Podcasts about paxil

Struggling with Premature Ejaculation (PE)? You're definitely not alone, and there's powerful hope for lasting change. In this episode of the Balls Deep Podcast, renowned Urologist Dr. Joe Pazona and Ken Mitchell dive deep into actionable strategies, proven PE treatments, and expert insights to help you conquer this common men's health issue. Ready to last longer and reclaim your confidence? We explore everything you need to optimize your sexual performance, from effective behavioral techniques like the start-stop method to cutting-edge medical solutions including delay sprays (like Promescent), and the role of SSRIs (such as Paxil).  IN THIS EPISODE, YOU'LL DISCOVER: Behavioral Exercises to Delay Ejaculation: Master techniques to gain control. Effective Medical Treatments for PE: Understanding options like Paxil, Promescent sprays, and more. The Power of Sex Therapy: How it contributes to overall sexual wellness and overcoming performance anxiety. Telemedicine for Men's Health: Making it easier than ever to seek help and find solutions. Learn our expert "three-pronged approach" designed to help you control ejaculation, dramatically improve your sexual health, and feel your absolute best. If you're looking for real solutions to PE, this is the episode you can't afford to miss.   #PrematureEjaculation #PE #PEtreatment #LastLonger #MensHealth #SexualHealth #SexTherapy #Urologist #BallsDeepPodcast #DelaySpray #SexualWellness #Podcast #HealthPodcast #PerformanceAnxiety #SSRIsForPE 

Can medication truly transform the landscape of pediatric mental health, or are we oversimplifying the complexities of growing minds? In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes Dr. Jess Pierce, a hospital-based child psychiatrist whose expertise bridges the worlds of pediatrics and mental health, especially for children in rural areas. Unraveling the fascinating history of psychopharmacology and delving into the mechanisms of action for the antidepressants, this episode offers a roadmap for pediatricians navigating the maze of SSRIs, SNRIs, risks like serotonin syndrome, and difficult conversations about side effects. The nuances matter and Dr. Pierce guides us skillfully.Discover why family history, patient buy-in, and transparent communications are pivotal to successful treatment—and why prescribing for young people demands a delicate blend of science, art, and empathy. This conversation will change the way you see—and approach—medication and the treatment of kids' mental health.[00:08:51] Exploring Pediatric Psychopharmacology's RootsTracing the unexpected origins of antidepressants, including how tuberculosis and hypertension treatments led to modern psychopharmacologyThe monoamine hypothesis: understanding the neurotransmitter focus in early depression treatmentsThe move beyond serotonin, dopamine, and norepinephrine: new research on neurobiology, neurogenesis, and stress responseProzac's arrival and its impact in reshaping the treatment landscape for pediatric mental health[08:52- 18:06 ] SSRIs in Practice: Similarities, Differences, and SelectionAll SSRIs share rapid absorption, high protein binding, and similar side effect profiles—but key differences can matterImportant reasons to avoid Paxil and to use Lexapro over Celexa, particularly due to side effect burdensNuanced considerations: matching specific SSRIs to individual patient needs, such as Prozac's activating profile for low-energy depressionPractical dosing strategies: the art of balancing “start low and go slow” with the urgency to help suffering children[18:07- 27:59] Navigating Risks, Side Effects, and Patient MonitoringThe truth behind the Black Box Warning: clarifying risks of suicidal ideation vs. the dangers of untreated depressionWhy regular, open conversations with families about medication side effects—especially sexual side effects in teens—build trust and adherenceRecognizing and managing serotonin syndrome: how to spot symptoms and when emergency intervention is neededIdentifying high-risk drug interactions, including situations with migraine or neurology medications[28:00-45:19 ] From SNRIs to the Five-Step Prescribing Approach and BeyondHow SNRIs differ from SSRIs in action, side effects, and indication—especially in pain syndromes or where activating effects are desiredThe use of Wellbutrin as an alternative with fewer sexual side effects, and cautions for seizure-prone populationsStrategic guidelines: the five-step approach to medication choice, considering patient history, family response, symptoms, buy-in, and comorbiditiesCritical cautions with genetic testing and the limitations of using these results to guide first-line medication choices[45:20-1:00:00] Dr Lia's TakeAwaysResources Mentioned:Dr. Pierce's PPT on Pediatric Psychopharmacology Hello! Here's the link to the slides: Psychopharm...

Send us a textWhat happens when you give scared rats ayahuasca? Can inhaled DMT treat depression? Does microdosing LSD help with ADHD? How do the insights occasioned by psychedelic experience affect therapeutic outcomes? Can cannabis use in adolescence increase the risk of developing schizophrenia? Does taking Paxil before LSD affect the psychedelic experience? In today's episode of the Psychedelic Therapy Frontiers podcast, we dive into recent research exploring these questions and more. For those of you who are new to the show, welcome! Psychedelic Therapy Frontiers is brought to you by Numinus Network and is hosted by Dr. Steve Thayer and Dr. Reid Robison.Learn more about our podcast at https://numinus.com/podcast/Learn more about psychedelic therapy training opportunities at https://numinus.com/training/Learn more about our clinical trials at https://www.numinus.com/clinical-trials Learn more about Numinus at https://numinus.com/Email us at ptfpodcast@numinus.com Follow us on Instagram: https://www.instagram.com/drstevethayer/https://www.instagram.com/innerspacedoctor/https://www.instagram.com/numinushealth/

On this episode, we hear from Vincent Schmitt and Yoko Motohama, parents of Romain, a 16-year-old boy who tragically ended his life in 2021 after being prescribed a high dose of Paxil — known in France as Paroxetine — and suffering the effects of akathisia for several agonizing months.Yoko Motohama was born in Japan and earned a Ph.D. in computer science. She did postdoctoral research in the United Kingdom and spent a decade in Japan as an entrepreneur importing French wines.Her husband, Vincent Schmitt, a native of France, also earned a Ph.D. and became a lecturer in mathematics and computer science at the University of Leicester. Now based in France, close to Lyon, Vincent focuses on applied mathematics in the research department of a multinational company.Romain Schmitt was born October 12th, 2004, in Leicester, United Kingdom, the son of Vincent and Yoko. When the boy was four years old his parents decided to relocate the family — which also included Romain's younger sister — to France, and not long after that to the Japanese countryside. Romain had already learned English and French and now became a fluent speaker of Japanese. After nine years the family returned to France, in 2018, where 13-year-old Romain started the third year of middle school. He had a good mind for math and physics and was interested as well in geography, philosophy, politics, and even nuclear science and energy, which his grandfather taught him about. Romain was also a good swimmer, played rugby and tennis, and aspired to become a professional soccer player, like his idol Cristiano Ronaldo. His love of the game even inspired Romain to master a fourth language, German, so that he could better follow his favorite team, Bayern Munich.READ THE FULL EPISODE 18 TRANSCRIPT

In this episode, Tristan J. Barber, MA, MD, FRCP, and Glenn J. Treisman, MD, PhD, discuss the importance of screening, diagnosing, and treating PTSD in people with HIV. They illustrate their discussion through a patient case and provide strategies for accomplishing this, sharing their own experiences and approaches to thinking about PTSD, structuring appointments, and integrating care. Presenters:Tristan J. Barber, MA, MD, FRCPConsultant in HIV MedicineRoyal Free London NHS Foundation TrustHonorary Associate ProfessorInstitute for Global HealthUniversity College LondonLondon, United KingdomGlenn J. Treisman, MD, PhDEugene Meyer III Professor of Psychiatry and MedicineJohns Hopkins University School of MedicineBaltimore, MarylandDownloadable slides:https://bit.ly/4dBu929Program:https://bit.ly/3WB2VCO

He might be known as the ‘Sexiest Doctor Alive' but his true talent is fighting against the ugly side of medical misinformation.  Doctor Mike is a family medicine doctor and YouTube's #1 Doctor. He has over 25 million followers on social media and is also the host of ‘The Checkup with Doctor Mike' podcast.  In this conversation, Doctor Mike and Steven discuss topics such as, the errors in the biggest online health trends, which popular diets are destroying your health, the real truth about calorie counting, and the one thing that helped Dr Mike cure his depression.  00:00 Intro 02:01 Helping People Make Better Health Decisions 05:10 Why Have People Resonated With You And Your Approach True Medical Information 09:54 How Do You Check The Evidence Of The Studies You Share? 11:56 The New Health Trends: Optimisation, Longevity, Anti-Ageing 16:17 Lifestyle Changes Is The First Doctor's Advice 18:14 Do Shortcuts Exist In Medicine? 19:03 What's Your Take On Calories In, Calories Out 21:02 How To Make A Diet Stick 23:16 The False Illusion Of A Good Body Equals Good Health 26:46 Calories In And Calories Out Does Work 28:49 The Benefits Of Exercising 30:21 Where Is The Direction Of Travel With Our Health? 32:51 What Would Happen If There Was A Deadlier Pandemic Than Covid 34:41 Is Vaping Dangerous? 39:27 The Real And Painful Reason Why I Started Boxing 41:32 Losing My Mum 47:07 What's The Best Way To Heal From Grief? 49:49 Your Journey With Mental Health & Social Media Bullying 54:05 The Best Advice I Received From My Therapist 55:55 Are Certain People More Prone To Get Addicted To Social Media? 57:12 Have You Considered Quitting Social Media?? 58:25 Are Vitamin Supplements Good For Us? 59:45 Can We Get All Our Nutrients And Vitamins From Foods? 01:03:36 Do Prebiotics And Probiotics Work? 01:05:19 We Should Listen To The Health Advice Our Grandmothers Told Us 01:08:15 Mentioning Experts That Are Wrong 01:10:46 People Are Losing Trust In Doctors Because Of This 01:18:28 Look After Your Children, We Need This Out Of Schools 01:25:09 Are You A Deep Thinker? 01:27:39 How Do You Deal With So Much Loss And Grief? 01:29:01 What Was Your Hardest Day? 01:33:53 How To Save Someone's Life Doing CPR 01:41:23 I Asked The Doctors To Stop Doing CPR On My Mother 01:43:29 Last Guest Question Here is a link to an article discussing the inefficiency of the anti-depression drug, Paxil: https://bit.ly/3X867q2  Follow Doctor Mike:  Instagram - https://bit.ly/3V4pJsy  Twitter - https://bit.ly/4bVeidJ  YouTube - https://bit.ly/3yPtKcQ  Watch the episodes on Youtube - https://g2ul0.app.link/3kxINCANKsb My new book! 'The 33 Laws Of Business & Life' is out now - https://smarturl.it/DOACbook Follow me: https://beacons.ai/diaryofaceo  Sponsors: ZOE: http://joinzoe.com with an exclusive code CEO10 for 10% off Learn more about your ad choices. Visit podcastchoices.com/adchoices

Conversations about menopause often raise more questions than answers. This phase of life has been shown to impact everything from mental health to heart health to sleep — leaving many women in search of ways to help manage symptoms and ease this transition. Join Dr. Susan Loeb-Zeitlin, a gynecologist at NewYork-Presbyterian and the director of the Women's Midlife Center at Weill Cornell Medicine, to explore menopause science in this Women's Health Month episode.

“Modern sex therapy often integrates psychotherapeutic techniques and medical ones,[2] such as Viagra (sildenafil) and Cialis (tadalafil) to increase erectile response and Paxil (paroxetine) to treat premature ejaculation. Sex therapists assist those experiencing problems in overcoming them, in doing so possibly regaining an active sex life. The transformative approach to sex therapy aims to understand the psychological, biological, pharmacological, relational, and contextual aspects of sexual problems.[3] Sex therapy requires rigorous evaluation that includes a medical and psychological examination. The reason is that sexual dysfunction may have a somatic base or a psychogenic basis. A clear example is erectile dysfunction (sometimes still called "impotence"), whose causes may include circulatory problems and performance anxiety. Sex therapy is frequently short term, with duration depending on the causes for therapy.[4] Sex therapy can be provided by licensed psychologists or physicians, who have undergone training and become certified.[4] These trainings and certifications usually begin with a master's degree, and internship, and a license. This can take up to two years, and longer if a doctoral degree is desired. Certified sex therapists do not have sexual contact with their clients.[4] Sex therapy is distinct from sex surrogates. Whereas sex therapists discuss and instruct clients in sex-based exercises to be performed at home between sessions, sexual surrogates participate in the exercises with their clients as part of helping them to practice and develop improved skills. Therapists and surrogates sometimes collaborate on cases.” -Wikipedia. --- Support this podcast: https://podcasters.spotify.com/pod/show/antonio-myers4/support

Dive into Steve Wilson's life story, from a traumatic childhood event to his struggles with bipolar disorder. Learn about the challenges in obtaining a correct diagnosis and the transformative impact of appropriate medication. Gain insights into the mental health system's shortcomings and Steve's advocacy work.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:Key differences between bipolar I and II, enhancing mental health understanding.How childhood trauma can shape mental health challenges.The system's shortcomings and Steven's advocacy efforts.The vital role of medication and therapy in mental health management.The complexities and rewards of providing support.Valuable advice on monitoring and supporting children's mental health effectively.Episode References/Links:Steven Wilson's InstagramSteven Wilson's FacebookSteven Wilson's WebsiteTeetering on a Tightrope by Steven WilsonNAMI (National Alliance for Mental IllnessGuest Bio:Steven Wilson, a retiree in Scottsdale, Arizona, reflects on over fifty years of marriage and a family with three daughters and two granddaughters. His mental health journey, marked by a bipolar disorder diagnosis in 1978 after years of misdiagnosis and ineffective treatments, includes a challenging post-college period with suicidal thoughts and a significant stay in a mental institution. His story chronicled in his 2022 memoir "Teetering On a Tightrope: My Bipolar Journey," began as a therapeutic endeavor during trauma therapy, offering insight into his struggles and serving as an inspiration to others.  If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. DEALS! Check out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox Be in the know with all the workshops at OPCBe It Till You See It Podcast SurveyBe a part of Lesley's Pilates MentorshipFREE Ditching Busy Webinar  Resources:Watch the Be It Till You See It podcast on YouTube!Lesley Logan websiteBe It Till You See It PodcastOnline Pilates Classes by Lesley LoganOnline Pilates Classes by Lesley Logan on YouTubeProfitable Pilates Follow Us on Social Media:InstagramFacebookLinkedIn  Episode Transcript:Steve Wilson 0:00  And it became apparent to me that it's not, it's not just because automatically you become bipolar or depressed. There's a lot of reasons to go through it. And I have experienced one of those reasons.Lesley Logan 0:16  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. All right, Be It babe, I've got a different kind of episode this week. And I want to just shout, well not shout, shout out, I just want to say at the beginning, we are going to talk about mental health issues we will, my guest today is going to share a story about being assaulted as a child, suicidal thoughts. And I say it at the top because if that is something that might affect you negatively in this moment, then please save this episode for a different day. But I would really love for you to listen. This guest reached out to me and shared their vulnerable story, I'm gonna cry. It's such a beautiful episode, this person's life and journey in their mental health and then helping others with theirs, I'm gonna get it together, is nothing short of amazing. And it is something that I think is really important. I think it's really easy. I know too many of you listeners have mental health problems that you're going through, and you suffer in silence and I bet it hurts my soul. Because it can be so difficult to get help. It can be so difficult to get the help that you need, there's gonna be so much bureaucracy and tape to go through and then you may not have the financial means, energy or support to get it. And so I wanted to do this episode because I don't, I don't want to brush off that we have a mental health problem in this world. And some of you might have someone in your life who's going through something and it's affecting you as well. And you might be struggling with how to support them and yourself and protect yourself and but support them and love them and have kindness and graces. So our guest today is Steve Wilson. He's the author of an amazing book with his life story. He was diagnosed with bipolar disorder two, in the 50s. And he's 75 years old and dedicating his time to helping people who need help and access to support who are going through mental health stuff. And he has been doing this for many, many years in the 90s helping kids in high schools. And so it's it's an episode I hope you listen to and I hope it inspires you and helps it gives you resources if you need them for your own mental health or if you need them to help someone who's going through something. And so let me know how this episode feels for you and share it with a friend who might need to know the information on how to help someone who's going through something and I promise I don't cry the whole time I'm just crying in the intro. It's really cool. Nothing happens like, I don't really believe in coincidences. I really do believe that people come into our lives for a reason, season or lifetime and there's some there's a reason why this guy applied and you guys with the process we have, he may not have applied, actually. And when I got to hear Mr. Tara story, and I got to hear about his life and his health right now. I made it a priority to get his episode recorded before our tour because I wanted to make sure I didn't miss out on the opportunity to hear it, to share it with you. So Steve Wilson, thank you so much for being you. Thank you for your story. You all, again please take care of your mental health if it's not the right time to listen to episode, but if you know someone who who needs support or you know you'll need it in the future or need it in the past. This is a great episode and we can all make a change in this world when it comes to how wherever you live in this world supports mental health and those who need it. So here is the Be It Till You See It interview with Steve Wilson.All right Be It babe. I'm just so excited when I met this man, I had immediately tried to figure out a time we can meet because he is a very special human. I feel so blessed and touched to get to know him and his life and he's going to share an incredible story with you and also some things that we all can be considering. So Steve Wilson, thank you for being a guest of the Be It Till You See It podcast. Can you tell her who you are and what you do?Steve Wilson 5:22  Hi, my name is Steve Wilson. I'm retired. I've been married for 51 years. I have three daughters and two granddaughters and I'm living in Scottsdale, Arizona. I recently wrote a book called Teetering On a Tightrope: My Bipolar Journey that outlines my entire life of 75 years suffering from bipolar disorder.Lesley Logan 5:55  Wow. 51 years of marriage, 75 years of life, three kids and a book. What? You know, I don't think a lot of people, I feel like bipolar disorder is something that people have heard about, but maybe if they haven't met, if they don't have anyone in their life who has it, they might not know exactly what it is, can you kind of explain that and then also how you got diagnosed there?Steve Wilson 6:20  Well, bipolar disease, there's actually two types of bipolar one, which is really highlighted by mania, you have depression. And then it goes into, out and out mania, which the person will think they're superhuman, they'll spend all their money, they'll buy things, though, do things that ruin their family life, and it's just all out terribleness when they crash, which they will, eventually, they look around, and their life has been ruined. Bipolar two is which I am is deep, deep depression, suicidal ideation. Sometimes suicidal attempts and sometimes suicidal, outright. The highest I ever got was called hypomania, which is a higher than what you normally would go through life with, but not as high as out out mania. Those are the two types that most people deal with.Lesley Logan 7:36  So, you know, when were you diagnosed? Steve Wilson 7:40  Well, I gotta start earlier.Lesley Logan 7:42  Okay, let's start earlier. Let's start from the beginning. Steve Wilson 7:45  Okay. When I was nine years old, in 1958, I went to a movie theater in my local town, was waiting to get a coke. And a guy came up to me and said, I thought he was an employee. And he said, do you think he could help me here in the theater? And I said,sure, I'll be glad to that'd be cool. And, unfortunately, he took me back and put me in the restroom, and raped me. Now, at that time, there was very little help. I knew nothing about that anything like that could ever happen. I blame myself for some reason, although I didn't know why. So I decided to keep it quiet. I'd never tell anybody. And I didn't for 30 years. My parents had no idea and my siblings had no idea. My schoolmates, teachers, nobody knew what I had gone through. For a couple of months, it didn't bother me too much. And then, one day, I fell into a deep depression at eight, nine or 10. And I didn't want to socialize with anybody. I thought everybody hated me. I didn't have any feelings toward anybody. It was just awful. And my schoolwork dropped like a rock. And I just barely got out of fourth grade. That was my first episode with depression. And it lasted though for a couple months. Because you got to realize that when you have Bipolar doesn't mean you have it bad every day. It kind of like goes like a roller coaster. One day you're up you might be up for two months and then you go down for a month or two months or whatever. So it's very cyclical in its nature. Sure, I got out of that first depression and felt pretty good and I had some more and in Junior High in high school and college, but I was always able to fake it with everybody. Nobody knew what I was going through and I still had a lot of good times in college especially and only time things are really bad is when they were really bad and nobody there to help me. When I got out of college things changed. I fell into a deep suicidal ideation, depression that lasted quite a while. One evening I got in a fight with my father. And the next day I was in a mental institution in Columbus, Ohio, stayed there for three weeks. I would say that saved my life. Because after I was done with getting into psychiatrists, and going through all the group therapy and things, my suicidal ideations were gone, and never came back, really. The problem was, they diagnosed me as clinically depressed. And for six or seven years, they had me take medications designed for that diagnosis, and none of them helped. And I was bad, I couldn't keep a job. They fired me or I had to sleep and couldn't go to the job or I got mad and quit. All the things went wrong. And then in 1978, six years, seven years later, they said they made a mistake. My diagnosis should be bipolar. And they prescribed lithium for me, which was the wonder drug back then. Probably still is today. And it worked very well. Now it got me about 50% better. But that's 50% I was then able to reenter the human race, get jobs and do everything. I still had some terrible things going on. One of the worst is rumination, if you know what that means. It's when your mind is completely overwritten by thoughts that just keep whirling and twirling and whirling around. And sometimes you can't shut them off. And you just got to keep fighting it. Also, I was very impetuous, I would go out I bought a new car one time because my wife was buying one. I said, hey, I'll take one too. So that kind of impulsiveness goes along with this. The ability to make smart decisions, kind of stops, you make decisions based on gotta do it now. Got to do it now. So that went on until about the year 2000. So that's 22 years. My work was gone. But there was still a lot of Yes. And then in 2000, they put me on a medication called Paxil. And since that time, I've been 80-90% of the good.Lesley Logan 13:02  Wow, 51 years of marriage, that means your you and your wife went through all this together with a kid. That's a lot in life.Steve Wilson 13:11  Yes. The worst time for her were the same times that were the worst times for me that period from getting out of the hospital till I got lithium.Lesley Logan 13:23  Yeah, thank you for sharing your whole story. So I mean, like I'm sure, there's more. But it's one of the things that can be one of the things I want to talk about on this show is, you know, there's certain we all we have these obstacles in our life, there's things that happen to us, that are outside of our control. Your being raped, outside of your control, and your bipolar disorder out of all this. And you kept going, like you kept going in this world. And I since you were able to be on lithium and then have the Paxil, and like, start to feel more like yourself. What did that allow you to do? And and what it like? How has that been able to affect your life in the life you wanted to have? Do you feel do you feel bad for the years that you miss? Like, do you wish you had them back? I guess I just have so many questions about like, what it's like to kind of feel like you don't have control over how you're feeling?Steve Wilson 14:24  Well, it's a strange thing. It's, it's like if you have a heart attack or you break a leg, when I was going through the worst years, it was terrible. But now, and during the last 20 or so years, I can't remember how bad it was which is a blessing. Okay, because if I had to wake up every day going, oh, l I knew when I did that. I know it'd be terrible. So if a person who is bipolar or depressed, takes on the challenge of getting better, and it's a lifelong challenge, there is no cure for depression, there is no cure for bipolar. But if you stick with the regimen, if you can get into serious psychiatrists, which we'll talk about in a few minutes, and you follow what they say, and you get a therapist or psychiatrist who you can be in tune with, and are ready to work, and keep going, you can have a good life. You can be very productive. Lesley Logan 15:43  I love hearing that. That gives me hope for people. You know, there's a lot, there's a lot of mental health issues out there and it feels like it feels like an uphill battle. And especially for the people around the loved ones who love the person who's going through it, it can feel also helpless and hard. Since all of this has been going on What have you been wanting to do? Is it? Is it your do you have like a mission? Do you have something that you like, been, have you been using this diagnosis to to further what you're doing in your life now? Like, can we talk about what what you've been doing these? I mean, you should be retired and enjoying life in the sunset. But you're here on this podcast. So what what's been one of what is what has this whole life done for you?Steve Wilson 16:42  My mission, as you call it really started when I still had my clothing store in Ohio, in the late 90s or mid 90s. And every Christmas, we had a big store and very busy. And so we would hire young ladies, Junior High, High School to come in and run errands and wrap packages, get things for us. And this one year, I hired this one young lady, she was very bubbly, cute, vivacious, everything about her. She was a good student starter on the basketball team in high school, and had everything going for. I thought this girl was going to go somewhere. One Saturday morning, her best friend who also worked for us, came in the store sobbing and crying and came up to me and said, and she killed herself last night. And just before that, maybe a few months before that. I had a friend who lived 100 miles from me who we went to college together. And we talked quite frequently. And he told me his son had been having problems and his son was about 16. And one day they get a phone call from the local police saying that they caught their son breaking into a house. And would they come down to the police station and get him and so they did, the kid got out of the car. He said Mom, Dad, I love you, but I can't take it anymore. shot himself in the head. Those two incidents made me realize that teenagers and remember this was 25 years ago, so think about how bad it is today, that teenagers had a lot of emotional problems. And basically, for sure back then nobody was paying any attention to them. So I decided I would offer myself the high schools and give talks about teenage depression and suicide. And at the end of each talk, I would ask the any one of the kids to come down and talk to me about what they're going through. And this one girl came down and she was the top student the top athlete pretty had everything going for him. She says Mr. Wilson, I can't take it anymore. Everybody thinks I have to be the best. My parents just driving me nuts because they want me to get into the best schools and of course I gotta get a scholarship form and she's I can't take any more. Heartbreaking. So all I could do was give her information of where she could get help. And I hope she did. I never saw her again. The next little girl who came up was same age, just an ordinary student, you'd think she's fine. She says, Mr. Wilson, I've got no friends. Everybody hates me. They bully me, they make fun of me, my parents don't like me, I want to die. I told her the same things about getting help. And again, I never got to see him again. But that really opened a door and a window for me to realize that this is really some serious stuff. And I continue to talk to classes until my wife and I moved out to Arizona in 2008. And I wanted to pursue pursue those talks I was giving to people in school. And out here, they said, you're too old. I was 60 at the time. And they wouldn't let me do it. So I decided there's got to be something else I can do. So I got in touch with a group that has mental health support groups. And I went through their training program and got selected as a facilitator. And I've been facilitating to support groups for the last eight years. It's amazing what I have found out from those people, many of them, and I do the age 18 to 80, many of them that are still suffering today are suffering because their parents or a friend of a parent, sexually abused him. Somebody else beat him up. Somebody told them how worthless they were all the time, I had kids who were locked in closets with nothing but a bottle of water for hours on end. And it became apparent to me that it's not, it's not just because automatically you become bipolar or depressed, there's a lot of reasons to go through it. And I have experienced one of those reasons. We spend a lot of time in our groups learning about each other. And in these groups, they are able to tell their story. Now it may take a month, it may take six months, or they tell their story or don't and never come back because they're scared. But one of the big things now, most of my groups are made up of people who don't have a lot of money. They may be on disability.Lesley Logan 23:01  What are the ages? What are the ages? Obviously like you're not doing in schools anymore. So like, is it as the age is just range? Are you finding that peopleSteve Wilson 23:11  Yes, big range ages. Now, I gotta say that two thirds of my, my groups and I can do, I did 16 people last night. So I could do about 30 people a week. And I've seen well over a thousand people in these years. Most of them are middle income to lower income. Struck by the inflation for today. And you know, it's really tough. Well, what's happened to our system? Well, our system never did anything. And it does less today, because they set up these what you call group homes and clinics that these people can go to, but they're woefully inadequate. It might take you a long time to get an appointment, it might take you, you might take an appointment for one week, and then you have another appointment a month later. And it's a different guy. Lesley Logan 24:17  You know, when I, so sorry to cut you off, Steve, when I, I remember I was having some really, like I was going through something in 2013 I was quite depressed in my life and like I've just been flipped over. And I had insurance I had great insurance at the time. And I was trying to find, like a therapist, and I wanted to go by a referral. Because, you know, I wanted someone that like had some someone could say that they weren't good. And everyone had a waitlist months long, or they didn't take my insurance or are like, oh, they could take me but not what like all of a sudden, like, what if I was actually like, I'm depressed but I'm not willing to leave this planet right now. What if I was you know, like, and also I had the means to I had the means to pay for it or the means to, to go to it. And not everyone has that. So I, you know, when you bring up like this system, it's really, I feel it's awful because like the people who are in who are working in those places, it's not that they don't want to help people. It's just that the system is broken. And so even if they want to help people, they're not able to help as many people as it will help them the way they want to.Steve Wilson 25:30  It's a sad situation, the number of therapists and psychiatrists is dropping around the world. The reasons are clear to me, some of them drop out because they get burnout or whatever. But the real reasons are kind of like two-fold. The insurance companies have waged war on mental health by excluding many millions of people. I want to tell you something, there are 60 million people who suffer from mental illness in this country alone. So, and it's worldwide at about that percentage so there's, it is much more prevalent than people who get serious diseases and it's just as dramatic or worse. So the insurance companies have blocked everything. Oh, yeah, you can get insurance if you pay a premium of $300 or $400 a month, and then you pay $200. You might get covered all of it, but you might not. But that's still 300 bucks a month, you take people in my group, $300 a month is whether you eat or not. And then you throw in the government. Government has virtually no desire to get involved in much of a way with mental illness. They look at people and they go are you jarring? (inaudible) They're not broken, bud.Lesley Logan 27:17  That's the thing about mental illness, it's so hard it's like, or any sort of condition that's like, hidden, you know? It's really people, if they've never experienced it, they kind of go can't you just like, can just take a pill to feel better? And it's not the it's not how it works. Even, even if you're on the right medication, even the right medication for you. It's just that doesn't fix the problem doesn't solve the issue. And it doesn't at all help the people who who may not even have access to get the diagnosis to get the medication. Are you, like, so your groups, I have a question for you in case someone's listening going, oh, my gosh, I wish I had a group. Is this like something people can just Google or are there people like you everywhere who are holding groups like this? Or is there like a facility like what, where can they search for, what do they need to search for to find a group like yours? Steve Wilson 28:12  Well, they can search for mental health support groups, Phoenix or wherever they live. They can go to major mental health resource, which is called NAMI, National Alliance for Mental Illness, it's N-A-M-I is most commonly referred to. But everything you're going to need to find out is online. The problem is that doesn't change the situation these people face. And I, as we talked about the government again, they're not doing much. And these people can't afford us. So what happens to them? Oh, I want to say one other thing. You talked about medication a minute ago. Only 50% of mental ill mentally ill people respond to the medications. So if you've got 100 people, 50 of them don't get any help from medication. So they struggle on their own. And especially if they don't have a therapist or someone to tell them. They don't realize that there are things they can do in a therapies that often is covered by insurance, such as EMDR, which is an eye movement exercise, and behavioral therapy, and intensive outpatient therapy. All these things can help if if you need them, they're there. Problem is. Most people don't know anything about them. Lesley Logan 29:59  Yeah. That's one of the reasons I wanted to have you on because I feel like anyone listening to this podcast can hear that these things exist. And whether they're the person who is going through something right now, or they know someone who is, it doesn't have to feel like you don't have to help them. We, there, we have to just find, we have to be able to use the resources that are out there. So that's really promising, because I'll be really honest, Steve, I was like, is there? Is there any hope? Is there? Is there hope for people suffering with mental health issues that, you know, don't have the means, you know, but it sounds like there's some groups.Steve Wilson 30:40  Support that is most important is from your friends, family, teachers, and anybody you feel compelled to tell them what's going on that you think will they will understand. The support is what they're giving you not answers. Lesley Logan 30:59  Okay, I like that. Steve Wilson 31:01  You want them to want to know that they're there. And if you need them, they're always going to help you. Problem is most people don't know how to interact in a mental health situation. So you have got to let the people you're talking to know, what you would like them to do what you can what they can do most. And again, as I say, it's just love them and make sure that they got housing and all that kind of stuff.Lesley Logan 31:37  Yeah, that's a thing, right? Sometimes I'll be having, I have clients who like, though, you know, they'll just be talking like the complaint about something that's going on. And this is going on, and like, you know, the person that you're upset about, they are overwhelmed. You know, like, they're, they too are overwhelmed. And I feel like we're in this place where most people want to love, and they want to be generous with time and, and resources. And yet, you know, we're living in a time, that is exhausting. And there's something going on everywhere. And it can just feel, you know, overwhelming to help the people around you. But I do think that it's important to know that it can be enough just to be there for someone and listen, and it can also be enough to love them. And, and, and let them know that that that they have support, you know, it doesn't have to be that you're, you're, you know, I had someone on many, many years ago about being like a patient advocate. And she said, you can advocate for someone as much as you have the ability to so there's a Venn diagram. And if you were to advocate more than you have time for or the ability for and means for, you're actually doing a disservice to both people. So you have to be really conscious of that. And I think for some people that can feel like they're being selfish, but like, it's really being honorable, like I have this much time or this much money or this much this. And then to give that and then you know, doing their doing your own due diligence around what's around you to help support people beyond what you can do.Steve Wilson 33:26  Now, I want to tell you something that isn't going to be easy for someone to give support, because some of these people, if they're manic, especially, they can be out of control. They can say things to you that hurt. And you want to just say shut up but you can't. And it's a very tough job to be a supporter. Lesley Logan 33:51  How do you protect yourself, Steve? Because like you are taking on so many people's stories and these groups, how do you protect your energy? Steve Wilson 34:00  I get energized by it. Because I'm out there, helping people and seeing I have done this for so long. That I have seen people, many people come from the darkest depths to having their life back. And it is really cool. Now, out of the 30 people I see how many might that be? Three, 10%? But it is really cool when they respond. On the other thing before I forget we were talking about support. I would suggest that everybody who is in a position of supporting somebody go to NAMI N-A-M-I's website and look up where you can find a class devoted especially to those caring for mentally ill people. It will open your eyes. Not only one, what you're in for. Two, how to react. Lesley Logan 35:03  That's wonderful. Thank you for that. That thank you for that tip. Because it's kind of like, you know, there's when you are someone who's been with someone's an addict in your family, there's options for help. There's groups for people who are friends or families of addicts, because it you've mentioned it, like people can say some really harsh mean things. And it's, you know, you, it's hard not to take it personally, even though it's not, you know, because words hurt. So yeah. Steve Wilson 35:38  Yeah, it can be really tough. Lesley Logan 35:41  So you are doing these groups twice a week, you are being this resource for people who are going through this. What? You know, I know, I don't, I would love to say that we could somehow help people with mental health issues sometime in my lifetime, it would be really great. But I'm also not going to hold my breath. For, we have a lot of people who have children who listen to this show. I'm wondering if you have any advice for parents of kids, because as you mentioned, the 90s those things were happening. And now we've got social media, there's all these pressures to get into all the Ivy League schools, and you have to get into the best ones. And you know, there's just there's a lot of pressure to be, I don't know, I feel like I'm so grateful. I went through high school without social media, I'm so glad no one has pictures of what I looked like then. To be really honest, I didn't have but I used to, when I was a Pilates instructor in Los Angeles, I taught a lot of teenage girls, and the things that were coming into their phones, just bullying, bullying nonstop. And the suicidal thoughts that my 11-year-old girls that I was helping were having, I can only imagine what it's like to be a parent right now. So is NAMI the only resource for them? Or do you have any, any tips for them, because you used to do all these talks for young kids?Steve Wilson 37:08  The big thing, I think, is to watch your child. Try to notice, not probing and probing and all that stuff. But try to notice if there's been changes in his life, his mood, his actions, the first telltale signs that your child might be having problems, is his overall attitude. Is he now watching one home, now they're doing these games? Does he sit there and do the games all day, every day? Have his grades dropped? Have he, is he moping around the house? Didn't none of his friends ever come over anymore? Because he never go out. You got to be cognizant of what he's doing. That's the first step. Then you've got to somehow figure out how to get him help. You can't go to him and say, son, something's wrong with you. Let's go to a psychiatrist. That'd be a lot easier. A lot of being more gentle than that. But I would say I would. Nobody watched me back then. My parents didn't have a clue. My sister didn't have a clue. And even though I wasn't sleeping in the nights and all the other things I was going through, nobody had a clue. And that's the same today. But there are just as many children with mental illness as there are adults. And the pressures, as you say, are profound.Lesley Logan 38:54  Yeah, I liked that. You mentioned those signs, because I think it's true, like kids inherently want to hang out with their friends. They don't want to hang out with their parents and if they're hanging around your house all the time. And it's hard. I love that you also said like, don't go probing and like, tell them what you're gonna do. Because it's also that's just more pressure. You know? One of my, one of my client's mom, she was just like, I know, it was so hard for her, watching her daughter go through these things and have these thoughts and continue to be an open space of support. You know, she was definitely going through her own therapy to figure out like how to say what to say how to react to things so that she wasn't adding to all the things that were going on with her daughter and it was just it takes it's a lot and if you are if you also have a job. You also you might even have your own mental health stuff, it can be even more exhausting. I think we have to just continue to have kindness and space and grace for ourselves and also for others and and I think the more we recognize that mental health is a real, is a real thing we'd be paying attention to and it's actually like, very precious, you know, I think that can actually help, you know, the more we realize that like, because I think sometimes people just like they blame themselves. Why do I feel so tired? Why do I feel so down? Why am I so hard? But why am I so negative? And then they just pile on more stuff with themselves, when it might be, you know, an imbalance in their bodies that has nothing to do with with them. It's everything to do with them, but it's not their fault. Steve Wilson 40:32  Yeah, they're gonna people gonna realize that. It's kind of like, Why do I have diabetes? You didn't create the diabetes, your genetics created the diabetes, your diet, all these things created it. Well, with mental illness. It's a chemical imbalance in your brain. It is genetics. Definitely. It runs big time in my family. And you can't blame yourself. You just got to spend your time working on yourself and getting through this and enjoying life. If I had to live for 75 years the way I did in the 20 I mean when I was in my 20s, I wouldn't be here. It's no way. Show I got the help I needed. And I stuck with it.Lesley Logan 41:26  Yeah, Steve, I'm so glad you're here. Before we get close to the end. Is there anything else that you wanted to share with our listeners today?Steve Wilson 41:37  Well, of course, I want to talk about my book. Lesley Logan 41:38  Let's talk about your book.Where can people, can people buy it anywhere?Steve Wilson 41:44  Pardon me?Lesley Logan 41:44  Where can people buy it? Steve Wilson 41:46  Amazon, Barnes and Noble, it's available someplace I never even heard of. So I can't even know what they are. I don't know any of this stuff. Lesley Logan 41:55  Remind me the name of it again. Steve Wilson 41:58  Teetering On a Tight Rope: My Bipolar Journey. It actually came about because just about four years ago, I still had some lingering things that troubled me, even though I was feeling pretty good. So I went to a trauma therapist. Now they're different than just everyday therapy. And what she did for me, was took me back to my first memory. And then over several months, went through my life in chronological order, all the way up until the we were at four years ago, we got done. She said she's gonna write a book about it, look at all this stuff in there. And so I had been a sports writer for a little while. And so I knew something about writing. So I said, what the hell do it. Now it was easy, because I had everything in my mind. I didn't have to research anything or anything. Still, it took about a year and a half to write it, not working all day, every day. And then the publishing process is very long and tiresome. It finally came out in 2022. I have not heard how it's doing. Which means leads me to believe it's lingering. So why I wrote the book was for so many people to get an idea of how someone can suffer with mental illness.Lesley Logan 43:40  Yeah. I think it's something we need to know so that we can have grace for people who are suffering. It's really hard to help people whose stories you don't understand if you've never experienced it.Steve Wilson 43:55  Stigma against mental health in the world is terrible. They think it's mean somebody's got a lock up and put him in a straitjacket. And that's the only way he should live. But even though those thoughts were more prevalent, 50 years ago, they're still with us today.Lesley Logan 44:10  Yeah. They are. I'm glad you wrote your book. And I'm really grateful that we met. Because I think it's these are conversations they're not this is not and there's nothing sexy about this episode, guys. You know, like, it's but it to me, it was just so important to have this conversation because the longer we decide to ignore that mental health is an issue in our societies, no matter where you live on this planet, more people will suffer. And their suffering isn't only for the it's not just themselves it affects everyone around them. And sometimes people come into the crosshairs of someone who has mental health issues that didn't even know them, you know. So I just think it's really, really important. So we're gonna take a brief break, I'm going to then ask, make sure we get all the links for where your book is and how people can find you. And then I have one more question for you at the end. All right, Steve. So you have your book. And that is available on Amazon. Barnes and Noble, you just search for it. Is there anywhere else you want people to connect with you?Steve Wilson 45:25  On my website. I'm on Instagram. Lesley Logan 45:31  Check you out. Steve Wilson 45:35  On Facebook. Lesley Logan 45:36  Well, you you are older than my dad, and he's on none of those things.Steve Wilson 45:42  Tell you the reason I'm on it is because I had to hire somebody to tell me how to do all this.Lesley Logan 45:48  Okay, so Steve, your website. What's your website? And then is your Instagram account on there? We can put all this in the shownotes.Steve Wilson 45:56  Okay. My website. Do you have it? Did I send it? Oh, I did send it to you? Lesley Logan 46:02  Yeah, you probably did. We can put it on there. Steve Wilson 46:04  Yeah, I sent them all to you. Lesley Logan 46:05  Okay. Well, we'll put it all in the show notes. Okay, my last amazing question for you is this. You've given us so many action items already told us about NAMI and things like that. But if you have anything else, that's I like to leave people with an action step at the end, if they've been inspired by your story, a bold, executable, intrinsic or targeted step people can take to be it till they see it. Do you have any advice for us?Steve Wilson 46:30  Yes, it's a terribly long journey ahead to get mental health drawn out of the dark ages. But if we don't start now, it's never gonna happen. The government isn't going to do it without some beating on 'em. Insurance companies are gonna fight like hell not to do it. But you know, there's so many people in this country who are suffering, if they all just did something, wrote their congressman or fought with their insurance companies. And we'd learn how to do it as a group, we could start getting some things done, it will not conclude and get a lot better in my lifetime. I doubt if it gets really good in your lifetime. This is mainly for those kids coming back, back of us. The last thing I'd like to point out is that if you are suffering from mental illness, don't give up. There's always hope. There's always a chance, you're gonna have a better life. But you can't do it alone. And you can't give up at any time. Lesley Logan 47:52  Yeah. Steve, I'm blessed to know you. Thank you so much for being here. Thank you for sharing your story. Thank you for encouraging us to act. You guys. We'll put the U.S. phone number for Congress in the show notes because Brad and I actually know it by heart. But if you are outside the U.S., you know you do have representation, you should let them know what you would like them to be representing you on. Thank you so much, Steve. And everyone, please share this with someone who needs to hear it. The more people who hear this, the more people we can put pressure on them. The more ways they can get help where it's needed, mental health is not going to go away and we all need to be doing it together. And so let us know how this episode affected your life. And until next time, Be It Till You See It.That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day.Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @Be It Pod. Brad Crowell 49:28  It's written, filmed, and recorded by your host, Lesley Logan and me, Brad Crowell. Lesley Logan 49:33  It is transcribed, produced and edited by the epic team at Disenyo.co. Brad Crowell 49:38  Our theme music is by Ali at Apex Production Music, and our branding by designer and artist Gianfranco Cioffi. Lesley Logan 49:45  Special thanks to Melissa Solomon for creating our visuals. Brad Crowell 49:48  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time. Transcribed by https://otter.aiSupport this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The last month of 2023 ended with a bang! This month includes stories that range from Paxil all the way to Bromadol!

Join us for a brief discussion on Luvox and Paxil.

In part 2 of this 2 part episode Buck discusses male sexual health with Justin Houman, MD from Tower Urology in Los Angeles. Over half of American men over the age of 40 suffer from erectile dysfunction and other sexual disorders.  00:00:42 - Male Refractory Period 00:01:44 - Erections are going to be weaker as you age 00:02:15 - Medication like Phosphodiesterase that help lower one's refractory period 00:02:50 - Hormone called Prolactin that can cause increased refractory time 00:07:36 - Dealing with Premature Ejaculation 00:10:24 - Paxil and Tramadol For Premature Ejaculation 00:12:10 - Prostate issues 00:12:37 - Benefits of Cialis and Flomax 00:14:49 - Testosterone Replacement 00:16:17 - Clomid for Hypogonadism and Low Testosterone 00:18:31 - Human Chorionic Gonadotropin (hCG) 00:24:08 - Preserving Fertility 00:26:39 - Testosterone Blood Testing 00:27:44 - Masturbation Effects on Testosterone Levels 00:30:30 - Supplements like Tongkat Ali and Fadogia Agrestis

La industria farmacéutica desempeña un papel crucial en la sociedad al proporcionar medicamentos y tratamientos que mejoran y salvan vidas. Sin embargo, como en cualquier industria, también ha sido escenario de casos de fraude, estafas y mala praxis. Estos incidentes no solo erosionan la confianza del público en la industria, sino que también plantean cuestionamientos éticos sobre la priorización de las ganancias por encima de la salud y el bienestar de los pacientes. En este artículo, exploraremos algunos ejemplos notorios de fraudes, estafas y mala praxis en la industria farmacéutica, así como las implicaciones y las medidas tomadas para abordar estos problemas. Casos Emblemáticos de Fraude y Estafas Caso Turing Pharmaceuticals y el aumento de precios de Daraprim: En 2015, Turing Pharmaceuticals, dirigida por Martin Shkreli, adquirió los derechos del medicamento Daraprim, utilizado en el tratamiento de infecciones parasitarias. La compañía aumentó drásticamente el precio del medicamento en un 5,000%, lo que generó indignación pública y puso de relieve las prácticas de fijación de precios abusivas en la industria. Caso Insys Therapeutics y el opioidi OxyContin: Insys Therapeutics promovió de manera agresiva su fentanilo de acción rápida, Subsys, para el tratamiento del dolor, incluso cuando no estaba indicado. La compañía se enfrentó a acusaciones de sobornar a médicos para recetar el medicamento y participar en tácticas de marketing engañosas, lo que contribuyó a la crisis de opioides en Estados Unidos. Caso GlaxoSmithKline y el escándalo del Paxil: La compañía farmacéutica GlaxoSmithKline fue acusada de ocultar datos sobre la seguridad y eficacia del antidepresivo Paxil en pacientes jóvenes. También se reveló que GSK había sobornado a médicos y manipulado la información en beneficio propio. Casos de Mala Praxis y Fallos en la Investigación Retiro de medicamentos después de la aprobación: En ocasiones, medicamentos que han sido aprobados por las agencias reguladoras se retiran del mercado debido a problemas de seguridad que no se identificaron durante los ensayos clínicos. Ejemplos notables incluyen el retiro del medicamento Vioxx de Merck por aumentar el riesgo de ataques cardíacos y accidentes cerebrovasculares. Estudios clínicos sesgados: Se han documentado casos en los que los resultados de estudios clínicos son manipulados o sesgados para favorecer los intereses de la empresa farmacéutica patrocinadora. Esto puede llevar a la aprobación de medicamentos que en realidad no son tan seguros o efectivos como se afirma. Implicaciones y Medidas Correctivas Los casos de fraude, estafas y mala praxis en la industria farmacéutica tienen implicaciones graves para la salud pública y la confianza en el sistema de atención médica. Para abordar estos problemas, se han tomado y se siguen tomando diversas medidas: Mayor transparencia: Las agencias reguladoras y las empresas farmacéuticas están bajo presión para aumentar la transparencia en la divulgación de datos de ensayos clínicos y en la presentación de informes sobre la seguridad y eficacia de los medicamentos. Regulaciones más estrictas: Se están implementando regulaciones más estrictas para prevenir la fijación de precios abusivos y para garantizar que los medicamentos se receten de manera adecuada y segura. Control de conflictos de interés: Se están adoptando medidas para controlar los conflictos de interés en la relación entre médicos y la industria farmacéutica, como la divulgación pública de las relaciones financieras. Mayor supervisión y sanciones: Las empresas y personas involucradas en prácticas fraudulentas o de mala praxis están siendo investigadas y, en algunos casos, enfrentan sanciones legales y multas significativas. Conclusión Si bien la mayoría de las empresas farmacéuticas están comprometidas con el desarrollo y la comercialización de tratamientos que mejoran la salud humana, los casos de fraude, estafas y mala praxis han sacudido la confianza del público en la industria. Es esencial continuar trabajando en la implementación de regulaciones más estrictas, la promoción de la transparencia y la ética, y la vigilancia constante para garantizar que los pacientes reciban medicamentos seguros y efectivos sin que se comprometa su bienestar en aras de las ganancias. ---------------------------------------------------------------------------------------------------------------- Antena Historia te regala 30 días PREMIUM, para que lo disfrutes https://www.ivoox.com/premium?affiliate-code=b4688a50868967db9ca413741a54cea5 ---------------------------------------------------------------------------------------- Produce Antonio Cruz Edita ANTENA HISTORIA Antena Historia (podcast) forma parte del sello iVoox Originals ---------------------------------------------------------------------------------------- web……….https://antenahistoria.com/ correo.....info@antenahistoria.com Facebook…..Antena Historia Podcast | Facebook Twitter…...https://twitter.com/AntenaHistoria Telegram…...https://t.me/foroantenahistoria DONACIONES PAYPAL...... https://paypal.me/ancrume ---------------------------------------------------------------------------------------- ¿QUIERES ANUNCIARTE en ANTENA HISTORIA?, menciones, cuñas publicitarias, programas personalizados, etc. Dirígete a Antena Historia - AdVoices Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

La industria farmacéutica desempeña un papel crucial en la sociedad al proporcionar medicamentos y tratamientos que mejoran y salvan vidas. Sin embargo, como en cualquier industria, también ha sido escenario de casos de fraude, estafas y mala praxis. Estos incidentes no solo erosionan la confianza del público en la industria, sino que también plantean cuestionamientos éticos sobre la priorización de las ganancias por encima de la salud y el bienestar de los pacientes. En este artículo, exploraremos algunos ejemplos notorios de fraudes, estafas y mala praxis en la industria farmacéutica, así como las implicaciones y las medidas tomadas para abordar estos problemas. Casos Emblemáticos de Fraude y Estafas Caso Turing Pharmaceuticals y el aumento de precios de Daraprim: En 2015, Turing Pharmaceuticals, dirigida por Martin Shkreli, adquirió los derechos del medicamento Daraprim, utilizado en el tratamiento de infecciones parasitarias. La compañía aumentó drásticamente el precio del medicamento en un 5,000%, lo que generó indignación pública y puso de relieve las prácticas de fijación de precios abusivas en la industria. Caso Insys Therapeutics y el opioidi OxyContin: Insys Therapeutics promovió de manera agresiva su fentanilo de acción rápida, Subsys, para el tratamiento del dolor, incluso cuando no estaba indicado. La compañía se enfrentó a acusaciones de sobornar a médicos para recetar el medicamento y participar en tácticas de marketing engañosas, lo que contribuyó a la crisis de opioides en Estados Unidos. Caso GlaxoSmithKline y el escándalo del Paxil: La compañía farmacéutica GlaxoSmithKline fue acusada de ocultar datos sobre la seguridad y eficacia del antidepresivo Paxil en pacientes jóvenes. También se reveló que GSK había sobornado a médicos y manipulado la información en beneficio propio. Casos de Mala Praxis y Fallos en la Investigación Retiro de medicamentos después de la aprobación: En ocasiones, medicamentos que han sido aprobados por las agencias reguladoras se retiran del mercado debido a problemas de seguridad que no se identificaron durante los ensayos clínicos. Ejemplos notables incluyen el retiro del medicamento Vioxx de Merck por aumentar el riesgo de ataques cardíacos y accidentes cerebrovasculares. Estudios clínicos sesgados: Se han documentado casos en los que los resultados de estudios clínicos son manipulados o sesgados para favorecer los intereses de la empresa farmacéutica patrocinadora. Esto puede llevar a la aprobación de medicamentos que en realidad no son tan seguros o efectivos como se afirma. Implicaciones y Medidas Correctivas Los casos de fraude, estafas y mala praxis en la industria farmacéutica tienen implicaciones graves para la salud pública y la confianza en el sistema de atención médica. Para abordar estos problemas, se han tomado y se siguen tomando diversas medidas: Mayor transparencia: Las agencias reguladoras y las empresas farmacéuticas están bajo presión para aumentar la transparencia en la divulgación de datos de ensayos clínicos y en la presentación de informes sobre la seguridad y eficacia de los medicamentos. Regulaciones más estrictas: Se están implementando regulaciones más estrictas para prevenir la fijación de precios abusivos y para garantizar que los medicamentos se receten de manera adecuada y segura. Control de conflictos de interés: Se están adoptando medidas para controlar los conflictos de interés en la relación entre médicos y la industria farmacéutica, como la divulgación pública de las relaciones financieras. Mayor supervisión y sanciones: Las empresas y personas involucradas en prácticas fraudulentas o de mala praxis están siendo investigadas y, en algunos casos, enfrentan sanciones legales y multas significativas. Conclusión Si bien la mayoría de las empresas farmacéuticas están comprometidas con el desarrollo y la comercialización de tratamientos que mejoran la salud humana, los casos de fraude, estafas y mala praxis han sacudido la confianza del público en la industria. Es esencial continuar trabajando en la implementación de regulaciones más estrictas, la promoción de la transparencia y la ética, y la vigilancia constante para garantizar que los pacientes reciban medicamentos seguros y efectivos sin que se comprometa su bienestar en aras de las ganancias. ---------------------------------------------------------------------------------------------------------------- Antena Historia te regala 30 días PREMIUM, para que lo disfrutes https://www.ivoox.com/premium?affiliate-code=b4688a50868967db9ca413741a54cea5 ---------------------------------------------------------------------------------------- Produce Antonio Cruz Edita ANTENA HISTORIA Antena Historia (podcast) forma parte del sello iVoox Originals ---------------------------------------------------------------------------------------- web……….https://antenahistoria.com/ correo.....info@antenahistoria.com Facebook…..Antena Historia Podcast | Facebook Twitter…...https://twitter.com/AntenaHistoria Telegram…...https://t.me/foroantenahistoria DONACIONES PAYPAL...... https://paypal.me/ancrume ---------------------------------------------------------------------------------------- ¿QUIERES ANUNCIARTE en ANTENA HISTORIA?, menciones, cuñas publicitarias, programas personalizados, etc. Dirígete a Antena Historia - AdVoices Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

 Williams is a medical cannabis advocate. He once stated his "personal goal is to elevate the legitimacy of cannabis as a medicine and the respect of medical professionals for cannabis users. Williams has admitted being very shy and was diagnosed with social anxiety disorder, borderline personality disorder, and avoidant personality disorder with which he struggled to cope during his football career. Williams was treated with therapy and medication. Williams was briefly a spokesperson for the drug Paxil as treatment. He worked with the drug company GlaxoSmithKline to educate the public about the disorder. Williams later quit using Paxil and said that cannabis was a much better form of treatment.Highsman is the official cannabis lifestyle brand of one of the most electric NFL running backs of the century, Ricky Williams.

Today I have the privilege of sitting down with my Dad, Ivan Gergel, again. My dad was born and raised in London where he went to medical school and became a psychiatrist. He then joined the pharmaceutical company GSK in developing new antidepressant drugs, famously some of the SSRIs we all are of course aware of today. This job took him to the US where he started our family with my Mom. Dad was responsible for the running of hundreds of clinical trials, directed R&D for various pharmaceutical companies, and personally led the development and approval of 14 new therapies such as Lexapro, Paxil, and Namenda that have had fantastic impacts on patient's lives. He currently is working in healthcare investing with new startup drug and device companies. Today, we will be discussing alternative careers in medicine, specifically because my Dad only practiced medicine for two years before switching over to Industry.___0:00 - Intro0:54 - Going Into Medicine5:37 - Specializing in Psychiatry8:58 - Why Leave Medicine?13:36 - Disliked Aspects of Clinical Medicine15:55 - Transitioning From Medicine and Second Thoughts23:54 - First Job in the Industry29:52 - Why Go Into Pharma?31:18 - Career Rundown in Pharma34:08 - Key Factors in Changing Careers35:52 - Leadership Lessons Learned by Leading 900 People42:51 - Advice for People to Navigate the Corporate World48:54 - Top 3 Important Decisions in Your Life?51:27 - Considering Other Careers53:56 - Why Change Into VC Now?58:35 - Advice to a High School Student1:00:52 - Common Bad Advice High School Students Receive1:04:16 - Are MBA's and Ph.D's Any Useful?1:07:57 - Characteristics of Someone Who Would Do Well in Corporations1:11:26 - What Do You Look For in a Person While Hiring Them?1:14:08 - Any New Life-Changing Habits in the Last 5 Years?1:16:15 - Closing Message1:18:00 - Outro___View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast___Connect With ZachMain YouTube: @ZachHighley Newsletter: https://zhighley.com/newsletter/Instagram: https://www.instagram.com/zachhighley/?hl=enWebsite: https://zhighley.comTwitter: https://twitter.com/zachhighleyLinkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/Business Inquiries: zachhighley@nebula.tv___Listen for FreeSpotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777___Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach and I'm a medical student, and soon to be physician, in Philadelphia. Throughout these episodes I'll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Last week we talked about why you often feel hungry and some ways you can feel more satisfied. And we briefly mentioned that one of the reasons you always feel hungry is that you're taking a medication that increases your appetite.  Today I want to focus on those medications that can cause weight gain and what you can do about it. It's important to remember that certain medications may cause weight gain as a side effect. But remember that not everyone taking certain medications will have the same issues. Some antidepressants and antipsychotics are more likely to cause weight gain than others. For example, a selective serotonin reuptake inhibitor (SSRI) like Paxil is expected to cause weight gain more than Zoloft or Prozac. Also, tricyclic antidepressants (TCAs) like amitriptyline and nortriptyline and medications like Remeron and Lithium cause weight gain.  It's difficult to determine precisely how much weight a person could potentially gain with each of these medications as the amount of weight people gain seems to vary between studies.  If you're experiencing weight gain with your antidepressant or antipsychotic medication, make sure to discuss your concerns with your healthcare provider. Never stop taking your medication without talking to your provider first. Diabetes medications like insulin, glipizide, and Actos can also cause weight gain. This is because these medications cause your body to absorb more sugar from your blood. This extra sugar is then stored as fat. As a result, people on these diabetes medications typically gain 5 lbs to 10 lbs of weight. Steroids like prednisone used to help lower inflammation, can also cause weight gain. However, this weight gain is typically seen when the medication is used for long periods. The good news is most people who use prednisone typically use the medication for a short time, so weight gain shouldn't be an issue.  It's also important to know that weight gain isn't an issue with topical steroid use (e.g., creams or ointments), nose sprays, or eye drops. Typically weight gain is seen when people use steroids for certain inflammatory conditions (e.g., rheumatoid arthritis, cancer patients, lupus).  The medication causes weight gain by increasing your appetite, changing how the body processes sugar and fat, and causing fluid retention. Seizure medications like gabapentin, Lyrica, and Depakote can also cause weight gain. It's unclear why this happens, but it may be due to increased appetite.  Antihistamines used to treat allergy symptoms can also cause weight gain. Medications like  Benadryl and hydroxyzine are thought to make you hungrier and tired, making you less active and gaining weight. What can I do to manage weight gain from medications? Several things to help manage weight gain caused by medications involve healthy lifestyle changes. You can start by following a healthy diet and regular exercise. Your healthcare provider may also suggest switching you to an alternative medication or lower dose of your current medication to see if this helps with your weight gain. What about semaglutide? Let's say you've followed a healthy diet and regularly exercised. And you've talked to your healthcare provider about switching medications or lowering your dose, but you continue to keep the weight on. When these lifestyle changes (diet and exercise) aren't enough to lose the weight you desire, weight-loss medications like semaglutide may be helpful.  Semaglutide can help suppress your appetite and food intake.  Thanks again for listening to The Peptide Podcast, we love having you as part of our community. You can find out more information about semaglutide on our previous podcasts. If you love this podcast, please share it with your friends and family on social media, and have a happy, healthy week! Pro Tips We're huge advocates of using daily collagen peptide supplements in your routine to help with skin, nail, bone, and joint health. But what do you know about peptides for health and wellness? Giving yourself a peptide injection can be scary or confusing. But we've got you covered. Check out 6 tips to make peptide injections easier. 

You can also check out this episode on Spotify!In honor of Mental Health Awareness month, we welcome Dr. Samatha Boardman. Dr. Boardman is a New York based positive psychiatrist who is committed to fixing what's wrong and building what's strong. She writes the popular newsletter called and is the author of Everyday Vitality, a book about leaning into our strengths to bring about positive change. Historically, psychiatry has focused on the diagnosis of disease and the treatment of individuals with mental illness. Positive Psychiatry takes a more expansive approach, focusing on the promotion of wellbeing and the creation of health.Dr. Boardman is passionate about cultivating vitality, boosting resilience, and transforming full days into more fulfilling days. Today Dr. Boardman sits down with Dr. McBride to discuss finding wellness within illness, strength within stress, and how to live with anxiety rather than being defined by it. Dr. Boardman is here to help!Join Dr. McBride every Monday for a new episode of Beyond the Prescription.You can subscribe on Apple Podcasts, Spotify, or on her Substack at https://lucymcbride.substack.com/podcast. You can sign up for her free weekly newsletter at lucymcbride.substack.com/welcome.Please be sure to like, rate, review — and enjoy — the show!The full transcript of the show is here![00:00:00] Dr. McBride: Hello, and welcome to my office. I'm Dr. Lucy McBride, and this is Beyond the Prescription, the show where I talk with my guests like I do my patients, pulling the curtain back on what it means to be healthy, redefining health as more than the absence of disease. As a primary care doctor for over 20 years, I've realized that patients are much more than their cholesterol and their weight, that we are the integrated sum of complex parts.[00:00:33] Our stories live in our bodies. I'm here to help people tell their story to find out whether they are okay, and for you to imagine and potentially get healthier from the inside out. You can subscribe to my weekly newsletter through my website at lucymcbride.com and to the show on Apple Podcasts, Spotify, or wherever you get your podcasts. So let's get into it and go beyond the prescription.[00:01:01] Today's podcast guest is Dr. Samantha Boardman. Samantha is a positive psychiatrist, a clinical assistant professor at the Weill Cornell Medical College in New York, and the author of a book called Everyday Vitality. It's a book that combines her research as a clinical psychiatrist in New York to help readers find strength within their stress.[00:01:24] I met Dr. Boardman through a mutual friend. I started reading her book and listening to her talk on Instagram, and it was clear that we had a common interest in helping people marry mental and physical health. Today on the podcast, we will talk about when is therapy not appropriate? We'll talk about medication, we'll talk about Zoom versus in-person therapy, and we'll talk about leaning into our strengths as opposed to focusing on the negatives. Welcome to the podcast, Samantha. I'm so happy to have you.[00:01:53] Dr. Boardman: Thank you so much. Thank you for having me. I'm a huge fan.[00:01:57] Dr. McBride: So today, Samantha, I'd love to talk to you about many things. One is your definition of health. What does it mean to be healthy? So let's just start there.[00:02:07] Dr. Boardman: Great place to start. And so I think my definition of health has really changed over the past 20 years. Like you, I went to medical school and then I did a psychiatry residency. The definition of health for me then was the absence of illness. And what I thought of myself as doing my role was to make people less miserable as a psychiatrist.[00:02:30] And I've gotta tell you, I got pretty good at misery along the way. But one day I was actually fired by a patient who said, when I come to see you, we just focus on what's wrong with me. We don't really focus on what's going on, what's wrong with what's going on in my life? [00:02:47] And she was right. I was so fixated on symptoms and dialing down the issues, dealing with conflicts in her life and that type of thing, and less focused on what makes life meaningful for her, what she enjoys doing and where she finds purpose. It sort of woke me up and I ended up going back to study applied positive psychology, which was sort of the opposite of everything I had learned in medical school, in psychiatry residency.[00:03:14] I studied optimism. I studied resilience. I studied post-traumatic growth. All these data-driven experiences that were really absent in my education and so much that had been focused on pathogenesis, which is the study and understanding of illness in switching over more to salutogenesis, which is the creation of health.[00:03:36] So this is a really long-winded way of saying, I think of health as so much more than the absence of illness, and I'm deeply interested in how we can help people create wellness within their illness and strength within their stress, and add vitality even into their very busy lives. And as you know, when we ask patients, what's most meaningful to you?[00:03:57] What do you care most about with your mental health? Or your health in general? People say, I want to have a good day. I want to feel energetic. I want to feel strong. I want to be able to give back. I want to spend time with friends and family and those types of things, that's what salutogenesis is—creating experiences of health and joy and meaning and vitality and energy for them in their everyday lives.[00:04:24] Dr. McBride: It's so important because just like you discovered along the path of your training and clinical work, I too realized that my job isn't just about helping people not die. It's about helping people live. And it's not enough to tell people at their annual physical, “Hey, your labs look fine. Get a little more exercise, eat a little healthier, and I'll see you next year.” Not dying is good. But what about living? What about having agency over our everyday lives the 364 days a year that you're not in the doctor's office? And what has always struck me since I was a pup of a medical student is that self-awareness is like ground zero for our health.[00:05:14] When we are able to pull the curtain back on who we are as people to understand not just our genetics, but really our stories and how our stories inform how we feel—literally our body parts—and then how we organize our everyday behaviors and thoughts around the narrative that we tell ourselves, and that's really why I became in interested in mental health and why I find your work so compelling is because I think we're having a moment in our culture where mental health is more acceptable to talk about; where people are more empathetic about mental illness.[00:05:55] I still think we don't have a great understanding of what mental health is. And to begin with that we all have it. And I wonder what you think about this concept of everyone having mental health and it's just on a continuum versus mental health versus mental illness. And then secondly, to what extent do you think just mere self-awareness is an important ingredient in having mental health?[00:06:25] Dr. Boardman: Both [of those are] awesome questions and I think that kind of you have it or you don't is this binary, and really limits us about either you're mentally healthy or you're not. And I think that's sort of the way I was trained. Not to be critical of my training, but that was either: you need to be hospitalized or you don't, you're ready for discharge… and not kind of looking at all of those other factors that you look so closely at.[00:06:51] They kind of give you and provide for you even this scaffolding around you to help you make better choices, to have more better actual days in your week. And this idea that how do you find wellness within illness? And it's something Dr. Ellen Sachs was the one who first I heard speak about this and she was a graduate student.[00:07:13] I think she was at Yale where she had her first psychotic break and she was diagnosed while she was a student there as having schizophrenia and having a psychotic illness, and her parents were told at the time that they should remove all the stress from her life, that she should withdraw from school, that it was too much for her to bear and that, you know, that maybe she could get some very simple job somewhere.[00:07:38] Maybe she could pump gas. She could do something that was not going to strain her or stress her in any way, and that most likely she should be hospitalized over again and again, and she might end up rocking back and forth in some institution watching television on lots of medication and drooling.[00:07:54] And she said her parents understood this diagnosis, but they refused to accept this prognosis. And she had support, she had resources. She went back to school. She had psychiatrists, she had therapists. She, I mean, she was, she was supported by so many buoys around her and scaffolding.[00:08:15] She returns to school, she finishes at Yale. She then goes on to Oxford where she gets a degree as a champion of mental health law. She goes on to win a MacArthur Genius Grant. She's an extraordinary woman and defies how people like me are trained into sort of expect that runway of what schizophrenia can do to a human being.[00:08:36] And you know, and she says that actually having this meaningful work in her life has really been, is what saved her. When her voices get loud, she uses her legal training to say, what evidence do you have for that? And how having a really strong sort of sense of purpose in her life has really saved her.[00:08:55] So when psychiatrists like me say, take all the stress out of your life. Remove anything difficult. How do we find that balance for people of helping them lead that kind of meaningful life in finding wellness within their illness, and even for those who don't have a diagnosable condition… [finding] some strength within their stress so they can live with it.[00:09:18] It's not being able to… I think we've all learned about Winston Churchill, who had that black dog of depression, but learning to live with it rather than trying to sweep it under the rug or be in denial about it. Or completely defined by this. And we know even with the language we use when you call somebody a schizophrenic versus somebody who has schizophrenia, not only does it change the way that the person thinks about themselves, but it also changes the way that the people who work with them think about them.[00:09:47] If that is part of their identity, that's who they are versus that something they live with. And it comes and it goes. And there's interesting, Jess Day has done some really interesting research on schizophrenia looking at how a significant number find happiness, find meaning, and it's those who have some of these more lifestyle factors available to them that do make them more resilient.[00:10:09] Dr. McBride: It's a really good point. You wouldn't be surprised to hear, I had a patient who exhibited all the symptoms of depression. Fatigue, sort of that psychomotor fatigue, that sort of hopelessness joylessness, and then was gaining weight. And we didn't have another diagnosis because we had done all the tests, we'd done the scans and everything was normal.[00:10:28] And I said, “do you think it's possible that you're depressed?” And she looked at me and said, “what do I have to be depressed about?” And I thought, gosh, this is such an interesting thing. This is someone who unfortunately is a victim of this concept that you're either mentally healthy or you're mentally not.[00:10:46] When we all have moods, it's a continuum, and my question to patients isn't, do you have an ICD 10 code of F 32.9? My question is, where are you on the continuum of mood and what tools do you have to manage them? What symptoms are you having and what tools do you have? Because it's not about are you mentally healthy? Are you mentally well? And it's not about, are you happy all the time and joyful and gleeful and skipping through the streets, or lying in bed or standing on the edge of a cliff about to jump. It's where are you located on the continuum of these universal conditions of having moods, having fears, having anxieties.[00:11:26] And so I said to her, it's really not about a thing, it's about what's happening to your body and mind right now. And I don't need to name it. I don't even need a code or a label for it. I just want to understand if this is an organic depressive phenomenon, what agency we can carve out to help you feel better in your everyday life.[00:11:47] Dr. Boardman: That interesting point that you're making too, that she's feeling guilty about, what do I have that… that question your patient asks, what do I have to be depressed about? And that's something I hear a lot in people who think, “I'm so lucky. How on earth, how dare I be in this state of mind? It's shameful.” And I think this sort of goes hand in hand with some of this toxic positivity we hear all the time as well. You have to be happy all the time. You have to not have stress, you have to sort of have that sort of fan wind blown hair and that everything has to be perfect or there's something really wrong with you.[00:12:24] And what you're pointing out too is this notion of over the course of a day, over the course of a week, over the course of a minute, how our emotions can shift and it's calling into question, this idea of your personality type, you're just a grump and all those different things.[00:12:42] Maybe I'm a grump right now because I just got a parking ticket. But if I actually filled out some of those forms testing my personality an hour or two later, I would probably be in a better mood. All of these, we have so much emodiversity in our days and how things come and go and actually there's evidence to show that people who honor and are able to acknowledge their emodiversity…we have this like binary idea that either people are good or you're bad. You had a good day, or you had a bad day, you're happy or you're sad. Anything that really kind of limits the way we think about our own mental health. It's even the way we think about our loved one's mental health, trying to tease apart the nuance and appreciate the emodiversity that we're handing, like enjoying the laughter through tears.[00:13:28] How we can hold emotions side by side. It's not that either or situation. And the other side of this is this kind of wellbeing industrial complex that is: feeding off of toxic positivity too, this idea that we need to really make these radical changes and transform every single thing we do. Like: we should move neighborhoods. We need to go on vacation for six months. We need to buy this candle or this bubble bath, or this new exercise bike, or all of these wildly expensive and time consuming endeavors that we are kind of constantly told are the only way that the clouds will part and that we will be able to be happier.[00:14:15] And I think that it really frustrates me and it's sort of like a pet peeve as you can tell. I'm getting sort of animated and annoyed by it. But this, this idea that you have to buy it and consume it and carve out all this time for it and that we're kind of missing a lot of these everyday actions that we can take that boost our everyday wellbeing.[00:14:34] Dr. McBride: So let's talk about that. I'm assuming that in your practice you see patients who are experiencing relationship stress, who are experiencing anxiety symptoms, who are having insomnia, who are dealing with substance abuse issues, who are depressed. Obviously you can't speak to every person you see, but what are some common themes that you see in patients where they have more agency than they think they do?[00:15:04] They may think if they just had a different job, everything would be okay, or if they could just take a six month vacation, they'd be okay. Or if they didn't have the mother that they had, they would be okay. And I think what I'm hearing you say is that sometimes radical changes are necessary. Certainly if you're in an abusive relationship or if you're addicted to alcohol, change is appropriate, external change. But sometimes it's a mindset and it's an internal change. And so what are the sort of simple tools that you commonly dispense to your patients? [00:15:37] Dr. Boardman: Well like you're describing, I think these people sort of living in this as soon as space in their head, like as soon as I get this project done, I'm going to start working out. Or like as soon as I deal with this thing with my kid, then I'm going to… And that as soon as can kind of create this, we end up inhabiting this kind of liminal space where this penumbra of just kind of flailing and not really embodying and I, you and I, I think, share this belief in embodied health, kind of actually doing as you say, and acting as you do… wanting to kind of have your intentions align with your actions and I've been really interested in that research of how do you kind of close that intention-action gap. Like we, how do you get from where you are to where you would like to be? And that's such a, I think a common experience for all of us. I just consumed a huge bag of Cadbury mini eggs, like I didn't want to, but there they were.[00:16:38] And there's a limited edition. So that's just the way that it is. But those intentions that we have don't always translate. And so identifying what is the barrier between you and actually the action that you wanna take. And Gabriele Oettingen, who's at NYU, she's been doing a lot of research on mental contrasting, this idea of figuring out what your reality is versus what your hopes are. And as much as maybe it's an American thing, that whole idea of like dream big, think positive, you know, you can manifest your dreams. You wanna manifest that you have lost 20 pounds, or that you're going to the gym all the time.[00:17:21] All of this actually really doesn't help us. And it might feel good at the moment when we're sort of thinking positive, but it really doesn't translate into action usually, and typically, it makes us feel worse when our reality, when we bump up against our reality in some way. And so how do you close that?[00:17:42] And so her research shows with mental contrasting—she calls it using this acronym of WOOP, W-O-O-P. And this is an exercise I think all of your listeners can do, and it, it, it really works. And they've seen it with weight loss, with saving money, with exercise, in relationships, all these different domains where WOOP translates into actionable change because as we know, it's quite hard to sustain change.[00:18:07] We can get somebody to stop smoking for a day, but. A week later, they'll probably go back to it. So here's what whoop is. The W stands for like what is your wish? It has to be something that's intrinsic to you. It's not that something your partner wants you to do, something you care about deeply that aligns with your values. Make it as specific as you can. Like my wish is I would use my phone less when I'm with my kids or whatever that thing is. And then the O stands for, okay, what would be the outcome of that? Like really think about what that outcome would be. I'd feel more connected. I'd feel less pulled in a thousand directions. I'd feel more present. What would that outcome be? And kind of feel it. Literally feel it. And then the next O is, okay, what is the obstacle? You've got to identify the obstacle. Okay. Well, it's always in my hand. Whenever I pick them up from school or whenever I'm sitting at home, it's always next to me. If I'm cooking or at the table, it's always there. [00:19:04] Okay, so you've got your wish, you've got your outcome, you've got your obstacle. The fourth part is what is your plan? How are you gonna deal with this? Okay, I'm going to turn it off when I'm at home, when we're all together, I'm not going to have my phone at the dinner table. Knowing that wish, but also understanding what is getting in the way of that thing, that obstacle and then having a plan around it is much more likely to produce actionable change. And she's shown this in over 35 papers and, and just really shown the positive outcome of doing that. So just thinking positive, it's not gonna get you anywhere. But actually kind of having, contrasting that, thinking positive with that plan and that identification of the obstacle will. [00:19:47] Dr. McBride: I think that's so important. I think what people don't like doing, myself included, is turning the mirror on themselves and looking at hard truths about themselves that they maybe go on their phone because it sort of quiets the noisy brain, or it's sort of a distraction from all the messiness in our internal world, and we haven't thought through what the consequences are, and we think we'll do better in the next day. [00:20:15] And so we do much better liking an Instagram meme that says, think positive than we do at actually looking at our interior and making changes. So like you, I'm particularly interested in that gap between our best intentions and the execution of them, because that's really the most interesting part of my job and the hardest part of my job is helping people start an exercise program, put down the cigarettes, lose the weight they need to lose for their diabetes. And a question I have for you is, because to me a lot of the gap is about self-awareness and sometimes mental health, but not mental illness necessarily. Mental health being defined as really an awareness of our moods, our anxieties, and how are they calibrated to the actual facts in our reality.[00:21:11] And my question is then, how often do you find people not being aware of their own sort of internal barriers? How common is denial and an absence of self-awareness and an absence of wanting to look at people's stories the problem as you try to affect change?[00:21:34] Dr. Boardman: I mean, I think we're all in denial.[00:21:36] Dr. McBride: Yeah, I think we are. I think it's convenient.[00:21:38] Dr. Boardman: Yeah and it serves us really well in the short term. And we're not even meaning, I mean, denial is sort of an unfair way to put it. I think we're trying to live in a different reality than what we're in, or we tell ourselves stories as you know, like, well tomorrow I'll do it, or, today it's somebody's birthday or whatever. There's so many justifications in the moment, but it is at the same time, I think that gap between our intentions and our actions is an annoying feeling. It's what kind of keeps us up at night. Why didn't I? It's a lot of regret and beating oneself up. [00:22:12] Even though maybe we're going through the day putting out lots of fires, I do think there's that lingering sense of, especially in the evening, or especially if you can't sleep at night, of why didn't I, why did I do this? And that sense of when we're not aligning our values with our actions, and it's something that I actually ask patients to do when I first meet them, as in, it's part of that kind of self-awareness tool I think you're describing is to write down or just to think about what are three to five things that you value most. [00:22:47] What matters? What do you care about deeply, what is most meaningful to you? And oftentimes, we're all such busy people, [so we] don't take the time to figure out what those things actually are. And it might be being a good grandparent. It might be taking care of my dog. It might be my health, it might be learning something, whatever that is. [00:23:09] And then I ask them to think about when you last, on Saturday or when you had some free time, how did you spend it? And really trying to kind of break down how they spend their time and how that aligns with what they value most. And ideally trying to create as much overlap as possible between the two.[00:23:32] Because I think when there is this disconnect, even when things don't go the way we hope, that at least I think when you feel like you're embodying those values and they're manifesting in your life, even when things aren't going your way, it kind of creates a bit of an armor around you because you actually feel that you're embodying what you care about most, even if it didn't work out for you.[00:23:53] The other thing is just to remind people, I think we often feel like a failure. [In terms of] I made this commitment, I was going to go to the gym every day this week, and Wednesday just got so busy or whatever. I'm a failure. I'm not gonna start till next week. This idea that every day is an opportunity for a fresh start, even this idea that, oh, I have to wait until this landmark in time… I'm gonna wait till New Year's to stop smoking…[00:24:18] Tomorrow's a new day, and I think you can kind of just try to harness that fresh start effect at any point. We know typically that people who went, who do, and this is Katy Milkman's research, if you do it on a Monday or you do it on your birthday, or you do it the first day of the month, you might have more momentum behind you, which is great, but you know, I also think that every day is a new opportunity, rather than thinking, oh, I just gotta throw this all out. You know what? I'm just gonna have a crazy binge eating weekend and just let it all go, versus, you know what? Tomorrow's a new day. And we're really good at beating ourselves up over the stuff that we didn't do well.[00:24:52] Dr. McBride: Yeah, I mean, I think so many patients that I see who are having a hard time losing weight, exercising more, eating healthy, whatever it is, they lead with a heavy sense of shame and fear in their lives and I'm interested always in pulling back the curtain to figure out what is driving those feelings. Sometimes it's just not doing what they know they should be doing. Sometimes it's pretty simple. It's like, well, I wanna lose weight, but I ate a plate of cookies, so I feel bad about myself. But I think you might agree that there's something deeper going on, and maybe there isn't. I'm not trying to say that everyone's experienced childhood trauma and that pops up at the minute they look at the cookies and they feel bad about that experience and then they binge eat.[00:25:33] I just think that there's, there's something about our stories and our childhoods and our past that holds us back from being honest about ourselves and overlapping, as you said, the intention with the execution and living that sort of authentic life that we wanna lead.[00:25:56] And I wish we had an injection for pulling the walls down of shame. If we could take shame and fear away, we would be… we don't want to take away too much fear, otherwise we'd be walking into traffic and we'd jump off of high dives without water in the pool. We need a little bit of fear and we probably need a little shame too, otherwise we'd be sociopaths. But so many people that I see who are trying to make changes in their lives and live authentically, adhere to the rubric of whatever the meme on Instagram said. They can't execute on their best intentions because they are so ashamed of who they are and the stories they tell themselves.[00:26:36] And that's when I send them to you. That's when I send them to a psychiatrist. Not because they're crazy, but because they're human. And I say, look, I literally say those words and I don't think you're mentally ill. I just want to help mine that space. I could just tell you to do better tomorrow, and I could tell you that you're okay. But I, I think there's something there that I think… I just wish we all had more of a permission to explore those parts of ourselves.[00:27:01] Dr. Boardman: As a psychiatrist, maybe this is weird to say, but sometimes I think we don't need to always be looking under the hood. Maybe just to push back a little bit on this, that there isn't always an explanation… like my mother did this, or whatever that thing is, or this is my comfort food and that's why I do this now, and it is wonderful. I think when you have those light bulb moments, you know that you have this idea of, oh, this is why I do that. But here's the thing. I mean, research shows that it doesn't necessarily translate into behavior change. You might be like, oh, this is why I do that but you're not, you're still not going to make any meaningful, or take any meaningful steps to stop that thing.[00:27:47] It's kind of a cool thing, but it's not necessarily transformative. And so one thing that I'm deeply interested in is this mode of therapy called behavior activation that is really asking people rather than to focus on their emotions or always kind of trying to excavate the past in some way is to just focus on the change, the actual behavior, and then see how that changes the way they feel.[00:28:18] Because I think so much of psychiatry is the whole idea of if you can change how you think and you can change your emotions and your relationship to them, then that's going to change your behavior. And behavior activation kind of flips that on its head and says, oh, if you change what you do, you're going to change the way you feel. And we know that to be the case. If you ask people to, for 30 minutes a day, four days a week walk on a treadmill slowly, it immediately changes their mood. We know that going outdoors, you get this transformation. Even if you're sitting and you're kind of hunched over and then you stand up and you put your shoulders back, you actually feel differently [00:29:00] That idea again of embodied health, what you do changes how you feel, as much as how you feel changes what you do. And I think in psychiatry and therapy, we've been so focused on one side of it and not looking at that kind of more embodied health of the behaviors that are going to impact what you do because we often get wrong a lot of stuff. We think the thing that's gonna make us feel better is not. Like, oh, I had a long day. I'm going to binge watch tv. I'm going to open up my favorite bucket of ice cream and that kind of short term emotional junk food or actual junk food that we indulge in.[00:29:37] But we all know that we had to, the first bite's good, the next one, not so much, you end up feeling worse about these types of things. And they are de-vitalizing, I think of them as like a vampire, as a vitality. And the stuff that makes us feel better is actually when we're learning something, we're actually not just engaging in efforts, sparing activities, we're actually doing something that stretches our minds or stretches our bodies in some way. That's, that's kind of engaging us in some meaningful way. And so, I guess I'm a big fan of doing, not dreaming in some way and engaging and acting and seeing how that makes you feel. And this is research out of Stanford that looks at behaviors and what creates behaviors, it's either motivation. That is something we focus on probably way too much. And it's either a trigger, like you see somebody light up a cigarette and you're like, oh, I want one too. Or it's accessibility, how easy is that behavior? And I think an underrated part of this kind of equation is accessibility and making it easier for people to do the behavior that they want.[00:30:48] Because when we're so focused on motivation, self-control and self-control as we know it comes and it goes. You have it in the morning, you have the best intentions by the afternoon. Somebody puts a plate of cookies in the conference room. You can't help yourself. But if you make it a little bit harder to do that behavior that you don't want to do, like you get rid of those M & M's or you you make it a little easier because you put your sneakers out in front of your bed the night before and you make, so the behavior you want to do easier and the behaviors you don't want to do harder.[00:31:21] And this comes from even a community system standpoint, you create accessible parks, you have lighting, so it's easier for people to walk outdoors. You create attractive staircases for people to be able to use in buildings, all those types of things to make it a little bit more fun and easier and more playful to engage in better behaviors. So I think about, how do I make the behavior that I want to do easier, [and] how do I make the behavior that I don't want to do harder?[00:31:49] Dr. McBride: I love it and I love the pushback. I mean, I love anybody who has an opinion. And I also love anybody who is challenging the popular narrative out there because I think the popular narrative is, and I do subscribe to it in many ways, that excavating our interior is a way to begin that laddering up of health and wellbeing, that understanding our stories can help us make the behavioral change we want to make. But I think you're right, and I see this in patients. Therapy is not a good idea for everybody. It's not necessary and it's not sometimes helpful. It sometimes does harm. And what I mean by that is that, first of all, there are some pretty terrible therapists out there. There's some pretty terrible doctors out there too, and I'm sure I'm terrible on some days of the week.[00:32:40] But also I think that the talking, the thinking, the intellectualizing can, as you're maybe suggesting, distract us from executing on some of the changes that can then feedback and change our thoughts. And I think there's also the potential risk of attributing some of our behaviors to things that aren't actually true in therapy.[00:33:01] So what my observation is is that we have two major schools of therapy as far as I can tell. We have the psychodynamic type of therapy, the sort of psychoanalysis where people are lying on a couch and talking sort of in an open-ended way. And that can be every day and can be week after week after week.[00:33:22] And then you cognitive behavioral therapy where people are trying to change the thoughts and the behavioral patterns that stem from thoughts. And so my question to you is, is this like a third way of thinking about mental health, like not in therapy and just doing the behaviors and sort of societal changes to make behavioral change more easy? Or is it outside of therapy altogether?[00:33:48] Dr. Boardman: I mean my dream is that one day we will all be put out of business. People won't need us and won't need therapists. And I wish this was part of curriculums and students were taught how to activate change and that this started in, in kindergarten and… [00:34:06] There's a third type of therapy. You talked about kind of more the psychodynamic talk therapy and then CBT, which is kind of identifying specific negative thinking patterns such as catastrophizing or engaging in black and white thinking. And then what I'm very interested in, and I think of myself as a positive psychiatrist, is kind of a third really complimentary, not an either or, but it's a both, both and kind of situation is focusing on people's strengths.[00:34:34] What are your strengths, as actually research comparing CBT with strengths-based therapies is what are your top five strengths and there are tests you can do at viacharacter.org, you can take this free test that turns out your top five character strengths. And we know that people who then use their top five strengths in new ways even in a week feel less depressed and less stressed.[00:34:57] We're so good at shining the light on our weaknesses and what we've done badly, but looking at our strengths and how we can harness our strengths. Even to look at, there was a study looking at people who had diabetes. How could they use their strengths to be more, to adhere more to their medication regimens? What were ways to kind of align, not their deficits, but what they're good at? We know even that, I think again, kind of part of psychiatry and therapy has become so interiorized, so fixated on the individual and the inner workings of what's going on in your head. And I think maybe at the expense of looking at the community that they exist within, the fabric of their relationships and a little bit too much of this whole idea that happiness only comes from within.[00:35:43] I'd always argue that it also comes from with. And when we are in a group, a community that is reminding us to take our medication that is there with us, that's helping us use our strengths, it is helping us kind of even where we feel like we are adding value in helping others. I think having a sense of mattering and meaning, it's not just feeling valued, it's also adding value in some way beyond the self. So I do think kind of having a more strengths-based approach to physical illness and mental illness is also really worth our time and our time in the medical profession.[00:36:20] Dr. McBride: Yeah, it resonates with me what you're saying. For example, I was trying to get a patient last week to think about exercising. It's sort of cliche, the doctors tell people to exercise. We all know it's good for everything from diabetes to dementia prevention. And she was beating herself up because she hadn't been exercising and she had put off the appointment to come see me for two weeks because she didn't want to get weighed.[00:36:43] And I reminded her, this is not an appointment you can win or lose. This is just a data point and there's just no shame in the number on the scale on my end. But the way I think we're gonna execute on her in getting some exercise is that we looked back at her childhood. What did she like to do before she had a busy job and three kids and a mortgage and it was dance. And so we looked online and found this dance class in her community that's at the Y and it looks it's not a class that requires designer leggings and an expensive membership. And I was like, just go to one class, just go in the back, wear shorts and just see how it feels.[00:37:24] And she's like, yeah, I remember being just sort of, entranced by the music and just the movement and the sort of the organic, it didn't feel like exercise. It felt like fun. And I'm like, that's it. That's it. Let's lean into the things that are already in your arsenal of tools. And you know, we gravitate to things as children that we like. That's what we do. We don't have this complicated sorting system in our mind. So I said, just try it. And so I think I hear exactly what you're saying, which is that we have so many strengths, but we tend to focus on the negative. [00:37:55] We've also lost a sense of community and kind of collective goodwill, I would say, in the last three years during the pandemic and certainly before that, with all sorts of political unrest and social unrest. And I think there's an intrinsic sort of sense of dis-ease among people. At least I see it in my office. And I think what I hear you saying is that you're just building back a sense of community and a sense of purpose outside of our own selves is important.[00:38:27] Dr. Boardman: Yeah I'm thinking of that study with that looked at asking people to make a New Year's resolution. We know it's very hard to stick to. But those who made kind of individually based ones that were like, I'm going to stop smoking, I'm going to lose weight, versus those that had much more socially oriented resolutions. It was like pro-social, I'm going to walk with my friend once a week. I'm going to meet up with a friend and go to the movies or do a book club. Not only were they going, they were much more likely to stick to it. They were more satisfied over the course of the year. And it was just fun. And I think we have this terrible idea about health is that it has to be punishing and we've got to somehow always be miserable and depriving ourselves. It's full of deprivation and removing that element of joy and others and whatever made you laugh as a child, that you can find things that are fun and that lift you outside of yourself rather than, I think that kind of self immersion that sometimes I think the wellbeing, industrial complex kind of green lights, that's not necessarily healthy. And if anything it can kind of remove us from a lot of those experiences that boost our mental health. [00:39:42] Dr. McBride: I think it's so true. Okay. I have two more questions. One, what do you think the biggest differences are between in-person therapy versus virtual therapy?[00:39:52] Dr. Boardman: Call me old… I definitely, just as a practicing psychiatrist, prefer seeing people in person. I think one has a much better sense of who they are in their presence, in their physicality, and I really enjoy it. I mean, I'm grateful for Zoom. I became, you know, it took me a while to kind of get fluent in Zoom in March 2020, but it happened. And certainly I think with online therapy, accessibility is a good thing. The more people who can access therapy really matters, and people are always trying to look at what's the best type of therapy. The best type of therapy is a therapy where you have a good relationship with the therapist, where you trust them, where you feel safe, where you feel connected.[00:40:34] That's the winning type of therapy. You want to have one argument, I would say, it's just always for quality therapy, not necessarily quantity therapy. I think the idea of being able to constantly text your therapist and actually not speaking to them in real time, I'm not sure about the outcome. I think maybe for younger people, that has been perfectly helpful. There is something though, just to keep in mind. Metabolizing, like when you are having a hard time or something's happened, kind of sitting with those feelings of distress, anger, sadness, frustration, disappointment, and you metabolizing it and knowing that on Tuesday at six o'clock, you're going to maybe address it because it's going to feel really different in the moment versus how it's going to feel, maybe 48 hours or three days later, and sometimes that digested way… and trust yourself, we are human beings. Human beings are supposed to bump into stress, sadness, all these negative emotions. They're information. This is stuff for us to take in and learn from and we don't necessarily need to constantly pick up the phone or text somebody and say, wait, help me. Because I think that really removes agency ultimately and basically suggests that we are ill-equipped to handle these very human experiences.[00:41:52] Dr. McBride: Yeah. As if you can discharge that emotion by texting and putting it on someone else's plate.[00:41:58] Dr. Boardman: Yes. Yes, exactly.[00:42:00] Dr. McBride: So my next question is about medication. There's no kind of short answer to it, but I think we overmedicate people. I think we under-medicate people. It depends on the person. I am a big, big fan of the SSRI medications when appropriate in the right context. What is your general sense of the psycho-pharmacology state of the US right now. I mean, do you see people commonly coming to you who have been on medications that may have been inappropriately prescribed? Do you see people who are just looking for a pill to fix their kind of broken marriage? Do you see it being an asset, a crutch? What's your take?[00:42:39] Dr. Boardman: I mean, I would say all the above. I think our culture is, Hey, I've got a problem. What's the pill for that? I can't sleep. I'm overweight. Whatever that thing is, I need a pill for that. I'm feeling down. And people feel… even like my kid has an earache, I want an antibiotic prescription. I mean whatever those, there's a culture of satisfaction when you walk out of a doctor's office. You feel like it was a job well done when you have that prescription in your hand. And so people are always blaming the doctors for this. I also think it's kind of cultural,  this is the way we've told patients, people to be, they see advertisements all the time for this medication. They go into their doctor requesting that this is going to make me happy. I think of those Paxil ads from the early 2000s of that sad looking blob and then it starts taking Paxil and really happy and like socializing at a party.[00:43:35] And so I worry about the overmedicating even in ADD. But then you also see in certain populations, it's the exact opposite as you're pointing out people who aren't getting the medications that they need for these issues. So it's not a blanket statement at all. So I'm a big believer in always re-looking at that. Especially when somebody has a tackle box of pills that they take for sleep or anxiety or depression. Wait, how long have you been on these pills? Are they doing what we want them to be doing? And what's the dose? Is this just something that you just kind of keep accumulating over time and you just feel sort of safe doing this?[00:44:15] And we also know that it's really hard to get off of antidepressants. It takes time and there's so much research about dosages when you're dialing them up, but not how you dial it down. And people who really feel bad and sometimes they can misinterpret some of their symptoms can feel like depression or anxiety returning when it's actually withdrawal from the medication itself.[00:44:35] there was a big controversial paper that came out a few months ago, maybe you discussed it on the show, looking at these medications and maybe they're not as helpful as we thought they were. We also do know that there are lifestyle changes that when people. You know, exercise a couple of times a week that they can get the, the benefits of being of like an antidepressant essentially in that movement. It also protects young people against depression, which is so important as well. So I think it's one of those things we have to look at individually, and it's kind of a default answer, but it's kind of a case by case basis. And I know people who've been tremendously helped by these medications as well. So I take it very seriously and I really think of the individual involved.[00:45:17] Dr. McBride: Same with me. And I think the downside of the article that came out, I think the one you're talking about is the one that said kind of definitively what we've known for a long time, which is that depression and anxiety are not “chemical imbalances.”[00:45:30] Dr. Boardman: The serotonin hypothesis is debunked.[00:45:33] Dr. McBride: Exactly. It's not the, it's not a serotonin deficit, which is not to say that increasing serotonin with selective serotonin reuptake inhibitors cannot help. So I think some people took that study and said, oh, then why the hell am I on this Prozac? And stopped taking it. And then other people sort of used it as ammunition to say, you know, modern psycho-pharmacology broken. As with everything, there's nuance, it's somewhere in the middle and it depends on the individual and it requires listening and curiosity about the human in front of us. So Samantha, I am gonna let you go. You've been so full of information and tools and amazing thoughts, and I'm really excited to kick off Mental Health Month with you on social media and to kind of blitz our shared audiences with practical information to be healthier from the inside out.[00:46:25] Dr. Boardman: Oh, I cannot wait. We're gonna have a great month.[00:46:27] Dr. McBride: It's gonna be fun. Thank you so much for listening, everybody, and sign up for Samantha's newsletter on Substack, it's called The Dose and I love it. I love the graphics, I really love your logo and I love what you're saying in it, and I read it religiously. I'll see you next time![00:46:46] Thank you all for listening to Beyond the Prescription. Please don't forget to subscribe, like, download and share the show on Apple Podcasts, Spotify, or wherever you catch your podcasts. I'd be thrilled if you like this episode to rate and review it. And if you have a comment or question, please drop us at info@lucymcbride.com. [00:47:08] The views expressed on this show are entirely my own and do not constitute medical advice for individuals that should be obtained from your personal physician. Get full access to Are You Okay? at lucymcbride.substack.com/subscribe

A while back, we did a mini-series on peptides and sexual wellness. We covered PT-141 (bremelanotide), a peptide therapy used to help women and men with low sex drive. And Kisspeptin-10, a peptide that helps with increased arousal and may help with infertility. But we really didn't focus on what causes a low sex drive. So today, we'll touch on the possible mental and physical causes that may affect your sex drive, but we'll focus on medications that may lead to a decreased interest in sex. It's important to know that a low sex drive can affect both men and women. Medical conditions like depression, hypothyroidism, diabetes, and high blood pressure, may all cause a low sex drive. Even hormonal changes (e.g., during pregnancy, after childbirth, or while breastfeeding) can decrease interest in sex. And some people who use alcohol, have relationship issues, or certain infections (e.g., vaginal yeast infections, urinary tract infections) have a low sex drive. Certain medications may cause low sex drive as a side effect. But remember that not everyone taking certain medications will have the same issues.  Some antidepressants and antipsychotics are more likely to cause a low sex drive than others. For example, selective serotonin reuptake inhibitors (SSRIs) like Paxil, Zoloft, and Proac are more likely to cause a low sex drive than Wellbutrin or Remeron. While older antipsychotics like Haldol, used to treat schizophrenia and bipolar disorder, are more likely to cause a low sex drive than Risperdal.  Benzodiazepines like Xanax, Ativan, and Valium, used to treat anxiety and seizure disorder, can lower your sex drive. Many people with heart failure report having a low sex drive. This is because people with heart failure need different medications to reduce how fast or hard their heart has to work and medications that get rid of extra fluid. Unfortunately, some heart failure medications like Digoxin, Spironolactone, beta-blockers, and other water pills like hydrochlorothiazide can lower their sex drive. Acid reflux or "heartburn" happens when stomach acid travels back into the esophagus. And people who take medications for "heartburn" (e.g., Pepcid and Zantac) have reported a lower sex drive. Even medications that affect sex hormones (e.g., estrogen, testosterone, and progesterone) can decrease libido. Examples of these medications include birth control and Lupron (used to treat prostate cancer). And lastly, people who use opioids like Norco and Ultram to treat pain can also have a lower sexual desire. How to improve sex drive caused by medications? Always talk to your healthcare provider first. They can determine if your low sex drive is due to your medications or if there's another cause, like an infection or hormonal changes. If your medication is causing a low sex drive, your healthcare provider may have you stop the medication if it's not needed. Or they may switch you to an alternate medication that doesn't cause a low sex drive. But don't stop your medication without speaking to your healthcare provider first. Your healthcare provider may suggest other medications or peptides like PT-141 or Kisspeptin-10.  What is PT-141? PT-141 (bremelanotide) is a melanocortin receptor agonist peptide. Melanocortin is a natural hormone in your body that works on receptors in your brain and nervous system to cause sexual arousal and influence sexual behavior. However, we don't know exactly how it works to improve sex drive. It can also work on receptors in cells that produce skin color (melanocytes). You may know PT-141 as Vyleesi. This medication was originally FDA-approved in 2019 to help low sex drive in women who haven't gone through menopause yet. While it's not approved for low sex drive in men, some may use it off-label.  In these cases, men also use PT-141 to help improve erections, libido, sex drive, and performance. What is Kisspeptin-10? Kisspeptin-10 is a neuropeptide involved in reproduction, sexual behavior, and sexual attraction. It helps increase activity in the brain associated with sexual attraction and arousal.  Kisspeptin-10 also stimulates the hypothalamus to release gonadotropin-releasing hormone (GnRH), which in turn signals the pituitary gland to release luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These hormones play a role in the production of both testosterone and estradiol.  Thanks again for listening to The Peptide Podcast. You can find more information at pepties.com. We love having you as part of our community. If you love this podcast, please share it with your friends and family on social media. Have a happy, healthy week! Pro Tips We're huge advocates of using daily collagen peptide supplements in your routine to help with skin, nail, bone, and joint health. But what do you know about peptides for health and wellness? Giving yourself a peptide injection can be scary or confusing. But we've got you covered. Check out 6 tips to make peptide injections easier. And, make sure you have the supplies you'll need. This may include syringes, needles, alcohol pads, and a sharps container. They work to kill bacteria (bactericidal) by preventing them from making their own protective coating in your body.

R. Brent Wisner serves as the managing partner of Wisner Baum (previously Baum Hedlund Aristei & Goldman) and heads up the firm's state and federal involvement with Zantac litigation. Brent personally oversees the firm's pharmaceutical class action litigation, toxic-tort injuries, and consumer fraud litigation. Wisner began gaining notoriety in 2017 after serving as Co-lead Trial Counsel in litigation against GlaxoSmithKline (GSK) for the drug Paxil, yielding a $3 million verdict. A year later, Wisner began litigation against Monsanto Roundup, earning plaintiffs over $2.424 billion in damages across three plaintiff lawsuits–and earning Brent the title of youngest attorney to earn a billion-dollar settlement.    Trial Lawyer Magazine named Brent to their 2019 list of “America's 50 Most Influential Trial Lawyers,” and National Trial Lawyers awarded him “Civil Plaintiffs Trial Lawyer of the Year.” The National Law Journal also named Brent to both 2019 lists of “America's 50 Most Influential Trial Lawyers” and “Winning Litigators, Titans of Industry.” Law360 awarded Brent the title of “MVP of the Year” in In 2020 for Products Liability and the National Law Journal and American Law Magazine inducted him into the Verdicts Hall of Fame. In 2021, Brent was awarded “West Trailblazer” by The American Lawyer, and Mass Torts Made Perfect awarded him with the “Clarence Darrow Award.” Most recently, The Litigation Counsel of America (LCA), a trial lawyer honor society, hand-picked Brent to receive the title of Associate Fellow in 2022 for his achievements as a leader across multiple dockets and his ethical commitment to plaintiff law.   Brent currently maintains heavy involvement in Ranitidine litigation (Zantac), serving as Co-Lead Plaintiffs' Liaison Counsel for the Ranitidine Product Cases (MDL No. 2924) and Co-Chair of the American Association for Justice's Zantac Litigation Group. Brent remains extremely active in the legal community and regularly presents at legal conferences, such as MTMP, AAJ, HarrisMartin and CAALA on Zantac litigation.   Brent Social Media LinkedIn -  https://www.linkedin.com/in/r-brent-wisner-94046458/ Bio - https://www.wisnerbaum.com/attorneys/r-brent-wisner/    Wisner Baum Social Media LinkedIn - https://www.linkedin.com/company/wisnerbaum/  Facebook - https://www.facebook.com/BaumHedlund  Twitter - https://twitter.com/WisnerBaum   Remember to subscribe and follow us on social media…   LinkedIn: https://www.linkedin.com/company/mass-tort-news Twitter: https://www.twitter.com/masstortnewsorg Facebook: https://www.facebook.com/masstortnews.org

How are drugs approved in the USA? In this episode I talk with the developer of Lexapro, and many other world-changing drugs, about how clinical trials are run and how I could develop my own drug if I wanted to. Enjoy.Ivan Gergel was born and raised in London where he went to medical school and became a psychiatrist. He then joined the pharmaceutical company GSK in developing new antidepressant drugs, famously some of the SSRIs we all are of course aware of today. This job took him to the US. Ivan Gergel was responsible for the running of hundreds of clinical trials, directed R&D for various pharmaceutical companies, and personally led the development and approval of 14 new therapies such as Lexapro, Paxil, and Namenda that have had fantastic impacts on patient's lives. He currently is working in healthcare investing with new startup drug and device companies.___0:00 - Intro1:06 - What Is the FDA?4:09 - What Type of Drugs Need FDA Approval? 6:19 - When Do the FDA Come In?8:07 - How to Get a Drug Approved by the FDA?24:55 - Phase 137:10 - Phase 252:17 - Phase 31:06:00 - Drugs Getting Rejected/Audited1:14:46 - What Is After Phase 3? 1:16:46 - Intellectual Property and Patents1:19:44 - Phase 41:21:45 - Lexapro, SSRI's and Antidepressants Drugs1:30:18 - The World of Big Pharma, the Good's and Bad's1:39:45 - The Future in the Field1:43:38 - Outro___Resources:Clinical Trials Information: https://clinicaltrials.gov/ct2/info/fdalinks___View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast___Connect With ZachMain YouTube: @ZachHighley Newsletter: https://zhighley.com/newsletter/Instagram: https://www.instagram.com/zachhighley/?hl=enWebsite: https://zhighley.comTwitter: https://twitter.com/zachhighleyLinkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/Business Inquiries: zachhighley@nebula.tv___Listen for FreeSpotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777___Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach and I'm a medical student, and soon to be physician, in Philadelphia. Throughout these episodes I'll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

I understand about New Year's resolutions. Meaning, I get the appeal. I used to write really neatly every September and promise myself that this year…THIS year I would finally be the buttoned-up student I knew was hidden somewhere deep inside of me. But by October, without fail, I could only open my locker an inch to grab one book at a time or else I'd have an avalanche. Nah. New Year's resolutions have never been anything more than a message from my internal patriarchy that I would, inevitably, rebel against. Useless.I do something else.I have an intention.But it's not an intention to be someone different or to even a better version of myself.It's an intention to explore a path. To see what's on the other side of something I'm struggling with.Like last year, I really wanted to explore the love thing. As you know (in excruciating detail…sorry!) I had a habit of falling in love with men that were broken. I didn't see them as broken. I saw them as totally sexy and interesting. But then I'd get cut with their jagged pieces and be looking at my friends like, “How did this happen??” 2022 was about figuring out WTF was happening once and for all. I went on many intentional journeys inside and outside myself with various therapists, healers and men (and for a spell, no men at all) to better understand my wiring. And for the first time in my life, I'm in a relationship with a healthy person. I'll write more about that shift in the weeks to come, but today I want to write about what I'm exploring this year.This may come as a surprise to you.(Or if you really know me, maybe not.)I was a bully.And sometimes, I still am a bully.I'd written ad nauseum at CosmoGIRL! and Seventeen about how inadequate I felt as a teenager. It was something we had in common, right? Something all people feel at one time or another. But I don't think I ever told you that I was also a bully. Sensing another girl's vulnerability really jammed me up. Today, as an adult, I realize that it was because I needed to keep my own vulnerabilities buried. Or at least that's how I felt. I didn't really have grownups in my life with bandwidth for what I was going through, so my young mind decided my shit had to be buried and I needed to be tough. It felt like a matter of survival.In grade school, I targeted more vulnerable girls doing goofy, but still hurtful acts like putting a spider down their shirt. In high school and college, I would gossip or turn my friends against whoever I was choosing to target. I also seemed to always have one girl in my friend group on my radar and ever so gently kept my metaphorical foot on their throat by gossiping about or excluding them. It sickens me to think about it and embarrasses me to admit it. I have compassion for and forgive the traumatized girl I was. And I have so much compassion, love and respect for the girls I hurt with my unconsciousness.Fast forward to my career. Being a bully in the media industry was a positive attribute, so there was certainly no pressure to be introspective about this part of my character. I was a thug amongst thugs. I broke phones when I was angry, blacklisted people I felt slighted by, used the media to my advantage. As I worked my way up the ladder, I frequently maneuvered to get people I didn't like fired and yet always managed to have a very “nice guy” reputation. I know. It's upsetting to me, too. That was the way the game was played, and I was a natural at playing it. And if you were looking for proof that bullies are cowards underneath it all: As an Editor-in-Chief, I didn't like firing people so I would turn the heat way up under someone's ass when I was done with them so they would quit on their own. Anyway, you know the cliches, you've seen the movies. I was a bad bitch, and I was rewarded for it.And yes, I bullied my husband.We've all had friends married to a woman like me.I was that woman.I remember at one point in our relationship, I went on an SSRI. I was feeling super anxious: I was transitioning from CosmoGIRL! to Seventeen, had just gotten back together with him after a separation, we were moving, and in general I treated him like an emotional punching bag. I knew it wasn't right and I wanted to fix it. The Paxil worked like magic…but just as things started settling down, he begged me to get off of it. He didn't like the milder, gentler me. He said I wasn't myself anymore. He'd rather have the “real” me instead of this new agreeable, sweetie-pie.That was always interesting to me. You know what they say: It takes two to tango. He was actively choosing the bully and hell; it was a role I was born to play. When he and I finally decided to separate, it felt like a director had yelled, “Cut!” and we both dropped the scripts we'd been play acting for the past quarter of a century. Leaving my marriage felt like an important step in my ability to explore who I was beneath that role.But here's when I realized I still have a whiff of the bully blueprint.Like you, I see a lot of girls I went to high school and college with on social media. But there is one particular girl who follows me on IG and frequently makes lovely comments. But I simply wouldn't follow her back. My friend Stephen uses the word, “thirsty.” I'm sure you know what he means. Too eager, too desperate. This girl was always a nice girl yet she has and had an intense need to be liked that clearly triggered my own similar feelings. Here I was at 50 years old, not following her back. That felt just bitchy. Clearly there's something in me that's also “thirsty” and I'll be sitting with that in the coming weeks and months. And yes, of course, once I realized I was intentionally not following her, I immediately followed her back.Admitting this stuff is so “cringe” as my 14-year-old would say.But there you have it. My intention for the year…my 2023 exploration. I suspect there will be many amends to be made. And many questions to consider: Why was I a bully? In what ways am I still one? What are the super tender feelings that the bullying part of me is protecting? Being that big-time Editor-in-Chief clearly kept those vulnerable feelings at bay. But today? I've got no big time anything to hang my hat on or to give me an externalized feeling of worthiness. Let's see what's under my well-honed strategy to manipulate and control people. I don't need to be a bad bitch anymore. Or at least, I'd like to use my power intentionally and wisely and not out of fear and insecurity.Oh, and when a friend or partner tells you something hard to hear about yourself when you're fighting and/or break up? Honestly? They're probably right to some extent. You may not be ready to hear it in the moment and for sure, it's likely not as black and white as they may be making it. But hold it in your pocket and take it out for examination every so often. That's how I got to this bully piece. I've been called a bully before, but I wasn't ready to hear it. My sense of safety was too tenuous. I would hide behind all the good things I've done to protect myself and I had no shortage of friends who would join me in scoffing at the notion that I was anything other than a good guy in any given narrative. But I feel safe enough now and I can hold it all with compassion and love all around. Looking forward to seeing where this path leads me but for now? I'm just sitting with some healthy shame. And that's okay. It's all part of the process. To be continued, to be continued.Let me know if there's something someone's said about you that just may be true…xo atoosaSoundtrack of my

This week, in Chester, South Carolina, a lost young boy is found, in the woods, armed with a powerful rifle, and in need of help. He tells police of a terrifying ordeal that includes being kidnapped, after a man killed his grandparents, and burned their house down. After questioning, everyone feels awful for the boy, but they still need to get the details, and he's less than forthcoming. The story that ends up coming out is the most shocking thing anyone has heard of, in decades. Will Zoloft be the culprit, or the person who did the actual killing?Along the way, we find out that the south loves a pageant, that people don't usually kidnap people & their dogs, and that some words have very shifting definitions!!Hosted by James Pietragallo and Jimmie WhismanNew episodes every Thursday!Donate at: patreon.com/crimeinsports or go to paypal.com and use our email: crimeinsports@gmail.comGo to shutupandgivememurder.com for all things Small Town Murder & Crime In Sports!Follow us on...twitter.com/@murdersmallfacebook.com/smalltownpodinstagram.com/smalltownmurderAlso, check out James & Jimmie's other show, Crime In Sports! On Apple Podcasts, Spotify, Amazon Music, Wondery, Wondery+, Stitcher, or wherever you listen to podcasts!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name paroxetine Trade Name Paxil Indication major depressive disorder, OCD, anxiety, PTSD Action block reuptake of serotonin in CNS Therapeutic Class antianxiety agent, antidepressant Pharmacologic Class SSRI Nursing Considerations • do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, serotonin syndrome, constipation, diarrhea, insomnia • decrease effectiveness of digoxin • increase bleeding with warfarin • assess for suicidal thoughts

In this episode, Dr. Zach April returns to review the SSRI's. These are some of the best treatment options for mood. We talk about what to expect in general with these medications and review some of the individual medicines including sertraline (Zoloft), fluoxetine (Prozac) and escitalopram (Lexapro) to name a few.  A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast)

Voice-to-Text Translation. Please excuse errors.Take time to pray. It is the sweet oil that eases the hinge into the garden so the doorway can swing open easily. You can always go there. Consider yourself blessed. These stones that break your bones will build an altar of your love. Your home is the garden. Carry its odor hidden in you into the city. Suddenly your enemies will buy seed packets and fall to their knees to plant flowers in the dirt by the road. They'll call you friend and honor your passing among them. And when asked who's that, they'll say, oh, that one has been beloved by us since before time began. Give everything away, except your garden, your worry, your fear, your small-mindedness. Your garden can never be taken from you.Welcome back to the imperfect Buddhist. My name is Matthew Hawk Mahoney, and today's episode is titled Buddhism and anxiety. I've been working from home for the last year and two months. I've been trying to find any way to get out of the house. So the other night, my wife suggested that we get ice cream, and I never turn down ice cream, unfortunately.And there's a little local spot here in Jacksonville, Florida called Dreamette. It's been there since the 1950s. It's a cool little old-school spot. A neighborhood called Edgewood, and we like going there. It's fun. A lot of families there and we walk around the neighborhoods , we showed up, and they were closed.So we went to a part of town that we don't usually go to much busier. There's a main highway there. It's a brand new mall area, so there's a lot of traffic, a lot of people, and we got our ice cream. Of course, I got a pumpkin spice-flavored ice cream. I'm basic. I know. And we sat down in front of Coldstone.I just took in what was going on around me. I saw all this traffic flying by, people coming and going and really loud cars out on the highway.I had a little flashback to when I worked in customer service. I had a couple of customer service jobs. One of the busiest was Starbucks drive-through & cafe. And that has to be the busiest job I've ever worked. I still sometimes have nightmares about making pumpkin spice, lattes, or caramel frappuccinos with extra caramel.I had this flashback to all the anxiety I used to experience, and even experiencing the anxiety of that present moment where there's so much going on. So many people going here and there and loud sounds and an ugliness that comes along with roads, pavement and new construction before the decorative plants, have had time to grow.You end up with this very industrial feel. So I was struck a bit by how anxious things feel in society , not only in. our life when we're out in the marketplace, for instance, at a little strip mall that I was at, but also in media, YouTube, for instance, I see these financial podcasters that I've watched from time to time.Every time I'm on there now it's like the great collapse is coming. China's economy is destroyed and how to prepare for the, the great impending doom. Apocalyp. And it's tempting to click on 'em sometimes, but then I'm just like, what the heck? And so there's just this flavor of anxiousness. There's a thick schmear of anxiety. Lately in my life, I've been a bit cloistered. I've been. In my home office, which is also my music studio and podcasting studio. I have up these sound panels, these four inch thick base traps that absorb a lot of sound. And to me it feels pretty darn peaceful in here , but it wasn't always like that. From the age of 19 to 24, I experienced deep sometimes paralyzing states of anxiety and panic attacks. I turned 18 years old. I dropped out of high school to join a band. And this was my dream, but this where the really deep experiences of anxiety started to happen.My introduction of adult life, like what it meant to be in charge of myself and also open to all of the things that can happen. And the, the, all the responsibilities that come along with being an. Touring around smoking at least a pack a day of cigarettes eating really terrible food.Like McDonald's whatever was available. Maybe sometimes we'd stay at someone's house and they'd make those Dino nuggets. Have you ever had those Dino nuggets? Just chicken nuggets shaped like dinosaurs touring around. I wasn't taking this medication that I had been on since I was 14 years old.It was. Antidepressant antipsychotic anti-anxiety was called Paxil. I started to have these experiences of just like fear deep states of doom later, later discovered it's called a panic attack. And so experiencing that around a group of guys, I really didn't know that. Well, it was really hard to navigate.I was on my own in this touring band, playing guitar every night. Experiencing deep levels of anxiety, fear, like, what am I gonna do? I don't really have a job. Flash forward about a year, I ended up leaving the band partially because of the anxiety I'm in. Grant's pass.It's my mother and my stepfather's wedding. This was 2008. At that point, the anxiety is paralyzing. I'm so deep into my own head, having compulsive images, where I would see someone's face fall off or see myself stabbing a knife into someone's neck, the imagery in my mind. This was really scary because I'm like, what the hell? What's going on deep states of not only anxiety, but I think maybe there were O C, D or something going on where compulsive images were popping into my mind. And I'm like, no, I don't wanna see this. My sister-in-law who was there for the wedding, Cheryl.Gave me this book called the power of now, by Eckert toll. It's all about present moment awareness. And that was the beginning of my present moment awareness exploration. Flash forward another five, six months. I'm starting to practice some of this mindfulness stuff. I really don't understand the concepts that well, the whole concept of present moment awareness and trying to bring your attention to the sensations of this moment and the reality of this moment, it felt very foreign.And if you're new to practicing mindfulness or Buddhism, I could understand that feeling or it's like, what are you talking about? it's not really something tangible. It's not something easily understood with the mind. It's something that you have to experience for yourself, but flash forward another six months, I'm working at Starbucks, a very busy, very crazy location.Hundreds of customers per shift, hundreds of drinks, go, go, go, go, go do this, do that, do this, do that refill. This pump, this syrup, steam, this milk. Sweep the floor clean the bathroom. It's crazy. And in the midst of this, I'm trying to practice a mindful awareness, trying to be present with what's happening not only that, but then having the external pressures.For management like Matt, you need to smile more or Matt, you need to interact more with people. I just, I obviously wasn't a very good vibe fit for Starbucks because I'm this depressed anxious kid who maybe even looks weird because he is trying so hard to be present in the midst of all this chaos.So it was a really awkward time, an awkward time to be trying to practice this stuff. But. I believe it saved my life. I believe. I don't know if I would, maybe I wouldn't be dead, but I would be in a much different place. I imagine it would be a much darker place if I hadn't started coming back to some type of tangible truth, something that I could touch and experience on a daily basis.And that's what mindfulness brought for. And some of my anxiety kind of manifested and attached itself to some type of O C D thinking or imagery that would pop into my mind. And it was torturous at times, having a weird double punch of, seeing some terrible image, including my nephew, maybe a knife or something being stabbed into him.Seeing that alone , nobody wants to have to imagine that or see that. Adding to that, , oh my gosh, the fear around, you know, is this something I'm gonna do? Is this something I want to do? , am I becoming some type of evil murderous person? the third painful part of it is like, I can't talk to anybody about this.They're gonna think I'm crazy. They're gonna think I'm a murderer. So you have all these compounding mental issues. The freedom that mindfulness and practice gave me was able to see that and to realize that wasn't me. It was a time I was desperately needing to know that my mind and my thoughts and imagery in my mind, or worries or whatever were not me.I desperately needed to know that. And so I clung to that philosophy. It was the perfect antidote to. What I was experiencing. I don't know if I would be as deep into this practice if it wasn't for those experiences, because , in a lot of ways, if things are going great, you think you're hot shit.You really believe in yourself you have all these images of success for yourself. you really believe people think you're the coolest person in the room and you're handsome and you're wealthy or you're gonna be really, we. Nothing wrong, with some of these thoughts, but if you really believe all that, it's hard to hear a philosophy or a teaching that says you are not your thoughts, because that's like, that's really hard to let go of all that that's like so important.So much a part of what you think is real and it creates this story in your mind. So it's hard to let. Of identity when you feel like your identity's pretty cool, but in my situation, I was afraid of my identity or I was afraid of the thoughts I was seeing. I was paralyzed by the possibilities. My mind could spin up.So a teaching that came along and said, no, you're not your thoughts. You're not your worries. And along with that, though, it also said, well, you're also not your positive thoughts about yourself. You're not. You're not the concept, the positive concept you have in your mind. There was a little bit of clinging to that as I had to let go of everything, because it said it's just in general, you're not your thoughts.So I had to let go of everything. So in a way, this imagery that would pop into my mind was a blessing because it really gave me a reason to believe in and practice that pH. So if you're experiencing a really deep state of anxiety in your life, or even subtler levels, which is more what I experience these days, but if you're, if you're having acute symptoms and you're like, I just need help.I'm I don't know what to do. I've tried medications or tried talking to a therapist nothing's working. There's a lot of things that you could. And mindfulness practices aren't for everybody. If you are a warrior type of person that you want to step into that fire more, you wanna step into that more and be transformed by these quote unquote negative experiences or suffering that you're having.Then I would encourage you to practice mindfulness, to practice, present moment awareness. A lot of the times in our society. Mindfulness and Buddhism is this cure all they're like, oh, just take this, this pill called Buddhism. And it's all gonna be okay. Like you're gonna solve every problem.Everything's gonna work out fine. You're gonna realize Nirvana, just practice mindfulness. On the other side of that, being the person that was suffering from deep mental pain in English, it is a long, long road. It's not easy and it's not for everyone. So I think before undertaking this path of practice, really have to ask yourself as Kaku the Zen Buddhist teacher from Darma rain in Portland asked me recently, he's like, Matt, you know, you're at that stage in your practice where it's red pill or blue pill, there's nothing wrong with either one, I suppose.I think it's a matter of who you are and what you want in life. when you are in those deep states of, mental anguish, suffering pain, you have a choice and that choice is always happening. It's not like you just take the pill once and now you're gonna be on this path of awakening.When you're suffering, are you turning towards the suffering in your life, in your body, in your mind or the suffering around you? Or are you turning away from. Is meditation and mindfulness gonna solve all my problems? No meditation and mindfulness will allow you to touch and experience your quote unquote problems and your life in a new allows you to unlock the truth of that suffering that allows you to unlock the value of the suffering and the reality.Of that suffering. It allows you to come in contact with who you truly are at your core when practiced for long enough, long enough, maybe one minute for some or a hundred years for another. So if you decide that mindful practices or meditation is something that you want to try, what does turning towards our suffering?Look. It's as simple as witnessing what is truly going on for you and developing a witnessing presence. Witnessing presence means you see what's going on inside of you, but you're witnessing it. You're not taking it personally. You're not creating a self out of it. You're not judging good or bad. You're simply watching and witnessing what's happening.And the longer you can witness, for instance, Experience of fear in your body, or maybe even the images that are in the mind, the more distance you get, it allows you to develop the ability to see what's going on in your mind and your body as something that's actually not that personal. You start to come back to your true identity as the presence that is seeing and experiencing these things.And maybe there's an argument inside of your. That's like, well, what do you mean? This isn't me. I'm not the one having these experiences. What does it help if I look at it this way or the other way, what proof is there to say that this isn't me. When we start to turn towards what is happening in our bodies and minds, We begin to see what is real.And what's not because we'll notice that this emotion of fear and anxiety it comes and it goes eventually, maybe an hour, a minute or a second, but we're like, whoa, where did that go? So if I'm anxiety or I'm fear, where's that now? Who am I now? Well, wait, I'm now I'm seeing another thought or a different emotion.Maybe I'm happy now. Maybe I'm excited because I'm about to go get some ice cream. Am I excited to go and get ice cream? Is that who I. Or am I experiencing this emotion of excitement? You witness long enough, you start to see that things change. That transient is real or as tick, not hahan would say that there's many clouds in the sky and clouds drift by, and those are our thoughts and emotions.So as a little tip, if anxiety is something that you struggle with and you've tried other therapies. Counseling medication, positive self talk, things of that nature. And you're still feeling bit out of a loss if you've tried these other things or you're interested in moving towards the reality of your pain. I highly recommend a book called the untethered soul by Michael singer. It's a non-denominational book. It's actually not Zen or Buddhism or anything like that. But it's all about this idea of coming into contact with reality and in touching our pain, fear, emotions, positive and negative. We realize they have no reality of themself.Thanks for stopping in to the imperfect Buddhist. I look forward to talking to you soon. Take care. Support this podcast at — https://redcircle.com/the-imperfect-buddhist/donations

Do you feel like your brain has been on a downhill spiral since you turned 40? You're not alone. The mid-life crisis is real, and it's affecting more women than ever before.   But there's hope! In this episode of The Hormone Prescription Podcast, we chat with Dr. Louann Brizendine about how to upgrade your brain at midlife and thrive.   Dr. Brizendine is a leading expert on the female brain, and she shares her insights on what's going on inside our heads during this time of transition. She also gives us practical tips on how to improve our cognitive function and protect our mental health as we age.   Louann Brizendine, M.D. completed her degree in Neurobiology at UC Berkeley, graduated from Yale School of Medicine, and did her internship and residency at Harvard Medical School. She has also served on both the faculties of Harvard University and University of California at San Francisco. She founded the Women's Mood and Hormone Clinic at UCSF. Her New York Times bestseller, The Female Brain, and its follow-up, The Male Brain, continue to be read around the world. Her eagerly anticipated book, THE UPGRADE: How the Female Brain Gets Stronger and Better in Midlife and Beyond, is out in April 2022. Now, as the Lynne and Marc Benioff endowed professor of clinical psychiatry at UCSF, Dr. Brizendine continues to speak, write, research, and consult.   In this episode, you'll learn:   What's going on inside our brains during the mid-life transition   How to improve your cognitive function as you age   Tips for protecting your mental health in midlife and beyond   The latest research on the female brain and how it changes in midlife   And more!   If you're ready to learn how to upgrade your brain in midlife and thrive, this episode is for you!   (00:00): In this episode, find out why the upgrade previously known as the transition is the gateway to the best years of your life.   (00:09): So the big question is how do women over 40, like us keep weight off, have great energy balance. Our hormones in our moods feel sexy and confident and master midlife. If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself. Again. As an OB GYN, I had to discover for myself the truth about what creates a rock, solid metabolism, lasting weight loss, and supercharged energy. After 40 in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results. And to give you clarity on the answers to your midlife metabolism challenges, join me for tangible natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston welcome to the hormone prescription podcast.   (01:03): Hey everybody. Welcome back to another episode of the hormone prescription with Dr. Kyrin. Thank you for joining me today. You're gonna love my guest today. Dr. Louann Brizendine, I'm gonna tell you a little bit about her and then we'll get started. But first let me say, she's talking about the upgrade. What is the upgrade for women? Well, it used to be called the transition, which meant all kinds of bad things, bad outcomes, things you don't want for women, but she is reframing this time of life as being the upgrade. And I love that because it's really true. You are getting an upgrade, not a downgrade, despite what you might have been told or you've been led to believe. And she's gonna tell you how to maximize that so that this can be the best time of your life. Dr. Louann has some amazing credentials. She completed her degree in neurobiology at UC Berkeley.   (01:57): She graduated from Yale school of medicine and she did her internship in residency at Harvard medical school. You can't get much better credentials than that. She served on the faculty at Harvard and university, the E of California at San Francisco. She founded the women's mood and hormone clinic at USCF. Her New York times bestseller the female brain and its follow up. The male brain continued to be read around the world. Her eagerly anticipated book, the upgrade, how the female brain gets stronger and better and midlife and beyond is now out and available. She is the Lynn and mark Benioff and do professor of clinical psychiatry at UC S F. She continues to speak right research and consult. Please help me to welcome the brilliant I'm Dr. Louann Brizendine. Welcome Dr. Louann to the podcast.   (02:50): Thank you, Dr. Kyrin, nice to meet you and see you. And I'm just delighted to be here with your audience because you know, your people are my people   (02:59): Yes, our people are the same. we   (03:05): Treat the, we treat the same group of patients. I do my medical center. They say Louann treats above the neck and we treat below the waist.   (03:12): Yes. I love that. But most people think that they're such a dichotomy there. Well, above the neck and below the waist, there's no relationship, but that's exactly what you talk about in your books is how connected our female hormones are to our brain function.   (03:32): Absolutely. I don't think people know that. I think, you know, once you hear it and you understand you go like the light bulb on your head goes, oh yeah, yeah, yeah. Of course the brain, the pituitary control all the other hormones in the entire body.   (03:46): It's so true. And the hormones in the brain and just all the intermixing, which I'm sure we'll get into how vital sex hormones are for cognitive function for brain function. But I wanna start just talking about your book, the upgrade, because I think this is really radical and I'm hoping you can explain to everybody, we always talk about the menopause transition. I actually talk about the menopause spectrum and how it's not a point in time, and you go through this spectrum of change, but talk about what the upgrade is and how it differs from the transition.   (04:24): You know, you and I speak the same language actually, because that's why I, with all my patients, I hated those words. Like the perimenopause menopause is cuz it's like, it's, those are medical diagnoses in a way. And they're just a little slice of what actually is happening. It's not the whole woman, this transition that we're going through from like about age, you know, 38 to 48 that we kind of call in the big brackets kind of AKA the perimenopause. Yeah. That's something that's happening just to kind of the, the ovaries and the follicles are, you know, starting to not be as healthy and they're starting to like die off and we lose them, but that's just, that's the medical diagnosis of that transition. So, but I called it the transition because it's, there's so much more that's going on for us women. There's all kinds of relationship, things, emotional things, things in terms of our work life things in terms of our children, that's like, there's all kinds of layers of stuff that's going on in our brain.   (05:14): So the transition, and then once you hit finish the transition, you go into what I call the upgrade and the upgrade, AKA menopause it's as you. And I know the definition of menopause actually lasts for one day, right? It's the day, 12 months after your last period is called menopause. It lasts for one day and then the next day you're in post-menopause. So, you know, it doesn't really, these words don't really kind of work for what we experience as women. And so certainly not what our women patients are experiencing. And it's so cool. I mean, once you hit the upgrade, they, after the rock and roll of the hormonal fluctuations of the menstrual cycle, the perimenopause, all of your fertility years, your brain circuits are and your body you're free of that, those waves that crash over you every month. And people don't realize that the hormones are changing, not just stuff in your ovary and your uterus, but they're changing all kinds of stuff in your brain circuits for your memory.   (06:12): Remember like three or four days before ovulation, it's a huge estrogen Sur just making you be, you wanna be kind of, you sway your hips a little more. You put a little makeup, it a little sexier. You know what you're doing is mother NA under the hood mother, nature's got you all wired hormonally to go out there looking for the best sperm. You know, those couple of days before ovulation, our sex drive goes up. We're all, you know, we're ready to rock and roll. I've got UA, our hips, actually our voice goes higher, all that stuff. We talk faster, et cetera. And then of course the PMs time comes, you're crashing. You know, you're having all of those irritability and those spurts of anger and tearfulness and my clinic, we call it the crying over dog food commercials sign, you know, we can Boohoo over anything.   (06:55): So the cool thing is, is that once you hit the upgrade, baby, that's gone and you've got all of this circuitry in there. That's working really well to just your dance card is open to add new things. You're not gonna have to struggle with your hormones being jerked around. You're not gonna be dealing with fertility hormones. You're not gonna be dealing with being pushed out there, looking for the best firm, whatever it is. You know, you've got all of this incredible space and brain power that comes and is able to like take on new project, new purpose women, lots of women, you know, in America, the biggest number of new businesses are started by women over 50.   (07:33): Yes. I always tell women that I work with that. I'm kind of sneaky. Cuz do I wanna help you with your health? Yes, but I'm really sneaky cuz I know you're sitting on gifts that you aren't using and you aren't delivering to the world cause you don't feel good. So if I can help you feel better, then you will get off your assets and give your gifts. And so I think it really aligns with what you're talking about. The upgrade so many women see this as downgrade TBA, oh,   (08:08): That's wrong, wrong, wrong. That's no, that is so wrong. And this that's because society is still looking at it that way too. And where as these things start inside us, as soon as we start looking at ourselves as an upgrade, then society starts to follow along behind us. We have to take that for ourselves. We have to claim that territory, claim that for ourselves mm-hmm and it is an upgrade. And once women realize that and start seeing it as like, yes, your fertility years are over, but 50 women that are 50. Now many, a chunk of us will live to be a hundred plus you know, those women that are just starting in the early Perry, you know, a lot of those women will live to be, you know, 110, you know, there's, you've got more than half your life there. So you gotta, wow, you got this whole new chapter. I, I have a chapter in the book book that's called finding new purpose as well. I go through all the rock and roll of the, for women that are younger. I've had women in their thirties, they read this book and they go, oh God, Dr. Luann, thank you. I feel so much better. I thought it was all over when I was 40, you know, there's feeling so hopeful that there is more to it than just like things being, being over when you're 40 or 50.   (09:17): Yeah. And so what are the gifts? Why do you call it an upgrade? I get it. But I think there are a lot of women and men out there who aren't gonna get it. So what is new, better, special about this time.     (09:32): Okay. So let's go back to that jagged up and down of your hormones all during your fertility cycle, remember your brain circuits. So part of your brain circus was one of the little areas called the hippocampus, not the hippopotamus, but the hippocampus. You know, it's a really important area in your brain. If you stuck your fingers right in above your ears, by about an inch into your brain on both sides, that's where they live a little guys, the size of your, you know, your fingertips. But they're really important cuz it's the way you form all your memories. You attach your memories and it's a big memory cognition center in your brain. And every month the estrogen goes up and it sprouts like 25% different connections in that area. And then it gets all born down during the last two weeks when a progesterone comes and pours like weed, killer her on all those connections.   (10:17): So it's like building up, taking down, building up, taking down. So that's just one little area of the brain it's happening in other areas too. We don't know that we don't teach that or talk about it yet because the new technology is just being able to show that. So women need to know that that buildup tear down, build up, tear down. It's not letting you stand firmly on the shore. You stand more firmly and see further when you're able to just count on a more stable brain power every day of the month. You're not being jerked around by your hormones anymore.   (10:47): Yes . And so you talk about all the benefits that occur. Like we're more relaxed. Our brain is more even chilled. Our moods are more even keeled. Now I know a lot of my people who listen to this podcast are wondering, well, Louann under Louann, are you talking about this is with hormone therapy or without cause they know me. They're listening to me all the time. And I always talk about why doing menopause naturally is a bad idea, the increased risk for disease and what I call midlife metabolic mayhem. And so help them understand, is this something that I'm gonna experience just naturally? Or is this something that I need hormone therapy to help me experience? How do I experience the upgrade?   (11:42): Okay. So I wrote this book and I had to stop tiptoeing through the tulips on this issue, right? Cause I was part of the generation where when women's health initiative came out in 2002 women's health initiative, you know, to stopped the hormones for all the women in the country. And I know you and I are seeing all these women now that have had these women that unfortunately went through this transition before we were back to being able to give women their hormones back, we see all kinds of problems. You know, they're getting osteoporosis and the Alzheimer's situation in terms of the actual evidence based medicine on that is being looked at right now. So we don't know some of that piece about the dementia, but a lot of the evidence is pointing to the fact that the brain needs estrogen too on going remember men, men don't fall off a cliff.   (12:26): Like we do hormones at that stage. They go on in a 60 year old man and a 60 year old woman. If she's not taking hormone replacement, guess what? Dr. K they have four times more estrogen in their brain than we do at age six. And, and that's why they have increases for prostate cancer. Yes, exactly. And that's what osteoporosis as much as women too, right? I mean, it's just basic biology. And once, you know, listen, biology is destiny, unless you know what it's doing to you. Yes. And once know, once you know what it's doing to you, then you can take appropriate action for yourself. So I tell women, they go, oh, why don't I get breast cancer? If I take hormones, blah, blah, blah, whatever the answer is, no women, the evidence shows that women in the five to 10 year of taking hormone replacement therapy after the change don't have any increased risk of breast cancer, unless you have the breast cancer gene.   (13:21): So I basically just test my patients, all their genes. I just test them to see if they have any of the breast cancer genes. And then you're in a different category. But if you're not in that category, then yes, you may safely take hormones after that period of time, that will help you get through that. Now, if you've had a hysterectomy, you're in the, you're in the lucky group, right? You're in the lucky group because you only have to take estrogen. You don't have to take progesterone because you don't have a uterus anymore. So those women in my practice are the happiest actually that they don't have any have to take any progesterones. So the mixing and I talk about that in chapter three and four of the book, kind of the mixing and matching of the estrogen and the progesterone and different aspects of that.   (14:00): So yes, I really feel that that women should have the opportunity and doctors should not hesitate to, you know, women that are having difficulty sleeping. Remember the three pillars, right? The three pillars of your brain function, the three pillars of that little stool, three cord stool stool is only stable with three little legs. So one of the big legs is sleep for your brain, cuz remember, and that's why I bring this up in the context of pour my replacement there. Because if you're not sleeping, cuz you're sweating all night, you're up all night long and you're just like, your brain is erect. Now remember what happens in your brain? It's sleep is that all the little cells you've been talking to each other and your brain all day long, chat, chat, chat, chat, they're making all this garbage Gar they're called garbage proteins. They're just like, there's spewing trash around all over your brain.   (14:43): At night, those little neurons, they shrink down. They shrink back and they leave these little channels in between the cells where the whole body gets to flush out. They just come out with the hose and it flushes out all the garbage at night when you're sleeping. But if you're not sleeping those cells don't shrink back and you're not flushing out the garbage outta your brain every night. So that's one of the big deals about making sure you're getting good sleep during this transition. And lots of times, as you know, and I know it's like, gosh, a patient who's not sleeping. You put them on estrogen sometimes within a week, they're sleeping well again and their brain is clearing up from that brain fog that the other two little parts of the stool are of course having that Mediterranean type diet. So you keep your inflammation down.   (15:26): You keep your nutritional level up while your vitamins up and that extra corner of the stool. And of course the other one is muscles. Remember muscles, the big study on women at age 80, those 80 year old women who had the best cognition had the best muscle function, strongest leg strength, the strongest leg strength, and basically that leg strength and the muscles communicate with the brain. I tell women cuz one of the biggest muscles in our body is the butt muscle, your glute muscle. So I say one of the things I gave this little tip on TikTok and Instagram, that one of the best things for your brain is to do, but squeezes. So ladies, when you're sitting down at your computer, when you're standing, brushing your teeth or in the grocery line or driving somewhere, do your butt squeezes. If you aim for a thousand a day, that's good. I figure if I can do, if you can do a hundred a day, that's good. Keep the muscles going. Cuz the muscles release things into your bloodstream called Mykines that stimulate the brain as well as the whole nervous system that stimulates the brain. So that talk back and forth study just came out last week in the new England general showing people's muscle strength is really a big prevention of dimension. So those are the three, three little stool. Just the little legs on the stool is the sleep, the diet and the muscles.   (16:37): Okay. Super important. And that's one of the reasons why I think testosterone is so important to maintain that muscle mass, because like you said, it's related directly to brain health   (16:47): Cuz I think that's come up a lot with women and you know, of course all of us, it's not FDA approved in the United States, but the European women have had it for 20 years. European women have a, a compound that just comes in a little like little pump that you pump out one pumpy you run it on your wrists and that's your testosterone supply for the day, but we don't have it here.   (17:04): Well we have bioidentical compounded hormones and I'm a big believer in test don't guess. So test the levels and optimize to optimal physiologic levels using a custom compound prescription.   (17:19): Absolutely.   (17:21): Yeah, but we talk a lot about with men that they lose muscle mass, their dopamine goes down, they feel like they've lost their edge when they go through cuz their testosterones going down. But the same things happen for women too. And really in America we only talk about testosterone as it relates to women's sex drive, but it's about so much more it's about brain health and neurotransmitter balance and muscle mass. So it's, I think it's super important.   (17:49): Yeah. I think that it has to be individually tailored made to each woman because I have, I've had a lot of women that you know, that the downside is that you get a little bit, you get more irritable, it's easier to have it's even for women to have road rage road rage on testosterone.   (18:04): I think, yeah. If it's too high, you can definitely have that. But if you get that sweet spot, I mean we, women have testosterone throughout our lives and most of us don't have a problem with it. So if we can get it at that sweet spot that's right for each woman, then I think she doesn't have an overabundance of aggressive tendencies or anything like   (18:24): That. The DHA can sometimes be okay for some women as long as they don't get acne from it, you know?   (18:30): Yes. Okay. So those three pillars I know in the book, boy, you go through so many things. I don't know which to ask you about first let's talk about dementia. So I recently did a, a Ted talk and I, I talked about my mom who has all advanced Alzheimer's and really the only risk factor she had was she had been menopausal without hormone therapy for three decades. And so that's probably her biggest risk. And so hormones are a part of that, but what are other ways that people can fend off dementia, increase longevity and wellbeing.   (19:07): So those studies are really being done. And I think that the estrogen replacement, one of the things we look at that why women have more than men is first of all, of course, women live longer, but you know, not that much longer, like, you know, we're at three or four years longer and that's about it. So, but women, for some reason do have more dementia. I have some of my colleagues who are specialists in Alzheimer's and they really think that that women at the transition should definitely be taking estrogen replacement during this transition to help keep their brain active and functioning. So there's just so many receptors in the brain that for estrogen estrogen receptors, like if you just looked at your, you took a picture of my brain right now with like a special filter that just showed you the estrogen receptors all over men, it would look like the United States with a massive COVID outbreak.   (19:55): You know, they'd be like if they little dots everywhere, you know, cause estrogen receptors throughout our brain and obviously our body too. So that is one thing I suggest for women, the dementia also inflammation. So we think of that inflammation. I talk about this in the book I talk about in the, I have a chapter that's called, you know, the neuroscience of self care and that chapter chapter six and also chapter 14 specifically talks about keeping your brain healthy and avoiding dementia. And besides the estrogen replacement, there's all kinds of things about inflammation and inflammation does not just mean an infection. We always kind of think of it as meaning an infection, but there's a lot that we're learning about. What's called it's a really little technical turn it's called sterile inflammation. It basically means inflammation without an infection. And that happens in our body all day long all the time.   (20:43): And we need to clear out that inflammation all the time. So things like the Mediterranean diet and things like just basically trying to keep all of your vitamin levels at the right level is really very helpful to keeping inflammation down. So anything that you can do, keeping your microbiome and your gut healthy, which is basically comes from eating really healthy fibers. I mean, you do not need to take a handful of probiotics every day. I mean, some people like to take those, but sometimes, sometimes those cause a lot of trouble for people who have small intestine problems and larger intestine problems taking too many probiotics can be a disaster, but some people it can be okay for others. But keeping your microbiome healthy basically comes from eating healthy fibers in your diet, you know, both the soluble and the insoluble fibers. So really paying attention to feeding the wonderful, healthy bacteria down in your colon, cuz they then release compounds that go into your bloodstream right through your gut. So you can help decrease inflammation by feeding your microbiome, the healthy bacteria. I think it kind of like my special little garden down there in my colon that I'm, you know, I just wanna make sure it has the right fertilizer and I right water every day. Just think about it as something you're trying to take good care of and grow to be its most beautiful.   (21:56): I remember this book, maybe you do two called my secret garden. Do you remember that book? That's learned about sex? It was at my friend's house and I found this book, my secret God, but now to me, my secret garden is my gut garden. (22:12): Yes. True. I know, I know. I think of my little babies down there that I'm just trying to like keep healthy and keep feeding them the right stuff and et cetera, et cetera. So yeah, you're absolutely right. That's one of the important things about this secret and microbiome. So that's something else that really can help keep the inflammation in your body down. And we do know that things like alcohol, alcohol really amps up your inflammation in your body and your brain. And it does all kinds of things to basically well increases your risk of breast cancer. It increases your risk of dementia. It's really, I know that's such a part of our culture, but you know, women, we do everything. We women do everything just to try to look healthy and stay healthy at this stage. That's one of the things not in eating like handful of, you know, sweets, like, you know, you don't go through a whole, a box of bond bonds anymore. Do we?   (23:01): no, we don't. And I love that you talk about in the book, really the dangers of alcohol, I think a lot of practitioners skirt over it because they don't wanna be the bad guy, but I was just talking with a client this morning and she's like, really? I can't have any alcohol. I said, no, you can do what you want. I'm just gonna educate you about the consequences of the choices you're making. And then actually one of my health coaches who works with me in my program said, everybody's asking me about switching out their alcohol for cannabis. Is that better? I'm wondering what your thoughts are on that.   (23:37): I think that the cannabis question is really interesting and I mean just in terms of, in terms of its harmfulness to you versus alcohol, I do agree with that first one. I agree that it's probably less, much less harmful than alcohol to your health and your brain actually. However, there's all kinds of things with it that we don't entirely understand right now. I mean, for one thing, it can give you the munch she's really bad. It can make you put on weight, you know? So all of our efforts are trying to keep that the belly fat down, it doesn't help with that cuz it just makes you wanna eat carbs. So, you know, it's like everything in moderation. I mean the best healthiest thing is to switch alcohol to water.   (24:17): Yeah. But I used to think I would get the same effects like I could drinking 12 years ago and I would do a yin yoga class after work. And I would feel like I had a glass of wine and you really invoke that parasympathetic nervous system. So I think there are a lot of ways to get around the wine o'clock routine.   (24:37): I think once people become meditators are doing yoga or doing, you know, things that are, that are much more stimulating your bagel nerve and your parasympathetic nervous system. When I talk about in the book, the alternate nostril, the nine round NOST thing and also the nurturing moment meditations that I talk about in the book too. There's there are ways that just really calm your nervous system and increase your bagel, nervous system, your parasympathetic nervous system. And actually in Atlanta at Emory university, they have a whole division that basically is researching and teaching the compassionate meditation practices.   (25:11): Oh, I love that. And you have so many resources in the book, so I can't everybody listening or highly recommend it and some great stories. You're gonna see yourself in these stories. And I'm wondering if you can share a little bit Dr. Elaine, about what inspired you to write this book?   (25:30): I wrote the book, the female brain, and it came out, you know, in 2006. And it was really about from the moment of conception up until the transition until the upgrade, you know, it was at that stage. And the last chapter in that book is called the mature female brain in chapter seven. So it's basically that book sort of stopped about the time to take off on all the things about the upgrade. And I wrote that at a time when I hadn't experienced those parts of life into the upgrade yet. And so when I started going through those years and things myself, I realized, oh my gosh, there's so much more to tell that I hadn't told that so important that has to do with our brains and our hormones and just our entire life and the stories of our life as they basically, you know, chapter eight is also on mothering adult children, you know, mothering adult, you know, teens and adult children and a whole nother thing.   (26:21): You know? So the, you know, the female brain book, I have a chapter, chapter five is on, it's called the mommy brain, but that was from pregnancy. You know, it was a whole different look and I hadn't experienced what it's like to try to mother an adult son. You know, I was like, are you kidding? You have to, there's all kinds of landmines you have to learn to avoid. So, so that's the reason I decided to write is there's just so much more that I felt needed to be said. And also the end of the book also goes through what we go through in terms of decisions that we make either with our parents as they're aging. And I'm sure you've had to do a lot of that, which is really painful and very difficult, but it's stuff that we need to talk about. We need to be aware of that stage of our lives.   (27:03): It is it's so important and you know, we are the sandwich generation. So I know a lot of women who are between children who maybe haven't left the nest quite yet, and parents who need their time and attention and care. And you talk about the importance of community connection, the epidemic of loneliness, how that's affecting us, what advice do you have for a woman who's navigating the sandwich, ears, getting her upgrade. And you talk about the wisdom phase and she's thinking Dr. Luanne, how do I bring my wisdom? Like I'm just overrun with all these responsibilities. How can you help her navigate this   (27:45): Again? You're juggling as fast as you can. When you like with, when you used to have really young children and infants saying you're having a job and trying to juggle, I know what that's like. That's like a little it's really you look back at and like, God, I've got PTSD from doing that   (28:01): Too. Oh, my   (28:03): Being a doctor being in the early part of your career where you're basically, I was at a university, I was in the shark tank and I was really in the shark tank cuz I was one of the only women. There are all these guy professors and they don't, they don't even know what to do with you. They just think that you're weird. But anyway, , and now you're in a different stage where you've got, like you say some probably mid-teens or teens at home. And then you're also trying to sandwich generation trying to care for. So, and then you're having all this experience of finally being released from all the hormonal pushes and pulls. And you may have some more brain power and some more, you know, you may have some more slots on your dance card that you get to fill, but all they may be being filled up with the needs and care taking of others. And I think there's a time that I have three words to say to women it's called self care, self care, self care, because you can only take care of others really, truly on an ongoing basis from your overflow of being filled up yourself with what you need. So you gotta put your own oxygen mask on first, before you can help others.   (29:06): I know it's so true. And I, we say it, but I still see women struggling with that. But I think we can both give you all, if you're listening permission, permission to love yourself first, right? You have a prescription.   (29:22): Not the reason it's not selfish is because you've gotta keep your gas tank filled up in order to help others and to help yourself. So you gotta track whatever practice you find. That's good. That's working for you. If you're doing compassionate meditation, you're learning that you nurturing moment meditation that I talk about or you're joining other women. I mean, I think that's women. We get a lot of love and care from our women friends. You know, we end from our, from some of our social engagements and we need to keep the channels open with our girlfriends. Actually, there's the study that, that I talk about in the book about where if you go out twice a week with at least three to four of your girlfriends, you live 15 years longer.   (30:02): Oh, I love that   (30:04): Shocking number, a shocking number. So it don't feel like it's a selfish thing. If you're, you know, we women, we feel like we need to keep ourselves alive and healthy cuz we feel that we're helping these other people with their lives. And we can't just bail on our life. Cuz we have other people that we love that we wanna care for. And yet we have to learn that it's not selfish at all on the contrary to take really good care of yourself and fill up your own gas tank so that you can put your own oxygen mask on and be able to help others. You must help yourself first and only be able to give to others from your overflow. The only thing you've got to give us on a constant basis is from your over. So ladies fill up your gas tank first.   (30:46): Yeah. And you share in the book, I wasn't aware of this, that there's the greatest increase in suicides among women over 60 and it's not being studied or really discussed. I wasn't aware of that   (30:57): Really shocking. Nobody's talking, you know, we are all talking about teen suicide, right? I mean, that's the thing that gets everybody's mind cuz it's like it happens at schools and et cetera, et cetera. But, and the alcoholism alcoholism level in women over 60 is skyrocketing. Especially since COVID, it's really, I mean it's a real listen, those women, women 60 plus are in a health crisis right now.   (31:20): It is so true. And I think w H I, the women's health and issue study has a lot to do with that. Cuz there's so many women, I think what is the statistic? Less than 5% of women are using hormone therapy and all the consequences that that brings. Right?   (31:37): Remember it went from 40% almost being on it to, and when that came out within the next two years, it struck to eight to 5%. And you know, a lot of the women that were seeing that are 60 plus they didn't. And a lot of my girlfriends didn't get it. I mean I did cause I'm a doctor. I had a hysterectomy when I was 53, my girlfriend was my surgeon. She put the patch on me in the recovery room and she says, Laurie, you're gonna do this patch and you're gonna keep it. So, you know, I had the advantage of like having medical care at that time, even though we think about it 2005 was only three years after the w H I or two years after the w H I came out.   (32:11): Right.   (32:11): And so osteoporosis, I mean, I have so many girlfriends whose bones are just falling to bits. There are osteoporotic, you know? So I just feel like at any rate, it's a crisis and we doctors, you know, you and I we're in this. And I mean, we feel it for our patients, you know, doesn't it make you mad sometimes. I mean, just makes me really mad that this was allowed to go on for so long. This was allowed to go on for 20 years and it's still going on. I have so many patients come to me. I'm sure you do too. That they can't find anybody to give them hormones.   (32:42): Yeah. I mean, that's one of the reasons I created her hormone club, a telemedicine membership nationwide. So women could access, testing and treatment with natural hormones because there are so many doctors still who won't prescribe it and advise against   (33:00): It. Why it's not because they don't care for their patients. It's cuz they're scared. And remember for 20 years, the OB GYN profession has not been teaching in residencies. Some of them come out of there with less than one lecture in their whole residency on hormone therapy. They don't even know they they're, they're basically uneducated   (33:22): So true. And when I was researching for my Ted talk, I came across articles. You know, it wasn't just us, me saying it, new England journal of medicine, journal of women's health and Mayo clinic proceedings all had articles on the fact that doctors are not trained in the management of women's hormones at midlife and beyond and are unprepared to treat women at this stage of life. I said, it's not me saying it it's documented incredible journals. So I think, you know, in any woman listening, you're probably not gonna get the whole story at your regular doctors. It's not their fault. They're good people. It's just that they're not taught that   (34:00): They're not. And so we did have some mega you and I have a megaphone out there and I feel, I don't know about you, but you, we both, you and I can tell, we feel as part of our mission to let women that's. Part of the reason I wrote this book is part of my mission to let give women permission, to do many, many things with their life at this transition, but also give them permission to seek out and get the hormones. They need to protect their bones, protect their brain, to protect their sleep, et cetera, et cetera, and not have brain fog and be going down the rabbit hole of depression and anxiety. I'm sure you see the depression and anxiety that this stage of life causes. And it's like, of course, estrogen replacement doesn't treat a, a full on full blown clinical depression, but it can stop a lot of women from a slippery slope of sliding down there. I'm sure you've seen that in your practice all the time.   (34:48): Oh my gosh. If I didn't have my hormones, when this started for me, the spectrum in my forties, I wanted to die. So , I know when women tell me that they're miserable and they're in their forties or beyond usually sex hormones are a part of that, you know, but they're going to their doctors and getting SSRIs or antidepressants, which isn't the whole story. And I've never found a woman who came in from an SSRI and said, oh my gosh, I feel amazing.   (35:17): Hi, absolutely not. As a matter of fact, they feel they can't have an orgasm cuz SSRI block their orgasms. And a lot of women don't even know that and they're not actually told that that much. And then, and then they also, they, they put on the drug Paxil, the one that's called peroxetine it's also called BI. You know, it's given for hot flashes too. It is the number. One of all the SSRI that causes on average 18 pounds of weight gain per year.   (35:40): Yeah. I'm not signing up for that.   (35:42): no, I know. I just that's that's you know, it's just not a, so the reality is, is that SSRI are really fabulous to help people over a, a, a glitch difficult spot. They can be very helpful. Then what happens though, is people get stuck on them because the withdrawal syndrome of trying to get off of them makes women feel temporarily while they're trying to taper off slowly. That's why take people down on really tiny, tiny taper to, I take them off from over two months. Most, some doctors will take them off over two weeks and then they crash and burn, but you get rebound depression from it unless you do it slowly. And so they think that underneath it all, they're really still that depressed. They need those meds for the rest of their life. And they're told by some doctors, they need them for the rest of their life.   (36:27): Well, they don't. I mean, so anyway that you gotta get me, that's one of my hobby heart. I swear. I mean, I've used those drugs for my entire career, cuz they're very helpful. And of course I treat a lot more, you know, anxiety and depression than you do. Cause that's, you know, that's where a lot of people come to me for, but they're women that are on glitches of their hormones. I don't wanna see them go down that rabbit hole. I wanna see them have their hormones balanced correctly before they go down that rabbit hole.   (36:51): Yes. Oh my gosh. So much to talk about. I'm gonna encourage everyone to get the book and read it. It is, there's a plethora of information, inspiration, wisdom. I'm wondering if you can share, we will have a, a link in the show notes where you can go download the first chapter of the book for free Dr. Louann's website. So we'll have that link in the show notes, but what are you planning to do with the rest of your upgrade and this wisdom phase in life?   (37:20): Well, you know, I'm, by now I'm doing the book tour and I'm doing lots of podcasts. I'm wanting to, you know, speak to as many women as I possibly can over this next year. And there's so much more than I'm starting to work on a PBS series on this topic. So stay tuned. I think that may come out next to March, but if it happens, I'll, I'll keep you posted fingers crossed the, all the editors and the producers wanna do this. Cause I think women really need like women. You see women all the time. Women are desperate and there's really, I feel that there's a failure on the medical professions part to help women at this stage of life. They just bail on them. They don't help them. So I'm so glad that you're out there doing this and we need to multiply you times a hundred thousand.   (38:01): Oh, I mean, we need you in every city, whatever I know, thank God for the thank out for the internet, cuz you can do it all over now. But you see that all the time. Don't you feel the same. It's just like, I feel that women are they're suffering needlessly. I want, I know listen. Life is full of suffering. Life is the truth of the matter is look, life is full of suffering. We're only human. All of us have suffering in our life, but there's a level at which you don't have to have suffering because of your hormones. Like leaving your body during the state of life. You know, we have a fix for that. Now it can help you. So I just want women to feel, don't   (38:34): Feel, feel guilty or bad about it just because your doctor doesn't know about it. Go find another doctor. Yeah, stop going to the hardware store for milk. They don't have it. They won't have it. Not gonna have it. So just go to the milk store and you know, so the hormones, thank you so much for joining me, Dr. Louann, this has been wonderful. Everybody go get the book. I can't recommend it highly enough. We will look for your PBS special, super excited about that. We will have the link in the show notes to go, go to Dr. Louann's website and download the first chapter four free on her website. And thank you so much for joining us today. Oh, it's my deep deep honor and pleasure to get to speak with your audience and to get to meet you as well. So anyway, best of wishes to all of you and your audience. Thank you for having me and thank you all for joining me for another episode of the hormone prescription with Dr. Kirin. I want you to take action with the information you have heard. Dr. Louann has a wealth of information. She cite all the studies. She's got the data in her book. You wanna get this book for sure. And then I want you to take action and follow me on social. And let's talk about what you're doing. I will see you again next week until then peace, love and hormones. Y'all   (39:51): Thank you so much for listening. I know that incredible vitality occurs for women over 40. When we learn to speak hormone and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it. If you give me a review and subscribe, it really does help this podcast out so much. You can visit the hormone prescription.com or we have some free gifts for you and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.   ► Get Dr. Louann Brizendine's first chapter of her book "The Upgrade" - How a woman's brain gets “upgraded” in midlife, inspiring and guiding women to unlock their full potential.   CLICK HERE to download for free.   ► Feeling tired? Can't seem to lose weight, no matter how hard you try?   It might be time to check your hormones.   Most people don't even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what's going on with your hormones and get you back on track.   We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started.   Try Her Hormone Club for 30 days and see how it can help you feel better than before.     CLICK HERE to sign up.  

Major topics covered— Caring for your sexual body Caring for your sexual body does not require a partner! That is something that you have ownership of. You are a sexual woman whether or not you are sharing sex with a partner. It is so much easier to maintain vaginal health than it is to recover vaginal health. Maybe just start with some proactive vaginal hydration every week. This is about health in your body. Our urinary system, our vulva (outside), our vagina (inside), and the pelvic floor muscles are all impacted by the loss of estrogen in our systems. Using a full-sized vibrator with penetration at least twice a week to promote blood flow to the vagina will help maintain vaginal health, in the flexibility, in the length of its accommodation, and in the circumference of the accommodation. Listen to your body and be proactive! If you have painful intercourse, hydrate for at least two weeks, then move to dilation. Vaginal moisturizing/hydration (hydrates the tissue and promotes vaginal health) Vaginal estrogen Oral estrogen Oral estrogen combined with a non-hormonal gel Non-hormonal (hyaluronic acid products Traci recommends: Hyalo Gen Revaree Gynatrof Dilation (work) / Vibrators (fun) If sex is painful, go for a dilator Traci likes the Dr. Laura Berman Intimate Basics - Dilator Set Vibrators can be used to promote blood flow, to relax the muscles, and for pleasure Start simple until you can figure out what you like. https://www.rosetoy-official.com/ is the website mentioned, but it's certainly not the only one! Lubricants (reduces friction) - Traci recommends the following lubes Water-based lubes: Good Clean Love, Enchanted Rose, Velvet Rose Silicone-based lubes aren't recommended—they can degrade a vibrator so don't use together. Hybrid lubes: Naked Silk, Wet Gold Vaginal pH Prevention (these things will maintain a healthy environment in the vagina): Probiotics (research the biome's relationship to the vagina), vaginal estrogen, hyaluronic acid When you have recurrent bacterial infections in your vagina, Traci prescribes boric acid. Please don't use products that have fragrances! Urethral prolapse Can be caused by a combination of loss of estrogen, chronic constipation, overweight, pregnancy, childbirth, weak pelvic floor muscles, pelvic trauma. Typical treatment plan Vaginal estrogen Hydration of vaginal walls with dilation Pelvic floor therapy to strengthen muscles Use of Cialis in women FDA hasn't been approved for women. Option is to use cuddle cream / scream cream. It's easy. Put it where you want it without systemic effect. Vaginal exams Pediatric speculums are available if you are concerned about adult-sized speculums Feel free to ask if you can remain clothed to have a conversation with your gynecologist before your exam. Great idea! Advocate for yourself! Women's Healthcare Provider Worksheet Download here – https://sexafterbreastcancer.com/ Medications and sex All the meds that impact the central nervous system may impact you sexually. SSRIs have a pretty high impact on desire (diminished or inability to orgasm OR persistent genital arousal). SSRIs approved to treat depression are Celexa, Lexapro, Prozac, Paxil, Pexeva, Zoloft. Play with the timing of your meds See if you can lower the dosage Some anti-depressants that have fewer sexual side effects: Wellbutrin, Remeron, Viibryd, Trintellix     NOTE: Links shown are informational only and are not indicative of the only pricing available. Please rely on your own research.   ABOUT Sex After Breast Cancer LIVE! Our largest breast cancer support group is our Sex After Breast Cancer community on Facebook. Every month, our community of thousands from across the world grows, each woman searching for solutions to the issues they are experiencing after a breast cancer diagnosis. And we have answers! Dozens of professionals have joined our Contributing Experts team to educate the women in our community. Our current Contributing Experts have impressive credentials— Board-Certified Urologist and Sexual Medicine Specialist Medical Doctor—OB/GYN, Rosy Wellness Founder Certified Sexuality Counselor, Practice Clinician, RN Licensed Professional Counselor, Certified Clinical Trauma Specialist Pelvic Floor Physical Therapist Licensed Marriage & Family Therapist, Christian Sex Therapist Occupational Therapist, Somatic Sexologist, Clinical Sexuality and Intimacy Educator Family Nurse Practitioner, Pelvic Health Specialist Holistic Therapist, Certified Grief Facilitator Medical Doctor—OB/GYN Family Nurse Practitioner, Women's Health Specialist Life Coach/Relationship Expert Board-Certified Women's Health Nurse Practitioner Doctor of Osteopathic Medicine, Internal and Obesity Medicine Specialist Naturopathic Doctor, Homeopath E-RYT 500 Master Yoga Instructor, Yoga Teacher Trainer, Yoga Therapist, Thai Yoga Massage Practitioner, Reiki Practitioner Certified Lymphatic Therapist Clinical Thermographer Accredited Exercise Physiologist, Cancer Exercise Specialist Board Certified Integrative Nutrition Health Coach Doctor of Pharmacy, Healthcare Cost Consultant Clinical Sleep Educator Licensed Acupuncturist Certified Functional Nutrition Counselor Grief Recovery Specialist, Certified Professional Coach, RN Each week one or more of our experts joins us for Sex After Breast Cancer LIVE! inside the private Facebook group. If you can't join us live, you can always catch each episode on our podcast. Shared with love by Jan James, Hope After Breast Cancer Find out more about our private Facebook support groups (Booby Buddies, Hope After Breast Cancer, Sex After Breast Cancer, Booby Buddies en español) here. Joining our Newsletter List will give you a monthly recap of our best content, as well as information about available training and support. Subscribe to our Hope After Breast Cancer Podcast on your favorite podcast platform! Check out http://sexafterbreastcancer.com/ for quick access to our Sex After Breast Cancer community, experts, and resources. Please help me provide more content to our community by buying me a cup of coffee (or two) at Buy Me A Coffee. And please pray for my efforts to have significance in the lives of the women we serve! Thank you! Disclaimer: While professional experts and the Company address health issues and the information provided on this Website and its components relates to medical and/or health issues, the information provided is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation.

In the early hours of the morning, 12-year-old Christopher Pittman walks into his grandparent's room and shoots 4 times, killing both Joe and Joy Pittman before setting their house on fire. We discuss Christopher's difficult early childhood leading up to this moment, and analyze his legal team's "Zoloft defense", as Christopher had recently been made to switch from antidepressant Paxil to Zoloft and double his prescription dosage. He was allegedly experiencing severe side effects in the weeks leading up to the murders. So many factors add to the mix in this case, making you question what could have been if just one had been different.Sources:1) https://www.cbsnews.com/news/prescription-for-murder-13-04-2005/2) https://www.mayoclinic.org/drugs-supplements/sertraline-oral-route/proper-use/drg-20065940 3) https://www.youtube.com/watch?v=bUuAVO3nKTk4) https://murderpedia.org/male.P/p/pittman-christopher-opinion.htm5) https://public.doc.state.sc.us/scdc-public/inmateDetails.do?id=%2000307734 

AND SHE WAS WAS "RECALLED TO LIFE"**This phrase is from A Tale of Two Cities by Charles Dickens.Suzanne took the antidepressant Paxil, a “selective serotonin reuptake inhibitor,” (SSRI) for six years. These cause brain damage, but no doctor had ever warned her. When her psychiatrist finally transitioned her off the medication, she immediately began to have sexual dysfunction and other withdrawal symptoms. So he recommended restarting 10mg a day, a minimal dose.Noxious, menacing effects due to SSRIs occur frequently after the second or the third time that a patient stops or restarts them.  This is what happened to Suzanne.   While taking the 10mg of Paxil, Suzanne became paranoid, had violent verbal outbursts, and had her first involuntary movements (dystonia or possibly tardive dyskinesia). She became suicidal, had other violent thoughts, and fantasized about cutting herself.  These are well-known occasional effects of SSRIs.The doctors forcibly hospitalized her. Her family, having little understanding or other options, went along with it. She was soon hallucinating and repeatedly screaming nonsense words. She wanted to hurt the people around her and had to be physically restrained by hospital security personnel.So the doctors increased her Paxil to 30mg a day—triple the dosage that initially caused problems. Even though this made Suzanne worse, they also added Zyprexa, (an antipsychotic), Ativan (a sedative), and Ambien (a sleep drug). She says Zyprexa was horrible. It made her feel as if knives were stabbing all over her body. It also gave her thoughts that people were trying to kill her. She was held in a locked mental health facility similar to a prison and was threatened with increased medication dosage if she did not improve.Since these effects occurred suddenly after starting the drugs, she realized that they were to blame. Fortunately, she was allowed to keep her smartphone, although the staff repeatedly threatened to take it. Suzanne started studying 14 hours a day from inside her solitary prison-like cell. She first read in Dutch but later began using English on the Facebook group dedicated to her primary drug effect, “akathisia.”She found MISSD.CO, Woodymatters.com, MadinAmerica.com, and other websites dedicated to psychiatric medication disasters like hers. Suzanne was dumbfounded by Katinka Blackford-Newmann's story because her involuntary hospitalization in the EU was nearly identical to Suzanne's. When Suzanne explained akathisia and dystonia to her state-employed Dutch psychiatrists, they insisted that there was no such thing. They also said that she must stop researching or they would never release her. She soon developed severe insomnia and deteriorated mentally and physically. See RobertYoho.substack.com for the complete essay. See RobertYohoAuthor.com to learn about my books, Butchered by “Healthcare” and Hormone Secrets. My essay with links to COVID treatment and more is HERE. “LEGAL” DISCLAIMER: Use this information at your own risk. It is general commentary and not medical advice. Robert Yoho is retired and no longer practices medicine. Make your healthcare decisions with the help of a physician or other licensed provider. Support the show

In this episode, inflation is Biden's top domestic priority. The link between mass shootings and pharmaceuticals. How Zoloft, Luvox, Amitriptyline, Prozac, Thorazine and Paxil contributed and what the makers knew.

Lockdowns and masks may contribute, but the toxic "selective serotonin reuptake inhibitors" (SSRIs) were proven to cause violence since the 1990s, when they were first studied.The following was published in Butchered by “Healthcare,” my 2021 book. The chapter is titled, “PROZAC AND RELATIVES,” and it explores the relationship between SSRIs, suicide, and violent behavior. If you want a free ebook, comment below then email me, and to buy a hard copy, this is the Amazon LINK.Wendy Dolin learned the hard way about antidepressants. Her husband Stewart threw himself in front of a train a week after he started taking generic Paxil. Mr. Dolin's doctors gave him the drug for job-related anxiety, but it creates intolerable restlessness in three to five percent of people using it. He was last seen pacing back and forth on the train platform.He killed himself despite what his family thought was a perfect life. His two grown children adored him, and he loved his career, travel, skiing, and his work. He was happily married to his high school sweetheart. When Ms. Dolin sued the drug company, testimony established that it had hidden Paxil-related suicides.For two decades, while making billions of dollars, the manufacturer had been quietly settling thousands of similar cases. In 2017, Ms. Dolin won a three million dollar judgment. Her attorneys had spent a million dollars, but the company filed an appeal. It claimed that the original manufacturer was not responsible for subsequent generic versions of the medication.The following story may be worse. David Carmichael took Paxil for two periods of several months each and felt suicidal each time. His doctor advised him that increasing his dose would decrease his stress. When he did, he went from suicidal to homicidal and killed his 11-year-old son. The circumstances indicted Paxil, and Mr. Carmichael believes it was the cause. Since blaming the drug was impractical for his legal defense, this was not brought forward at his trial. The court acquitted him of murder because he was believed to be temporarily psychotic, which means out of touch with reality.See RobertYoho.substack.com for the complete essay. See RobertYohoAuthor.com to learn about my books, Butchered by “Healthcare” and Hormone Secrets. My essay with links to COVID treatment and more is HERE. “LEGAL” DISCLAIMER: Use this information at your own risk. It is general commentary and not medical advice. Robert Yoho is retired and no longer practices medicine. Make your healthcare decisions with the help of a physician or other licensed provider. Support the show

Hour 1 * Guest: Lowell Nelson – CampaignForLiberty.org – RonPaulInstitute.org * We wish you a ‘Happy Memorial Day,' – We hope you take a moment to reflect on why Memorial Day exists. * Repentance is the sovereign remedy to our problems. * What's Biden's Endgame in Ukraine? – Ron Paul. * “There is a reason our Constitution grants war powers to the legislative branch. Forcing Members of the House and Senate to declare the US to be in a state of war also enables them – through the powers of the purse-string – to define the goals of the war and particularly what a victory looks like. That prevents the kind of mission-creep ahd shifting objectives that have characterized our endless wars in the 21st century – including this current proxy war with Russia.” * “Isn't it time to stand up and demand that both parties in Congress start asking some hard questions?” * Utah CD3 Debate last Thursday. * Hardening Soft Targets – Eric Peters, LewRockwell.com * “Get your kids out of government schools.” – In a home school, parents can provide better protection for their children–physically and emotionally. They will thus sidestep the Critical Race Theory (CRT) and Social-Emotional Learning (SEL) that is woven into the fabric of public school curricula. Instead, they will learn the basics–reading, writing, and arithmetic. They will learn history. And they will learn to THINK–perhaps the most important skill one can acquire. * Why I Took a Gun to School. * At the web site, DrugAwareness.org, is an illuminating account of a young man (Corey Baadsgaard) who took a gun to school and held 24 of his classmates hostage for about 20 minutes. He didn't know what he was doing. He had been taking Paxil for eight months, and was being switched to Effexor. That morning, he didn't feel well, so he decided to go back to bed until later in the morning. Next thing he knew he was in juvenile detention. Fortunately, he hadn't killed anyone. * Ann Blake Tracy served as the Executive Director of the International Coalition for Drug Awareness. She authored a book titled “Prozac: Panacea or Pandora?” For the past 30 years, this coalition has been collecting stories of people who have suffered from the use and abuse of these drugs. * There is another reason for an increase in the number of mass public shootings in recent years–pharmaceutical drugs – Antidepressants such as Prozac, Zoloft, Effexor, and Luvox. There is, at DrugAwareness.org, an alphabetical list of over 300 anti-depressants. They are mind-altering drugs. Hour 2 * Guest: Dr. Scott Bradley – To Preserve The Nation – FreedomsRisingSun.com * Is the pen more powerful than the sword? * The Book of Mormon: Another Testament of Jesus Christ, Alma 30 verse 5: “And now, as the preaching of the word had a great tendency to lead the people to do that which was just—yea, it had had more powerful effect upon the minds of the people than the sword, or anything else, which had happened unto them—therefore Alma thought it was expedient that they should try the virtue of the word of God.” * The Chosen (TV series) 2017 – The Chosen is a television drama based on the life of Jesus of Nazareth, created, directed and co-written by American filmmaker Dallas Jenkins. It is the first multi-season series about the life of Jesus, and season one was the top crowd-funded TV series or film project of all time. * Why Haven't More People Seen ‘The Chosen'? --- Support this podcast: https://anchor.fm/loving-liberty/support

* Guest: Lowell Nelson - CampaignForLiberty.org - RonPaulInstitute.org * We wish you a 'Happy Memorial Day,' - We hope you take a moment to reflect on why Memorial Day exists. * Repentance is the sovereign remedy to our problems. * What's Biden's Endgame in Ukraine? - Ron Paul. * "There is a reason our Constitution grants war powers to the legislative branch. Forcing Members of the House and Senate to declare the US to be in a state of war also enables them - through the powers of the purse-string - to define the goals of the war and particularly what a victory looks like. That prevents the kind of mission-creep ahd shifting objectives that have characterized our endless wars in the 21st century - including this current proxy war with Russia." * "Isn't it time to stand up and demand that both parties in Congress start asking some hard questions?" * Utah CD3 Debate last Thursday. * Hardening Soft Targets - Eric Peters, LewRockwell.com * "Get your kids out of government schools." - In a home school, parents can provide better protection for their children--physically and emotionally. They will thus sidestep the Critical Race Theory (CRT) and Social-Emotional Learning (SEL) that is woven into the fabric of public school curricula. Instead, they will learn the basics--reading, writing, and arithmetic. They will learn history. And they will learn to THINK--perhaps the most important skill one can acquire. * Why I Took a Gun to School. * At the web site, DrugAwareness.org, is an illuminating account of a young man (Corey Baadsgaard) who took a gun to school and held 24 of his classmates hostage for about 20 minutes. He didn't know what he was doing. He had been taking Paxil for eight months, and was being switched to Effexor. That morning, he didn't feel well, so he decided to go back to bed until later in the morning. Next thing he knew he was in juvenile detention. Fortunately, he hadn't killed anyone. * Ann Blake Tracy served as the Executive Director of the International Coalition for Drug Awareness. She authored a book titled "Prozac: Panacea or Pandora?" For the past 30 years, this coalition has been collecting stories of people who have suffered from the use and abuse of these drugs. * There is another reason for an increase in the number of mass public shootings in recent years--pharmaceutical drugs - Antidepressants such as Prozac, Zoloft, Effexor, and Luvox. There is, at DrugAwareness.org, an alphabetical list of over 300 anti-depressants. They are mind-altering drugs.

Dr. Kendra Campbell is the founder of Free Range Psychiatry, an organization that believes in the potential for human beings to thrive without the need for psychiatric medications. Imagine going to the psychiatrist and not getting a prescription for an antidepressant, antipsychotic, or antianxiety medication. It's almost unheard of.Free Range is different. The doctors at Free Range Psychiatry work with patients to taper off of psych meds, to manage psych med withdrawal symptoms, and manage personal issues without medicating them. Please listen to our conversation about the dangers of psych drugs and how patients can work with their doctors to minimize use of these medications.https://freerange.org/If you enjoy this podcast episode, please subscribe. Also, please visit our practice website at https://drleeds.com and our podcast website: https://therehab.com.

Nicole Lamberson is a Physician Assistant residing in Virginia. She obtained a BS at James Madison University in 2000 and then went on to complete the Master of Physician Assistant program at Eastern Virginia Medical School in 2004. She practiced in Urgent Care and Occupational Medicine settings until severe illness from prescribed psychiatric medication polypharmacy and a subsequent protracted withdrawal syndrome left her unable to work. Aside from her role with Medicating Normal doing marketing, distribution and outreach, she co-founded The Withdrawal Project, an effort of the nonprofit, Inner Compass Initiative. She also serves on the Medical Advisory Board of Benzodiazepine Information Coalition and is a founding member of the Colorado Consortium's Benzodiazepine Action Work Group. She also founded and co-administrates a small support group for those injured by prescribed psychiatric medication. In the future, Nicole hopes to practice again with a focus on prescribed medication withdrawal management and also participate in education initiatives around psychiatric drug withdrawal for medical prescribers.Award-winning filmmaker, and co-director/producer of Medicating Normal, Lynn Cunningham produced, directed and edited films/TV for PBS and the History Channel in the 1980s and 90s (A Quiet Revolution: The Emergence of Alternative Education in Japan; Twenty Years of Co-Education; A Family in Progress; An Innovator's Story, Behind the Scenes, Walter Reuther & the Birth of the UAW, Tadao Ando, Butoh: A Body on the Edge of Crisis, etc).Twenty years ago, as she was becoming a parent herself, Lynn witnessed with crushing despair the dramatic transformation of a beloved family member. Once a bright, high-functioning scholar/athlete having graduated from an elite college, Lynn's relative had become in a few short years– a terrified, suicidal shell of her former self— diagnosed with serious mental illness. Putting their faith in the best psychiatric standard of care at the time in the late 90s, Lynn and her family were initially reassured by the relief and stability provided by medication and therapy. After a ten-year period, however, one medicine had become ten, and income from a vibrant, self-sufficient career was replaced with monthly disability payments. Unable to provide an answer to her relative's persistent self-doubt, “Is everything going to be OK?”” Lynn began searching for answers. She joined with her filmmaking partner Wendy Ractliffe, embarking on five years of research into the complex world of mental health treatment. After discovering Robert Whitaker's Anatomy of an Epidemic, they interviewed 100s of psychiatric patients and consulted with scores of experts across the country about their experiences. A personal quest to help one suffering individual turned into a mission to tell an untold story. In Medicating Normal, Lynn and Wendy began to piece together a stunning new perspective on the safety and efficacy of psychiatric drugs and society's over reliance on them to relieve pain and suffering.https://medicatingnormal.com/http://withdrawal.theinnercompass.org/http://www.theinnercompass.org/http://www.benzoinfo.com/https://corxconsortium.org/work-groups/benzodiazepine/***********************************Please visit our podcast website at https://therehab.comAnd Dr. Leeds' professional website at https://drleeds.comThank you!

Paroxetine, also known as Paxil, is a Selective Serotonin-Reuptake Inhibitor (SSRI) used in the treatment of various mood disorders. Mood disorders such as major depressive disorder, OCD, panic disorder, social anxiety disorder, generalized anxiety disorder, PTSD, premenstrual dysphoric disorder, and mild-moderate menopausal vasomotor symptoms. Dosing varies by indication but commonly between 20-50 mg PO qam for immediate release dosage forms and around 12.5-75 mg PO qam for the extended release dosage forms. The absorption of paroxetine is not affected by food and is completely bioavailable after oral administration. The half-life elimination is around 21-24 hours. There is a black box warning for suicidality with the increased risk seen in children, adolescents, and young adults. Always weigh the risks vs benefits when using the medication. Amazon Affiliate link: https://amzn.to/31OkKVe for NAPLEX Math Review: The Foundation of a Logical NAPLEX Prep Strategy. FREE Drug Card Sheet is available for this episode at DrugCardsDaily.com along with ALL past FREE drug card sheets! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on most all socials @drugcardsdaily or send an email to contact.drugcardsdaily@gmail.com to leave feedback, request a drug, or say hello! DISCLAIMER: This content may contain sponsored content or the use of affiliate links. Partnerships, sponsorships, and the use of affiliate links provide monetary commissions for Drug Cards Daily at no cost to you! This is done in order to keep providing as much free content to everyone that comes to Drug Cards Daily. Thanks for your support! Drug Cards Daily provides drug information for educational and entertainment use. The information provided is not intended to be a sole source of drug information that is to be acted upon for patient care. If there are drug-related patient care concerns please contact your primary care Physician or local Pharmacist. --- Send in a voice message: https://anchor.fm/drugcardsdaily/message

David Carmichael made headlines when he was charged with first-degree murder in the death of his 11-year-old son, Ian.   On July 31, 2004, in a London, Canada hotel room, David crushed up sleeping pills, sedated his son, and strangled him. At the time of the murder, David was experiencing an adverse reaction to the prescription Paxil, which he had begun taking three weeks prior.  While others believed David was “getting better,” he was actually descending into a private chemically-induced hell of delusion. In his state of psychosis, David believed, that his healthy son, who had a mild form of epilepsy, was brain-damaged, dangerous, and needed to die. Out of love for his family, David believed it would be best for him to take Ian's life and to sacrifice his own life by spending the next 25 years in prison.  Today David shares his story with us as a warning to know your drugs. We chat about...  The delusions that led to his son's death What went through David's mind as he watched tv following the murder  Why David accessed psychiatric medications The side effects David was experiencing while on Paxil Whether he was ever informed of possible side effects  Why he initially stopped taking Paxil What the trial process looked like Why it's important to not blindly trust doctors What David's mental health treatment looks like now When the psychosis lifted and he realized what he had done ____________________________ >>> RATE, REVIEW, AND FOLLOW THE COURAGEOUSLY.U PODCAST 

On this episode, we hear from author, blogger, researcher, and self-described humanist and humorist Bob Fiddaman. His eponymously titled blog has focused on drug company and regulatory malfeasance since making its debut in 2006. At the time, Bob, an Englishman living in Birmingham, was taking himself off of Seroxat, a GlaxoSmithKline-produced antidepressant known here in America as Paxil. After making a protracted attempt at tapering off of the drug, he eventually decided to go cold turkey, a course of action he strongly advises against.[Bob Fiddaman] "Within 24 hours, I was pretty much in a fetal position, you know, suffering stomach cramps, head zaps, intrusive thoughts. It was pretty bad. And it took about three months of absolute torture to get through to the other side, but I pretty much knew once I did reach the other side — because I was getting all my empathy, for one; that was coming back, so I'd be listening to music that I'd never really listened to before and really focus in on the lyrics. So, you know, my type of music is rock, AC/DC in particular. I started listening to the Dixie Chicks' “Travelin' Soldier,” and was listening to the lyrics and the story and I was crying, and then Martina McBride “Concrete Angel.” I was just crying my eyes out at these lyrics. So for the first time in a very long time I was able to sort of, like, feel things again, feel emotion again."Bob Fiddaman was born in London in 1964, the youngest of three children. In 1967, his family moved to Birmingham where he has lived since, though he now splits his time between England and his adopted home in Panama. Bob married in 1987, divorced in 2006, and has three grown children. In 2006, he created the SEROXAT SUFFERERS STAND UP AND BE COUNTED blog, later changing the name to FIDDAMAN BLOG. Bob has met with the U.K.'s Medicines and Healthcare products Regulatory Agency on a number of occasions but has now ceased contact with them. He has also been a thorn in the side of drug manufacturer GlaxoSmithKline, reporting on numerous inquests and wrongful death lawsuits brought against the company by bereaved families. In our interview, you'll hear about some of these, including Dolin v. GSK, the 2017 trial that MISSD founder Wendy Dolin was the plaintiff in. Bob is the author of a 2011 memoir called The Evidence, However, Is Clear: The Seroxat Scandal, and has recently finished a science fiction novel called No Other Man. [Bob Fiddaman: “It's about angels, it's about numerology, it's about demons and it's about love.] We spoke over Zoom.

Today I speak with Dr. Patrick Oliver about the only drug approved currently to treat suicidal ideation: Ketamine. "Where this works is literally in making connections in the brain." Dr. Oliver is an emergency room physician that left the ER to start his own Ketamine infusion clinics because he saw a need that no one else was filling to offer life-saving treatment to people with severe depression. He says he was incredulous of the results a colleague was seeing of Ketamine for acute suicidality until he visited the clinic himself and saw for his own how "the depression just seems to go away." We talk about how Ketamine works in the brain. "It's not an hallucination. But it does alter a person's experience of their sight, sound, sensation." Dr. Oliver strongly believes that psychiatry's current standard of care—offering Wellbutrin or Zoloft or Paxil to patients with acute suicidality—is dead wrong. "After I saw it I couldn't not do it. Nobody was helping these patients," he says. We discuss misconceptions some people have about what depression really is and discuss the safety of Ketamine even in treating severe depression that's co-occurring with substance abuse. Check out my Mini-Course for couples: https://www.youtube.com/playlist?list=PLHjcz6Ly2y9gr2mtMHIxu-fXXl8rE_PYJ Learn more about my 7-week, live, online basic mindfulness and IFS course for couples: https://souloflifeshow.com/mindful-marriage Join my Facebook Group called "Bring Love Alive:" https://www.facebook.com/groups/601405257684922 My Book, Love Under Repair: How to Save Your Marriage and Survive Couples Therapy https://amzn.to/2X3kPBL My Counseling Practice: https://keithmillercounseling.com Follow us on Facebook: https://www.facebook.com/SoulOfLifeShow or Twitter: https://twitter.com/SoulofLifeShow ​Want to book Keith as a guest on your podcast? Contact him at keith@souloflifeshow.com.

Anti- depressant medications such as Paxil (paroxetine) are extremely difficult to discontinue taking. The

Episode 25C-PTSD and Baby StepsAm I Feeling Better or Is It Prozac?April 29, 2021 In this episode, I am talking about feeling better on a more consistent way. This enhancement in my mood also corresponds to the window of effectiveness for Fluoxetine which is better known as Prozac. It doesn't matter to me because the experience of feeling better is motivating regardless of it's source. My role is to build on that emotional and cognitive shift taking place into a better world for myself and for the people I love and care about.I am taking Prozac, which is classified as a Selective Serotonin Reuptake Inhibiter or an SSRI. This class of anti-depressant has been shown to be just as effective in treating depression as psychotherapy. There are currently 15 different name brands of SSRIs using six fundamental compounds. For more information click on any of the links below.Lexapro (escitalopram),  Zoloft (sertraline), Prozac (fluoxetine), Paxil (paroxetine), Celexa (citalopram), Luvox (fluvoxamine), Paxil CR (paroxetine), Brisdelle (paroxetine), Sarafem (fluoxetine), Luvox CR (fluvoxamine), Prozac Weekly (fluoxetine), Pexeva (paroxetine), Selfemra (fluoxetine), and Rapiflux (fluoxetine).In the Costa Rican healthcare system, I was given the choice of Prozac, Prozac or Prozac. So, I chose Prozac.Dr. Arielle Schwarts has been writing about the journey of healing from Complex-PTSD for years. Healing Complex PTSD and Dissociation | Dr. Arielle Schwartz (drarielleschwartz.com)Here is the official government site on PTSD. I have given you the link to their information on Complex-PTSD.Complex PTSD - PTSD: National Center for PTSD (va.gov)I have given you this resource before. It's an oldie, but a goodie.Complex PTSD Healing | CPTSDfoundation.orgThrive After Abuse has a YouTube Channel and they are doing their part in helping people with Complex-PTSD. Healing from Complex PTSD: Relaxation and Affirmation Video - YouTube

An exposé of the corruption of medicine by the pharmaceutical industry at every level, from exploiting the vulnerable destitute for drug testing, through manipulation of research data, to disease mongering and promoting drugs that do more harm than good. Authors, Professor Jon Jureidini and Dr Leemon McHenry, made critical contributions to exposing the scientific misconduct in two infamous trials of antidepressants. Ghostwritten publications of these trials were highly influential in prescriptions of paroxetine (Paxil) and citalopram (Celexa) in paediatric and adolescent depression, yet both trials (Glaxo Smith Kline's paroxetine study 329 and Forest Laboratories' citalopram study CIT-MD-18) seriously misrepresented the efficacy and safety data. The Illusion of Evidence-Based Medicine: Exposing the Crisis of Credibility in Clinical Research (Wakefield Press, 2020) provides a detailed account of these studies and argues that medicine desperately needs to re-evaluate its relationship with the pharmaceutical industry. Without a basis for independent evaluation of the results of randomised, placebo-controlled clinical trials, there can be no confidence in evidence-based medicine. Science demands rigorous, critical examination and especially severe testing of hypotheses to function properly, but this is exactly what is lacking in academic medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/neuroscience

It's end of January and there is still barely any sunlight - Anne and Maria have a conversation about mental health.  Some topics they discuss:  ✧ The medicalisation and the commodification of human life   ✧ CBT as a solution to the mental health crisis (as proposed by WHO)  ✧ the perceived individual responsibility for disability and mental health struggles   ✧ have we approached some of the (mentally) hardest times in history? why?  ✧ Soviet psychiatry and slow progressive schizophrenia (also keep an open ear for the endless variations of Anne pronouncing the word schizophrenia)   ✧ the Bernie Sanders meme  This episode the ladies also experiment with a new-age bimbo outro.   We hope this conversation makes our listeners feel less alone in their peripeties!  Our Instagram: @overtonsisters https://www.instagram.com/overtonsisters/  Email: overtonsisters@gmail.com Send us a voice message: https://anchor.fm/overtonsisters/message  Transition and outro sounds: Paxil television commercial , 2001

Ep. 46: "How Big Pharma & Psychiatry Gaslight Us" feat. Bruce Levine This episode might be the most controversial that I've produced so far. Please note that it is not intended to disrespect anyone who has suffered mental health issues; indeed, I have experienced episodes of depression throughout my life, some of them quite intense. However, this episode does refute certain popular beliefs about the causes and treatments of mental health disorders, and as such, some people might find it upsetting. Most people are familiar with the the "chemical imbalance theory," which posits that mental health disorders are caused by too much or too little of particular neurotransmittrs in the brain. For example, it's been claimed that depression is a result of a lack of seratonin, so people suffering depression are prescribed a selective serotonin reuptake inhibitor--an SSRI--such as Prozac, Paxil, or Zoloft. There's a big problem with the chemical imbalance theory, though: it's not true. It's been repeatedly disproven, and is not recognized as valid in the field of psychiatry. Regardless, it is still widely believed in popular culture and among many health care professionals. I first learned about the baselessness of chemical imbalance theory from the work of Bruce E. Levine. Bruce is a practicing clinical psychologist who writes and speaks about how society, culture, politics and psychology intersect. His most recent book is "Resisting Illegitimate Authority: A Thinking Person's Guide to Being an Anti-Authoritarian―Strategies, Tools, and Models," published by AK Press. I've been an admirer of his work for several years now, so it was a true pleasure to have a conversation with him. Bruce and I talked on Dec. 17th, 2020, and we covered a lot of ground. Among the subjects we discussed: critiquing the "defect model" of mental illness; how psychiatry resembles religion; the financial motivations of Big Pharma; that SSRIs are no more effective than placebos in clinical trials; the lack of connection between depression and seratonin levels; how Big Pharma load the dice in their studies; how Big Pharma influences the Diagnostic and Statistical Manual of Mental Disorders (known as the DSM); the subjectivity of diagnosing mental health issues; when anti-authoritarian people are diagnosed as "mentally ill;" how blaming individuals for their mental difficulties gives systemic factors a pass; the role of trauma in adversely affecting mental health; the importance of community and its role in healing; the recent legalization of psilocybin mushrooms in Oregon; and his recent book, "Resisting Illegitimate Authority." Again, no insult is meant to anyone who has experienced mood difficulties in their life, but we must dispense with some myths if we are going to work together towards a healthier society. Bruce Levine's website: https://brucelevine.net/ Mad in America: Science, Psychiatry & Social Justice: https://www.madinamerica.com/ This episode's introduction music is "Trip Hammer" by leinadsorihcak https://freesound.org/people/leinadsorihcak/ RADIO FREE SUNROOT: Podcasting by Kollibri terre Sonnenblume https://radiofreesunroot.com KOLLIBRI'S BLOG & BOOKSHOP: https://macskamoksha.com/ ONE-TIME DONATION: Ep. 46: "How Big Pharma & Psychiatry Gaslight Us" feat. Bruce Levine KOLLIBRI'S PATREON: Get access to members-only content https://www.patreon.com/kollibri Support Voices for Nature & Peace by donating to their Tip Jar: https://tips.pinecast.com/jar/voices-for-nature-and-peace This podcast is powered by Pinecast. Try Pinecast for free, forever, no credit card required. If you decide to upgrade, use coupon code r-a50345 for 40% off for 4 months, and support Voices for Nature & Peace.

Microdosing for regular people: is Microdosing the game-changer for anxiety, depression, and a better mental life? In this episode, we bring expert and (legendary) founder of Microdosing For Healing Kayse Gehret to the Antidōt podcast to help us demystify microdosing, what it is, who it's for and importantly who it's NOT for, how regular people who have never even considered taking what has been incorrectly stigmatized as only a "psychoactive drug" may want to rethink the topic, the legality questions, education versus sourcing, and much more. We touch on everything from the breakthrough recent research at the likes of John Hopkins University and Tim Ferriss, how regular moms with kids as well as Fortune 500 CEOs are benefitting from microdosing, debunking myths about mushrooms and microdosing, "how will I feel", what if I have anxiety and don't want to feel a loss of control, what if I'm taking an SSRI (Lexapro, Paxil, Prozac, Celexa, etc.) and contraindications, books and resources to dive deeper into the topic, and more. Our expert guest Kayse Gehret is a legend in the "healing arts", with over 20 years in the field and an impressive pedigree spanning. She's been featured in the New York Times, CNN, worked with everyone from the NBA to the Four Seasons Resorts and Fortune 500 CEOs, and has been educated by some of the top luminaries in the holistic health field -- with multiple accreditations. You can learn more about Kayse, her work and her latest Microdosing for Healing initiative at: www.microdosingforhealing.com

Episode 011: Finally, we will discuss the mainstream treatment PTSD, effectiveness of medications and psychotherapy, and practical neuroscience you can use today. While the medical facts regarding what can be done for PTSD are still frightfully limited, I'll highlight what I believe are the most important. When combined, psychotherapy with medications offers synergistic improvement. Among the psychotherapies, the two at the top of the list are cognitive processing therapy (CPT), which is a subtype of cognitive behavioral therapy (CBT), and prolonged exposure (PE). My dislike of PE was outlined in its own podcast, Episode #7 The Ugly Truth about Prolonged Exposure: A Case Study in Medical Ethics. Cognitive Processing Therapy Cognitive Processing Therapy was created by federal employees and is therefore an open, free copyright. Anyone can search online to find the exact worksheets used in this therapy. It hinges on core beliefs, automatic thoughts, and reframing just like CBT.   Cognitive Processing Therapy for PTSD: Automatic thoughts-feelings circle.           Example of Cognitive Processing Therapy: I believe:                                         I can't trust anyone. Consequences:                            Decreased social life, family suffers, feel lonely. Evidence for:                                 I got assaulted 4 different times. Evidence against:                        I've gone years without being assaulted. Modified core belief:                   I am safe almost all the time and work to maintain.   Now, doesn't that feel much more optimistic? It certainly puts us in a more grateful posture to set us up for growth and healing in the future. Unfortunately if this is all you do for PTSD, the body, spirit and sometimes the emotions don't get a chance to heal. Here are some cool whiteboard videos about CPT from the VA: https://www.ptsd.va.gov/appvid/video/index.asp Prolonged Exposure PE can help in specific behavioral circumstances when PTSD, phobia, or disabling anxiety are causing a clear behaviors that qualify as a disorder. Listen to Episode 7 to learn the ugly truth about prolonged exposure. Eye Movement Dissociation and Reprocessing (EMDR) A 2017 literature review of EMDR for PTSD found it to be helpful for people that have more than one diagnosis. Also, it can be help for psychotic (I have to think psychotic-like, intrusive flashbacks too) and affective (mood: anger/depression/panic) symptoms. Therefore, EMDR is definitely a mainstream treatment not to be ignored. Neuroscience of PTSD Neurons in the hippocampus and prefrontal cortex degrade during PTSD, sleep deprivation, head injury, and Major Depressive Disorder. Below is a picture of mouse brains with and without Brain-Derived Neurotrophic Factor, a protein that does the rebuilding. Row A are mouse brain slides without BDNF, Row B are mouse brain slides with BDNF. Row A has low Brain-Derived Neurotrophic Factor, Row B has high amounts of BDNF.   Figure 5. Brain-derived neurotrophic factor (BDNF) grows neurons. (This topic is discussed in more detail in my book, Combat PTSD in America: Toward a Permanent Solution. Available at http://www.lulu.com/shop/daniel-williams/combat-ptsd-in-america/paperback/product-22601787.html) Medications for PTSD There are only two FDA-approved medications for PTSD core symptoms: sertraline (Zoloft) and paroxetine (Paxil). From after-market trials we know that practically any SSRI, and similar medications, help about as equally as they do in other conditions, such as major depressive disorder. Evidence suggests 10% of the PTSD benefit comes from medications and 90% comes from psychotherapy. In my opinion, sleep medications are the handiest thing the psychiatrist can provide when you're just dealing with PTSD alone. Sleep medications commonly used in PTSD If you can control the adrenaline at night and practicing turning off your mind at bedtime, you can usually get reasonable control of sleep after trying less th...

EPISODE #327 Anti-Depressants and Mass Shootings Pt. 2 Richard welcomes an expert in serotonergic medications to talk about the possible violent side effects of anti-depressant medications. GUEST: Dr. Ann Blake Tracy is the director of the International Coalition for Drug Awareness. She has specialized for 22 years in adverse reactions to serotonergic medications (Antidepressants such as Prozac, Zoloft, Paxil, Luvox, Effexor, Celexa, Lexapro, Cymbalta, Pristiq, Serzone, Anafranil, etc. and the diet pills Fen-Phen, and Redux and the newer Atypical Anti-psychotic medications such as Zyprexa, Geodon, Abilify, Risperdal, Seroquel, etc.) and has testified before the FDA and congressional subcommittee members on Prozac. She has testified since 1992 as an expert witness in Prozac and other SSRI related court cases around the world. Her first book on the issue was published in 1991. During the last twenty years she has participated in innumerable radio, television, newspaper and magazine interviews on this subject. She is the author of Prozac: Panacea or Pandora?   PLEASE SUPPORT OUR SPONSORS!! C60EVO.COMThe Secret is out about this powerful anti-oxidant. The Purest C60 available is ESS60.  Buy Direct from the SourceUse the Code RS1SPEC for special discount. Ancient Life Oil Organic, Non GMO CBD Oil.  Big Relief in a Little Bottle! The Ferrari of CBD products. Strange Planet's Fullscript Dispensary - an online service offering hundreds of professional supplement brands, personal care items, essential oils, pet care products and much more. Nature Grade, Science Made!   Life Change and Formula 13 Teas  All Organic, No Caffeine, Non GMO!  More Energy!  Order now, use the code 'unlimited' and your first purchase ships for free.

EPISODE #325 Anti-Depressants and Mass Shootings Richard welcomes an expert in serotonergic medications to talk about the possible violent side effects of anti-depressant medications. GUEST: Dr. Ann Blake Tracy is the director of the International Coalition for Drug Awareness. She has specialized for 22 years in adverse reactions to serotonergic medications (Antidepressants such as Prozac, Zoloft, Paxil, Luvox, Effexor, Celexa, Lexapro, Cymbalta, Pristiq, Serzone, Anafranil, etc. and the diet pills Fen-Phen, and Redux and the newer Atypical Anti-psychotic medications such as Zyprexa, Geodon, Abilify, Risperdal, Seroquel, etc.) and has testified before the FDA and congressional subcommittee members on Prozac. She has testified since 1992 as an expert witness in Prozac and other SSRI related court cases around the world. Her first book on the issue was published in 1991. During the last twenty years she has participated in innumerable radio, television, newspaper and magazine interviews on this subject. She is the author of Prozac: Panacea or Pandora? WEBSITES:   PLEASE SUPPORT OUR SPONSORS!! Ancient Life Oil Organic, Non GMO CBD Oil.  Big Relief in a Little Bottle! The Ferrari of CBD products. C60EVO.COM The Secret is out about this powerful anti-oxidant. The Purest C60 available is ESS60.  Buy Direct from the SourceUse the Code RS1SPEC for special discount. Strange Planet's Fullscript Dispensary - an online service offering hundreds of professional supplement brands, personal care items, essential oils, pet care products and much more. Nature Grade, Science Made!   Life Change and Formula 13 Teas  All Organic, No Caffeine, Non GMO!  More Energy!  Order now, use the code 'unlimited' and your first purchase ships for free.

Richard speaks with a court expert witness about the frightening connection between mass shootings and anti-depressant drugs.  In virtually all mass-shootings, the shooters were taking some type of anti-depressant or anti-psychotic medication. GUEST: Ann Blake-Tracy is the director of the International Coalition for Drug Awareness. She has specialized for 22 years in adverse reactions to serotonergic medications (Antidepressants such as Prozac, Zoloft, Paxil, Luvox, Effexor, Celexa, Lexapro, Cymbalta, Pristiq, Serzone, Anafranil, etc. and the diet pills Fen-Phen, and Redux and the newer Atypical Anti-psychotic medications such as Zyprexa, Geodon, Abilify, Risperdal, Seroquel, etc.) and has testified before the FDA and congressional subcommittee members on Prozac. Her first book on the issue, Prozac: Panacea or Pandora? was published in 1991