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Listen to ASCO's JCO Oncology Practice, Art of Oncology Practice article, "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last” by Dr. David Johnson, who is a clinical oncologist at University of Texas Southwestern Medical School. The article is followed by an interview with Johnson and host Dr. Mikkael Sekeres. Through humor and irony, Johnson critiques how overspecialization and poor presentation practices have eroded what was once internal medicine's premier educational forum. Transcript Narrator: An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last, by David H. Johnson, MD, MACP, FASCO   Over the past five decades, I have attended hundreds of medical conferences—some insightful and illuminating, others tedious and forgettable. Among these countless gatherings, Medical Grand Rounds (MGRs) has always held a special place. Originally conceived as a forum for discussing complex clinical cases, emerging research, and best practices in patient care, MGRs served as a unifying platform for clinicians across all specialties, along with medical students, residents, and other health care professionals. Expert speakers—whether esteemed faculty or distinguished guests—would discuss challenging cases, using them as a springboard to explore the latest advances in diagnosis and treatment. During my early years as a medical student, resident, and junior faculty member, Grand Rounds consistently attracted large, engaged audiences. However, as medicine became increasingly subspecialized, attendance began to wane. Lectures grew more technically intricate, often straying from broad clinical relevance. The patient-centered discussions that once brought together diverse medical professionals gradually gave way to hyperspecialized presentations. Subspecialists, once eager to share their insights with the wider medical community, increasingly withdrew to their own specialty-specific conferences, further fragmenting the exchange of knowledge across disciplines. As a former Chair of Internal Medicine and a veteran of numerous MGRs, I observed firsthand how these sessions shifted from dynamic educational exchanges to highly specialized, often impenetrable discussions. One of the most striking trends in recent years has been the decline in presentation quality at MGR—even among local and visiting world-renowned experts. While these speakers are often brilliant clinicians and investigators, they can also be remarkably poor lecturers, delivering some of the most uninspiring talks I have encountered. Their presentations are so consistently lackluster that one might suspect an underlying strategy at play—an unspoken method to ensure that they are never invited back. Having observed this pattern repeatedly, I am convinced that these speakers must be adhering to a set of unwritten rules to avoid future MGR presentations. To assist those unfamiliar with this apparent strategy, I have distilled the key principles that, when followed correctly, all but guarantee that a presenter will not be asked to give another MGR lecture—thus sparing them the burden of preparing one in the future. Drawing on my experience as an oncologist, I illustrate these principles using an oncology-based example although I suspect similar rules apply across other subspecialties. It will be up to my colleagues in cardiology, endocrinology, rheumatology, and beyond to identify and document their own versions—tasks for which I claim no expertise. What follows are the seven “Rules for Presenting a Bad Medical Oncology Medical Grand Rounds.” 1.  Microscopic Mayhem: Always begin with an excruciatingly detailed breakdown of the tumor's histology and molecular markers, emphasizing how these have evolved over the years (eg, PAP v prostate-specific antigen)—except, of course, when they have not (eg, estrogen receptor, progesterone receptor, etc). These nuances, while of limited relevance to general internists or most subspecialists (aside from oncologists), are guaranteed to induce eye-glazing boredom and quiet despair among your audience. 2. TNM Torture: Next, cover every nuance of the newest staging system … this is always a real crowd pleaser. For illustrative purposes, show a TNM chart in the smallest possible font. It is particularly helpful if you provide a lengthy review of previous versions of the staging system and painstakingly cover each and every change in the system. Importantly, this activity will allow you to disavow the relevance of all previous literature studies to which you will subsequently refer during the course of your presentation … to wit—“these data are based on the OLD staging system and therefore may not pertain …” This phrase is pure gold—use it often if you can. NB: You will know you have “captured” your audience if you observe audience members “shifting in their seats” … it occurs almost every time … but if you have failed to “move” the audience … by all means, continue reading … there is more! 3. Mechanism of Action Meltdown: Discuss in detail every drug ever used to treat the cancer under discussion; this works best if you also give a detailed description of each drug's mechanism of action (MOA). General internists and subspecialists just LOVE hearing a detailed discussion of the drug's MOA … especially if it is not at all relevant to the objectives of your talk. At this point, if you observe a wave of slack-jawed faces slowly slumping toward their desktops, you will know you are on your way to successfully crushing your audience's collective spirit. Keep going—you are almost there. 4. Dosage Deadlock: One must discuss “dose response” … there is absolutely nothing like a dose response presentation to a group of internists to induce cries of anguish. A wonderful example of how one might weave this into a lecture to generalists or a mixed audience of subspecialists is to discuss details that ONLY an oncologist would care about—such as the need to dose escalate imatinib in GIST patients with exon 9 mutations as compared with those with exon 11 mutations. This is a definite winner! 5. Criteria Catatonia: Do not forget to discuss the newest computed tomography or positron emission tomography criteria for determining response … especially if you plan to discuss an obscure malignancy that even oncologists rarely encounter (eg, esthesioneuroblastoma). Should you plan to discuss a common disease you can ensure ennui only if you will spend extra time discussing RECIST criteria. Now if you do this well, some audience members may begin fashioning their breakfast burritos into projectiles—each one aimed squarely at YOU. Be brave … soldier on! 6. Kaplan-Meier Killer: Make sure to discuss the arcane details of multiple negative phase II and III trials pertaining to the cancer under discussion. It is best to show several inconsequential and hard-to-read Kaplan-Meier plots. To make sure that you do a bad job, divide this portion of your presentation into two sections … one focused on adjuvant treatment; the second part should consist of a long boring soliloquy on the management of metastatic disease. Provide detailed information of little interest even to the most ardent fan of the disease you are discussing. This alone will almost certainly ensure that you will never, ever be asked to give Medicine Grand Rounds again. 7. Lymph Node Lobotomy: For the coup de grâce, be sure to include an exhaustive discussion of the latest surgical techniques, down to the precise number of lymph nodes required for an “adequate dissection.” To be fair, such details can be invaluable in specialized settings like a tumor board, where they send subspecialists into rapturous delight. But in the context of MGR—where the audience spans multiple disciplines—it will almost certainly induce a stultifying torpor. If dullness were an art, this would be its masterpiece—capable of lulling even the most caffeinated minds into a stupor. If you have carefully followed the above set of rules, at this point, some members of the audience should be banging their heads against the nearest hard surface. If you then hear a loud THUD … and you're still standing … you will know you have succeeded in giving the world's worst Medical Grand Rounds!   Final Thoughts I hope that these rules shed light on what makes for a truly dreadful oncology MGR presentation—which, by inverse reasoning, might just serve as a blueprint for an excellent one. At its best, an outstanding lecture defies expectations. One of the most memorable MGRs I have attended, for instance, was on prostaglandin function—not a subject typically associated with edge-of-your-seat suspense. Given by a biochemist and physician from another subspecialty, it could have easily devolved into a labyrinth of enzymatic pathways and chemical structures. Instead, the speaker took a different approach: rather than focusing on biochemical minutiae, he illustrated how prostaglandins influence nearly every major physiologic system—modulating inflammation, regulating cardiovascular function, protecting the gut, aiding reproduction, supporting renal function, and even influencing the nervous system—without a single slide depicting the prostaglandin structure. The result? A room full of clinicians—not biochemists—walked away with a far richer understanding of how prostaglandins affect their daily practice. What is even more remarkable is that the talk's clarity did not just inform—it sparked new collaborations that shaped years of NIH-funded research. Now that was an MGR masterpiece. At its core, effective scientific communication boils down to three deceptively simple principles: understanding your audience, focusing on relevance, and making complex information accessible.2 The best MGRs do not drown the audience in details, but rather illuminate why those details matter. A great lecture is not about showing how much you know, but about ensuring your audience leaves knowing something they didn't before. For those who prefer the structured wisdom of a written guide over the ramblings of a curmudgeon, an excellent review of these principles—complete with a handy checklist—is available.2 But fair warning: if you follow these principles, you may find yourself invited back to present another stellar MGRs. Perish the thought! Dr. Mikkael SekeresHello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami.  What a pleasure it is today to be joined by Dr. David Johnson, clinical oncologist at the University of Texas Southwestern Medical School. In this episode, we will be discussing his Art of Oncology Practice article, "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last."  Our guest's disclosures will be linked in the transcript.  David, welcome to our podcast and thanks so much for joining us. Dr. David JohnsonGreat to be here, Mikkael. Thanks for inviting me. Dr. Mikkael SekeresI was wondering if we could start with just- give us a sense about you. Can you tell us about yourself? Where are you from? And walk us through your career. Dr. David JohnsonSure. I grew up in a small rural community in Northwest Georgia about 30 miles south of Chattanooga, Tennessee, in the Appalachian Mountains. I met my wife in kindergarten. Dr. Mikkael SekeresOh my. Dr. David JohnsonThere are laws in Georgia. We didn't get married till the third grade. But we dated in high school and got married after college. And so we've literally been with one another my entire life, our entire lives. Dr. Mikkael SekeresMy word. Dr. David JohnsonI went to medical school in Georgia. I did my training in multiple sites, including my oncology training at Vanderbilt, where I completed my training. I spent the next 30 years there, where I had a wonderful career. Got an opportunity to be a Division Chief and a Deputy Director of, and the founder of, a cancer center there. And in 2010, I was recruited to UT Southwestern as the Chairman of Medicine. Not a position I had particularly aspired to, but I was interested in taking on that challenge, and it proved to be quite a challenge for me. I had to relearn internal medicine, and really all the subspecialties of medicine really became quite challenging to me. So my career has spanned sort of the entire spectrum, I suppose, as a clinical investigator, as an administrator, and now as a near end-of-my-career guy who writes ridiculous articles about grand rounds. Dr. Mikkael SekeresNot ridiculous at all. It was terrific. What was that like, having to retool? And this is a theme you cover a little bit in your essay, also, from something that's super specialized. I mean, you have had this storied career with the focus on lung cancer, and then having to expand not only to all of hematology oncology, but all of medicine. Dr. David JohnsonIt was a challenge, but it was also incredibly fun. My first few days in the chair's office, I met with a number of individuals, but perhaps the most important individuals I met with were the incoming chief residents who were, and are, brilliant men and women. And we made a pact. I promised to teach them as much as I could about oncology if they would teach me as much as they could about internal medicine. And so I spent that first year literally trying to relearn medicine. And I had great teachers. Several of those chiefs are now on the faculty here or elsewhere. And that continued on for the next several years. Every group of chief residents imparted their wisdom to me, and I gave them what little bit I could provide back to them in the oncology world. It was a lot of fun. And I have to say, I don't necessarily recommend everybody go into administration. It's not necessarily the most fun thing in the world to do. But the opportunity to deal one-on-one closely with really brilliant men and women like the chief residents was probably the highlight of my time as Chair of Medicine. Dr. Mikkael SekeresThat sounds incredible. I can imagine, just reflecting over the two decades that I've been in hematology oncology and thinking about the changes in how we diagnose and care for people over that time period, I can only imagine what the changes had been in internal medicine since I was last immersed in that, which would be my residency. Dr. David JohnsonWell, I trained in the 70s in internal medicine, and what transpired in the 70s was kind of ‘monkey see, monkey do'. We didn't really have a lot of understanding of pathophysiology except at the most basic level. Things have changed enormously, as you well know, certainly in the field of oncology and hematology, but in all the other fields as well. And so I came in with what I thought was a pretty good foundation of knowledge, and I realized it was completely worthless, what I had learned as an intern and resident. And when I say I had to relearn medicine, I mean, I had to relearn medicine. It was like being an intern. Actually, it was like being a medical student all over again. Dr. Mikkael SekeresOh, wow. Dr. David JohnsonSo it's quite challenging.  Dr. Mikkael SekeresWell, and it's just so interesting. You're so deliberate in your writing and thinking through something like grand rounds. It's not a surprise, David, that you were also deliberate in how you were going to approach relearning medicine. So I wonder if we could pivot to talking about grand rounds, because part of being a Chair of Medicine, of course, is having Department of Medicine grand rounds. And whether those are in a cancer center or a department of medicine, it's an honor to be invited to give a grand rounds talk. How do you think grand rounds have changed over the past few decades? Can you give an example of what grand rounds looked like in the 1990s compared to what they look like now? Dr. David JohnsonWell, I should all go back to the 70s and and talk about grand rounds in the 70s. And I referenced an article in my essay written by Dr. Ingelfinger, who many people remember Dr. Ingelfinger as the Ingelfinger Rule, which the New England Journal used to apply. You couldn't publish in the New England Journal if you had published or publicly presented your data prior to its presentation in the New England Journal. Anyway, Dr. Ingelfinger wrote an article which, as I say, I referenced in my essay, about the graying of grand rounds, when he talked about what grand rounds used to be like. It was a very almost sacred event where patients were presented, and then experts in the field would discuss the case and impart to the audience their wisdom and knowledge garnered over years of caring for patients with that particular problem, might- a disease like AML, or lung cancer, or adrenal insufficiency, and talk about it not just from a pathophysiologic standpoint, but from a clinician standpoint. How do these patients present? What do you do? How do you go about diagnosing and what can you do to take care of those kinds of patients? It was very patient-centric. And often times the patient, him or herself, was presented at the grand rounds. And then experts sitting in the front row would often query the speaker and put him or her under a lot of stress to answer very specific questions about the case or about the disease itself.  Over time, that evolved, and some would say devolved, but evolved into more specialized and nuanced presentations, generally without a patient present, or maybe even not even referred to, but very specifically about the molecular biology of disease, which is marvelous and wonderful to talk about, but not necessarily in a grand round setting where you've got cardiologists sitting next to endocrinologists, seated next to nephrologists, seated next to primary care physicians and, you know, an MS1 and an MS2 and et cetera. So it was very evident to me that what I had witnessed in my early years in medicine had really become more and more subspecialized. As a result, grand rounds, which used to be packed and standing room only, became echo chambers. It was like a C-SPAN presentation, you know, where local representative got up and gave a talk and the chambers were completely empty. And so we had to go to do things like force people to attend grand rounds like a Soviet Union-style rally or something, you know. You have to pay them to go. But it was really that observation that got me to thinking about it.  And by the way, I love oncology and I'm, I think there's so much exciting progress that's being made that I want the presentations to be exciting to everybody, not just to the oncologist or the hematologist, for example. And what I was witnessing was kind of a formula that, almost like a pancake formula, that everybody followed the same rules. You know, “This disease is the third most common cancer and it presents in this way and that way.” And it was very, very formulaic. It wasn't energizing and exciting as it had been when we were discussing individual patients. So, you know, it just is what it is. I mean, progress is progress and you can't stop it. And I'm not trying to make America great again, you know, by going back to the 70s, but I do think sometimes we overthink what medical grand rounds ought to be as compared to a presentation at ASH or ASCO where you're talking to subspecialists who understand the nuances and you don't have to explain the abbreviations, you know, that type of thing. Dr. Mikkael SekeresSo I wonder, you talk about the echo chamber of the grand rounds nowadays, right? It's not as well attended. It used to be a packed event, and it used to be almost a who's who of, of who's in the department. You'd see some very famous people who would attend every grand rounds and some up-and-comers, and it was a chance for the chief residents to shine as well. How do you think COVID and the use of Zoom has changed the personality and energy of grand rounds? Is it better because, frankly, more people attend—they just attend virtually. Last time I attended, I mean, I attend our Department of Medicine grand rounds weekly, and I'll often see 150, 200 people on the Zoom. Or is it worse because the interaction's limited? Dr. David JohnsonYeah, I don't want to be one of those old curmudgeons that says, you know, the way it used to be is always better. But there's no question that the convenience of Zoom or similar media, virtual events, is remarkable. I do like being able to sit in my office where I am right now and watch a conference across campus that I don't have to walk 30 minutes to get to. I like that, although I need the exercise. But at the same time, I think one of the most important aspects of coming together is lost with virtual meetings, and that's the casual conversation that takes place. I mentioned in my essay an example of the grand rounds that I attended given by someone in a different specialty who was both a physician and a PhD in biochemistry, and he was talking about prostaglandin metabolism. And talk about a yawner of a title; you almost have to prop your eyelids open with toothpicks. But it turned out to be one of the most fascinating, engaging conversations I've ever encountered. And moreover, it completely opened my eyes to an area of research that I had not been exposed to at all. And it became immediately obvious to me that it was relevant to the area of my interest, which was lung cancer. This individual happened to be just studying colon cancer. He's not an oncologist, but he was studying colon cancer. But it was really interesting what he was talking about. And he made it very relevant to every subspecialist and generalist in the audience because he talked about how prostaglandin has made a difference in various aspects of human physiology.  The other grand rounds which always sticks in my mind was presented by a long standing program director at my former institution of Vanderbilt. He's passed away many years ago, but he gave a fascinating grand rounds where he presented the case of a homeless person. I can't remember the title of his grand rounds exactly, but I think it was “Care of the Homeless” or something like that. So again, not something that necessarily had people rushing to the audience. What he did is he presented this case as a mysterious case, you know, “what is it?” And he slowly built up the presentation of this individual who repeatedly came to the emergency department for various and sundry complaints. And to make a long story short, he presented a case that turned out to be lead poisoning. Everybody was on the edge of their seat trying to figure out what it was. And he was challenging members of the audience and senior members of the audience, including the Cair, and saying, “What do you think?” And it turned out that the patient became intoxicated not by eating paint chips or drinking lead infused liquids. He was burning car batteries to stay alive and inhaling lead fumes, which itself was fascinating, you know, so it was a fabulous grand rounds. And I mean, everybody learned something about the disease that they might otherwise have ignored, you know, if it'd been a title “Lead Poisoning”, I'm not sure a lot of people would have shown up. Dr. Mikkael Sekeres That story, David, reminds me of Tracy Kidder, who's a master of the nonfiction narrative, will choose a subject and kind of just go into great depth about it, and that subject could be a person. And he wrote a book called Rough Sleepers about Jim O'Connell - and Jim O'Connell was one of my attendings when I did my residency at Mass General - and about his life and what he learned about the homeless. And it's this same kind of engaging, “Wow, I never thought about that.” And it takes you in a different direction.  And you know, in your essay, you make a really interesting comment. You reflect that subspecialists, once eager to share their insight with the wider medical community, increasingly withdraw to their own specialty specific conferences, further fragmenting the exchange of knowledge across disciplines. How do you think this affects their ability to gain new insights into their research when they hear from a broader audience and get questions that they usually don't face, as opposed to being sucked into the groupthink of other subspecialists who are similarly isolated? Dr. David Johnson That's one of the reasons I chose to illustrate that prostaglandin presentation, because again, that was not something that I specifically knew much about. And as I said, I went to the grand rounds more out of a sense of obligation than a sense of engagement. Moreover, our Chair at that institution forced us to go, so I was there, not by choice, but I'm so glad I was, because like you say, I got insight into an area that I had not really thought about and that cross pollination and fertilization is really a critical aspect. I think that you can gain at a broad conference like Medical Grand Rounds as opposed to a niche conference where you're talking about APL. You know, everybody's an APL expert, but they never thought about diabetes and how that might impact on their research. So it's not like there's an ‘aha' moment at every Grand Rounds, but I do think that those kinds of broad based audiences can sometimes bring a different perspective that even the speaker, him or herself had not thought of. Dr. Mikkael SekeresI think that's a great place to end and to thank David Johnson, who's a clinical oncologist at the University of Texas Southwestern Medical School and just penned the essay in JCO Art of Oncology Practice entitled "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last."  Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts.  David, once again, I want to thank you for joining me today. Dr. David JohnsonThank you very much for having me. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.    Show notes: Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio: Dr David Johnson is a clinical oncologist at the University of Texas Southwestern Medical School.

Got a question, comment, or just want to drop some encouragement? Send us a text.In this milestone 100th episode of Couples Counseling for Parents, Stephen Mitchell, PhD and Erin Mitchell, MACP reflect on the transformative relationship wisdom they've gathered over the years of working with couples facing the unique challenges of parenthood.The insights they share are both profound and practical. They discuss how true bravery emerges when couples face their deepest fears and vulnerabilities; how humility creates openings for healing; and how our universal desire to be truly seen and accepted drives relationship dynamics. The Mitchells explain why genuine curiosity defuses tension, why understanding your partner's childhood story transforms how you perceive conflicts, and why celebrating joy deserves as much attention as addressing problems.Perhaps most powerfully, they reveal how parenting often becomes the catalyst that inspires couples to break dysfunctional patterns. "Having kids amplifies what you want in life and makes you fight for it," they observe. "Your life didn't diminish when you had children—it gave you permission to ask for more."Throughout their conversation, Stephen and Erin weave in practical examples from their own relationship, demonstrating how these principles play out in real life. They emphasize that the goal isn't to eliminate conflict (an impossible and boring aim) but to transform how we approach it, gradually reducing its intensity, duration, and frequency.Whether you're just starting your parenting journey or navigating its challenges years in, these insights offer a roadmap to more connected, resilient relationships. Ready to transform how you communicate with your partner? This episode shows you the way forward.

Got a question, comment, or just want to drop some encouragement? Send us a text.Remember when you and your partner felt like soulmates, deeply connected and growing stronger together? Then parenthood arrived, and suddenly those old insecurities you thought were healed came rushing back with surprising force. You're not alone, and no—you didn't make a mistake choosing each other.Stephen Mitchell, PhD and Erin Mitchell, MACP state, "What's happening is a normal developmental challenge that catches most couples by surprise." The intense stress of parenting activates our nervous systems, bringing along familiar patterns, thoughts and feelings from our past. Your partner, who once soothed these core wounds, seems to be triggering them at the worst possible moment.Through the story of Annabeth and Selena, we explore how one partner's feeling of "everything falls on me" collides with the other's sense that "nothing I do is ever enough"—creating a painful cycle that many parents recognize. When Annabeth expresses feeling overwhelmed and alone, Selena withdraws, feeling criticized and inadequate. Each response intensifies the other's core wound, despite their deep love for each other.The path forward isn't about solving logistical problems or dividing tasks differently. It begins with understanding which pattern you tend toward, exploring the deeper stories behind your reactions, and learning to talk about the feelings themselves rather than arguing about surface issues. When partners can vulnerably share "When this happens, I notice I start feeling alone like I did growing up" instead of launching into criticism or defensiveness, everything changes.This episode offers a four-step process to transform these painful cycles into opportunities for deeper connection. You'll learn to recognize your pattern, understand its origins, communicate vulnerably about the feelings, and establish regular check-ins to prevent buildup.Ready to turn relationship regression into progression? Listen now, and discover how the very wounds causing disconnection can become your pathway to profound intimacy.

Got a question, comment, or just want to drop some encouragement? Send us a text.Navigating the complexities of ADHD in relationships requires more than just understanding the condition—it demands a thoughtful approach to communication, empathy, and mutual support. Stephen Mitchell, PhD and Erin Mitchell, MACP tackle the tough questions head-on: What do you do when your partner acknowledges their ADHD but refuses any support or treatment? How can you communicate the impact of their behaviors without triggering shame? What happens when you notice your partner criticizing ADHD traits in your child—the very same traits they demonstrate themselves? Each of these scenarios creates unique relationship dynamics that can either strengthen or fracture your partnership, depending on how you navigate them.The heart of this episode is our five-step process for addressing ADHD in relationships. It begins with truly believing your partner's experience, whether they're sharing how ADHD affects them or how they're impacted by your ADHD behaviors. The second critical step is removing shame from the equation—no belittling, no treating your partner like "another child," no judgment. From there, we emphasize education, understanding each other's ADHD stories, and finally taking meaningful action through appropriate supports.Ready to transform how you and your partner talk about ADHD? Listen now, and discover how to replace criticism with curiosity, defensiveness with understanding, and conflict with compassion. Your relationship—and your family—will thank you.

Got a question, comment, or just want to drop some encouragement? Send us a text.The complexity of ADHD can transform a loving partnership into a battlefield of misunderstanding, shame, and resentment—especially when children enter the picture. After receiving an overwhelming response to a social media post about ADHD in relationships, we knew we needed to address this increasingly common challenge faced by parenting partners.In this first episode of our two-part series, we explore four specific scenarios where ADHD creates conflict between parenting partners: when the default parent has ADHD, when the non-default parent has ADHD, when both partners have ADHD, and when parenting a child with ADHD. Drawing from professional expertise and personal experience, Stephen Mitchell, PhD and Erin Mitchell, MACP dive into how ADHD affects parenting partner relationships and leads to disconnection and conflict. Stephen and Erin unpack the neurological reality of ADHD as more than just a willpower issue, examining how dopamine processing affects everything from organization to emotional regulation. Most importantly, we reveal how deeply-rooted shame narratives can drive defensive reactions when partners express frustration, creating cycles of conflict that feel impossible to break.Whether you suspect ADHD plays a role in your relationship challenges or you're already navigating this reality, this episode offers validation, clarity, and hope. Join us next week when we'll share specific processes for resolving these conflicts and building stronger connections despite—and sometimes because of—your neurodivergent partnership.Resources mentioned in show: ADHD 2.0 book link: https://a.co/d/hBLUekw@alex_partridge_100

Anna Scetinina, MACP, RP is a psychotherapist in Toronto, ON Canada who has just written A Workbook for Kids Who Worry: 50 Ways to Stand Up To Worry. She is also an award-winning professional artist whose pictures delightfully illustrate the ideas in the workbook She discusses how Acceptance and Commitment Therapy can be used to help anxious children. Her workbook will provide parents, children and therapist with a range of activities that will help children build the skills to tame anxiety.   

Got a question, comment, or just want to drop some encouragement? Send us a text.What happens when two loving parents disagree about how to respond to their child's behavior? This deeply personal episode dives into one of the most challenging conflicts couples face—differing parenting approaches.Through the story of Justin and Lori, we examine how bedtime struggles with their six-year-old son leads to couple conflict. Justin believes in firm boundaries and worries about being manipulated, while Lori focuses on understanding what's driving their son's behavior. This scenario leaves both parents feeling misunderstood and judged by their partner.Stephen Mitchell, PhD and Erin Mitchell, MACP unpack the neuroscience of effective parenting—acknowledging a child's experience, attuning to their emotional state, and reflecting/mirroring what we observe—while honestly addressing why this approach can be difficult to implement consistently in real life. Most importantly, they explore how our own childhood experiences create emotional triggers that make these conversations particularly charged. Stephen shares how his resistance stems from not wanting to parent like his father, while Erin reflects on how being raised by a busy single mother shaped her approach to structure and boundaries.The path forward isn't about determining who's right, but understanding what drives our reactions and learning to "parent on purpose" instead of from automatic patterns. By approaching these differences with kindness and curiosity, couples can move from rigid opposition to thoughtful collaboration.Want more resources to help transform your essential relationship conflicts into deeper connection? Our book "Too Tired to Fight" gives you practical tools to navigate the 13 conflicts every couple faces, including parenting differences. Available wherever books are sold: https://www.amazon.com/gp/product/059371427X

Got a question, comment, or just want to drop some encouragement? Send us a text.Life as a parent can often feel like a flood of responsibilities, expectations, and emotional exhaustion. In this episode, Stephen Mitchell, PhD and Erin Mitchell, MACP, address the cycle of invalidation that can arise between partners as they try to juggle tasks and manage parenting stress. Through the story of Raj and Brynn, we explore how feelings of being overworked and underappreciated can lead to mutual invalidation in relationships. Join us in uncovering the steps necessary to shift out of a cycle of invalidation into a pattern of offering vulnerability and validation. Tune in for meaningful insights and real world scripts that can help you strengthen your couple relationship as you parent.

Episode #210. Hey friends, Welcome back to a special episode. Dr. Robert C. Smith has been helping people for many years and in his upcoming book he has a lot to say about the healthcare system in America. I was so honored to speak with him about his wisdom and insights into why many doctors are not trained in how to help those with mental health challenges. We get into what the problem is and some ideas on how we can fix it.  Dr. Robert C. Smith BIO: Robert C. Smith, MD, MACP is a University Distinguished Professor and a Professor of Medicine and Psychiatry Emeritus at Michigan State University, East Lansing, MI, USA. With many publications, awards, and strong grant support, he has been involved in teaching and research in patient-centered communication and in primary care mental health since 1985. He and his colleagues defined the first evidence-based patient-centered interview, now published in a popular interviewing textbook, Smith's Patient-Centered Interviewing: An Evidence-Based Method (4th edition, McGraw Hill, 2018). It is used in medical, nursing, and other health care schools in the USA and abroad for teaching interviewing and the doctor-patient relationship. Dr. Smith's group also identified the first evidence-based method, the Mental Health Care Model, to guide primary care clinicians in managing mental health and substance use problems. Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting (McGraw Hill 2019)resulted and is widely used to teach primary care mental health. Dr. Smith's next book is for the public: Has Medicine Lost Its Mind? will be published by Prometheus Books in March 2025. It addresses the poor state of mental health care in the US, why it occurred, what needs to be done, and how to accomplish this politically. Details are available on his website: https://www.robertcsmithmd.com/ Amazon link to book: https://shorturl.at/HX2hm Follow me on Instagram: https://www.instagram.com/jareddiehl8/   Email jared.diehl@gmail.com if you want to be a guest on the show or any questions.

Got a question, comment, or just want to drop some encouragement? Send us a text.This episode dives into the dynamics of emotional regulation between partners in stressful parenting moments, highlighting the contrasting coping behaviors of downshifting and upshifting. Stephen Mitchell, PhD and Erin Mitchell, MACP provide practical insights using a relatable case study, illustrating how couples can navigate these tensions and foster meaningful communication to create a supportive family environment.• Explaining the downshift-upshift coping dynamic in relationships • Analyzing a common conflict scenario in parenting • Discussing the role of everyday stressors on couple dynamics • Introducing the concept of co-regulation between partners • Offering actionable strategies for improving communication during stress 

Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid fire questions/Picks of the Week Case History and Physical Laboratory Findings Management of Iron Deficiency Anemia Diet Oral Supplementation Unexplained Iron Deficiency Case 2 IV Iron Supplementation IV iron reactions Case 3 Laboratory Follow Up Post Supplementation When to Refer to a Hematology/Oncology specialist? Outro Credits Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi  MD MBA FACP  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Tom DeLoughery MD, MACP, FAWM Sponsor: Mint Mobile Shop plans at mintmobile.com/curb. Sponsor: Freed Visit freed.ai and use code CURB50 to get $50 off your first month when you subscribe! Sponsor: Quince Give yourself the luxury you deserve with Quince! Go to Quince.com/curb for free shipping on your order and 365-day returns.

This week on Uncolonized, host Gavin Stephens sits down with Nichole Henderson, a registered psychotherapist (BA, SSW, MACP) and founder of Yellow Chair Therapy. Together, they dive into the realities of ADHD in adults—especially those who go undiagnosed for years. They explore the challenges of late diagnosis, how ADHD manifests differently in marginalized communities, and the urgent need for affordable mental health care.Tune in for an insightful and necessary conversation on mental health, neurodiversity, and the barriers to proper diagnosis and treatment.

Got a question, comment, or just want to drop some encouragement? Send us a text.This episode addresses the often invisible burden carried by default caregivers like Tasha, who find themselves overwhelmed by both family and partner expectations. Stephen Mitchell, PhD and Erin Mitchell, MACP, delve into the mismatched needs that arise from these dynamics, frequently leading to misunderstandings and conflict. Through thoughtful discussion, we focus on the critical role of open communication and self-awareness in breaking free from outdated norms that perpetuate inequality. By examining how Tasha's partner, Paul, may inadvertently contribute to this imbalance, we highlight the need for intentionality and shared responsibility within family units.

In this episode of Let's Talk Love, Robin sits down with Stephen Mitchell, PhD and Erin Mitchell, MACP, authors of Too Tired to Fight: 13 Essential Conflicts Parents Must Have to Keep Their Relationship Strong. Together, they share an honest and insightful conversation about the challenges of parenting while maintaining a strong partnership. The Mitchells explore how conflict, while inevitable in raising children, can become a powerful opportunity for connection. Drawing from their book, they provide practical tools and intentional communication strategies to help couples navigate stress, deepen understanding, and strengthen their bond amidst the complexities of parenting. This episode is packed with wisdom for anyone looking to parent—and partner—with greater teamwork and compassion.Takeaways:Parenting inevitably brings conflict and disagreements.Attachment dynamics shift when children are introduced.Conflict can be an opportunity for connection.Intentional communication skills can be learned.Understanding your partner's story is crucial in conflict resolution.It's important to recognize and express your emotions.Suspending defensiveness allows for better communication.Navigating parenting challenges requires teamwork and understanding.Creating space for intentional conversations is essential.  Cyclical arguments often stem from unresolved emotional issues.Postpartum changes can significantly affect physical touch dynamics in relationships.Developing skills for connection is crucial for thriving in parenting. We want to hear from you! Send us your anonymous questions for the Podcast as well as our weekly IG Live Ask The Experts Q&A. https://realloveready.com/submitaquestionLinks:Book - https://www.amazon.com/gp/product/059371427XWebsite - https://couplescounselingforparents.com/too-tired-to-fight/Podcast - https://podcasts.apple.com/us/podcast/couples-counseling-for-parents/id1598800142?i=1000672124088FOLLOW ERIN & STEPHEN: INSTAGRAM | TIKTOK | YOUTUBEFOLLOW RLR: INSTAGRAM | FACEBOOK | TIKTOK Watch the podcast on YouTube: youtube.com/realloveready Credits: the Let's Talk Love Podcast is hosted by Robin Ducharme, recorded and edited by Maia Anstey, and transcribed by Otter.ai.

Got a question, comment, or just want to drop some encouragement? Send us a text.This episode dives into six transformative principles for strengthening couple relationships amidst the challenges of parenting. Stephen Mitchell, PhD and Erin Mitchell, MACP encourage listeners to embrace unity in problem-solving, assume positive intent, grant each other space, seek counseling early, practice patience and grace, and confront fears openly. The six principles discussed are: • It's me and you against the problem not us against each other • Be quicker to assume good intent than ill intent• Let each other walk away when we're over the limit. We will work it out soon.• Start counseling sooner to heal inner wounds• Patience and Grace• Don't be afraid of the unknown

Got a question, comment, or just want to drop some encouragement? Send us a text.Defensiveness can be a significant roadblock in relationships, particularly among parenting partners. The episode delves into how defensiveness complicates communication, using the example of Kylie and Leslie and their conflict over forgotten pasta. Stephen Mitchell, PhD and Erin Mitchell, MACP emphasize leading with accountability and following up with vulnerability as crucial steps towards breaking the cycle of defensiveness. Here's what we cover in the episode:Analysis of a scenario involving Kylie and Leslie stuck in a defensive cycle and looking for answers on how to end the cycleUnderstand why defensiveness often arises as a protective mechanismThe Two Step process for ending defensiveness in your relationship We differentiate between simple apologies and true relationship repairSample script on how to have the conversation with your partner If you're enjoying the podcast, please hit the follow button and leave us a rating. This helps our content become more visible to others who might enjoy it, and it lets us know how we can keep improving the show.

Got a question, comment, or just want to drop some encouragement? Send us a text.Stephen Mitchell, PhD and Erin Mitchell, MACP discuss the "Embodiment Chasm," a concept that highlights the different experiential realities between parenting partners. Through the story of Maria and Todd, the hosts explore how the differences in parenting experiences can lead to misunderstandings, and they offer insights on communication strategies to overcome this chasm for a healthier relationship. • Introducing the concept of the Embodiment Chasm • Case study of Maria and Todd's experience of the Embodiment Chasm • How the Embodiment Chasm creates the roles of Default and Non-default parent • Barriers in communication caused by the Embodiment Chasm in a couple relationship • Strategies for overcoming these barriers and fostering connection and understanding • Sample Script of how couples can start the conversation and resolve the barriers created by the embodiment Chasm

Got a question, comment, or just want to drop some encouragement? Send us a text.The holidays can be magical. The holidays can also be lonely and sad due to family drama, the loss of a loved one, not living close to family etc. Many times couples can experience conflict balancing the desire for a magical holiday and not wanting to ignore the "lonely" reality of the season too. Stephen Mitchell, PhD and Erin Mitchell, MACP will give you and your partner practical tips and scripts that you and your partner can use to stay connected in the midst of the tension between the magic and loneliness of the holiday season. 

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/UHT865. CME/NCPD/AAPA credit will be available until October 31, 2025.The New Normal: Digital Technologies for People Living With Insulin-Treated Type 2 Diabetes In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novo Nordisk Inc.Disclosure information is available at the beginning of the video presentation.

Is there an easy way to lower your blood pressure without medication? In this Longevity episode, I talk with Mark Young, CEO of Zona Health, about an innovative handheld device called the Zona Plus that could revolutionize blood pressure management. We discuss the science behind how this simple device impacts your entire cardiovascular system and why it may help with more than just blood pressure (hint: better blood flow has wide-ranging benefits). We also share how easy it is to incorporate into your daily routine.  Mark Young is the CEO of Zona Health, as well as several other companies related to the marketing of health and beauty-related products. Young is an avid proponent of natural health and anything related to a drug-free, medication-free lifestyle. To quote, “The Zona Plus is what is right about the healthcare industry. It is innovation and technology replacing corporate pharmaceutical bureaucracy and ‘business as usual' healthcare.” Young holds various degrees in diverse fields, including a BA from the University of Michigan, MBA from Cleary University, MACP from Moody Theological, MA from Central Michigan University, and an EdD (ABD) from the University of Michigan.   Save $100 on the purchase of a Zona Plus device at zona.com with code NAT24   Thank you to our sponsors for making this episode possible:                                                                                                                                                           Neurohacker Collective: Visit http://qualialife.com/nathalie and use code NATHALIE  Mitopure: Use code NAT10 for 10% your order at https://www.timelinenutrition.com/shop/nutrition  BiOptimizers: Go to bioptimizers.com/bionat and enter the coupon code bionat to get 10% off your order.                                                                                                                                               Find more from Mark Young:  Website: https://www.zona.com/  Instagram: https://www.instagram.com/zonahealth/    Find more from Nathalie: YouTube: https://www.youtube.com/channel/UCmholC48MqRC50UffIZOMOQ  Join Nat's Membership Community: https://www.natniddam.com/bsp-community  Sign up for Nats Newsletter: https://landing.mailerlite.com/webforms/landing/i7d5m0  Instagram: https://www.instagram.com/nathalieniddam/  Website: www.NatNiddam.com    Facebook Group: https://www.facebook.com/groups/biohackingsuperhumanperformance  What We Discuss: 11:26 Understanding Hypertension and Its Impact 29:48 Hypertension as a Symptom of Underlying Issues 40:49 The Story Behind Zona Health and the Zona Plus Device 44:27 Using Isometric Exercise to Reduce Blood Pressure 49:28 The Ultimate Biohack: Isometrics 53:15 The Science Behind the Zona Plus Device 57:34 Reversing the Effects of Aging on Blood Pressure 01:08:46 Zona's Impact on Nursing Homes and Medication Dependency 01:11:08 Zona's Effect on Grip Strength and Longevity  

In this podcast, we continue our focus on why our story matters. Our guest, Cathy Loerzel, holds an MACP in Psychology from the Seattle School and helped found the Allender Center with Dan Allender in 2010. She is the co-author of the book “Redeeming Heartache” with Dan. She has developed a therapeutic approach called story work which moves people through their past stories of heartache to heal and discover healthier ways of being in the world. Cathy will be with us at our upcoming REST Retreat at Stone Mountain in Georgia. http://www.worshipcircle.com

You may have heard the term “highly sensitive” child or parent but do you really know what that means or how to navigate? Listen in today as Sarah and Psychologist Chelsea Bodi break it down and touch on anger, repair, and how today's parents are on the frontlines of managing their own mental health while parenting.Chelsea Bodi Psychologist, Bsc, MACP, RPsych Follow Mama Psychologisthttps://www.instagram.com/mamapsychologists?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==Beyond Baby Blues (mamapsychologists.ca)Not Your Mother's Postpartum Book: Normalizing Post-Baby Mental Health Struggles, Navigating #Momlife, and Finding Strength Amid the Chaos: Slavens, Caitlin, Bodie, Chelsea: 9781683735823: Books - Amazon.caFollow Previa Alliance!Previa Alliance (@previaalliance_) • Instagram photos and videosKeep the questions coming by sending them to info@previaalliance.com or DM us on Instagram!

Got a question, comment, or just want to drop some encouragement? Send us a text.One of the most complex relationships to navigate for parenting partners is relationships with their parents and in-laws. What can parenting partners do to have healthy relationships with their parents/in-laws and give their kids strong relationship with grandparents? Stephen Mitchell, PhD and Erin Mitchell, MACP answer this question and so many more in this episode. 

Host Dr. Lawrence Kosinski is joined by Helen Burstin, MD, MPH, MACP – the Chief Executive Officer of the Council of Medical Specialty Societies which represents 45-member specialty societies with collective membership of almost 800,000 U.S. physician members. CMSS works to support and strengthen specialty societies and catalyzes improvement through convening, collaboration, collective voice and action. CMSS provides a proactive platform to assess and address emerging and critical issues across specialty societies that influence the future of healthcare and the patients they serve. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Got a question, comment, or just want to drop some encouragement? Send us a text.Does talking about emotions matter? We see so many couples were one partner's primary complaint is that their partner cannot talk about how they feel. Stephen Mitchell, PhD and Erin Mitchell, MACP discuss whether talking about emotions matters and what couples can do to resolve this conflict. 

In this episode, the Talent Management Office (TMO) discusses how judge advocates should approach their assignment preference sheets, which is just the beginning of the conversation. The biggest change to the assignment preference sheet is the inclusion of leadership questions for those seeking specific leadership roles. The online assignment preference sheet will be available 1 August 2024. TMO uses the preference sheet to understand where you are interested in being stationed and what type of work you want to do going forward. The preference sheet will also be used to tell TMO about specific personal considerations (EFMP, MACP, spouse or partner career goals, extended family concerns, etc.). If you have questions or comments, please email the TMO team at: usarmy.pentagon.hqda-otjag.mbx.tmo@army.mil Connect with The Judge Advocate General's Legal Center and School by visiting our website at https://tjaglcs.army.mil/ or on Facebook (tjaglcs), Instagram (tjaglcs), or LinkedIn (school/tjaglcs).

Got a question, comment, or just want to drop some encouragement? Send us a text.Is the preoccupied attachment style really just needy? We examine how childhood experiences shape adult relationships, focusing on preoccupied attachment. Stephen Mitchell, PhD and Erin Mitchell, MACP discuss what preoccupied attachment is, how it impacts a couple relationship, and how partner's can stay connected if one of them is preoccupied. 

Ever wondered if an avoidant partner can truly connect emotionally? We examine how childhood experiences shape adult relationships, focusing on avoidant attachment. Stephen Mitchell, PhD and Erin Mitchell, MACP discuss what avoidant attachment is, how it impacts a couple relationship, and how partner's can stay connected if one of them is avoidantly attached. 

It is an exciting time in cardiovascular prevention and management, where we can work together to make a significant difference for our patients. New pharmacotherapies are changing the disease burden and leading to improved outcomes for our patients, regardless of circumstance. Guest Clyde Yancy, MD, MSc, MACC, MACP, FAH, FHFSA, FRCP, FASPC (Hon.), FPCNA (Hon.), provides data and inspiration for our actions every day. SELECT Trial: https://www.acc.org/Latest-in-Cardiology/Clinical-Trials/2023/11/09/15/04/select Health Equity Self-Assessment Tool: Take 10 minutes, identify your strengths, and get links to related resources. https://pcna.net/clinical-resources/provider-tools/health-equity-provider-tools/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

There are three questions that parenting partners are asking one another every day. They might not be asking them directly but in their conflict, in their frustration, in their stress these are the questions that underline all of these interactions. Stephen Mitchell, PhD and Erin Mitchell, MACP tell you what the questions are and how you can your partner can answer them in the affirmative for one another.  

It's something most parenting partners feel but no one really talks about: Loneliness. That's right. Many parenting partners find themselves feeling lonely during the parenting years and it can be hard to talk about with your partner. This feeling of loneliness can also be an underlying factor for some of the stress, conflict, and hurt feelings parenting partners feel and have regarding one another. Stephen Mitchell, PhD and Erin Mitchell, MACP talk about their own experience of Loneliness as parenting partners and what you and your partner can do to address this silent issue. 

Using common case scenarios, Robert H. Hopkins, Jr., MD, MACP, and Laura P. Hurley, MD, MPH, discuss strategies for optimizing shingles vaccine uptake, including:The pathophysiology of shingles to better understand risk and burdenCDC guidelines and ACIP shingles vaccine recommendations, including considerations for those who are immunocompromised Strategies for optimizing shingles vaccine uptake no matter the clinical settingHow to address shingles vaccine‒related adverse events Addressing insurance-related concerns Presenters:Robert H. Hopkins, Jr., MD, MACPProfessor of Internal Medicine and PediatricsChief, Division of General Internal MedicineUniversity of Arkansas for Medical SciencesSchool of MedicineLittle Rock, ArkansasLaura P. Hurley, MD, MPHGeneral Internist and Health Services ResearcherAssociate Professor of MedicineDepartment of General Internal MedicineUniversity of Colorado Anschutz Medical CampusAurora, ColoradoLink to downloadable slides:https://bit.ly/4aWn6jhLink to full program:https://bit.ly/4aWBiJ0Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

If your partner has ever been pregnant. If you have ever had a partner in the postpartum phase of parenting. If you are a parent period. You need to hear this! Being aware of the impact of pregnancy and postpartum on your partner's body matters. Even if you are beyond this phase of your parenting journey, it matters! Stephen Mitchell, PhD and Erin Mitchell, MACP help you understand "why?" in this weeks episode. 

The word Catholic is often capitalized and used in reference to the religious denomination. It may also be an adjective meaning comprehensive or universal. On this episode of SoundPractice we will be discussing the term in both of its definitions. The Catholic Church and Its Hospitals: A Marriage Made in Heaven? is a new book extensively researched and written by Patricia Gabow, MD, MACP, former CEO of Denver General Hospital. The Foreword of the book is by Donald M. Berwick, MD, MPP. Hear about the role of the bishops and the Ethical and Religious Directives (ERDs) in policy making for the Catholic health system. We also discuss surprising statistics about the extent, reach, and influence of Catholic Healthcare in terms of the number of beds and hospitals. From small hospitals built by nuns and nurses to now having four out of the ten largest healthcare systems in the United States being Catholic systems. There is another side to the story. Patients may not understand that certain reproductive care or end-of-life care are not available to them in a Catholic health system. Physicians who work in these systems may not understand the reach and influence of the ERDs. We will be exploring this issue in depth. In Gabow's book, she provides a section on considerations for the Catholic health system's return to mission fidelity. Join us for this insightful and thought-provoking discussion on the Catholic Church and its hospitals. Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Have you ever caught yourself wondering how the spark you once had with your partner could disappear so fast? Stephen Mitchell, PhD and Erin Mitchell, MACP discuss how the "little" moments of everyday parenting life can lead to disconnection, and how these "little" moments can also be what keeps you connected. 

Discover a refreshing take on love and commitment as Stephen Mitchell, PhD and Erin Mitchell, MACP sit down with Nate and Kaley Klemp, authors of "The 80/80 Marriage." https://www.8080marriage.com/

Abbey is joined by Sam Pockele on today's episode! Tune in as we bounce around topics, including but not limited to: intersectional care within mental health and disordered eating, the trad wife aesthetic, "clean eating", the different ways neurodivergence can look/ be, shame resilience, and more.The concept of intersectionality describes the ways in which systems of inequality based on gender, race, ethnicity, sexual orientation, gender identity, disability, class and other forms of discrimination “intersect” to create unique dynamics and effects. Samantha Pockele, MA, MACP (she/her) is a Registered Psychotherapist in Ontario. Sam is a neurodivergent, queer, cisgender woman and a settler with a keen focus on the social determinants of mental health such as race, gender, income inequality, and sexuality. She uses strengths, trauma, and humour-based approaches, and believes that people come to therapy equipped with many of the tools they need to change – sometimes we just have to brush up on the strengths that have carried us this far. Be sure to rate, review and follow the podcast if you enjoyed this episode! More About Samantha Work with Samantha Email: samantha@sedapsychotherapy.com

We hear it all the time, "My partner cares more about their job than our family." Or "My partner's job gets the best parts of them and we get what's left over at home." Work is something that happens everyday and is big source of conflict and hurt in parenting partner relationships. Stephen Mitchell, PhD and Erin Mitchell, MACP offer a two step process for how couples can discuss work, family life, and staying connected as partners through it all. 

What do you do when you think your partner's mental health is negatively impacting your family? How do you bring it up? What if your partner dismisses your concerns? Join Stephen Mitchell, PhD and Erin Mitchell, MACP as we shed light on the profound impact that conditions such as anxiety, depression, ADHD, and unresolved trauma can have on a family. This episode is an invitation to acknowledge, address, and approach these struggles with the compassion and awareness they deserve, ensuring that these issues don't remain in the shadows to disrupt the harmony at home.

Every relationship faces the siege of stress, but how we navigate through this inevitable reality makes all the difference. Imagine this case example: Josh, retreating into his shell under the pressure of life's stress, leaves Lindsay spinning plates to maintain the family's harmony. Their story may sound familiar, and we're peeling back the layers to discover why Josh's withdrawal and Lindsay's increasing load brew the perfect storm of miscommunication.Listen along as Stephen Mitchell, PhD and Erin Mitchell, MACP guide you through  the choppy waters of coping with stress and the burden it places on our partners, you'll gain insights into the silent battles that many couples face and how to navigate them with grace and understanding.

Every parenting partnership has its struggles, but when ADHD is in the mix, it's like navigating an intricate dance of dopamine, interest, and misunderstanding. Katy Weber shares her wisdom on fostering teamwork in a couple relationship impacted by ADHD and  reframing ADHD as a joint adventure rather than a solitary battle. Join Stephen Mitchell, PhD and Erin Mitchell, MACP as they talk with Katy about this unique and challenging couple dynamic and share some of their own story about being impacted by ADHD symptoms in their parenting partner relationship. 

Feeling like you're paddling a two-person canoe alone can be exhausting, but it's a situation commonly felt in parenting partner relationships. Stephen Mitchell, PhD and Erin Mitchell, MACP discuss how this dynamic happens in parenting partner relationships and how parenting partners can start paddling the canoe together. 

On our latest podcast, we're joined by Rachel and Marley Shepard -Ohta from HeySleepyBaby, who share their experience navigating the wild ride that is understanding kids and sleep. Join Stephen Mitchell, PhD and Erin Mitchell, MACP as they share this dynamic and insightful conversation with Rachel and Marley from HeySleepyBaby. 

Erin Mitchell, MACP and Stephen Mitchell, PhD unwrap the complexities of parenthood and its impact on couples. We crack open the often-misunderstood narrative that children are the wrecking ball of romance, with a sprinkle of humor and personal tales like Stephen's own 'eye-opening' parenting injury. Strap in as they navigate the seismic shift in dynamics that a new child brings, particularly focusing on the 'default parent' phenomenon. The Mitchell's candid conversation sheds light on the essential growth both partners must commit to, to preserve their connection amid the new context of being parents.