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In deze aflevering ga ik in gesprek met Wout van Helden. Wout is Lead Science & Research bij Bonusan en heeft een achtergrond in psycho-neuro-immunologie en orthomoleculaire geneeskunde. Samen duiken we dieper in het onderwerp maagzuur, en vooral de vraag: heb je nu echt tevéél maagzuur, of juist te weinig?Veel mensen ervaren klachten als reflux, oprispingen, een opgeblazen buik of misselijkheid en denken al snel dat teveel maagzuur het probleem is. Maar vaak ligt de oorzaak ergens anders. In deze aflevering leggen we uit hoe maagzuur werkt, waar het mis kan gaan en waarom het onderdrukken ervan niet altijd de juiste oplossing is.We bespreken onder andere:Wat maagzuur nu écht veroorzaakt en waarom een tekort vaak over het hoofd wordt gezienHoe je het verschil herkent tussen te veel en te weinig maagzuurDe rol van voeding, leefstijl en stress bij maagzuurklachtenWanneer maagzuurremmers zinvol zijn, en wanneer juist nietDe mogelijke risico's van langdurig gebruik van protonpompremmersHoe maag, darmen en het microbioom elkaar beïnvloeden bij klachtenEn welke praktische stappen je vandaag al kunt zetten om je maagzuur te ondersteunenEen inhoudelijke aflevering voor iedereen die verder wil kijken dan symptoombestrijding en beter wil begrijpen wat er speelt bij maagzuurklachten.-------De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns-------
Een ijzertekort komt veel vaker voor dan we denken. En toch wordt het in de praktijk nog vaak gemist. Terwijl de oorzaken complexer zijn dan alleen “te weinig ijzer eten”. In deze aflevering legt Romée Trouw, diëtist en darmtherapeut bij The Nourishing State, uit hoe een ijzertekort ontstaat, welke symptomen daarbij horen en waarom je darmen een cruciale rol spelen bij de opname van ijzer.We bespreken onder andere:Wat ijzer precies doet in je lichaamHerkenbare symptomen van een ijzertekortDe belangrijkste oorzaken van een ijzertekortWaarom een ijzertekort zó vaak over het hoofd wordt gezienWelke voeding helpt bij het aanvullen van je ijzervoorraadWaarom je darmen bepalend zijn voor hoeveel ijzer je daadwerkelijk opneemtWat je kunt doen om je darmgezondheid te verbeterenWanneer ontlastingsonderzoek zinvol isEn zowel Romée haar eigen ervaring als haar praktijkervaringDeze aflevering helpt je begrijpen waarom je niet altijd opknapt van "meer ijzer slikken", en wat je wél kunt doen om je ijzerstatus en darmgezondheid te verbeteren.-------De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns-------
Steeds meer mensen worstelen met een laag libido, en insulineresistentie speelt daarin een veel grotere rol dan de meesten weten. In deze aflevering ga ik in gesprek met Inge de Klein-Driessen, diëtist en ketogeen therapeut bij The Nourishing State. Inge focust zich op therapeutische koolhydraatbeperking bij onder andere insulineresistentie.De volgende onderwerpen komen aan bod:Wat insulineresistentie precies is en waarom het je libido kan verlagenWaarom je tijdens de overstap naar koolhydraatarm of ketogeen in het begin soms juist mínder libido ervaartHoe je hormoonbalans (oestrogeen, progesteron, testosteron) je libido beïnvloedtDe verschillen tussen mannen en vrouwen — en waarom die belangrijk zijnInge's persoonlijke ervaring: wat koolhydraatarm eten haar heeft gebrachtDe rol van dopamine, serotonine en andere neurotransmitters bij libidoHoe chronische stress, overprikkeling en vermoeidheid je libido onderdrukkenEn onze beste leefstijltips om je libido én gezondheid te herstellenEen open, eerlijke én praktische aflevering die je inzicht geeft in wat er in je lichaam gebeurt, en wat je zelf kunt doen om je bloedsuiker, hormonen en libido te verbeteren.-------De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns-------
TGIF! we have an amazing show for you today, moose is away on baby moose sitting duties and you can only imagine how that is going for him, stay tuned next week for that shamozzle. we have some unreal emails to kick off the show, an apple completely ruined a teachers day and undies resulting in a hefty detention for the OOT. We look into the dangerous world of kids toys from a bygone era including the finger eating Cabbage Patch Doll. we discuss the old playground equipment that we lost many a good mate too, The spring horse of death had many a young kid toothless. we would just like to thank each and everyone of you legends for tuning in each week you probably dont know how much you guys help us with our own brains by just showing up each week and listening and being part of the show. Hosted on Acast. See acast.com/privacy for more information.
In deze aflevering spreek ik met Dr. Yvo Sijpkens, internist en expert op het gebied van metabole gezondheid. Yvo heeft jarenlange ervaring in de ziekenhuiszorg en is onderdeel van de medisch-wetenschappelijke adviesraad van Je Leefstijl als Medicijn. In deze aflevering deelt hij zijn praktische en wetenschappelijk ervaring rondom leververvetting.We bespreken onder andere:Wat leververvetting precies is en hoe vaak het voorkomtDe belangrijkste oorzaken van leververvettingHoe herken je leververvetting?Hoe leververvetting je hormonen beïnvloedt en de samenloop met onder andere diabetes type 2 en hart- en vaatziektenDe rol van voeding bij het voorkomen en omkeren van leververvetting (incl. de Virta Health-studie)Hoe Therapeutische Koolhydraatbeperking (TKB) werkt in de praktijkWelke concrete stappen je vandaag al kunt zetten om je levergezondheid te verbeterenEen belangrijke aflevering voor iedereen die meer inzicht wil in metabole gezondheid, en vooral wat je zélf kunt doen om je lever te ondersteunen.-------De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns-------
Waarom heb je nog steeds cravings, zelfs als je bloedsuiker stabiel is en je gezond eet?In deze aflevering duik ik samen met diëtist Romy Thumann in de wereld van neurotransmitters, de chemische boodschappers in je brein die invloed hebben op je stemming, motivatie en eetgedrag.Romy is diëtist bij The Nourishing State en gespecialiseerd in bloedsuikerregulatie en insulinegevoeligheid. Ze legt uit hoe voeding, stress en slaap je neurotransmitters beïnvloeden én waarom dat vaak de sleutel is bij aanhoudende cravings, burn-out en mentale onrust.We bespreken onder andere:Wat neurotransmitters precies zijn en hoe ze invloed hebben op je stemming, focus en eetgedragHet verschil tussen mentale en fysieke cravings: heb je écht honger of zoek je een bepaald gevoel?Hoe een disbalans in je neurotransmitters kan bijdragen aan burn-out of bore-outDe link tussen ADHD, OCD, angst en depressie en verstoringen in je breinchemieWaarom voeding, slaap en stressmanagement zo belangrijk zijn voor een gezonde aanmaak van dopamine, serotonine en GABAEn natuurlijk: wat je kunt doen om je brein te ondersteunen met voeding en leefstijlMeld je nu aan voor de GRATIS masterclass Neurotransmitters die Romy op 24 november geeft: klik hier-------De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns-------
Veel mensen denken dat ze niet kunnen mediteren, omdat ze hun gedachten niet stil kunnen zetten. Maar klopt dat eigenlijk wel? En hoe weet je welke vorm van meditatie het beste bij jou past?In deze aflevering ga ik in gesprek met dr Femke Bakker over de grootste mythes rondom meditatie en hoe je meditatie praktisch en haalbaar maakt in je dagelijks leven. Femke is senior assistant professor en gedragswetenschapper aan de Universiteit Leiden, oprichter van de Selfgentleness Academy, auteur en ervaren meditatiedocent en spreker.We bespreken onder andere:Waarom “je gedachten uitzetten” géén voorwaarde is om te kunnen mediterenWelke verschillende vormen van meditatie er bestaan, en hoe je ontdekt wat bij jou pastWat er in je brein en lichaam gebeurt als je mediteertHoe je meditatie concreet kunt toepassen, zonder dat het zweverig of tijdrovend hoeft te zijnTips voor iedereen die vaker probeerde te mediteren maar steeds afhaakteDit is deel 1 van een toegankelijke en verdiepende aflevering voor iedereen die meer wil leren over meditatie, mythes wil doorprikken en zelf wil ervaren welke vorm van mediteren écht bij je past. Deel 2 komt volgende week online.Femke Bakker haar meditatiecursus https://leermakkelijkmediteren.nl - 15% korting met de code NOURISH (geldig t/m 6 november)De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns
Deel 1In deze aflevering ga ik in gesprek met Esther, die haar diabetes type 2 omkeerde met een koolhydraatarm voedingspatroon. Ze verloor 20 kilo én kreeg haar gezondheid en energie terug.We praten over:De weg tot het punt van de diagnose diabetes type 2: overgewicht, gewichtstoename tijdens de zwangerschap en zwangerschapsdiabetesWat er door haar heen ging toen ze hoorde dat ze diabetes type 2 hadHoe ze overstapte op koolhydraatarm eten De eerste veranderingen die ze merkte in haar lichaam en energie Het resultaat: –20 kilo, een stabiele bloedsuiker én mentale balansWat haar het meest verraste tijdens de overstap naar koolhydraatarme voeding Hoe ze haar koolhydraatarme leefstijl volhoudt Esther haar tips en advies voor anderen met diabetes type 2Dit is deel 1 van een inspirerend gesprek voor iedereen die wil ontdekken hoe voeding het verschil kan maken bij diabetes type 2, afvallen en je gezondheid terugwinnen. Volgende week komt deel 2 online.-- De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns --
Je lever is veel meer dan een detox-orgaan, het is de hormoonmanager van je lichaam. Of je nu man of vrouw bent: een overbelaste lever merk je in je energie, je huid, je stemming en zelfs je libido.In deze aflevering ontdek je:Welke rol de lever speelt bij de afbraak van oestrogeen, testosteron, cortisol en schildklierhormonenHoe leververvetting en insulineresistentie zorgen voor hormonale disbalansWat een koolhydraatarm voedingspatroon kan doen om je lever te ontlasten en je hormonen weer in balans te brengenHoe alcohol, voeding en leefstijl je lever belastenPraktische tips om je lever te ondersteunen, zodat jij je energieker en stabieler voeltEen verdiepende aflevering die laat zien hoe groot de invloed van je lever is op je hormoonbalans, gezondheid en welzijn.-- De keto granola van Oot ook proberen? Bestel nu met €8 korting via https://www.oot.nl/tns --
The Legend of Zelda: Ocarina of Time is without a doubt one of the most influential video games ever made. Unlike some titles that struggled with the transition to 3D, Zelda absolutely smashed it, setting the blueprint for what successful open world level design looked like for many years to come.It introduced (or popularised) many mechanics, including lock-on, c-button item selection and even an active day/night cycle. It somehow took the 2D dungeon design of the earlier Zeldas and transformed them into something that modern games struggle to emulate to this day. And its legacy is so strong that even people who have never played the games are familiar with “Hey, Listen!”. But for all its fame and fortune, for all of its innovation and brilliance - it is 27 years later. What was once revolutionary is now standard or even passe. Ocarina of Time not only has to compete against all the games that have copied and built on its foundations, but also itself, with many more 3D zelda games launched in its wake. Has Ocarina of Time truly stood the test of time, or should it go back to kid mode and stay there?On this episode, we discuss:DungeonsOcarina of Time's major gameplay draw, its deepest mechanics, are all found in its dungeons. It's a mix of puzzles, combat and exploration, gated by keys and items. Are the dungeons in OOT well designed with good pacing, or are they frustrating slogs with endless backtracking?ItemsThe longer you play Ocarina of Time, the more tools you have at your disposal. Nuts, hookshots, hover boots, ocarina songs, spells - the list goes on and on. Does the game manage to balance this huge array of options, or does each one end up feeling too shallow and specific?CombatOne of the pillars of Ocarina of Time, and all Zelda games, are their combat systems. OOT introduced the concept of a lock on, with some very aggressive mini boss enemies that feel like prototype Dark Souls skeletons. Is the combat here fun and engaging, or does the camera control and AI hold it back?We answer these questions and many more on the 133rd episode of the Retro Spectives Podcast!—Intro Music: KieLoBot - Tanzen KOutro Music: Rockit Maxx - One point to anotherZelda OOT OST: Koji Kondo—We played Zelda: Ocarina of Time using Ship of Harkinian, a custom modded port of the game that runs like a dream on modern PCs. Definitely check it out!—Is our take on the Water Temple spot on, or highly controversial? DId you ever get stuck while wandering the greater open world, or was that just a feature so you could catch more fish? Which Zelda game should we play next? Come let us know what you think on our community discord server!You can support the show monetarily on our Buy me a Coffee page
Veel discussie en nog meer vragen: is een carnivoor of animal-based dieet gezond? Wat doet het met je darmen? En moeten we ons zorgen maken over rood vlees of zelfs koffie?In deze aflevering ga ik in gesprek met dr. Samefko Ludidi – voedingswetenschapper, schrijver en expert op het gebied van voeding en vasten. Hij deelt zijn visie en ervaring met het animal-based dieet, en we bespreken de wetenschap achter darmgezondheid, vleesconsumptie en het effect van koffie.We hebben het onder andere over:Wat het concept van een animal-based en carnivoor dieet inhoudt en hoe het er in de praktijk uitzietDe belangrijkste gezondheidsvoordelen van een animal-based en carnivoor dieet volgens dr. LudidiKritiekpunten op animal-based en carnivoor dieet : rood vlees, vezels en het effect op je darmenWat écht belangrijk is voor een gezonde darmKoffie: geliefd door velen, maar hoe zit het qua gezondheid?Een aflevering vol inzichten, wetenschap én praktische tips, voor iedereen die geïnteresseerd is in voeding, gezondheid en de vraag: wat is nu echt goed voor je lijf?-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
In deze aflevering ga ik in gesprek met orthomoleculair diëtist Manouk Hoogerwerf over twee praktijkverhalen van vrouwen met overgangsklachten.Manouk begeleidt veel vrouwen tijdens de overgang en laat zien hoe koolhydraatarme voeding een wereld van verschil kan maken.We bespreken onder andere:Welke overgangsklachten het meest voorkomenHoe voeding en bloedsuiker invloed hebben op je hormonenWelke aanpassingen in voeding en leefstijl deze vrouwen hebben gedaan tijdens de overgangDe resultaten: van minder opvliegers tot meer energie, beter slapen en vertrouwen in voedingskeuzesEen inspirerende aflevering voor iedere vrouw die wil ontdekken hoe voeding kan helpen om overgangsklachten te verminderen en je weer lekker in je vel te laten voelen.-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
On this month's Delta Series episode Jared complains about movie ticket prices, Chaz has too many anime's to watch, and Mauro been enjoying life playing OoT!!On this edition of THE DELTA QUEST, our hero's journey has been fast forwarded to a dramatic climax of finally facing the Lich! Hosts: Jared Gonzalez, Chaz Hawkins, Mauro Piquera. Master Chief Engineer: Jared Gonzalez. Editor: Jared Gonzalez. Graphics Editor: Jared Gonzalez. Digital Media Editor: Jared Gonzalez. Producer: Jared Gonzalez.https://linktr.ee/razzledazzleshowpodcast
Elke maand opnieuw last van stemmingswisselingen, cravings, een kort lontje of pijn rondom je menstruatie? In deze aflevering duiken we in de fysiologie achter PMS klachten – en hoe voeding hier een directe invloed op heeft.In deze aflevering:Wat er hormonaal gebeurt in de tweede helft van je cyclusHoe bloedsuikerschommelingen PMS klachten verergerenWaarom een koolhydraatarm voedingspatroon zo goed werkt bij PMS klachten zoals stemmingswisselingen, cravings en vermoeidheidDe rol van neurotransmitters zoals GABA en serotonine bij PMS klachtenPraktische adviezen om met voeding én leefstijl je cyclus en hormoonbalans te ondersteunenPMS is geen toeval, en je hoeft het al helemaal niet te accepteren. In deze aflevering leg ik uit hoe je met de juiste voeding je hormonen, bloedsuiker en zenuwstelsel weer in balans brengt.-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
Steeds meer mensen vragen zich af: wat heeft mijn voeding te maken met hoe ik me voel? In deze aflevering duiken we in het verband tussen keto en depressie. Wat laat de wetenschap zien? Waarom kan een stabiele bloedsuiker zo'n groot verschil maken voor je stemming? En wat gebeurt er eigenlijk in je brein als je overschakelt naar vetverbranding?Je hoort hoe het komt dat depressie niet alleen een hersenprobleem is, maar ook samenhangt met ontsteking, insulineresistentie en energietekort in de hersenen. Ik bespreek recente onderzoeken, de rol van mitochondriën en neurotransmitters, én praktische tips als je zelf wilt starten met keto — juist bij mentale klachten.Een aflevering voor iedereen die voeding wil inzetten als fundament voor mentale veerkracht.-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
In deze aflevering ga ik in gesprek met Lianne Smid. Lianne worstelt sinds haar 18e met anorexia, maar is altijd blijven geloven dat ze kan herstellen van haar eetstoornis.Lianne wordt sinds 2 jaar begeleid door Romy, diëtist bij The Nourishing State. In deze aflevering verteld ze hoe haar traject eruit heeft gezien. De volgende vragen komen aan bod:Waar stond je toen je je bij ons aanmeldde? Wat speelde er toen in jouw relatie met eten en je lichaam?Wanneer merkte je dat je iets moest veranderen — en hoe was het voor jou om die stap naar begeleiding te zetten?Wat waren voor jou belangrijke inzichten of veranderingen in het traject, waardoor je je relatie met eten kon gaan herstellen?Wat heeft je het meest geholpen in de begeleiding?Hoe gaat het nu met je? Welke verschillen merk je in je dagelijks leven — fysiek, mentaal, sociaal?Wat zou je willen meegeven aan mensen die nu worstelen met een eetstoornis en al van alles geprobeerd hebben?-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
In deze aflevering ga ik in gesprek met Romy Thumann. Romy is diëtist bij The Nourishing State en gespecialiseerd in gezonde bloedsuiker en eetgedrag.In deze aflevering komen de volgende onderwerpen aan bod:Bewerkte voeding en impact op de bloedsuikerDarmgezondheidVoedselintoleranties en de juiste productkeuzesMust-producten voor optimale darmgezondheidSupplementen-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
Acné is niet alleen een huidprobleem, het is vaak een signaal van wat er vanbinnen gebeurt. In deze aflevering ontdek je hoe voeding, hormonen, bloedsuiker en darmgezondheid je huid beïnvloeden. Waarom ontstaat acné? Wat is de rol van je cyclus, stress en suikers? En vooral: wat kun je zelf doen om je huid van binnenuit te ondersteunen?Of je nu al jaren met acné worstelt of gewoon nieuwsgierig bent naar wat je huid je probeert te vertellen — deze aflevering geeft je inzicht én praktische tips.Omega-3: klik hier Collageen: klik hier-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
Deze aflevering gaat over cravings. Oftewel: die intense trek in iets zoets of zouts. Misschien ken je het als “lekkere trek”, of dat moment dat je ineens móét gaan snaaien terwijl je net gegeten hebt.Maar wat zijn cravings eigenlijk? Waar komen ze vandaan? En belangrijker nog: hoe kun je er beter mee omgaan, zónder dat je jezelf steeds van alles hoeft te verbieden? En wist je dat een koolhydraatarm voedingspatroon hier ook een hele grote rol in kan spelen?In deze aflevering:- Wat zijn cravings?- Oorzaken van cravings: lichamelijk en psychologisch- Praktische tips om met cravings om te gaan- Hoe helpt een koolhydraatarm voedingspatroon bij cravings?- Wat doe je als je toch toegeeft aan een craving?-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns --
Deze aflevering gaat over PCOS (polycysteus ovarium syndroom), voeding en leefstijl. PCOS is een hormonale aandoening die veel vrouwen treft: 10 tot 15% van de vrouwen in de vruchtbare leeftijd heeft PCOS.De volgende onderwerpen komen aan bod:Wat is PCOS en hoe vaak komt het voor?Hoe herken je PCOS?Hoe ontstaat PCOS?PCOS & voeding: 5 belangrijke adviezen waaronder koolhydraatarme voeding en een gezonde bloedsuikerPCOS & leefstijl* De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns *
In deze aflevering ga ik in gesprek met Annabel Hagelen, oprichtster van Bakken met Bel.Bakken met Bel begon als een social media platform waarop ze makkelijke en gezonde recepten deelt speciaal voor ouders met kinderen die geen groenten willen eten.Daarnaast heeft Annabel een kookboek geschreven voor gezinnen met kleine kinderen vanaf 6 maanden oud.De volgende onderwerpen komen aan bod:Eerste hapjes van je baby; introductie van vast voedsel“Lastige eters”: hoe ga je daarmee om?Hoe betrek je kinderen bij het koken/bereiden van maaltijden?Kinderen en snoep/zoetigheid: hoe beperk je dit?Kinderen en voldoende groente: hoe pak je dit aan?Praktische tips voor gezond eten voor en met je kinderenDe keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns
Orthomoleculair diëtist Romée Trouw focust zich op hormonale gezondheid en helpt bij hormonale klachten, waaronder PCOS, endometriose, PMS en menstruatieklachten. In deze podcast over hormonen komen de volgende onderwerpen aan bod:- Wat houdt je hormoonbalans in; uitleg hormonen- Symptomen hormonale disbalans- Eigen ervaring hormoonproof leven: hoe ben je zelf begonnen?- Voeding en je hormonen: bloedsuiker, welke voeding vermijden, welke voeding(sstoffen) ondersteunt hormoonbalans- Huis en keuken: koken, plastic, schoonmakenDownload het gratis E-book over hormoonproof leven nu: https://thenourishingstate.com/overzicht-ebooksDe keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns
Hart- en vaatziekten zijn wereldwijd één van de grootste oorzaken van sterfte en ziekte. Gelukkig zijn er leefstijlfactoren die we zelf in de hand hebben; voeding speelt daarbij een cruciale rol. In deze aflevering bespreken we wat hart- en vaatziekten zijn, hoe ze ontstaan en hoe een koolhydraatarm voedingspatroon kan bijdragen aan een gezonder hart- en vaten.De volgende onderwerpen komen aan bod:- Wat zijn hart- en vaatziekten?- Hoe ontstaan hart- en vaatziekten?- Op welke manieren helpt een koolhydraatarm voedingspatroon bij hart- en vaatziekten?- Praktische tips en voedingsadvies bij hart- en vaatziektenInterview Stichting Hartpatiënten Nederland: klik hier De keto granola van Oot ook proberen? Bestel nu met €7 korting via https://www.oot.nl/tns**************************
Dr. Eline Dekeyster is Assistant Professor Cognitive Neuroscience aan Universiteit Leiden. Ze is hoofd van de onderzoeksgroep Lifestyle Brain Interaction. Haar focus ligt op het ketogeen dieet en (intermittend) vasten. Zelf ervaart Eline al jarenlang hoe een ketogeen dieet een positief effect heeft op haar mentale gezondheid. Dit onderzoekt ze nu op academisch niveau samen met haar team en veel samenwerkingspartners. In deze aflevering hebben we het over een aantal studies die zij samen met haar team uitvoert:- Keto dieet en stemming, slaap, focus- Keto dieet en ADHD- Keto dieet en AutismeMeer info over en/of aanmelden voor de studies van onderzoeksgroep Lifestyle Brain Interaction: https://lbiresearch.nl/ongoing-studies.html
Guest: Or Brokman, Strategic Google Cloud Engineer, Security and Compliance, Google Cloud Topics: Can you tell us about one particular cloud consulting engagement that really sticks out in your memory? Maybe a time when you lifted the hood, so to speak, and were absolutely floored by what you found – good or bad! In your experience, what's that one thing – that common mistake – that just keeps popping up? That thing that makes you say 'Oh no, not this again!' 'Tools over process' mistake is one of the 'oldies.' What do you still think drives people to it, and how to fix it? If you could give just one piece of cloud security advice to every company out there, regardless of their size or industry, what would it be? Resources: Video (YouTube) “Threat Modeling: Designing for Security” by Adam Shostack EP16 Modern Data Security Approaches: Is Cloud More Secure? EP142 Cloud Security Podcast Ask Me Anything #AMA 2023 “For a successful cloud transformation, change your culture first” (OOT vs TOO blog) https://www.linkedin.com/in/stephrwong/ New Paper: “Autonomic Security Operations — 10X Transformation of the Security Operations Center” (2021)
Dit is deel 2 van het gesprek met dr Tom Schilder over afvalmedicatie.Tom is arts en medisch adviseur bij stichting Je Leefstijl als Medicijn. Tijdens zijn studie raakte hij gefascineerd door chronische ziektes en het ontstaan daarvan. Dat kwam omdat hij tijdens zijn co-schappen merkte dat het meeste ziekteleed van chronische ziektes kwam. Het viel hem op dat het meerendeel van de behandelingen gericht zijn op de symptomen terwijl de oorzaak van de chronische ziektes niet wordt aangepakt.In deze aflevering hebben we het over:- Afvalmedicatie: wat zijn GLP-1 agonisten?- Verschil tussen Ozempic, Saxenda en Mounjaro- Gevaar van afvalmedicatie / GLP-1 agonisten- Leefstijl en afvalmedicatie / GLP-1 agonisten- Landbouw en microbioom- Tom zijn project: een ZorgboerderijContact Tom Schilder via tom@jeleefstijlalsmedicijn.nl
As they recap season 4 episode 20 of PLL "Free Fall", they discover Ezra's secret smoked meats are not the only things being blazed - so are Ash and Hayley!!!! For this long awaited episode (CHAIRLIFT!!!!!!) they light up in honour of Flopzra getting caught OOT, discover some Norristown canon/Andrew Cunanan and get obsessed with Victoria Slaystings' ability to get to a country club dinner in 5 minutes. You can also WATCH our regular fortnightly episodes on the Call An Adult YouTube channel: https://www.youtube.com/@CallAnAdult Want more Call An Adult? Come join our Dollhouse over on Patreon! patreon.com/callanadult
In deze aflevering heb ik het met Manouk Hoogerwerf over de winterdip. Manouk is orthomoleculair diëtist bij The Nourishing State en richt zich onder andere op een gezonde hormoonbalans. We hebben het over: - Symptomen winterdip - Wat is een winterdip? - Winterdip vs winterdepressie - Voeding(stoffen) belangrijk bij winterdip - Wat kan je doen tegen winterdip?
"Waarom val ik niet af?" of "Waarom val ik niet meer af?" zijn twee veelgestelde vragen. In deze aflevering ga ik op de belangrijkste punten in, wat ervoor kan zorgen dat jij niet afvalt. Podcast maaltijdideeën koolhydraatarm, keto en carnivoor: klik hier
In deze show bespreken we wat er allemaal mis is met de pabo en rectificeert Stef haar ergernis uit 104. In B&B vol liefde zijn er mooie ontwikkelingen rondom Iris, Albert, Mirjam en Thijz. Janneke heeft een ergernis over het niet mogen delen van complimenten, Stef ergert zich aan het niet mogen ergeren aan mensen. Slechts een van hen heeft een warme boodschap.Friendaholic - Elisabeth DayEen lui letterland - Anne Steenhoff4 smaken Oot Granola proberen? Ga naar Oot.nl/shitshow30 dagen gratis Storytel, ga naar Story.tel/shitshowAdverteren in De Shitshow? Mail naar jeroen@streamtree.nlZie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.
Headlines: 1. President Biden Signs Resolve Tibet Act, Tibetans Rejoice Over US Act 2. China Orders Closure of Another Tibetan Private School in Golog, Tibet 3. Sikyong Penpa Tsering Concludes Visit to Ladakh Tibetan Settlement, Leaves for US 4. Kalon Tharlam Dolma Changra Concludes Talks on SEE Learning in Japan Universities 5. Kalon Gyari Dolma Launches Book ‘The truth as told by Nyima Lhamo' 6. OoT, Canberra Conducts Seminar on “Sino-Tibet Relations in the Post-Xi Jinping Era” 7. OoT Taiwan Undertakes Awareness Campaign on the Middle Way Approach
In this episode of The Top Line, sponsored by the Parenteral Drug Association (PDA), we explore the upcoming PDA/FDA Joint Regulatory Conference, happening September 9-11 in Washington, D.C. Our guest, Janeen Skutnik-Wilkinson, Director of Global Quality Regulatory Surveillance and External Engagement for Moderna and Co-Chair of the 33rd annual event, shares why this conference is the essential annual CGMP event to attend. Janeen notes the direct access to federal regulators and the unique insights from FDA colleagues as standout features. The FDA co-sponsored conference is known for fostering collaboration among scientific minds to create practical solutions and best practices, with this year's focus on improving quality culture, shifting to proactive approaches, and evolving quality maturity. Key sessions will cover de-risking quality control environments by utilizing case studies on OOS and OOT results, and enhancing lab systems with QRM. The conference's focus on Current Good Manufacturing Practices (CGMP) makes it a must attend for quality assurance and operations professionals. Additionally, discussions will delve into the role of AI in manufacturing and data integrity. For a comprehensive look at this year's PDA/FDA Joint Regulatory Conference, listen to the full episode and register at pda.org/PDAFDA2024.See omnystudio.com/listener for privacy information.
We're joined by Rob Morgan and Joumana Mourad to discuss the joys and challenges of integrating immersive technology into live contexts - taking a deep dive into the myriad types of available tech ad different scales and exploring how the creative processes involved in creating tech forward immersive experiences inform the relationship between the work and the audience. Our Guests:Rob Morgan (he/him) is a writer, experience designer, digital dramaturg, and founder and Creative Director of London-based AR design studio Playlines. Rob writes and narrative-designs award-winning AR & VR experiences and has helped create story worlds and immersive experiences for some of the world's largest licences, attractions and cultural institutions. He is a pioneer of Mixed Reality theatre, and has collaborated on some of the most critically-acclaimed games in VR and interactive narrative. https://robmorgan.space/Joumana Mourad is The Bob Lockyer Award for Digital Innovation nominee in 2022. Step into the captivating world curated by Joumana Mourad, where boundaries blur, and innovation reigns supreme. As the Hybrid Performance Curator at Open Online Theatre and the visionary Artistic Director of IJAD, Joumana orchestrates a symphony of dance, science, and technology, transcending conventional norms. She has Transformed traditional theatres into immersive wonderlands, where dancers gracefully descend from ceilings and walls, defying gravity and challenging perceptions. In works like Pas de Cinq, audiences find themselves surrounded by projected water films, becoming integral parts of the performance.IJAD's global footprint is undeniable, from mesmerizing crowds in Taiwan to captivating audiences across 32 countries with the spellbinding In-Finite Space Part 2. Through commissioned productions and collaborations, Joumana and her team craft authentic narratives that resonate deeply with communities worldwide. At the heart of it all lies Open Online Theatre (OOT), a virtual haven where artists converge, pushing the boundaries of hybrid performance. Joumana's dedication extends beyond the stage, nurturing and mentoring artists through OOT's residency program, ensuring a future where art, technology, and cultural enrichment intertwine seamlessly.Hosted by Dr Joanna Bucknall and produced by Natalie Scott for the Immersive Experience Network's, Knowledge Bank. Funded by Arts Council England.Linkedin: https://www.linkedin.com/company/immersive-experience-network/ Instagram @immersiveexperiencenetMailing List https://immersiveexperience.network/sign-up Hosted on Acast. See acast.com/privacy for more information.
Badend in het zweet heb je de zogenaamd gebruiksvriendelijke pop-up tent eindelijk opgezet: klaar om te feesten. Oh ja, muntjes. Als je bier wil drinken, moet je besparen op eten. Welke gerechten zijn festivalproof? Stop je een koelbox, een percolator, of een gasbrandertje in de backpack? En welke groentes blijven het hele weekend knapperig en sappig? Je hoort het in Etenstijd!Onze sponsor:Oot granola: Probeer Oot granola 4 weken voor €15,- i.p.v. €22,- via oot.nl/etenstijdTips:Hungery Planet - Peter Menzel Faith D'AluisioWil je adverteren in deze podcast? Stuur een mailtje naar: Adverteerders (direct): adverteren@meervandit.nl(Media)bureaus: pien@meervandit.nl Hosted on Acast. See acast.com/privacy for more information.
Teil 2 zu „The Legend of Zelda: Ocarina of Time, OoT" - (2/2). Wir besprechen den Klassiker. Es geht um die Highlights der Dungeons. Informationen zur Entwicklung und dem Game Design. Wir sprechen mit Christian Leuenberg, von To Be On Pod über seine und unsere Spielerfahrung. Sprechen kurz über die 3DS-Version und über Zelda OoT-Speedruns. Dazu schweifen wir wie immer großzügig ab und wünschen Euch viel Spaß. --- Send in a voice message: https://podcasters.spotify.com/pod/show/pongpod/message
Welcome to this week's Socially Distant Sports Bar with Elis James, Mike Bubbins and Steff Garrero. This is Part 2 of this week's episode. Part 1 is out every week on Wednesdays. You can listen to the podcast WITHOUT ADVERTS, every Tuesday (EARLY RELEASE), with 30 minutes of BONUS CONTENT every single week by heading to our Patreon https://www.patreon.com/distantpod HUMPHREY KER Humphrey is the Executive Director at Wrexham AFC where he works alongside Rob McElhenney and Ryan Reynolds. He is a writer, actor and comedian who won Best Newcomer at the Edinburgh Festival in 2011. He has worked on the TV shows Mythic Quest and It's Always Sunny In Philadelphia. MICHAEL OWEN'S MOVIE CLUB & HOFFI POD Every month we produce TWO bonus podcasts for the top two levels of our Patreon. Michael Owen's Movie Club is Elis, Mike and Steff talking about a Sports Movie they've watched. Hoffi Pod is the boys talking about clips they like which are nothing to do with Sports. Head to https://www.patreon.com/distantpod and sign up for the £8 or £10 levels today! PUPPETS ON YOUTUBE “Puppet” Paul Melin has been busy creating puppet versions of our funniest moments on Distant Pod. Head over to our YouTube Channel, SUBSCRIBE AND CLICK ON THE BELL to see the latest episode whenever it gets published. https://www.youtube.com/thesociallydistantsportsbar THIS WEEK'S SHOW WAS RECORDED LIVE AT THE WILLIAM ASTON HALL, WREXHAM ON SUNDAY NOVEMBER 5th 2023 Elis: Goalposts https://twitter.com/hanginheadlines/status/1718691384486432850?s=46&t=xNP1SKBBE6956ZzmJNuI9g Humphrey: Superbowl Shuffle: https://www.youtube.com/watch?v=ooT_uz--O2A&t=66s&ab_channel=Dj.CLASSIKLRNTHAMIXX Superbowl Shuffle Tribute, The Superbroker Shuffle https://www.youtube.com/watch?v=yW-GhCeqkk4&ab_channel=criscrsh Nobody's Choice: Sex Offender Shuffle https://www.youtube.com/watch?v=VfCYZ3pks48&ab_channel=ScottGairdner Humphrey: Tottenham Tottenham https://www.youtube.com/watch?v=jwD8zQGcchU&ab_channel=1pdonlon Humphrey: The Anfield Rap https://www.youtube.com/watch?v=Kcy3gwwxat4&ab_channel=TheSpionKop Learn more about your ad choices. Visit podcastchoices.com/adchoices
Welcome to this week's Socially Distant Sports Bar with Elis James, Mike Bubbins and Steff Garrero. This is Part 1 of this week's episode. Part 2 is out every week on Fridays. You can listen to the podcast WITHOUT ADVERTS, every Tuesday (EARLY RELEASE), with 30 minutes of BONUS CONTENT every single week by heading to our Patreon https://www.patreon.com/distantpod HUMPHREY KER Humphrey is the Executive Director at Wrexham AFC where he works alongside Rob McElhenney and Ryan Reynolds. He is a writer, actor and comedian who won Best Newcomer at the Edinburgh Festival in 2011. He has worked on the TV shows Mythic Quest and It's Always Sunny In Philadelphia. MICHAEL OWEN'S MOVIE CLUB & HOFFI POD Every month we produce TWO bonus podcasts for the top two levels of our Patreon. Michael Owen's Movie Club is Elis, Mike and Steff talking about a Sports Movie they've watched. Hoffi Pod is the boys talking about clips they like which are nothing to do with Sports. Head to https://www.patreon.com/distantpod and sign up for the £8 or £10 levels today! PUPPETS ON YOUTUBE “Puppet” Paul Melin has been busy creating puppet versions of our funniest moments on Distant Pod. Head over to our YouTube Channel, SUBSCRIBE AND CLICK ON THE BELL to see the latest episode whenever it gets published. https://www.youtube.com/thesociallydistantsportsbar THIS WEEK'S SHOW WAS RECORDED LIVE AT THE WILLIAM ASTON HALL, WREXHAM ON SUNDAY NOVEMBER 5th 2023 Elis: Goalposts https://twitter.com/hanginheadlines/status/1718691384486432850?s=46&t=xNP1SKBBE6956ZzmJNuI9g Humphrey: Superbowl Shuffle: https://www.youtube.com/watch?v=ooT_uz--O2A&t=66s&ab_channel=Dj.CLASSIKLRNTHAMIXX Superbowl Shuffle Tribute, The Superbroker Shuffle https://www.youtube.com/watch?v=yW-GhCeqkk4&ab_channel=criscrsh Nobody's Choice: Sex Offender Shuffle https://www.youtube.com/watch?v=VfCYZ3pks48&ab_channel=ScottGairdner Humphrey: Tottenham Tottenham https://www.youtube.com/watch?v=jwD8zQGcchU&ab_channel=1pdonlon Humphrey: The Anfield Rap https://www.youtube.com/watch?v=Kcy3gwwxat4&ab_channel=TheSpionKop Learn more about your ad choices. Visit podcastchoices.com/adchoices
Oot the Scottish afore December, Paul's Good, Bad & Ugly, Morton Preview, The Loan Report, The Academy team, The Women's Team, Our A to Z of Dundee United and On This Day with the Arab Archive… It's all coming up on Episode 218 of The Dode Fox Podcast… You can follow us @dodefoxpodcast on Facebook, Twitter and Instagram, head to the website at www.dodefoxpodcast.com and get more info from https://linktr.ee/dodefoxpodcast
Still Game 2002 s3 e5 Oot
For this very special Halloween bonus episode, Stephen and Brendon finally play and discuss The Legend of Zelda: Majora's Mask and ask the scariest question of all: How do you follow up what many claim to be your greatest work?---Find us everywhere: https://intothecast.onlineJoin the Patreon: https://www.patreon.com/intothecast---Follow on Threads: https://threads.net/@intothecastFollow on Tumblr: https://intothecast.tumblr.com---Follow Stephen Hilger: https://stephenhilgerart.com/Follow Brendon Bigley: https://threads.net/@brendonbigleyProduced by AJ Fillari: https://bsky.app/profile/ajfillari.bsky.social---Season 6 Cover Art by Scout Wilkinson: https://scoutwilkinson.myportfolio.com/Theme song by Will LaPorte: https://instagram.com/ghostdownphoto---Timecodes: (00:00) - You've met with a terrible fate, haven't you? (00:15) - DAWN OF THE FIRST DAY | 72 HOURS REMAIN (02:58) - Quick breakdown (04:22) - Brendon's experience with the game and series (21:12) - What is happening in the game (23:02) - Stephen's history with the game and series (40:20) - A sign to move to Day 2 (46:05) - DAWN OF THE SECOND DAY | 48 HOURS REMAIN (47:10) - SPOILERS AHEAD (48:02) - The opening (01:05:00) - The three day structure (01:06:48) - The "Zelda" of it all (01:11:27) - The central thing (01:41:32) - How to talk about Majora's Mask (01:52:19) - DAWN OF THE FINAL DAY | 24 HOURS REMAIN (01:55:17) - Favorite mask? | Eric B (02:00:40) - IRL Mask? | Rob (02:03:17) - Improvements on OoT? | KoopCL (02:05:36) - Spookiest part? | KoopCL (02:07:44) - Role of SKull Kid | Rufus (02:09:39) - Is Link the main character? | Rufus (02:11:29) - What is the Happy Mask Salesman? | Rufus (02:14:11) - Aliens? | Rufus (02:16:18) - Faveorite time travel games? | Yoomanity (02:20:24) - Horror or ZHorror? | BrittleMoon (02:23:51) - Views on music? | GJ (02:26:39) - Zeld-A | Will (02:29:34) - Zeldark | Chase (02:40:37) - Best quests? | Bug Ryder (02:43:49) - Dude, fish bone guitar? | Scott Ethington (02:44:49) - Ingredients to a good Zelda | Devon Polaski (02:53:08) - Dude, people? (02:54:00) - A NEW DAWN ---Thanks to all of our amazing patrons including our Eternal Gratitude members: | Jim W | Susan H | Olivia K | Dan S | Zach D | Dominick N | Brett S | Evan B | Robert L | min2 | Aaron G | Matthew S | Erik M | Brady H | Joshua J | Tony L | Danny K | Shanna P | Seth MC | Adam B | Andy H | Demo | Maxwell L | Spiritofthunder | Jason W | Jason T | Corey T | Minnow Eats Whale | Caleb W | Jesse W | Mike T | Codes | Wesley | Erik B | Butterfly B | Gabe O | Lasse B | Jeff N | Sergio L | ninjadeathdog | Rory B | A42PoundMoose | Mr Andrew S | Peter | Stellar.Bees | Brendan K | Scott R | wreckx | Noah OR | Michael G | Arcturus | Chris R | hepahe | Chase A | Anna | Nick Q | Chris M | RB | Karen H | Michaela W | Adam F | Scott H | Lauren H | Ben G | Therese K | jgprinters | Matt H | Murray | Trevor B | David P | Jason K | Bede R | Kamrin H | Andrew D | Kyle S | Philip N ★ Support this podcast on Patreon ★
The Legend of Zelda Audiobook Productions- featuring Ocarina of Time, Majora's Mask and more
Here is Chapter 46 of Majora's Mask by FakeJake93- New Wave Bossa Nova. You can find FakeJake93's story here: https://m.fanfiction.net/s/6429588/46/ Cast Credits Author______ FakeJake93 CaroCabaConiVO _______ Link Thank you to the following Patrons for supporting this channel and podcast. Joseph Sigler Millan Kollarcik Preston Dohrer Hero of Snow CassieO Elena, K. Ana Becky, R. TyFire02 MB Modstin Tyler, S. The Biggest Chills Music Credits Terrible Fate by Theophany New Wave Bossa Nova by Hylian Symphony Zora's Domain by Koji Kondo Pirates' Fortress by Koji Kondo Great Bay by Koji Kondo House Theme by Koji Kondo Battle Theme (OoT/MM) by Koji Kondo Laboratory Theme (also OoT's Potion Shop theme) by Koji Kondo New Wave Bossa Nova (Remix) by Henriko Magnifico Light & Shadow (Twilight Princess) by Koji Kondo Majora's Mask Theme by Koji Kondo Picture Credits Beware the Deep by CloudsGirl7 https://www.deviantart.com/cloudsgirl7/art/Beware-The-Deep-Python-372179182 --- Send in a voice message: https://podcasters.spotify.com/pod/show/dragonrand100/message
Weeeeee're back this week on Radio Active Kids! We have an incredible mix of new songs, & Don't Splash Marty made this AMAZING “new music” jingle for us!!! THANK YOU SO MUCH!!!! You can still donate to Asheville FM‘s Fall Fundrive at https://www.flipcause.com/secure/fundraiser/MTk1ODg5/90781! Please help to keep Radio Active Kids on the air before Saturday! New songs by Laurie Berkner, 123 Andrés, Lucy Kalantari and the Jazz Cats, Levity Beet (ft. Angel Star & Itty Bitty Beats), DJ Willy Wow ft. Genevieve Goings, Munslow Music, The Oot n' Oots, Hot Toast Music Co., Ms. D & Me, DARIA, Noodle Loaf, Key Wilde & Mr Clarke (ft. No Parking Studio), Miss Julieann (ft. Fyütch), Young Folkies, & Top of the Bus, plus Red Yarn ON VINYL & more!!! Here's the playlist.
We've got an incredible amount of amazing new music this week on Radio Active Kids, and the ever-awesome Kelli Welli has made a little promo for us! Brand-new songs & more by Andrew & Polly ft. Lucy Kalantari, TIPTOE GIANTS, Micah and Me, Fabulous Lemon Drops, The Oot n' Oots, Mike Phirman, Knuckleheadz: Father/Son Rap Group, #MrBooDaddy, Father Goose Music, Marsha and the Positrons ft. SaulPaul, fleaBITE, Dots and Lines & Totally Knuts, Marko Polo Music, & RiffinGriffin, plus older songs by caspar babypants, POCO DROM & The Board of Education! Here's the playlist.
Heel Nederland stond deze week met bezwete bovenlip in de keuken: het was heet. Teun de smeerselman zette zijn tafel vol met mezze. Wat blijft er nog meer lekker fris in de brandende zon? Kan je nog wel vis en vlees eten? En wanneer haal je dat dan uit de koelkast? Je hoort het in Etenstijd!Onze sponsor:Oot granola: Ga naar oot.nl/etenstijd en vraag een Starterspakket aan!Tips:Barmbrack van YvetteMuziek en montage: Keez GroentemanInstagram: @etenstijd_ Hosted on Acast. See acast.com/privacy for more information.
On this episode of Everyday AI, we're joined by Thyagi DeLanerolle, Co-Founder and CEO of OOt Social to talk about what impact AI will have on the future of social media and what it's already being used for to advance our social experience. We also cover how AI is being used in other industries, the importance of making meaningful connections in networking events, and the potential for social media to bring humans closer together.For more details, head to our episode page!Time Stamps:Full show notes hereAI News - [00:00:57] Facebook challenges Google & OpenAI[00:01:30] Vimeo adding an AI script generator[00:02:11] AI can predict a person's political stance?Guest - [00:02:55] About Thyagi DeLanerolle and OOt Social[00:04:55] Will Social media improve with AI?[00:06:42] How OOt uses AI to transform social media[00:12:07] Blog tools used to optimize social media[00:15:34] AI as an executive assistant improving efficiency[00:19:27] Optimize networking with an AI approach[00:22:28] Optimize time with tech and balance natureTopics Covered in Today's Episode:1. The role of AI in enhancing the human experience on OOt platform- Moderation in the chat function- Customized event recommendations - Conversation starters - Internal debates on other AI avenues2. Tools and hustle in leveraging blogs and social media- Auto-generating headshots with Headshot Pro- Successful email pitch to Ryan Turnbull - Meta's competition with Google and Microsoft in generative AI - Vimeo's new AI script generator - AI's ability to predict political leanings based on profile pictures3. Tiagi de Le Narol on making social media more social and human- Current social media is not truly social- Potential for social media to improve in the next wave of new tools - Importance of face-to-face connections for human biology and health4. Optimization of networking events and AI tools in coding- The importance of meaningful connections- Using AI tools like Copilot and Jasper - The value of using ChatGPT4- The balance between using technology to be efficient and disconnecting completely 5. OOt Social's origin story and vision for a new platform - Personal struggle with loneliness and disconnection - Creating a new platform for human connectivity - Real-life connections with people with similar interests - Detecting other users' proximity and interests to connect in real-time at a venueKeywords:AI, moderation, chat function, events, event recommendations, conversation starters, enhance, human experience, leverage, blogs, social media, Headshot Pro, press release, chatbot, Member of Parliament, Ryan Turnbull, sales, hustle, Meta, Google, Microsoft, generative AI, text-to-speech, text-to-image, Vimeo, AI script generator, paid subscribers, Fox News, political leanings, social media, LinkedIn, coding, Copilot, Jasper, ChatGPT4, networking events, optimization, face-to-face connections, executive assistant, education, balance, technology, efficiency, nature, platform, social networking, real-life connections, proximity, opt-in. Get more out of ChatGPT by learning our PPP method in this live, interactive and free training! Sign up now: https://youreverydayai.com/ppp-registration/
In 1998, the most people knew of Zelda was 16 bit adventures framed in a top down style. And nobody minded. Zelda was still a top three Nintendo franchise. But when Ocarina of Time hit stores in time for holiday 98, it became a sensation. Nobody would have guessed the leap from 2D to 3D would be so dramatic, so immersive, and so special. On this episode of A Gamer Looks at 40, we continue our romp through the Legend of Zelda series with Ocarina of Time. Join a cast of OOT super fans and I as we dive into this magical game and swap plenty of stories. Starring (all handles from Twitter unless otherwise noted)Allen PetrozziAndrew CraigDonnie and Blue of @gamersweekpcGreg Sewart (@sewart) of Player One Podcast (@p1podcast)Helena aka @hellhathfury on TikTokIan aka @teacherbloke85Julian of @nwpcastMike Albertin of Games My Mom Found (@momfound)Trevor and Jeff of @newdadgamingSong CoversGERUDO VALLEY UNPLUGGED - Legend of Zelda Ocarina of Time (Acoustic Cover) by The Warp Zone - https://www.youtube.com/watch?v=Cwa4KJ9v968My Discord: https://discord.com/invite/SdaE4atGjCMy Twitter: @agamerlooksat40My Facebook: facebook.com/agamerlooksat40My Insta: @agamerlooksat40My Patreon: patreon.com/agamerlooksat40My Email: agamerlooksat40@gmail.comMy Phone Number: Ehhhhh, not gonna happen. :-DSupport the show
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Beyond Reimagination: Improving your client outcomes by understanding what big tech is doing right (and wrong) with mental health apps Curt and Katie chat about the big tech “disruptors” in the mental health space and what therapists can learn from their tactics to support clients. We look at who is using mental health apps, what mental health apps are getting right (and wrong), and how therapists can take what is working and work differently to more effectively serve our own clients. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we look at what therapists can learn from big tech disruptors in mental health We have seen more and more tech companies and apps come into the mental health space and have heard more and more folks worried about how their private practices will be able to survive. We are revisiting a topic we covered in a presentation at our Therapy Reimagined 2021 conference to help modern therapists navigate this new mental health landscape. Looking at the gaps in mental health treatment and how big tech is working to “fix” them Exploring the goals from the Rand report on fixing mental healthcare in the United States Mental Health apps (with many broad definitions) Access to lots of different types of services and self-help A one stop shop with a full range of services Direct negotiation with insurance companies The types of technology used in mental health apps and the risks and benefits of these advances Algorithms Geo location data Complex payment structures Outcomes and feedback What mental health apps are doing well for clients Getting clients into therapy much more quickly Decreasing costs for consumers Increasing flexibility and availability Not requiring for things to happen in real time (asynchronous therapy) What mental health apps are getting wrong McDonaldization and commoditization Proprietary treatment methods and incentives for specific worksheets or staying within the app Misalignment between the goals of the client and the goals of the corporation Self-driven, leading to folks to potentially getting insufficient resources Individual versus community focus Caseloads and potential for therapist income (as well as burnout and poor care) Concerns about the additional risks that can happen with mental health apps “[In] this profit versus service model… there's this idea that you are not a client, not a patient, you are a consumer and someone to market to. And so you'll be marketed to as a client throughout the app. And as a clinician, you become a marketer for those things behind the paywall. And that is terrifying. Because it's not based on treatment.” – Katie Vernoy The apps are not bound by HIPAA, but instead the SEC Data sharing and Alexa suggesting supplements to address client mental health concerns Additional legal and ethical risks Who is using app-based mental health services? Therapy veterans are moving to apps Access is not actually improved The reasons that clients are moving from a traditional therapist to therapy apps Outcomes across different types of apps and different types of clients Niche apps are more effective than generalist apps What we can do to move our therapist practices forward? “Now I've seen a number of people describe… if these therapy apps are going to be the McDonald's of therapy, well, we're the prime rib! You actually have to consider are you providing actual prime rib? Or are you more like a Carl's Jr?” – Curt Widhalm Using the benefits of technology to decrease friction for your clients accessing therapists Increasing flexibility and creativity Be a better therapist and understanding the digital therapeutic alliance Paying attention to laws and ethics, scope of practice, and treatment planning Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY. As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Hey modern therapists, we're so excited to offer the opportunity for 1 unit of continuing education for this podcast episode – Therapy Reimagined is bringing you the Modern Therapist Learning Community! Once you've listened to this episode, to get CE credit you just need to go to moderntherapistcommunity.com/podcourse, register for your free profile, purchase this course, pass the post-test, and complete the evaluation! Once that's all completed - you'll get a CE certificate in your profile or you can download it for your records. For our current list of CE approvals, check out moderntherapistcommunity.com. You can find this full course (including handouts and resources) here: https://moderntherapistcommunity.com/podcourse/ Continuing Education Approvals: When we are airing this podcast episode, we have the following CE approval. Please check back as we add other approval bodies: Continuing Education Information CAMFT CEPA: Therapy Reimagined is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LPCCs, LCSWs, and LEPs (CAMFT CEPA provider #132270). Therapy Reimagined maintains responsibility for this program and its content. Courses meet the qualifications for the listed hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. We are working on additional provider approvals, but solely are able to provide CAMFT CEs at this time. Please check with your licensing body to ensure that they will accept this as an equivalent learning credit. 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! TR 2021: Beyond Reimagination - Moving the mental health field from thought to action (video course) Thrizer (payment and billing platform) Economides, M., Ranta, K., Hilgert, O., Kelleher, D., Arean, P., & Hoffman, V. (2019, November 1). The impact of a remote digital health intervention for anxiety and depression on occupational and functional impairment: an observational, pre-post intervention study. https://doi.org/10.31234/osf.io/rhfpa McBain, R. K., Eberhart, N.K., Breslau, J., Frank, L., Burnam, M.A., Kareddy, V, and Simmons, M. M. (2021). How to Transform the U.S. Mental Health System: Evidence-Based Recommendations. Santa Monica, CA: RAND Corporation, 2021. https://www.rand.org/pubs/research_reports/RRA889-1.html. *The full reference list can be found in the course on our learning platform. Relevant Episodes of MTSG Podcast: Special Series: Fixing Mental Healthcare in America Fixing Mental Health in America: An interview with Dr. Nicole Eberhart, Senior Behavioral Scientist, and Dr. Ryan McBain, Policy Researcher, The RAND Corporation Online Therapy Apps Why You Shouldn't Sell Out to Better Help Non-Traditional Therapy Series: Part 1 and Part 2 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: Patreon Buy Me A Coffee 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 https://groomsymusic.com/
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
The Risks and Consequences of Failing to Report Child Abuse Curt and Katie discuss the CA Board of Behavioral Sciences case against Barbara Dixon, LMFT who failed to report child abuse for Gabriel Fernandez and Anthony Avalos who both subsequently died from abuse by caregivers. We look at what this therapist missed as well as appropriate child abuse reporting, including the nuance of when to report. CW: details of child abuse discussed. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the importance of child abuse reporting We talk about the failure to report abuse by Barbara Dixon, LMFT that has recently been in the news related to the deaths of Gabriel Fernandez and Anthony Avalos. The case related to the child abuse death of Gabriel Fernandez Content Warning: Details of the case, including the actions taken (and not taken) by Barbara Dixon, LMFT The decision-making process with child abuse reporting Who is responsible to decide to report child abuse – the clinician or the supervisor? “I hear [prelicensees] wrongly state that ‘I'm working under somebody else's license; this falls on them' … I cannot emphasize enough that decisions like this, in [Barbara Dixon's] case, really do indicate that it is your responsibility, no matter what your agency says… People can and do get punished for not following through on their individual licensee or registration responsibilities as mandated reporters.” – Curt Widhalm When supervisors or agencies tell clinicians under supervision not to report child abuse report The individual responsibility that each clinician holds The myth that you're working “under” your supervisor's license How do you decide whether you should report child abuse? “It's these gray areas where there's this nuance that I think feels really overwhelming. And for some folks, they'll lean towards reporting or consulting to identify if it's reportable. And for other folks, they use that as cover to not report when it feels too uncomfortable.” – Katie Vernoy Clarity from child abuse reporting laws Hesitation based on systemic response, the therapeutic relationship, and the paperwork hassle Where there are gray areas and nuance The consequences of failing to report child abuse or adequately document services or risks Your agency or supervisor may not be held liable for your actions (especially if you don't document what you did) Incomplete documentation hurts – it doesn't help you hide from liability Appropriate Child Abuse Assessment and Reporting Interviewing the child separately Following up on what you've asked for Understanding at what point it becomes our responsibility (i.e., having sufficient information) Documenting each stage and make sure to appropriately close out treatment file when needed Consultation and not making the decision on your own Defining the injury and assess from there Understanding normal childhood response to typical life events (and noting changes) Navigating the gray areas in child abuse assessment Looking at impact, intent, and injury Using the context to help decide when there isn't a definitive line Adequately documenting, even when you aren't sure you're making the right decision, is important and necessary Looking at what needs systemic intervention and what needs family therapy Getting past the discomfort to report child abuse report It is your responsibility Taking a moment to understand the purpose of reporting Reducing your own liability Obtaining resources for families Understanding the risk for families of systems getting involved Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY. As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” 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! Los Angeles Times Article: Counselor who didn't report abuse of Gabriel Fernandez, Anthony Avalos put on 4-year probation Citation/Enforcement Decision on Barbara Dixon LA Times Article: Charges dismissed against social workers linked to Gabriel Fernandez's killing Relevant Episodes of MTSG Podcast: Now Modern Therapists Have to Document Every F*cking Thing in Our Progress Notes? Do Therapists Curse in Session? Toxic Work Environments Giving and Getting Good Supervision Make Your Paperwork Meaningful: An interview with Dr. Maelisa McCaffrey Hall Noteworthy Documentation: An interview with Dr. Ben Caldwell, LMFT CYA for Court: An interview with Nicol Stolar-Peterson, LCSW 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: Patreon Buy Me A Coffee 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 https://groomsymusic.com/
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Should Therapists Correct Clients? Curt and Katie chat about whether therapists should correct clients who use offensive language. We look at what we should consider when addressing what clients say (including treatment goals and the relationship), how therapists can take care of themselves to be able to treat clients who hold a different worldview, and how (and when) therapists can address problematic language appropriately. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about whether therapists should call out their clients on words they find inappropriate We decided to address the language that clients use in session and what to do when we find the language offensive or harmful. Should therapists correct clients when they use language we find offensive or harmful? Blank slate or “join your clients” approaches Whether the language should be addressed when it doesn't align with a client's stated treatment goals Showing up as a human and addressing the therapeutic relationship Judgment or shaming that can happen with clients What should therapists consider when addressing what clients say? The relationship between the therapist and client Relevance to clinical goals The impact on trust in the therapeutic alliance The importance of using the client's language to affirm their experience The power differential between therapist and client How can therapists show up with clients who see the world differently than they do? Addressing objectification of therapist's identities Assessing when therapists are centering their own experience versus responding to what is in the room Using the relationship to process client's perspective “I feel like just living in the client's world without honoring my own experience at all doesn't feel quite right. But centering my experience feels wrong.” – Katie Vernoy What can therapists do to appropriately address problematic language with their clients? Process what is being said before correcting specific words Address within the relationship and within the treatment goals Using our own coping skills to be able to navigate what our clients bring to session “I'm very worried that therapists don't have enough of their own coping skills to deal with these things coming up in sessions. Where they feel that they have to shut these clients down for the protection of themselves. You know, their only coping mechanism seems to be – I need to escape working with clients that don't already agree with my worldview.” – Curt Widhalm Where social justice plays a role (and maybe shouldn't) Education and supporting the client's whole development Assessing the impact of these interventions (both positive and negative) Assessing the harm in not pointing out bias or harmful language Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY. As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. 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! Therapist–Client Language Matching: Initial Promise as a Measure of Therapist–Client Relationship Quality Feedback Informed Treatment Relevant Episodes of MTSG Podcast: Do Therapists Curse in Session? How to Fire Your Clients (Ethically) How to Fire Your Clients (Ethically) part 1.5 When is it Discrimination? Conspiracy Theories in Your Office 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: Patreon Buy Me A Coffee 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 https://groomsymusic.com/
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Is the Counseling Compact Good for Therapists? Curt and Katie chat about the brand-new Counseling Compact and what therapists may not know or understand about these interstate agreements. We explore the proposed benefits as well as the potential risks and complications like regulatory discrepancies and a lack of consumer protections. We also look at how big tech can benefit while individual clinicians may be left unable to compete in a larger market. In this podcast episode we talk about the new Counseling Compact and Psypact The counselors got their 10th state and officially have Counseling Compact to practice in other states. We thought it would be a good idea to talk about what that means (and what we might want to pay attention to). What is the Counseling Compact? Opportunities for practicing privileges (not licensure) in other states The complexity of putting together these interstate compacts Implementation and regulation hurdles Scope of practice discrepancies and concerns Law and Ethics practices across states Benefits of Interstate Compacts for Mental Health Providers Continuity of care Ease of meeting with clients who are moving around the country Bringing clinicians to areas where there is a workforce shortage Potential Problems with the Counseling Compact “This very much goes against, according to the FBI, any sort of patient protection – that any of these licensing boards are put into place in the first place: to protect consumers.” – Curt Widhalm Not bringing more clinicians, if only states with workforce shortages join Doesn't solve the infrastructure problems (i.e., stable Wi-Fi) for rural areas that typically don't have local therapists The people who most benefit: the big tech companies like Better Help The FBI is opposing this legislation due to lack of federal background checks Lack of consumer protection or consistency in what consumers can expect from their therapist Costs for the therapists to get practicing privileges Large gigantic group practices and tech solutions will contract with insurance and leave smaller practices unable to compete and required to be private pay Solving the Problems with the Counseling Compact “It may actually delay [a national license], because it's a band aid where people can go practice in other states. So why would I get a national license, if I can practice in a couple other states and not worry about taking another test, getting another background check…?” – Katie Vernoy Overarching regulation and expectations at a national level Federal bodies to oversee background checks and consumer protections Expensive, time-intensive We don't have universal healthcare, so insurance parity will need to be addressed (and not just by big tech) Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY. As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” 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! Counseling Compact Psypact Very Bad Therapy Podcast Relevant Episodes of MTSG Podcast: Special Series: Fixing Mental Healthcare in America Fixing Mental Health in America: An interview with Dr. Nicole Eberhart, Senior Behavioral Scientist, and Dr. Ryan McBain, Policy Researcher, The RAND Corporation Online Therapy Apps Why You Shouldn't Sell Out to Better Help 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: Patreon Buy Me A Coffee 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 https://groomsymusic.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated): Curt Widhalm 00:00 This episode is brought to you by OOTify. Katie Vernoy 00:03 OOTify is an immersive digital mental health ecosystem. It's designed to help minimize the fragmentation, trial and error and overwhelm felt by both patients and providers in the process of giving and receiving care. OOTify is the process of lifting up mental health care while lifting each other up. Curt Widhalm 00:20 Listen at the end of the episode for more information. Katie Vernoy 00:23 This episode is also brought to you by Turning Point. Curt Widhalm 00:26 Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life from practice financials and personal budgeting to investing taxes and student loans. Katie Vernoy 00:39 Visit turningpointhq.com. To learn more and enter the promo code 'moderntherapist' for $200 off any service. Announcer 00:47 You're listening to The Modern Therapist's 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 01:03 Welcome back modern therapists. This is The Modern Therapist's Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about things going on in the therapy worlds. And recently, the 10th state has joined the counseling compact, which initiates that it is all coming together for licensed professional counselors here in America. And what this does is creates a whole lot of space for people to make up what they think that it is. And we are here to correct that information. So, Katie, lots of things to talk about in this episode, what are your initial reactions. Katie Vernoy 01:49 So my initial reactions typically with all of these pacts, so there's Counseling Pact, there's PSYPACT or Counseling Compact and PSYPACT, which is a psychologist, and then the social workers are working on something. As for MFTs so far, we don't have something going on. But I have mixed feelings. Because I think for me, I have clients who travel around to different states. And so I can only see them when they're in states I'm licensed in, I've got ideas around being able to support folks in areas that have fewer clinicians or clinicians who specialize in and what they need. And I also recognize I live in a state that has a very high cost of living. And so if there are therapists in states with much lower cost of living who are quote, unquote, taking my clients, I think it would be something where that that may make it harder for me to compete in my own market. So lots of mixed feelings. And I'm not quite sure at least until we started prepping for this episode, I wasn't quite sure what these compacts meant. And so I think probably we should start with, What's the Counseling Compact? If we, you know, it's PSYPACT different? What's the social workers working on? But broadly, what are these things? And why do people care about them? Curt Widhalm 03:05 So these pacts are going to be slightly different between the counselors and the psychologists and psychologists is PSYPACT. The Counseling Compact is for counselors, we're not really going to talk a whole lot about social workers and MFTs, because they have not gotten their act together and have anything moving in this direction yet. Social workers do. But in talking about the two that are already in place, or quickly moving into place, what it does is allows for somebody, this is language from the Counseling Compact, what it does is allows for somebody who is licensed in and resides in one of the member states to have practicing privileges through some regulation stuff in other states. So it's not just like a license reciprocity where you are granted now a 10 state license, you have to go through some certain steps of just picking a couple of states out of this here. But if you are, say, practicing in Nebraska, and you have a person in West Virginia, who wants to utilize your services, you would need to go to the West Virginia Board and have a streamlined ability to get a privilege to practice with clients in West Virginia. Katie Vernoy 04:30 Okay, but you have to live in Nebraska, it can't be like I live in California, and I'm licensed in Nebraska. So now then I can practice with somebody in West Virginia, if I get that streamlined. Curt Widhalm 04:42 Yes, and this is the language that you have to be licensed in and reside in one of those states. So many people have licensure in multiple states already. If you are not one of the 10 states as a resident this does not apply to you. So this is not like a, you know, huge like opening up the gates to everybody living all over the place. California being where Katie and I reside, we can't just go and get licensed in Utah and now have the ability to practice in all of these other states. A residency requirement is part of this as well. Katie Vernoy 05:20 Well, one thing, I think that it does start things moving, because I know with PSYPACT, there are 34 states in process. So it is the beginning of something, it's just a matter of right now, this is the very beginning stages and other states may join. But in some of the conversations and research we've done, it sounds like there's a lot that goes into it once a state joins. And even in putting together the overarching compact, there is this need to get kind of almost universal expectations, kind of an overarching, regulatory body, there's also needs to, you know, look at scope of practice issues, which at least as we're aware of MFT stuff, but there's very different scope of practice for California MFTs than there is for Texas, or West Virginia MFTs, for example. And so there's a lot of complexity that's going to be sorted out as this starts to get implemented. But the idea is that these compacts these interstate compacts are meant to provide a launchpad for more states to join, right? Curt Widhalm 06:29 And this is some of the stuff that's got to be ironed out over the next couple of years. And frankly, I'd be surprised if all 10 of these states are able to address some of these discrepancies over the next few years. And for example, and I know not all of these states are currently part of the 10. But they do sometimes have some legislation to get them involved in the Counseling Compact here. But looking at the different requirements in different states, Georgia as an example, one of the 10 States does have a pretty high barrier to entry when it comes to becoming licensed within the state. And so I'm going to emphasize again, this is practicing privileges in other states, that is not a full reciprocity of license. So if somebody is practicing, gets practicing privileges in Georgia as a member of this Counseling Compact, one of the things that needs to be addressed is the discrepancy between what is allowed from one state to the next, for example, some states allow counselors to provide diagnostics of clients, other states do not and what has yet to be ironed out on this is how much does this change the scope of practice in these other states? What's unclear at this point is how these things are going to be regulated. While there is a central body that will oversee this compact, because of the way that it's set up each of these states are the ones who are still overseeing their own licensees, disciplinary actions and abilities to practice. So it's not like you're gonna be able to sit at home and do telehealth across all of these 10 states, and be able to practice just in the way that you are at home with your home state's clients, you're also going to run into well, I can diagnose this client but not this one. Or I need to be aware of, you know, my ability to do things ethically, one way in one state, but because of the ways that the laws are written in another state, I'm not allowed to do this. So these are some of the things that now have to be centrally addressed across all of these states here. Katie Vernoy 08:48 And I think it's something that can get very confusing, but I want to re emphasize that there is this element of expectation that this means I'm in licensed and these other states and and because it's practicing privileges, is it telehealth only? If I go visit the state, could I still see those clients in person? Like what is the what is the practical difference between practicing privileges and licensure? In this regard. Curt Widhalm 09:12 The differences is, it's not a license in another state. It's the allowance of you to be able to provide services to people in that state. But it is not the equivalent of having a license in both states. Katie Vernoy 09:30 But what is the practical difference there? Like why do I care if I'm licensed or have practicing privileges? Curt Widhalm 09:37 One of the major differences is that it's a lot easier to revoke practicing privileges than it is to revoke somebody's license. Having a license in both states means that you are obligated to both states licensing boards. What practicing privileges means is that you're allowed to practice here but you're still responsible to your own state's governing body for disciplinary actions, and so on and so forth. So it could be very easy. If a therapist is working with a client who's out of state and residing in Georgia, for example, Georgia could very easily be like, you're not meeting the requirements of practice in our state where you're doing out things, things outside the scope of practice in our state. And we don't like that, and you're no longer allowed to practice here. So it's a lot easier than going through a lot of the big disciplinary actions that may require revoking somebody's license in a state that they're actually licensed in. Katie Vernoy 10:40 So for the clinician, it means that they would really need to be able to identify all the different scope of practice, how to really stay up to date in all these different states, as well as what is that kind of fine line that I can walk, either to treat all my clients the same, but super restricted, or, you know, like having different rubrics for how I treat each client. So it can get pretty complicated is what you're saying, for the clinician to pay attention to what's required of them. Curt Widhalm 11:11 Yeah, and I think to this is where the goal is over the next couple of years to change some of this information. So that way, we're able to make it a lot simpler for people because the goal in this is with the intention of making practice easier, allowing for more people to have access to more mental health providers. However, these obstacles exist, and giving kind of the next couple of years of the ability for state legislatures to change the subsequent laws that now need to go into effect because this is in place, the goal probably is to simplify this stuff. Katie Vernoy 11:50 Okay. Curt Widhalm 11:51 And I haven't heard or seen anything where any of these member states have, you know, any real opposition in this way, it's just that things in the legislature can take other priorities. I mean, we saw this with the COVID 19 pandemic, where it's like all the states for a couple of years where like, everything now has to focus on COVID. So some of these obstacles are still in place. And it's just a acknowledgment that that's the system that we currently live in. Katie Vernoy 12:21 So you mentioned kind of getting more providers for places that have provider shortages. And I think that's one of the biggest stated benefits, I think, clinician match and finding clinicians that have a specialty when you don't have a lot of clinicians in your state can be very helpful. There's also continuity of care. I've talked about my clients traveling around and especially as things open back up, there's clinicians or clients that are traveling a lot more and so we have to time their sessions versus just being able to meet at a regular time via telehealth, I think there's a lot of positives that are being seen here. We've started talking about some of the hesitations and and and we are aware that the for the MFT stuff CAMFT, AAMFT and AAMFTRB, you know, what least AMFT and CAMFT are talking and have reached out to AAMFTRB, whatever that is. Curt Widhalm 13:12 Yeah, you got it right. Katie Vernoy 13:13 So there's, there's conversations happening, I think, and obviously different stages for all the licenses, there's, there's a, there isn't a knowledge that this is something it's kind of the wave of the future, because we can interact so freely across state lines, like why not get this process in place, but there's a lot of complications, you know, the overarching scope of practice, the complication of setting it up and running it and all those kinds of stuff. There's a lot of stuff that's very challenging there. How much do we want to talk about that, that element versus you, you've already previewed for me anyway, that you are a little bit of a skeptic here. When do we want to what do we When do we want to shift gears to that? Because I think that there's so many folks are super excited about this. And I think there are things that are exciting about it. But there are some real concerns that I want to make sure we get to. So where should we go next? I guess is the question that I'm asking here. Curt Widhalm 14:06 So this has all of the makings of a wonderful piece of legislation and cooperation that I don't know actually addresses what it's saying that it's intended to address. Katie Vernoy 14:21 Okay. Curt Widhalm 14:21 It is no surprise to anybody who listens to our podcasts that we have a mental health crisis, and we have a very understaffed mental health workforce. This theoretically allows for more clients to address more providers, but many of these states are amongst the most impacted as far as having the fewest providers available. And so if you combine 10 states who don't have enough workforce for each of their own individual states, by their 10 powers combined, theoretically can't address that even more people are going to be able to access a limited number of providers. It's not like we have, you know, a bunch of people who are all just residing in Utah, there's, you know, 9 million LPCs in Utah, who now just have like all of this free time to go and see clients who need to see counselors that Utah just has this, you know, mass amounts of people who have been confined to by state lines. This is, you know, a bunch of people without enough food now sharing that they don't have enough food with more people in more places. Katie Vernoy 15:38 It doesn't make it worse. It just doesn't solve it is what is how I see it. But I think if folks who, if these states that have those needs don't get it started, I think it's hard because I think the big states don't need those extra jobs. Right? I mean, it maybe they do. I mean, I think there's a lot of clinicians in California, they're like, yeah, let me practice somewhere else, because I need I need clients, there's, you know, you could trip over a therapist, every few steps in California. So I mean, it's possible that with this starting, I mean, PSYPACT is going on 34 states. So we've moved beyond the the threshold in PSYPACT, where it's just states that are having provider shortages. I think I think I see what you're saying this does not solve? Did you want to start it? Curt Widhalm 16:28 But I do want to correct one thing that you're saying is, we have a bias because we hang out with a lot of therapists in a very populated city. Katie Vernoy 16:38 Sure. Curt Widhalm 16:38 But California has a mental health workforce shortage as well. It's just that, this goes to address that there's rural parts of our states. And there's rural parts of a lot of these other states that are part of this, that we we have our own shortages, and we're not able to address this inviting more people to address, you know, people in rural areas. It's well intended, but it doesn't motivate or necessarily get people to the jobs that are needed in these positions. Katie Vernoy 17:12 What you just said actually made me think about the series that we're still somewhat in the process of Fixing Mental Healthcare in America. But I think there's that that piece that the the RAND Corporation identified where there has been efforts and telehealth is a great effort to try to bring, you know, therapy to these rural areas, but the infrastructure and you know, good good WiFi, and all of the pieces to actually be able to address these things potentially are more impactful than just adding clinicians from another state that are probably going to want to access or your wealthy urban clients anyway. Curt Widhalm 17:52 Which leads to my second criticism of this is that because of the scramble that's going to happen, the people who are most likely able to address the shortcomings of this public policy position across these 10 states are venture capital led groups like BetterHelp, that will do all of the legwork to match you up with clients in all of these rural areas. And we've got other episodes that we will talk in, you know, in BetterHelp's defence it's not just BetterHelp who can take advantage of these. But I have my concerns that the people who have already been doing this against the law, as we've discussed in our previous episodes are motivating therapists to practice across state lines, when they're not allowed to are the ones who are going to continue to contribute to the already capitalistic problems of our profession. And once again, not really with the best intentions of what clients have in store for them. But just by virtue of being able to match people more easily than any of the individual therapists in private practice. Where like, hey, my clients going on vacation, I can still see them for their regular session. Katie Vernoy 19:21 We'll link to a lot of those episodes in the show notes. But but what I'm hearing you say Curt, is that this is super charging the big tech problem. Curt Widhalm 19:31 Yes, it is. Katie Vernoy 19:32 Okay. Mic drop. Curt Widhalm 19:39 Pick that mic right back up, because they're, I don't know, I'm the resident, you know, contrarian of the show, the one who's maybe trying to poke at things and often I hear from listeners or from Katie or other people in my life is like, Why let perfection be the enemy of good? And so I am looking, you know, for who else opposes this? And I did come across somebody else on the opposition side of this. And it's a little group called the FBI. Katie Vernoy 20:20 Why? Why is the FBI opposing this? Curt Widhalm 20:25 For those unfamiliar with the FBI, they are a law enforcement agency. And they are one of the generally two places that when you go to get licensed that your background checks go to. Katie Vernoy 20:38 Ah, yes. Curt Widhalm 20:39 And so the rationale in other interstate compacts, including Counseling Compact, including PSYPACT, including medical compacts, and nurses compacts, the FBI has had a pretty consistent position on this. And their reasoning is that these states entering into these agreements, does not give them the right to supersede federal background checks. Now, allowing for practicing privileges in another state allows for the bypass of doing a background check for that state. Katie Vernoy 21:13 Oh, interesting. Curt Widhalm 21:14 And the way that the Department of Justice allows for some of these states to get the results of background checks, does not allow for them to share the information from those background checks. Katie Vernoy 21:27 Oh, that's why if you get licensed in another state, even if you can say like, Hey, I'm licensed over here, they did my background check. The new state still needs a background check. Curt Widhalm 21:37 And giving practicing privileges as I understand this legislation to be written today does not require background checks. It allows for the disciplinary boards to share information about discipline. But let's say that a therapist from one of these 10 states, goes on a weekend Bender in Vegas and ends up in the Clark County Jail. That information does not necessarily get shared with either licensing states because why, but then also doesn't get shared with any of the other practicing privileged states. It's not something that would mess like up. Overall therapists don't get arrested. Katie Vernoy 22:22 Yeah, just don't Curt Widhalm 22:23 Yes. But especially don't get arrested in your practicing states, because you're practicing states have with their own State Department of Justice's, like, California BBS. Like if somebody gets arrested, and they're licensed California, they get a little like, ping the next morning of like, hey, one of your licensees was arrested. But if you're, if you're gonna get arrested, don't get arrested, you know, being outside of your jurisdiction, at least, there's some opportunities to fall through the cracks there. And the... Katie Vernoy 22:55 Are you telling people to how to avoid getting in trouble? Curt Widhalm 22:58 This is not legal advice. And legal advice, once again, is don't get arrested. But what the FBI's database does, is allows for this information to be pinged in each time that somebody goes through a background check. The FBI is saying that this does not actually empower any of the states to know information if somebody was to have a an offense against them that wasn't caught or happened after their own background check to get a license in their own state. Katie Vernoy 23:31 Well, I'm just even thinking for myself, I have not been arrested. I don't have anything that I have to worry about. But yeah, I haven't had a background check for 15 years? So I could be doing all kinds of stuff and get practicing privileges elsewhere - is what you're telling me? Curt Widhalm 23:48 Yes. And so this very much goes against, according to the FBI, any sort of patient protection that any of these licensing boards are put into place in the first place to protect consumers. Katie Vernoy 24:03 Well, I haven't think taking this further the whole consumer protection angle, and I think I'm gonna give you credit, you mentioned this before we started recording. But as a consumer, I have no place to check if you actually do have practicing privileges in my state, or if there's any problems. I mean, I guess I could look at your licensing state if I knew how to do that, knew where to do it, and can see if there's any any dings on your license, but, but it really takes some of the stuff out of the consumers hand being able to identify, you know, anything about the person that they're working with. Curt Widhalm 24:41 And I imagine that these are things that are going to need to be addressed over the next few years as having some way of centrally notifying each other's state licensures or any of that kind of stuff. And I'm sure that there's somebody out there saying, But Curt this hasn't been a problem with PSYPACT yet. And the answer that I have back in response to you is "that we know of, and it will likely happen." Katie Vernoy 25:13 Well, I think it's something where there's, and this was something that I hadn't thought about. But in a conversation that we had, I think it's something where, with psychologists, the, as far as I know, the licensing exams, their expectations are pretty constant across the United States. And so if somebody messes up in the state that they're licensed in, that's going to have a big impact, because it is the same pretty far across and I, this doesn't address the federal background checks. But I think it does address this kind of idea of all the complexity and and consumers having an issue because what they're expecting from their clinician is not what they get, because their clinician practices way differently than anybody in their state, for example, but MFTs don't have that. I mean, there's that there's a national association, but all 50 states basically have different expectations. Counselors, I think, are a little bit more streamlined and so that's probably why they're moving forward. Social workers are very streamlined, and I'm sure they're going to probably get, you know, glide through this. But I think it's something where that feels solvable, you know, getting a getting some way that there's this the background checks and that kind of stuff, if you're if you're part of this compact, if you choose to get practicing privileges, there's a federal body that you then have to get a background check. And then that, you know, somebody at the federal level is running it versus each state having to do it. You know, I think there's some legislation that could probably really help this. But that seems really expensive. And I'm wondering, you know, there's part of me, that's like do therapists care? Do to consumers care? I mean, like, we're worried about this regulation and there's part of me, and there's a whole podcast devoted to this Very Bad Therapy. But there's, there's bad clinicians that are not going to have oversight. But then there's also all of these clients, who don't have access to therapists who accept them as who they are. And so having some of these things come into place, like to me, it seems like it could be good. So I'm getting all over the place. So bring us back to something that's that's helpful. But I think there's, there's this element of it feels solvable. I just don't know the timeline, or how much money, but... Curt Widhalm 27:36 That those two points are the problems that I foresee with this, that it's none of these things that I'm bringing up are unsolvable. Maybe the BetterHelp thing. But... Katie Vernoy 27:52 That's a different problem. It's separate from this problem to solve. Curt Widhalm 27:55 Right. But it's probably going to be a lot more costs that are passed on to the providers than anybody sees. The buzz that I'm initially hearing from people on this is very much like you that most people are taking this as, oh, I can just kind of see my clients wherever they travel, as long as they're in one of these 10 states. Katie Vernoy 28:19 Yeah. Curt Widhalm 28:19 And that is not true. And each one of these states is going to be additional costs. And you know, the background checks thing is, all right, you still go down to your local fingerprinting place, you do your live scan, you're just having it reported to a different state board and the FBI each time. And those things add up, you know, 50 bucks at a time adds up. Yeah, times that by 10 states, times it by the application fees, because part of the legislation that was written for all of these states is basically written by the same people. And it's, you know, quote, unquote, not actually a direct quote here, but not going to have anything more than administrative costs passed on to clinicians. There's a lot of administration costs in this that any of the licensing boards are more or less operating at a break even point that adding on a bunch of new staff to process out of state therapists and to verify things. Those are going to be cost that add up. Are they going to be cheaper than getting a license and meeting all the requirements in these other states? Absolutely. But these are costs that are going to add up for people. This is not going to be a free for all that all of these state licensing boards are going to allow here. Katie Vernoy 29:40 Yeah, I think that's the thing that's that's hard because there's a lot of elements to this, that says that like this is this, this makes everything smooth and easy. This really provides additional access and the more we've talked together about it when we've talked to other folks about it, it just I'm hearing that there is so much complexity to how this operates, that it may not happen for all states, because you know, states that have enough clinician, states that have a higher cost of living, they may not feel the need to, to add to their costs, or their clinician base. And so they're not going to take it on. But but when I look at, you know, really what we're talking about, it's, it's trying to put a bandaid on this problem. And hopefully, it's it's something that there's actually real federal legislation that can help to increase the infrastructure in places that need more clinicians, help to, to create systems that actually address some of these concerns that you're bringing up. But that would require tax dollars, versus clinicians paying application fees, and all those things. I mean, I heard, I think that's the thing I heard was like, millions of dollars to get this setup, you know, I mean, like, that's, I guess, if you've got a lot of clinicians, that's a cross of a lot of clinicians, you know, if they are savvy clinicians, those fees are then incorporated into the fees they charge, which then for private pay clinicians anyway means that they're charging more. Insurance panels aren't going to pay you more just because you've got some extra that's under your belt. And so it's something where the cost thing hasn't been figured out, nor has the infrastructure both on the client side, but also on this regulatory side, it feels like there's just so much to figure out here. Curt Widhalm 31:35 And that's something that I haven't even seen how insurance is going to work across state lines that I willingly admit that I don't know the inner workings of a lot of the insurance process, but knowing that, all right, yeah, it's great that you can see a client to timezones away. But does their insurance allow it? And this is another factor that's going to be in it. And, you know, we can talk all day long, and I'm already pre addressing some of the criticisms of this episode from people. We don't yet have universal health care. Don't even bring that up, like... Katie Vernoy 32:14 Sure. Curt Widhalm 32:15 Don't make arguments about systems that we don't have. These are problems that need to be addressed in the meantime. And yeah, I know that some people are going to say that this is the first step towards national licensure and this kind of stuff. OK or maybe... Katie Vernoy 32:32 It may, it may actually delay it, it may delay it, because it's a band aid where people can go practice in other states. So why would I get a national license, if I can practice in a couple other states and not worry about taking another task, getting another background check, blah, blah, blah. I before we before we finish up, because I think there's probably going to be responses that then lead to additional episodes on this topic. But I think that just to kind of maybe poke the beast here a little bit. But with the with the insurance stuff, I think we're already seeing what insurance companies are going to do. And that is contract with these large tech companies that have clinicians across all the states pay them more so clinicians can get more, but it means that individual practitioners almost de facto have to be private pay, because they're going to get worse insurance rates, and they're not going to be able to really compete, certainly not in advertising dollars, or whatever. And we have a whole episode on this, but they're not able to compete with a gigantic quote unquote, tech solutions and or group practices. And so I think, I think it's something where there is a lot to consider here. I think there's going to be a lot of conversations that we want to have related to the disruptors, the tech disruptors in the space, who are the good ones, who are the ones that are challenging, and potentially hurting our profession? How do we, you know, step into this and, and take ownership of this space because, you know, there is so much and and potentially these these compacts allow for us to compete at this level. Or it may make it harder and I guess that's to be seen, I really think. Curt Widhalm 34:14 Giving over the power, giving over the insurance contracts to publicly traded corporations means decisions get made quarter by quarter based on profits. And that is not what the healthcare system should be. We're kind of in a space where some people are able to compete against that but so many more episodes to be done on this. We will include some links to some stuff in our show notes. You can find those over at mtsgpodcast.com. You can bring up your concerns or tell us why you think that I am wrong on our social media. Katie Vernoy 34:54 Or I'm wrong. I we've got a lot that we said here. So definitely join us over at the Facebook Group, tell us what we're what we missed, because we certainly missed a lot, I'm sure. Curt Widhalm 35:04 And until next time, I'm Curt Widhalm with Katie Vernoy. Katie Vernoy 35:08 Thanks again to our sponsor, OOTify. Curt Widhalm 35:10 “OOT” or “uth” (उठ) means “lift up” in the Hindi language. OOTify is a digital health solution that acts as an evidence based hub to unify relevant mental health resources. Community connection and collaboration are critical to OOTify. As they lift the mental health care system, they ensure providers are part of the process. OOTify is a platform for providers built by providers and owned by providers. OOTify is in the process of lifting up mental health care while lifting each other up. OOTify 35:43 We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're gonna go through trials and tribulations. But if we can work on our mental health proactively our wellness, we can handle all that as a community and come together, people are more open to talk about these stories and say, Hey, listen, I'm going through this too. Do you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the unified community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Curt Widhalm 36:25 This episode is also brought to you by Turning Point. Katie Vernoy 36:29 We wanted to tell you a little bit more about our sponsor Turning Point. Turning Point is a financial planning and coaching firm that helps therapists stop worrying about money. Dave, our good buddy over atTurning Point will help you navigate every aspect of your financial life from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed, and arrive at a place where you feel relief, validation, motivation and hope. Curt Widhalm 37:00 And for listeners of MTSG you'll receive $200 off the price of any service. Just enter the promo code 'moderntherapist', be sure and visit turningpointhq.com and download the free white papers Seven Money Mindset Shifts to Reduce Financial Anxiety. That's turningpointhq.com Announcer 37:18 Thank you for listening to The Modern Therapist's 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.