always some constituency says you will ruin my practice if you get rid of this diagnosis. So that's why knowing that it's easy to get in easier to get in than to get pulled out, you really want to make sure that things that are in the DSM won't need to be pulled out because you've too hastily added. I think there's been kind of a much more conservative view about putting categories in the DSM nowadays than there were back in 20, 30 years ago.   Katie Vernoy  27:13 We also got some some questions and we've had some conversations actually recently about diagnostic criteria that potentially needs to be adapted to fit a more diverse population or an understanding of the diversity in our population. I'm just curious, how culture, other demographic differences, all that all the things, how those things have been addressed in the the text revision, but also kind of the the concept around how you're making sure that the criteria, the descriptions all of the pieces really align with a very diverse population that we that we live in?   Dr. Michael First  27:50 That's a great question. In fact, there's been major efforts, since DSM-4, there was a special committee starting with DSM-4 for culture, culture related issues, how disorders present differently in different cultures. Now, the criteria sets are hypothetically supposed to be vanilla, that apply across all cultures, the way you deal with cultural variations in the text is one section called Culture Related Features. If you look at the content of that text, it's very specific than in this population and may look like this. So it's trying to show how that variability is taken into account. But it's an opportunity to let me tell you about a very important thing that we did with the TR that was basically, it's very interesting was they taking your during the development, During the development of TR, George Floyd happen, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So we actually created a committee that went through the entire DSM, looking for, um, not necessarily races as the most extreme case, but things that were not quite nuanced enough, like very often, you know, like, the big one of the big problems, of course, it's like what is race anyway? But that is because you're, you're an African American, are you really different than other people? If you are different, like very often in the DSM, the prevalence section will say this, if we break it down by ethnic group will say of depression in blacks is this and in Latinos Is this the question is why is it different? Is it because of biological reasons among these groups is out twice as if it is a different life experiences? It's lots of huge amount of data that the the disadvantage social settings for some of these groups, is the reason why they're different, not something essential about being Black or Latino. So that was one of the things when they went through the whole book, they're looking to avoid giving a message that something about the race itself is what's causing it to happen. So the way they dealt with it, is that they have a statement that says it's this in blacks and it's not and an extra sentence that says, this difference is likely due to differential exposure to racism or things like that. So it was a very, very thoughtful way of trying to make it clear and de emphasize it also get rid of stigmatizing statements, that to the whole, the whole book went through that thing, and that was really triggered by the awareness that was that was not originally part of the original plan of the TR it was the fact that that happened during the process. A new committee was been doing the process. I'm glad that we had enough time was early enough in the process, that we're able to get it in the DSM-5, I was a little dubious. But we they worked really, really hard that committee to be able to go through the all areas of the text revision to make sure it it worked for across culture, and also not not taking the certain minorities, stigmatized,   Katie Vernoy  30:54 Were any of the diagnoses assessed in that way and determining whether those diagnoses were appropriate across all the different demographic considerations. So one that comes to mind specifically, we recently had a discussion on Trans mental health and Gender Dysphoria is one that that kind of is a requirement to be able to kind of move forward with some of the things for transition. And it was interesting, the conversation was like, Well, I'm not dysphoric it's it's socially, you know, kind of everyone around me is dysphoric about my gender, I'm not and I have to kind of go through this process of saying that I'm dysphoric in order to get the letter that I need for the hormones or whatever, were there, or are there plans to look at kind of the impact of diagnoses or how diagnoses are put together and the impact on folks that are in in typically marginalized populations?   Dr. Michael First  31:44 Well, culturally, I think Trans is a special case, I could get to that whole issue of should trans even be in the DSM. I mean, lots of people in the Trans community don't consider it a mental disorder. So let's get general, we do consider that like Conduct Disorder is a good example, about a lot of the items and Conduct Disorder in minority populations living in high crime area, it's normal, it's like adaptive to do some of the items in the Conduct Disorder criteria sets. And we don't want to give people who are trying to adapt to their typical environment a diagnosis simply because in a different population, it advantage suburban population, it would be evidence of pathology, so you get into text for Conduct Disorder has things in there and the criteria sets get adjusted to drop items that might be overly influenced by culture and not apply to other cultures. And now Trans is a different story. So...   Katie Vernoy  32:38 Okay   Dr. Michael First  32:38 Let me get into that. So the name is also changed DSM-5, it's now called Gender Dysphoria. It used to be Gender Identity Disorder, that's what it was, is up to DSM-5, so they actually changed it from Gender Identity Disorder to Gender Dysphoria to make it less stigmatizing it was felt that saying, there was something wrong with your identity, there's a disorder and your identity was much more stigmatizing than saying that you're upset or it's creating a dysphoria. The fact that the term used in the ICD for this condition is Gender Incongruence, which is very well descriptive term, it's the sense that your assigned gender and your experience gender are incongruent. So the recent the problem, is it. So the individual they say, Well, I'm not dysphoric. I agree, you could say that they shouldn't get any mental disorder. But there's a big problem. How do you get qualified for treatment? Unfortunately, we live in a country, there's lots of things that are very harmful, like, you know, marital strife, child abuse, you can't get paid if you put a code for marital relationship problem on your billing form and submit it, nobody's gonna cover it because the insurance companies and the government have made a decision, unwise in my perspective, that's not my call, to not inlcude, not cover things that are not really ensuring the way they look at us insurance is for medical conditions. That's the basic concept, we're not going to, for example, if you want to get plastic surgery to make yourself look better, and make you feel better, their government says we're not going to cover that because that's sort of a cosmetic thing, even though it makes you feel better. You're not treating a disorder, to have a nose job, for example. There's a whole bunch of things that the government doesn't want to cover, unfortunately, basically, in the ICD, everything is outside of the disorder section, you won't get covered for. Now Gender Dysphoria is in the mental disorder of section, actually, therefore, you could qualify for treatment. If they were to remove it from the DSM entirely, then you would never be able to, insurance companies would not, not to say the insurance companies are happy about covering it, but they would really have a weapon to say well, if it's on the DSM, we have no obligation to cover so what what happened in the ICD 11 which I saw just came out they had the same problem, but they had a different solution. The ICD 11 is all of medicine not just mental disorders. So they had the option of moving Gender Incongruence out of the mental disorder section and moving it somewhere else so that it could still get paid for. And where did they move it, they created a new chapter called Conditions of Sexual Health or something like that. And therefore they were able to put it there. And now it's a condition that could get paid for. The United States, which is still using ICD 11. United States still using ICD 10. So there's no place in ICD 10 to move it. So that's why we're kind of frozen in the situation of it continuing to be in the DSM in that spot, for very utilitarian reasons. I mean, I'll give you another example, somebody who actually heard this case, person had sexual reassignment surgery, and broke took it off as a tax deduction under the health thing. They were challenged by the IRS, they said, Oh, no sex reassignment surgery is a cosmetic procedure, you can't take a deduction for that's their attitude.   Katie Vernoy  35:59 Wow   Dr. Michael First  36:01 It's  very tricky, because again, they don't want to cover things. So it's a balance, yes, it's stigmatizing. But on balance, is it better to deal with the stigma, by virtue of the placement in the DSM, or not have the services covered anymore, we're kind of stuck, there's some talk about moving maybe to a different spot in the DSM to try to help with that. But the code, still, the code, and the code is still mental disorder code. So until the ICD code actually changes, it's going to, it's gonna be a mental disorder, we don't have any control over that. That's the government.   Katie Vernoy  36:35 Sounds really complex.   Curt Widhalm  36:37 So if I can kind of synthesize down some of the important points that I'm hearing here is, in this process, you've taken some of the criticisms from the field of the DSM and made it more inclusive. As far as feedback opportunities for professionals. It's not, you know, committees hidden away in dark rooms, you know, twirling their mustaches, or running their fingers and just, you know, being the arbiters of mental health diagnostics. But one of the major things that I want to emphasize that you've brought up here a couple of times, is that there's a lot of parts of the DSM that are not just the diagnostic lists, that people should read from time to time. And I think that outside of maybe some of the psychopathology classes that grad students have to go through, we sometimes forget that and that a lot of the information that we do break up in our conversations that the text parts, this is the major emphasis of the text revision here is go and read these parts. And it probably answers a lot of the questions and criticisms that we have from the field. And now, more so than ever, it's had an opportunity for a lot more people to at least make suggestions and that feedback has been looked at.   Dr. Michael First  37:51 I can't agree with you more they criteria pretty bare bones. So yeah, on their own, they lots of could discuss argue about what what generally means that's what the text is there for. The text allows you to explain what they are, how do you assess it? As I said, the text is like 99% of the words in the DSM and the criteria, maybe 1% or less. So the text is extremely important. That's why we did the text revision. The difference to the from the last one is we did just leave it to the text, we also have the criteria. But you're absolutely right. Many of these things we dealt with, like this whole thing about systemic racism, if you look at the criteria set, there's nothing in the criteria in the TR, that would indicate that we did anything having to do with our sense sensitivity to race. That's all in the text.   Katie Vernoy  38:35 So to that point, I wanted to check in on a couple of things, because it seems like there's an opportunity for anyone anywhere who's able to do some research make the case they can submit to the committee. But I'm curious about who's at the table who's who's on the steering committee? And are you including folks that is there a diverse population of folks, there are other people with lived experience that are giving feedback, like how are you making sure that there's enough folks at the table to make sure that you continue this process of assessing how you're not managing just not even just culture, but also the lived experience of being autistic or, or other areas of neurodiversity? That there are folks who have psychotic symptoms that are weighing in on some of these things? And what the presentations, those things? I mean, it just it seems like there's, there's such a huge opportunity to have a lot of perspectives. How are you navigating that internally with a steering committee?   Dr. Michael First  39:33 Well, the steering committee is very small, then it goes to a committee are experts, there are women on the steering committee, and there are people who are African American, but it's still Well, obviously, just because there's one African American and a couple of women, it doesn't mean all perspectives are covered. We realize you're not simply a bunch of white guys making the decisions here. Got it tomorrow to the to where but you're making it where do we get those other perspectives? Well, the way we try to deal with that is before when something gets like, lets this go to Prolonged Grief Disorder is a good example. That category was controversial because there are a number of people who felt that you're calling people who are having normal grief, you're calling them having a disorder. And there's a lot of pushback against that category. So what we did is when before somebody gets into the final DSM and approved, it gets posted on the DSM-5 website for 45 days, it's open for comment and we get lots of comments. And that's really the opportunity for people with lived experience to say, you know, you, you clearly didn't take into account this aspect that I live with this, if you didn't get it to committee would read all of that. If they make a good case, then they could change it. Absolutely. So that's the way I mean, being on this tiny group of people who make the decisions. Unfortunately, the limit to how diverse we can make this, there's not that many people, but there are many layers. I mean, even within the American Psychiatric Association, it's got to be approved by this thing called the APA Assembly, which is sort of like Congress, so to speak, with lots of diversity built into that. And then so the so many different levels of approval, that's where some of the diversity comes in. It could it could be make it more, maybe, but that's what we're able to do.   Katie Vernoy  41:15 Well it seems like there's also an opportunity to reach out to diagnostic communities when when a new diagnosis is being presented to make sure that you're getting some of that feedback, it seems like there's there's mechanisms in place, my hope is that there's also efforts to connect with folks with lived experience or those elements so that people can really be ready to take on that 45 day period.   Dr. Michael First  41:37 Right? That's actually quite how do we, We do our best to publicize it. Yeah, but you're right, it'd be great. In fact, we've done that before, I think that this particular case, with Prolonged Grief, I think there are organizations, you know, patient groups, we could go to them and say, you know, like, we made a change in the psychotic section, or clearly, individuals have lots of experience. NAMI and, those kinds of groups. So there have not been any changes, you know, recently that would affect that. But that would be obviously something we would want to do is to go perfect sure that they're aware that the change is there and give them an opportunity to give their feedback.   Curt Widhalm  42:14 Where can people find out more about you and your work?   Dr. Michael First  42:17 I have a website at Columbia, at Columbia, every faculty member gets a website, I happen to have a Wikipedia page. So you could look at that. My email, I don't keep my email addresses secret. That's one thing. I mean, it was very interested in me working with this, if I have to contact an expert to get their email address could be incredibly difficult. You take them in and you type an email. It's nowhere you have to. I don't know why people are so afraid to have their email address public. But I mine has been public. It's been public the entire time I've been in the field. And I'm happy for people to let me know what they think.   Curt Widhalm  42:54 And we'll drop Dr. First's email in our show notes. You can check that out over at mtsgpodcast.com. And we'll include links to a couple of other episodes where we've had some relevant guests in the past talking about things like Prolonged Grief Disorder and some of the other things that we've done and follow us on our social media. Until next time, I'm Curt Widhalm with Katie Vernoy, and Dr. Michael First.   Katie Vernoy  43:21 Thanks again to our sponsor SuperBill.   Curt Widhalm  43:23 If your practice doesn't accept insurance super bill can help your clients get reimbursed. SuperBill is free for therapists and your clients can use the code SuperBill22. That's Super Bill two two to get a free month of SuperBill. Also you can earn $100 For every therapist you refer to super bill. After your clients complete the one time HIPAA compliant onboarding process, you can just send their super bills to claims@the superbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement by helping your clients get reimbursed without the stress of dealing with insurance companies SuperBill can increase your new client acquisition rate by over 25%.   Katie Vernoy  44:06 The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started.   Announcer  44:18 Thank you for listening to the Modern Therapist Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

Rare diseases as a health equity group. Rare doesn't mean never. Commonalities & differences.Learning from tiny populations. Chat with Doug Lindsay. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem.. 1 The fragility of health for Doug Lindsay 01:57. 1 Personal medical consultant finding answers 04:10. 2 Rare disease as an equity challenge 05:31. 2 Commonalities of people with rare diseases 09:46. 3 Helicopters, zebras, interns' disease in physician training 11:13. 4 Undiagnosed disease programs 14:24. 4 Categories of differences across rare diseases 15:28. 5 Comparative effectiveness methodologies 17:31. 5 Using existing models in new fields. Learning from tiny populations 20:59. 6 Leave us with something 23:59. 7 Rare doesn't mean never. Questions mean an opening 25:21. 7 Rare disease as a health equity group 27:04. 7 More than 25-30 million people have a rare disease 28:11. 8 Rare Disease Day 28:48. 8 NORD National Organization for Rare Diseases 30:45. 8 Reflection 33:07. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn  via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Drummer, Composer, Arranger Web and Social Media Coach Kayla Nelson @lifeoflesion The views and opinions presented in this podcast and publication are solely the responsibility of the author, Danny van Leeuwen, and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors or Methodology Committee. Sponsored by Abridge Inspired by and grateful to Lynne Becker, Morgan Gleason, Marnie Cartelli, Jill Johnson-Young, Adriana Mallozzi, Wesley Michael, Lauren Reimer-Etheridge, Sara Lorraine Snyder, Alexis Snyder, Jill Woodworth, CJ Rhodes, Rebecca Archer, Shiri Ben Arzi, Lisa Deck Links Doug Lindsay LinkedIn Opinion piece Rare Disease Day PCORI (Patient-Centered Outcomes Research Institute)'s Rare Disease Advisory Panel. Castleman's disease, David Fajgenbaum, the physician at UPenn who found his own cure and wrote the book Chasing My Cure NORD National Organization of Rare Diseases Esquilax Related podcasts https://health-hats.com/rare_disease_research/ https://health-hats.com/lead-by-example/ https://health-hats.com/a-zebra-not-a-horse-rare-patient-voice/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once.  I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare.  Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge.  Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements.  Please let me know. danny@health-hats.com.

Welcome back to Therapy Chat! This week host Laura Reagan, LCSW-C interviews returning guest Jill Johnson-Young, LCSW, a clinical social worker who owns Central Counseling Services in Southern California. Jill is the author of several books on grief, including most recently, "The Rebellious Widow," in which she shares some of her own personal story as well as her clinical experiences in facing grief and loss. Jill trains therapists in working with grief, and she is also very knowledgeable in other information about end of life, including dementia. She returns for part 2 of the conversation that started last week in Episode 317. In today's discussion, Jill went into more depth about how loved ones and caregivers can ease the process of transitioning from this life by having difficult conversations with the dying person or the person with dementia. She speaks about some of the common issues that cause unneeded conflict when family members are dealing with a sick or dying loved one and how they can be eased or avoided altogether. Resources Find Jill's book, including the option to read the first chapter for free, at: www.therebelliouswidow.com   Learn more about Jill's counseling services at: www.centralcounselingservices.com  Visit Jill's website for a ton of resources for learning about grief, dementia, her books, her trainings and so much more: www.jilljohnsonyoung.com Other Resources: This week's episode is sponsored by Trauma Therapist Network, a website focused on teaching people what trauma is, how it shows up in our lives and where to find help; because trauma is real, healing is possible and help is available at www.traumatherapistnetwork.com Therapists, during the month of February you can join Trauma Therapist Network and you will receive: - [ ] Trauma Therapist Directory listing which tells clients specifically how you work with trauma, what types of trauma you help with, and what methods you use. Begins immediately. Then, beginning in March: - [ ] Monthly Group Case Consultation calls with Laura Reagan, LCSW-C - [ ] Monthly Training Workshops with Laura Reagan and other trainers - [ ] Monthly group Self Care calls with Laura Reagan - [ ] Monthly Q&A calls with Laura Reagan and other experts To join go to: https://traumatherapistnetwork.com/therapist-submission-form/ Podcast produced by Pete Bailey - https://petebailey.net/audio 

Welcome back to Therapy Chat! This week host Laura Reagan, LCSW-C interviews Jill Johnson-Young, LCSW, a clinical social worker who owns Central Counseling Services in Southern California. Jill is the author of several books on grief, including most recently, "The Rebellious Widow," in which she shares some of her own personal story as well as her clinical experiences in facing grief and loss. Jill trains therapists in working with grief, and she is also very knowledgeable in other information about end of life, including dementia.  In this episode you'll hear Jill share some of her personal story of becoming a widow twice before the age of 50, and her lived experiences of taking care of loved ones with various types of dementia. Jill explains that there are 12 different types of dementia, and they can have different origins, symptoms and presentations. She discusses the various types of dementia and offers resources for learning more and getting support when you or someone you love has dementia.  Jill will return with Part Two next week for more discussion about what to do when someone you love has dementia to make the process of caregiving and preparing for end of life less challenging. Resources Find Jill's book, including the option to read the first chapter for free, at: www.therebelliouswidow.com   Learn more about Jill's counseling services at: www.centralcounselingservices.com  Visit Jill's website for a ton of resources for learning about grief, dementia, her books, her trainings and so much more: www.jilljohnsonyoung.com This week's episode is sponsored by Trauma Therapist Network, a website focused on teaching people what trauma is, how it shows up in our lives and where to find help; because trauma is real, healing is possible and help is available at www.traumatherapistnetwork.com.  Therapists, during the month of February you can join Trauma Therapist Network and you will receive: - [ ] Trauma Therapist Directory listing which tells clients specifically how you work with trauma, what types of trauma you help with, and what methods you use. Begins immediately. Then, beginning in March: - [ ] Monthly Group Case Consultation calls with Laura Reagan, LCSW-C - [ ] Monthly Training Workshops with Laura Reagan and other trainers - [ ] Monthly group Self Care calls with Laura Reagan - [ ] Monthly Q&A calls with Laura Reagan and other experts To join go to: https://traumatherapistnetwork.com/therapist-submission-form/ Podcast produced by Pete Bailey - https://petebailey.net/audio 

Today Jill Johnson-Young discusses the discrimination facing the LGBTQ+ Community with health care, hospice, and nursing care facilities!  Jill talks about her own experiences with discrimination that Jill and her late wife faced and, also discusses what should be done to eliminate discrimination.  Jill Johnson-Young who was previously a guest on Chatting with Betsy discussing the book "The Rebellious Widow " which  Jill Johnson-Young wrote. This is one powerful must be heard podcast!

Today Jill Johnson-Young discusses the discrimination facing the LGBTQ+ Community with health care, hospice, and nursing care facilities!  Jill talks about her own experiences with discrimination that Jill and her late wife faced and, also discusses what should be done to eliminate discrimination.  Jill Johnson-Young who was previously a guest on Chatting with Betsy discussing the book "The Rebellious Widow " which  Jill Johnson-Young wrote. This is one powerful must be heard podcast!

Today Jill Johnson-Young discusses the discrimination facing the LGBTQ+ Community with health care, hospice, and nursing care facilities! Jill talks about her own experiences with discrimination that Jill and her late wife faced and, also discusses what should be done to eliminate discrimination. Jill Johnson-Young who was previously a guest on Chatting with Betsy discussing the book “The Rebellious Widow ” which Jill Johnson-Young wrote. This is one powerful must be heard podcast! For much more information and contact: https://bit.ly/3mUs9dj Learn more about your ad choices. Visit megaphone.fm/adchoices

Today Jill Johnson-Young discusses the discrimination facing the LGBTQ+ Community with health care, hospice, and nursing care facilities! Jill talks about her own experiences with discrimination that Jill and her late wife faced and, also discusses what should be done to eliminate discrimination. Jill Johnson-Young who was previously a guest on Chatting with Betsy discussing the book “The Rebellious Widow ” which Jill Johnson-Young wrote. This is one powerful must be heard podcast! For much more information and contact: https://bit.ly/3mUs9dj

A therapist's job is to help their clients. But what does “help” mean when a client has been diagnosed with an incurable disease? In this episode, Cassie shares her story of seeking emotional support for her diagnosis of metastatic breast cancer only to receive unhelpful fixes instead. Plus, Jill Johnson-Young returns to talk about supporting clients who are experiencing the grief of having to say goodbye.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 6:37 Part One: 6:37 – 36:43 Part Two: 36:43 – 1:11:28 Part Three: 1:11:28 – 1:17:01   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to CaringBridge and Triple Negative Breast Cancer Foundation Therapist-level moderation of within- and between-therapist process-outcome associations. Research examines the role of psychotherapists in treatment effectiveness Jill Johnson-Young's Website

During this episode, I talk with Jill Johnson-Young, otherwise known as "The Rebellious Widow." Jill is a grief therapist and expert, group practice owner, author, speaker, and so much more. We discuss Jill's incredible grief journey where she talks about the grief and loss of two of her wives and marrying her third wife... the kicker is that they all knew each other in one way or another.Talking Points Include:Why therapists don't feel comfortable talking about grief and lossQuestions that you definitely should not ask someone grievingJill's incredible outlook on some very difficult topicsHow to support clients and loved ones who are grievingWhy it's important to get comfortable with the uncomfortableDestigmatizing grief and lossCheck out Jill's website for grief and loss resources, classes*, and community.*Jill has a special offer for everyone listening to this podcast for 50% one of her courses using code: POD50Listen to more podcast episodes: https://www.allthingspractice.com/all-things-private-practice-podcastJoin the All Things Private Practice FB Group: www.facebook.com/groups/privatepracticebuilding/Learn more about Jill and her incredible work: https://jilljohnsonyoung.com

Betsy Wurzel's guest today is Jill Johnson-Young, Author, Business Owner, Podcast, Speaker, Licensed Social Worker, and Grief Expert. Jill Johnson-Young is the author of The Rebellious Widow, A Practical Guide to Love and Life After Loss, and Jill discusses why she wrote the book and talks about how she lost 2 wives. Jill also discusses breaking the rules of grieving that society has given us! Jill discusses how grieving affects our physical being We have more information on our BLOG that may be helpful for you: https://bit.ly/3cSWOSC Learn more about your ad choices. Visit megaphone.fm/adchoices

Betsy Wurzel's guest today is Jill Johnson-Young, Author, Business Owner, Podcast, Speaker, Licensed  Social Worker, and Grief Expert. Jill Johnson-Young is the author of The Rebellious  Widow, A Practical  Guide to Love and Life After Loss, and Jill discusses why she wrote the book and talks about how she lost 2 wives. Jill also discusses breaking the rules of grieving that society has given us! Jill discusses how grieving affects our physical being.

Betsy Wurzel's guest today is Jill Johnson-Young, Author, Business Owner, Podcast, Speaker, Licensed  Social Worker, and Grief Expert. Jill Johnson-Young is the author of The Rebellious  Widow, A Practical  Guide to Love and Life After Loss, and Jill discusses why she wrote the book and talks about how she lost 2 wives. Jill also discusses breaking the rules of grieving that society has given us! Jill discusses how grieving affects our physical being.

Betsy Wurzel's guest today is Jill Johnson-Young, Author, Business Owner, Podcast, Speaker, Licensed  Social Worker, and Grief Expert.Jill Johnson-Young is the author of The Rebellious  Widow, A Practical  Guide to Love and Life After Loss, and Jill discusses why she wrote the book and talks about how she lost 2 wives. Jill also discusses breaking the rules of grieving that society has given us! Jill discusses how grieving affects our physical beingWe have more information on our BLOG that may be helpful for you: https://bit.ly/3cSWOSC

Jill Johnson-Young is my guest for episode 43 of The Courage, Coaching and Counseling Podcast. Jill is a Grieftalker, an expert on grief and has written books for children and adults about grief and loss. In this episode, we talk about her background in hospice, how to talk with kids about death, unmentioned grief, dementia, anticipatory grief, grief therapy and support, and more. One thing I loved about this conversation is Jill's experience helped this topic not seem so big and overwhelming. From Jill's website, https://jilljohnsonyoung.com/ "Let me tell you a little about myself: I am based out of Riverside, California. I've been widowed. Twice. Before age fifty. I've faced down cancer with my first wife, who died ten years later cancer-free, but with pulmonary fibrosis and heart failure probably brought on by the chemo that gave us ten extra years. Not many years after I remarried following my first wife's death, my second wife developed weird symptoms that no physician could seem to figure out. I finally did. That's when we realized she had early-onset Lewy Body Dementia. She died only months after we finally got the diagnosis. I've had the honor of working with too many hospice families to count, helping patients prepare for their deaths, and families for the loss that was most certainly coming. I've had the honor to be present when many of those patients died. I've provided support groups for children in schools, adults, and for those who are terminally ill. Death really is not scary to me, or a subject I avoid. I've raised my kids to see death as a part of life. Now that I'm married to a funeral director, it really is part of our daily life. But that does not mean we can't laugh, we can't feel sunshine on happy days, or that life is negative. That's not who I am. That's not who I want anyone else to be. the technical stuff: my BA is from the University of California, Riverside, and my MSW comes from the University of South Florida, and I am licensed in the state of California as an LCSW. On top of being the CEO of Central Counseling Services allowing me to serve as a clinical therapist, I am also a certified Grief Recovery Facilitator." You can follow Jill: https://www.instagram.com/jilljohnsonyounglcsw https://www.facebook.com/grieftalker/ https://mobile.twitter.com/jilljohnsonyou1 https://www.linkedin.com/in/jilljohnsonyoung/ The Courage, Coaching and Counseling Podcast launched March 30th, 2021. I write more about marriage and parenting on my blog www.SovannPen.com You can watch the show on my Youtube channel. The purpose of the show is to encourage and inspire you to be more courageous in life and to bridge the gap between where you are and where you want to be. It is for those who may be struggling with mental illness, relationship struggles, or seeking clarity and direction in life. People who are interested in personal growth, emotional and spiritual health. Moms and Dads who would like help with their marriage and/or parenting. And people who are interested in how church leaders and mental health providers can work together to care for people. You can connect with me: htps://www.instagram.com/sovannpencounseling https://www.facebook.com/CourageCoachingCounseling https://twitter.com/SovannPen http://www.sovannpen.com/

Are you looking to scale up your group practice? Are there unmet needs in your community that you can serve? How do you figure... The post How to Grow a Large Practice that Serves the Needs of the Community with Sherry Shockey-Pope and Jill Johnson-Young | GP 92 appeared first on How to Start, Grow, and Scale a Private Practice| Practice of the Practice.

Are you looking to scale up your group practice? Are there unmet needs in your community that you can serve? How do you figure... The post How to Grow a Large Practice that Serves the Needs of the Community with Sherry Shockey-Pope and Jill Johnson-Young | GP 92 appeared first on How to Start, Grow, and Scale a Private Practice| Practice of the Practice.

Can you bring humor to death? It's time to break the old rules around death and the dying process. In this episode, Marc and Claudine bring you Jill Johnson Young and her new perspective on loss and dying. This episode will surely open your eyes to a new perspective especially in these uncertain times.  They talk about how to bring humor to the dying process, hospice for a longer duration and firing inadequate ones, communication, community, and home death and memorials. The dying process can be new beginnings and more intimacy, much more than just grief.  Episode Challenge (46:17): Go in your life and have a conversation about grief with someone close to you. Don't just act like it isn't there and think about how you can grow from it. Upload a response afterward sharing your experience and how you grew from that conversation. If you upload it to social media tag us @thebtopodcast and use #breakthroughtheordinarypodcast and #btochallenge or email your video to us at hello@breakthroughmediaco.com.  About the Guest:Jill Johnson-Young, LCSW is the CEO of Central Counseling Services in Riverside, Murrieta, and Corona California. She specializes in grief and loss, dementia, and trauma and speaks internationally to therapists, allied health professionals, associations for grief, the funeral industry, and community groups. Her career has included more than a decade with hospice as a medical social worker and as director of social workers, chaplains, and grief staff. Read More Here[Affiliate Link] Buy Jill's book “The Rebellious Widow” here - https://amzn.to/3l4rlk4 Jill's social media handles:https://www.instagram.com/jilljohnsonyounglcsw/https://www.instagram.com/therebelliouswidow/https://www.linkedin.com/in/jilljohnsonyoung/ Jill's websites:http://www.jilljohnsonyoung.com/www.therebelliouswidow.com Contact her: jill@jilljohnsonyoung.com Facebook groups/pages:https://www.facebook.com/fridaygriefchat   The Friday Live free about grief and humor Fridays at 10am PThttps://www.facebook.com/Riversidedementiasupport  The page for the dementia support group, free, online   Listen to More Episodes:Apple Podcast - https://podcasts.apple.com/us/podcast/breakthrough-the-ordinary/id1579129631Spotify - https://open.spotify.com/show/7L6XsP0M87M8CX7AJ2LRS4Google Podcasts - https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9DQ1V1NVR6agAmazon Music - https://q4k0kx5j.r.us-east-1.awstrack.me/L0/https:%2F%2Fmusic.amazon.com%2Fpodcasts%2F05bbcd2c-1e6b-4d09-934e-4eac42e12362/1/0100017af9eb75aa-8c17c10b-25b5-4300-b24e-c002d99f89b3-000000/lIGTk2xPKpZbRH-tqg7FXsRKud4=229iHeartRadio - https://iheart.com/podcast/85365975/ Follow Us [@thebtopodcast]:Instagram - https://www.instagram.com/thebtopodcast/Facebook - https://www.facebook.com/thebtopodcastTwitter - https://twitter.com/thebtopodcastTikTok - https://www.tiktok.com/@thebtopodcastWebsite - https://btopodcast.comContact Us:  contact-us@breakthroughmediaco.com About the podcast:Are you ready to commit to your future self---if you are, Marc Chiaramonte, a creative entrepreneur, coach, and adventure seeker, and Claudine Chiarmonte, psychotherapist, coach & joy creator, are ready to take you on a journey of self-discovery to unlock your highest potential! Join Breakthrough the Ordinary to reveal what awaits you on your next quest of exploration, bringing practical strategies, tools, and secret fairy dust that our guests, coaches, healers, entrepreneurs, and thought leaders, will be sharing with you! New episodes drop every MONDAY! SHOW CONTRIBUTORSClaudine Chiarmonte, Marc Chiaramonte, Jill Johnson-Young

Four book recommendations for the widowed. Three authors have been on the podcast as widowed guest co-hosts. The fourth author is not widowed. Her book was recommended to me by one of the widowed guest co-hosts. Now, I'm not going to have an author on the show if I won't recommend their book. That would be awkward. And I only recommend books I have read. When I read, I underline. Write notes and questions in the margins. If I feel the book gives enough value (sorry I can't define enough), I'll book a recording appointment with the author. Before I have the author on the podcast, I reread the book and make 8 to 12 pages of handwritten notes for a podcast recording session. I'll never recommend something to you if I don't feel it delivers value. Value is subjective, and your definition of value is probably different than mine. To me, a non-fiction book delivers value if I get something out of it. For instance, an actionable tactic, or a different way of looking at a problem. Or something exhilarates me. Helps me heal. For me, the list goes on. I'll never make a recommendation if I don't feel it delivers value. Okay—Back to the books, the authors are from different walks of life and a wide age range—30's and up. Big city to a small rural town. All in the United States. All the authors are female. Refreshing for me as a male—these books come with an added bonus. Because you get insight into women. Their perspective, thoughts, challenges, fears, emotional needs, and wants. What's important in their relationships and more. In other words,  how to treat women. I wholeheartedly believe understanding and acting on it will make you a better listener, friend, lover, partner, or spouse. The overall theme with all the widowed authors' books is with their story, their experience, and in some cases, their professional expertise--they want to help others. That's you and me. Like you (I know that's an assumption), the widowed authors didn't want to be part of the widowed community, but what I see is they choose to find meaning in their suffering—beauty in their odyssey. And they summon the courage to write and share intimate details with you—in the hope of helping you, to feel seen—to feel heard. To give you hope so you can heal, find love again, and give grief the middle finger. Links for the authors' books, websites, and podcast episodes are below. Most of the authors have more resources on their websites. Resources you might find valuable. If you are a member of the MSDToo community email list, that's where you get Behind-The-Scenes details and Show Alerts, I'll email you details and all the links so you can click to your heart's content. And … if you're not a member of the My Spouse Died Too community email list, consider joining. Takes less than 32 seconds. Join at myspousediedtoo.com. I recommend you read the books, then listen to the respective episodes to get a powerful feel for the widowed author. For me, that's a selfish pleasure I get from reading the book, then hearing and seeing the author live! Thanks for listening. Links are below. Book 1  Boldly Into The Darkness: Living with Loss, Growing with Grief & Holding onto Happiness by Autumn Toelle-Jackson This link above is to Autumn Toelle-Jackson's website with resources and her book. Autumn's Podcast Episodes: 43  44  45  46  Book 2 the rebellious WIDOW: A Practical Guide to Love and Life After Loss by Jill Johnson-Young, LCSW Jill Johnson-Young's website Jill's website has tons of resources. Jill's Podcast Episodes: 51  52  53 Book 3 The Good Widow: A Memoir of Living with Loss by Jennifer Katz, PhD Jenny Katz's link takes you to her website where you'll find her book, blog, and discussion guide. Jenny's Podcast Episodes: 65  66  67  68 Book 4 Getting Naked Again—Dating, Romance, Sex, and Love When You've Been Divorced, Widowed, Dumped, or Distracted by Judith Sills. PhD Getting Naked Again link goes to Amazon. Happy reading and listening! And if you haven't already... Because you shouldn't have to journey alone, join me in the My Spouse Died Too community email list for members-only benefits: Behind-the-scenes commentary gives you deeper insight--helps you heal. Episode alerts so you'll know when a new episode is ready. Updates on past podcast guests because their journeys continue too. Plus more thoughts, resources, and random widowed journey stuff I discover. And it's the best way to contact me. Because you shouldn't have to journey alone. Sign-up now at https://www.myspousediedtoo.com. Hope. Heal. Find love again. ~ Emeric My Spouse Died Too podcast, images, logos, artwork copyright © 2019-2021 by Emeric McCleary. Music and lyrics © 2019-2021 by Emeric McCleary and Elena McCleary

On this episode, we interview grief expert and licensed clinical social worker, Jill Johnson-Young. She discusses her personal and professional experiences related to grief, strategies for supporting someone who is experiencing a loss, as well as research outcomes from examining the coping strategies of FDNY widows from September 11th, 2001.

Jill Johnson-Young is the Co-Founder and Clinical Therapist at Central Counseling Services, where she and her team provide the highest quality care for individuals and families seeking assistance with life's challenges. Jill's areas of expertise include grief and loss, children's grief, dementia support for families, adoption related issues, LGBT issues, and so much more. Jill has lost two spouses to illness and shares her story on this week's episode and the frustrating experience she had when friends, therapists, and acquaintances told her what she ‘should' be doing.    Key Takeaways: How did Jill get involved with grief? It started with the AIDS crisis.  Jill's wife passed away from post-cancer-related complications.  When your partner is sick, you go from being a spouse to a care-giver. Jill talked to her wife about what she wanted her death to be like and what she wanted for their children. When Susan's husband passed away, she wanted to travel internationally. Her friends said it was a bad idea!  Susan's second wife passed away from Lewy Body Dementia.  After you've lost a spouse, you have the right to make your own rules. People gave Jill all these ‘rules' on what to do after her wife passed. Excuse me? She gets to do what she wants to do.  Jill went to therapists that specialized in grief work. None of them had a clue!  This is why Jill now helps teach therapists about grief, because it can be so easy to get this process wrong.  Don't let people outside of your life bully you into doing something that's not right for your family.  It's okay to be selfish when your spouse dies. It's okay to make people upset.  Jill decided that this is her new reality and she's going to live her life in a way that brings her joy.    Resources Tendrilsofgrief.com Email Susan: susan@tendrilsofgrief.com Jilljohnsonyoung.com Centralcounselingservices.net Jill on LinkedIn The Rebellious Widow by J. J. Young

Jill Johnson-Young is an expert in the areas of dying, death, and grief. She also has the personal experiences that come with having been widowed twice, including stories of the bad grief therapy that followed. In this episode, Jill shares what therapists and clients should know about working with grief and all the reasons why the conventional wisdom about grief therapy is often counterproductive.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 10:59 Part One: 10:59 – 1:14:34 Part Two: 1:14:34 – 1:25:50   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Make-A-Wish Jill Johnson-Young's Website The Jessica Simulation: Love and loss in the age of A.I. An Investigation of Self-Assessment Bias in Mental Health Providers The Center for Complicated Grief Private Practice Grief Facebook Group

Author Jill Johnson-Young knows a thing or two about grief. She shares her deep, funny, irreverent wisdom in an interview with The Heart of Hospice.  Jill is a social worker based in California, owner of Central Counseling Services and is the author of The Rebellious Widow, an insightful look into managing grief on your own terms.  After losing two spouses, Jill experienced the full spectrum of other people's expectations and rules. She shares the lessons she learned about not following the grief rules that society wants to impose on grievers in her book.  Included in The Rebellious Widow is guidance for a new grief paradigm. Jill teaches that our grief shouldn't be confined by the boundaries that others define for us.  We can define our own grief, taking parts of those we lose with us into the future we create for ourselves.   Find Jill's blog, books, and connect with her at JillJohnsonYoung.com.  She's got a lot of resources about grieving, pet loss, hospice, dementia.  Connect with Jill to teach your team or speak at your event by clicking here.  Her website has things to help as well as her books for both adults and kids. Find her classes and blog.  Connect with Jerry Fenter and Helen Bauer from The Heart of Hospice, book them to speak at your event (remote or in-person), or ask a question by sending an email to host@theheartofhospice.com.  We honor your end of life journey.  We're walking it with you.  You are The Heart of Hospice.           

Lillian speaks with therapist, widow, wife, and author Jill Johnson-Young.

Dying and the Grief Process with Jill Johnson-YoungHow do you move on from a heart-shattering loss? How do you let go of someone whom you loved dearly? In this episode, I talk with Jill Johnson-Young, someone who experienced death and loss twice in her life (with 2 separate partners)  and we talk about grief, love, loss, and how to move forward. Jill states, “Did we live the life that we were intended to live? Did we make a difference in this world? Did we find happy? Did we make others happy? Did we rescue a few very old ancient poodles? What did we do with our lives is what counts.”---------------------Jill Johnson-Young works as a LCSW.  She has been widowed  twice before age of fifty. Now she works with loved ones and their families to help as we pass from this lifetime to the next. She has a BA from the University of California, Riverside and she is a certified Grief Recovery Facilitator.Read more about Jill on https://jilljohnsonyoung.comCheck out Jill's book The Rebellious Widow, about how to prepare for a loved one's death and get through the grief to the other side. To learn more, visit https://www.therebelliouswidow.comIf you love this episode, head over to Apple Podcasts, subscribe to the show, and leave us a rating and review. Help us spread love and light by sharing your favorite episodes on social media. https://podcasts.apple.com/us/podcast/life-lessons-from-a-psychic-intuitive-podcast/id1525359865Connect with me on Instagram https://www.instagram.com/cpsychicreadingsCheck out my website to learn more about what I do: https://www.cpsychicreadings.comListen to my past C Psychic Readings Intuitive Podcast episodes here: https://www.cpsychicreadings.com/podcast

In this episode of the Dating After Loss series, cohosted by @brookeljames and @meghan.riordan.jarvis, Author and LCSW Jill Johnson-Young shares her story of finding love again after not one, but two losses. Jill shares her story, her experience in dealing with judgment from her community for violating the "widow rules", how to integrate your new partner into your existing family unit, and how love and intimacy are part of grief processing. jilljohnsonyoung.com griefismysidehustle.com thegriefcoach.co

Jill Johnson-Young, LCSW, provides guidance about how to support healthy grieving in individuals who have experienced intimate partner death, including discussion about myths, 'widow rules', and interventions. Interview with Elizabeth Irias, LMFT.

Join us as we explore dying, death, grief and dementia with Jill Johnson-Young: caregiver, counselor, author and grief expert. Jill has spent her career as a social worker and clinician. After a long career, including ten years as a hospice social worker and ten years in private practice, her goals are clear: "We need to  change how we talk about dying, death, grief, and dementia". Check out her book, "The Rebellious Widow: A Practical Guide to Love and Life After Loss" Also learn more about Jill and her programs and other books at her website: https://jilljohnsonyoung.com/

The Rebellious Widow Jill Johnson-Young packs this final episode with personal experience and generous professional advice. What you’ll discover… Stacie the Mortician—Jill’s new (and current) love connection. The reticent minister who refused to officiate Jill’s next wedding, and the baseless reasons why. Jill has a stroke on tax day—A real one. Will you grieve forever? What I was wrong about (it has to do with grieving forever). How to be like ninety-nine-year-old actress Betty White (she was widowed 40 years ago and hasn’t remarried)—or how to be like Jill with the courage, after being widowed, to marry again and again. Trust your gut—but make sure you have this one thing in place so you don’t ruin your life. Getting naked again—with another person. Jill recommends the book Getting Naked Again by Judith Sills, Ph.D. I ordered the book from Amazon. Link here. How to handle criticism using the Charlie Brown Criticism Defense Tactic. Why you need a good wing person. Is this your chance to recreate yourself? The grief paradigm change. The five tenets of rebellious widowhood. Boundary setting. Use this powerful skill so others don't sabotage you. Feeling more alive when there’s intimacy in your life. I talk about me asking someone out on a date, and how it made me feel just to ask. Why you should avoid a clone of your dead spouse. And so much more. Thanks for listening to the final episode of The Rebellious Widow with Jill Johnson-Young. If you haven't listened to parts 1 and 2, here are the links: Part 1,  Part 2. Buy The Rebellious Widow book almost everywhere you buy books. A great place to start is The Rebellious Widow book website: https://www.therebelliouswidow.com Links are below to Jill’s websites and social media accounts. https://www.jilljohnsonyoung.com https://www.centralcounselingservices.com Twitter @grieftalker Facebook https://www.facebook.com/grieftalker LinkedIn https://www.linkedin.com/in/jilljohnsonyoung Instagram https://www.instagram.com/therebelliouswidow Because you shouldn't have to journey alone, join me in the My Spouse Died Too community email list for members-only benefits: Behind-the-scenes commentary gives you deeper insight--helps you heal. Episode alerts so you'll know when a new episode is ready. Updates on past podcast guests because their journeys continue too. Plus more thoughts, resources, and random widowed journey stuff I discover. And it's the best way to contact me. Because you shouldn't have to journey alone. Sign-up now at https://www.myspousediedtoo.com. Hope. Heal. Find love again. ~ Emeric My Spouse Died Too podcast, images, logos, artwork copyright © 2019-2021 by Emeric McCleary. Music and lyrics © 2019-2021 by Emeric McCleary and Elena McCleary

Part 2 of The Rebellious Widow with guest co-host, twice-widowed author, therapist, Mom, and entrepreneur Jill Johnson-Young, LCSW. Taste Part 2: How Casper comes back into the scene and what she asked Jill's Mom. How to break the widow rules so you can live life on your terms without guilt and shame. The three-page bucket List. Introducing your dead spouse. Finishing relationships—how a therapist helps you. People uncomfortable with death: which friends or family suddenly disappeared? The Snow Goose Dress—the things you’ll wear for a dying loved one. Anticipatory Grief—when your grief starts before death. Why Jill Avoids the Frozen Pea Aisle. The awesome rebirth Jill never imagined. To avoid unnecessary cruelty: use a Fiblet. What's a fiblet? The secret romance alias: changing names to protect the innocent. The real reason Robin Williams took his own life. How to get 300 gay men to sing Happy Birthday To You, and so much more. Lots 'O Bullets The Widow Rules--How to Break Them She Left Me a Three Page Bucket List She Died a Good Death After The Funeral Everyone's Gone Introducing Your Dead Spouse Finishing Relationships--Therapy Challenge Discomfort With Death? Who Suddenly Disappeared? Secret Romance Alias To Protect The Innocent I'm Smiling Again--It's What Momma Wanted JillandLinda (not a typo) What's a Fiblet? Casper Asked My Mom for This Lewy Body Dementia--Holy Shyt! Robin Williams R.I.P. Like Sandra Day O'Connor The Starbucks Kiss Two Before Fifty (Dead Wives) Why Jill Avoids The Frozen Pea Aisle The Snow Goose Dress 300 Gay Men Sing Happy Birthday Thanks for listening to part 2 of The Rebellious Widow with Jill Johnson-Young. If you haven't listened to part 1, here's the link.  Part 1 The Rebellious Widow (1 of 3) Buy The Rebellious Widow book almost everywhere you buy books. A great place to start is The Rebellious Widow book website: https://www.therebelliouswidow.com Links are below to Jill’s websites and social media accounts. https://www.jilljohnsonyoung.com https://www.centralcounselingservices.com Twitter @grieftalker Facebook https://www.facebook.com/grieftalker LinkedIn https://www.linkedin.com/in/jilljohnsonyoung Instagram https://www.instagram.com/therebelliouswidow Because you shouldn't have to journey alone, join me in the My Spouse Died Too community email list for members-only benefits: Behind-the-scenes commentary gives you deeper insight--helps you heal. Episode alerts so you'll know when a new episode is ready. Updates on past podcast guests because their journeys continue too. Plus more thoughts, resources, and random widowed journey stuff I discover. And it's the best way to contact me. Because you shouldn't have to journey alone. Sign-up now at https://www.myspousediedtoo.com. Hope. Heal. Find love again. ~ Emeric My Spouse Died Too podcast, images, logos, artwork copyright © 2019-2021 by Emeric McCleary. Music and lyrics © 2019-2021 by Emeric McCleary and Elena McCleary

Jill Johnson-Young guest co-hosts. Jill is an internationally known grief therapist, Mom, author, entrepreneur, and LCSW (Licensed Clinical Social Worker). While in her 40’s, Jill lost her first wife Linda. Then, Jill lost her second wife Casper. Casper was first wife Linda’s hospice nurse. And now, Jill is married to her third wife Stacie. Stacie is the mortician who cared for both Linda and Casper. Reread and wrap your mind around that! But that’s not all… Jill is a Licensed Clinical Social Worker. In her own trial by fire, what surprised Jill is how popular conventional grief therapy training didn’t fit her own experience! What was offered as the “right way” to do grief left Jill feeling ashamed and a failure at grief. How do you fail at grief? And that’s why in her book, The Rebellious Widow, Jill rewrites the expectations of dying, death, and grief.  And like a boss, Jill takes the unwritten shame-filled rules of widowhood—and shreds them. If you’re a male, don’t let the title fool you. I read Jill’s book twice. I finally found answers to my own questions along with a practical way to forge a fulfilled future.  Jill, The Rebellious Widow, gives you strategy, tools, and actionable tactics so you can face death, grief, and if you choose, recreate a beautiful life. The Bullets Once Upon a Time Not Just for Widows! Let Yourself Grow from the Grief Permission to Do It Your Way JillandLinda--NOT a Typo Same-Sex Challenge Our Kids How 55 MPH Triggers Death Disturbed Sense of Humor Pushing Up Daisies Soon Momma's Gonna Die The Mission Inn Riverside, California She Wanted to Die Her Way Casper the Friendly Ghost She Was So Butch In-N-Out Burger I Turned Her Oxygen Off Unforgettable Silence I Hope You Dance - Lee Ann Womack The "Arranged" Marriage Stacie the Mortician Thanks for listening to part 1 of The Rebellious Widow with Jill Johnson-Young. Buy The Rebellious Widow book almost everywhere you buy books. A great place to start is The Rebellious Widow book website: https://www.therebelliouswidow.com Links are below to Jill’s websites and social media accounts. https://www.jilljohnsonyoung.com https://www.centralcounselingservices.com Twitter @grieftalker Facebook https://www.facebook.com/grieftalker LinkedIn https://www.linkedin.com/in/jilljohnsonyoung Instagram https://www.instagram.com/therebelliouswidow Because you shouldn't have to journey alone, join me in the My Spouse Died Too community email list for members-only benefits: Behind-the-scenes commentary gives you deeper insight--helps you heal. Episode alerts so you'll know when a new episode is ready. Updates on past podcast guests because their journeys continue too. Plus more thoughts, resources, and random widowed journey stuff I discover. And it's the best way to contact me. Because you shouldn't have to journey alone. Sign-up now at https://www.myspousediedtoo.com. Hope. Heal. Find love again. ~ Emeric My Spouse Died Too podcast, images, logos, artwork copyright © 2019-2021 by Emeric McCleary. Music and lyrics © 2019-2021 by Emeric McCleary and Elena McCleary

Join The Husbands (Paul Katami and Jeff Zarrillo) as we welcome Jill Johnson-Young to the show. Jill is a licensed clinical social worker, grief counselor, and author. We have wanted to talk about grief in the time of Covid and are looking forward to chatting with Jill right here and online at UBNGo.com. You can subscribe, download, rate, and share “The Husbands” wherever you download your podcasts. You can download and subscribe to our podcast where ever you get your podcasts - or click on the link below.

Jill Johnson-Young is a grief therapist, author, speaker and educator. She spent more than a decade with hospice. She is also twice widowed, now I'm now married to a funeral director who is also a member of DMORT and has been deployed twice in the pandemic. She teaches school staff how to help with grief and cope with their own losses, and therapists how to approach grief in a way that doesn't suggest grief has to last forever. She provides grief support groups online, as well as a dementia support group. Jill has written books for children about grief and a workbook for adults, as well as “The Rebellious Widow.” In this episode we discuss: How Jill coped with the passing of her wives, and breaking the "widow rule"The way hospice care is viewed by society and how the terminally ill can benefitHow to say goodbye to a loved one, go through grief and recover "The research says that we tend to be done with our toughest grief in the first 3-4 months. We've grieved with our spouse, and reorganized our lives in our heads before they die. So were done with our grief when others are just starting." - Jill Johnson-Young Connect with guest Jill Johnson-Young: Website | Book Connect with host Edward Tay

"Grief does not last forever. It should not be allowed to." When I read those words in her soon to be released book "the rebellious WIDOW", I knew I had found a soul sister. Jill Johnson-Young KNOWS this to be true. Not just because she is a grief expert and counselor, but also because she is living proof. She has not only survived the death of two spouses, but she has lived a life that THRIVES and that is what she helps others do too. If you have lost your spouse, you will want to listen to this conversation. If you are grieving the loss of someone you love, you will want to listen too. Her insight, and tips are helpful if you choose to graduate from your grief. ############################################################## Jill Johnson-Young, LCSW is an author, speaker, and therapist- and a double widow whose third wife is the funeral director who cared for her first two wives. She's the co-founder of Central Counseling Services in Riverside and Murrieta, California where she specializes in grief and loss, end of life, chronic illness and dementia. Her career has included more than a decade with hospice as a medical social worker and as director of social workers, chaplains and grief staff, and she has authored several books for children and adults on grief. Jill also co-hosts a weekly FB grief chat, and a monthly dementia support group. To find out more about Jill, get copies of her books or preorder her next book follow the links below: http://www.jilljohnsonyoung.com/ www.centralcounselingservices.com https://www.facebook.com/fridaygriefchat https://www.facebook.com/grieftalker https://www.facebook.com/TherapyCCS https://www.facebook.com/Riversidedementiasupport https://www.linkedin.com/in/jilljohnsonyoung/ @jilljohnsonyou1 ##################################################################################### Are you ready to step out of your pain and step back in to LIVING your live on purpose, with passion and to make and impact? Then take this Quiz To begin your journey back to JOY, be sure you join our Graduating Grief Community on Facebook, If you would like to invite me to speak at your next event, conference or workshop or to book a "How Can I Help?" workshop at your business, hospital, or school, visit my website at www.SherrieDunlevy.com To set up your free 30 minute consultation with me, shoot me an email at Sherrie Dunlevy.com Be sure to pick up a copy of my #1 best selling book "How Can I Help?- Your Go-to Guide for Helping Loved One's through Life's Difficulties" for you and a friend. For a special personally signed copy click here.

New normal in dementia care Memory Units in the age of Covid-19. Social distancing? Right. Live in the moment. Honor the caregivers. Help the helpers. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:53. 1 Introducing Stephanie Oden 02:26. 1 Coronavirus, social distancing, Memory Unit 04:05. 2 Present and not present 05:10. 2 Managing risk 07:08. 2 Telehealth 08:33. 3 Advice for families 11:58. 4 Re-introducing Jennifer Keeney 12:47. 4 Face Timing. What does he see? 14:35. 4 In the moment. Does it matter? 18:17. 5 Holding his hand 22:40. 6 Joining the staff 26:41. 6 Reflection 27:40. 7 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Allison Cofone, Rebecca Archer, Tania Marien, Mary Anne Sterling, Geri Lynn Baumblatt, Jill Johnson-Young, Susan Murphy, Carol Zindler Links The Gardens of Riverside Memory Care Tania Merian's Podcast, Talaterra Related podcasts and blogs https://health-hats.com/dementia-friendly-city/ https://health-hats.com/caregivers_hosp_to_home/ https://health-hats.com/caring-for-parents-its-their-life-open-the-door/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem Professional Talking Heads spout a nebulous New Normal in Coronavirus land. I slip into anticipation of the new normal, as well. I'm sure we don't have a clue how much our lives are beginning to change. We are in the fog of unsettled. We are dazed and can't see the feet we feel on the ends of our legs. When my dad died, when my son died, I was in that fog sitting on the precipice, gazing into the abyss of grief. Welcome to the first day of the rest of your life! People with a new challenging diagnosis, facing death, and family members of those sliding into dementia, know that eerie foreshadow of a new normal. Last week Jill Johnson-Young spoke about the Dementia-Friendly City, Riverside, CA, created for a more positive new normal for family holding onto life with dementia. Today, we'll talk with Stephanie Oden about managing a Memory Care ...

Finding a dementia-rich life when dementia comes a-knockin'. Self-care and sense of humor. Interview with Jill Johnson-Young about a Dementia-Friendly City. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:52. 1 Introducing Jill Johnson-Young 03:05. 1 Dementia – Ongoing Grief for all 04:03. 2 Becoming a Dementia-Friendly City 07:27. 2 Maintaining a Dementia-Friendly City 12:25. 4 Dementia-Friendly America 14:27. 4 When dementia comes knocking 17:07. 5 Find the right doctor 20:47. 6 The 3C's and 2T's: trust time, talk, control and connection 25:40. 7 A dementia rich life 27:10. 7 A sense of humor 30:06. 8 Self-care. Accepting help. 32:09. 8 Reflections 37:54. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Tania Marien, Mary Anne Sterling, Geri Lynn Baumblatt, Judy Thomas, Jennifer Keeney, Rebecca Keeney, Kathleen Owens, Benita Berkson, John Marks, Gregor Simon-MacDonald, Denise Brown Links Tania Merian's Podcast, Talaterra Riverside, CA city websiteNight of Hope and Joy Dementia-Friendly America Related podcasts and blogs https://health-hats.com/caring-for-parents-its-their-life-open-the-door/ https://health-hats.com/pillow-pills-poop-piss-and-pain/ https://health-hats.com/difference_collaborative/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem I'm worried that I'll never be able to hug my kids and my grandkids ever again. I'm a toucher and a hugger. When I saw my old friend, Jerry, several months ago, he kept touching me. ‘We've known each other for a long time, haven't we?'  ‘Yes, Jerry, 51 years. It's a long time, isn't it?' Over and over, maybe 51 times in two hours.  I loved every touch. I love every hug. Sigh… I first introduced my finance to my other mother, Eleanor, in Highland Park, Illinois, where I had grown up. Eleanor was mom to my best friend, John. We've been friends since we were in third grade. I noticed something was wrong, really wrong. While visiting,

Sat down to get to know Jill Johnson-Young, LCSW, a Grief & Dementia Educator & dynamic Speaker also the CEO of Central Counseling Services in Riverside, California, where she works as a clinical therapist. She was so lovely to get to know and discuss with about grief. I would love for her to return to HAWAI'I to speak on dementia and grief. Jill's hospice career eventually includes being director of social workers, chaplains and grief staff in a hospice covering three counties with an average daily census of more than 300 patients. Learn more about Jill at jilljohnsonyoung.com --- Send in a voice message: https://anchor.fm/healingwithaloha/message Support this podcast: https://anchor.fm/healingwithaloha/support