Podcasts about pesi

CardioNerds (Dr. Billy-Joe Mullinax, Dr. Dinu Balanescu, and Dr. Jane Ehret) discuss risk stratification in acute pulmonary embolism with Dr. Stavros Konstantinides, Chair of the 2019 ESC Pulmonary Embolism Guidelines. Using a real-world case, this episode explores how modern PE care has moved beyond “massive” and “submassive” labels toward a dynamic, physiology-based approach. The discussion highlights the limitations of static risk scores, the importance of right ventricular dysfunction and biomarkers, and why normotension does not imply stability. Special emphasis is placed on intermediate-high risk PE, early identification of impending hemodynamic collapse, and the role of lactate, serial reassessment, and PERT teams in guiding escalation of care. Audio editing by CardioNerds intern, Joshua Khorsandi.The 2026 American multi-society PE guidelines were published after this episode was recorded. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium.   Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Stable blood pressure does not mean low risk in PEHypotension is a late finding. Patients may have severe RV failure, hypoxia, and tissue hypoperfusion while remaining normotensive — a key concept behind “normotensive shock.” Risk stratification in PE must be dynamic, not staticLegacy scores like PESI and Bova provide a snapshot and predict 30-day mortality, but they do not capture short-term trajectory or impending hemodynamic collapse. Intermediate-high risk PE is a dangerous and heterogeneous groupPatients with RV dysfunction, positive biomarkers, tachycardia, hypoxemia, and elevated lactate may have in-hospital mortality approaching 15%, rivaling STEMI. Lactate is a critical but underutilized marker in PEElevated lactate reflects tissue hypoxia and early circulatory failure and may identify patients at risk for collapse before blood pressure declines. PERT enables physiology-driven, patient-centered PE carePERT teams operationalize continuous reassessment, integrate imaging, labs, and clinical trajectory, and allow timely escalation — shifting PE management from rigid categories to real-time decision-making. Notes Drafted by Dr. Jane Ehret. 1. What is the contemporary framework for risk stratification in acute pulmonary embolism? Modern PE risk stratification prioritizes hemodynamics and right ventricular (RV) function rather than clot burden. The 2019 ESC Guidelines classify PE into high risk, intermediate risk (low vs high), and low risk, based on: Hemodynamic status, RV dysfunction on imaging, and Cardiac biomarkers. This framework emphasizes early mortality risk but requires clinical context to guide escalation decisions. 2. Why is normotension insufficient to define “stability” in PE? Blood pressure is a late marker of circulatory failure in PE. Patients can maintain normal BP through Tachycardia, Increased sympathetic tone, and RV compensation. Many patients with preserved BP may already have shock physiology, including hypoxemia, elevated lactate, and RV failure — sometimes referred to as “normotensive shock.” 3. How should intermediate-risk PE be conceptualized clinically? Intermediate-risk PE is heterogeneous, ranging from patients who do well on anticoagulation to those who deteriorate rapidly. Intermediate-high risk PE is defined by RV dysfunction on imaging and positive cardiac biomarkers. Clinical features such as tachycardia, increasing oxygen requirement, and elevated lactate identify patients at highest risk within this group. 4. What are the strengths and limitations of commonly used PE risk scores? Legacy scores are useful for initial risk categorization but are static and limited in predicting short-term deterioration. Most scores were developed to predict mortality or complications at fixed time points rather than dynamic clinical trajectory. 5. What are the commonly used risk scores and clinical tools in PE, and what is each designed to predict? ESC Risk Stratification Algorithm: Identifies high-risk PE by hemodynamics. Uses PESI or sPESI in normotensive patients to distinguish low-risk from non–low-risk PE. Uses RV dysfunction and biomarkers to differentiate intermediate-low from intermediate-high risk. Forms the basis of many institutional PE pathways. PESI and sPESI: Validated to predict 30-day mortality. Widely used to identify low-risk patients appropriate for outpatient management. Heavily influenced by age and comorbidities. Bova Score: Predicts 30-day PE-related complications in normotensive patients. Composite PE Shock Score (CPES): Predicts normotensive shock in hemodynamically stable PE patients. Pulmonary Embolism Progression (PEP) Score: Predicts progression from intermediate-risk to high-risk PE within 72 hours of diagnosis. PE Short-term Clinical Outcomes Risk Estimation (PE-SCORE): Predicts clinical deterioration or death within 5 days of PE diagnosis. Hestia Criteria: Identifies low-risk PE patients safe for outpatient treatment. Wells' Criteria and Revised Geneva Score: Determine pretest probability for diagnostic triage. PERC Score: Rules out PE in very low-risk patients. 6. What is the role of biomarkers in PE risk stratification? Troponin and natriuretic peptides reflect RV myocardial injury and strain. Current guidelines treat biomarkers as binary (positive vs negative), despite risk being continuous. Biomarkers are most helpful for: Initial risk classification. They are less useful for: Short-interval monitoring and Detecting rapid clinical deterioration. 7. Why is lactate an important physiologic marker in PE? Lactate reflects global tissue hypoxia and impaired perfusion. Elevated lactate may identify patients with: Early circulatory failure and Increased risk of imminent hemodynamic collapse. Lactate is not currently included in ESC risk algorithms but may add important prognostic information in intermediate-risk patients. 8. How does trajectory influence decision-making in PE management? Risk stratification should be viewed as a dynamic process, not a one-time label. Worsening clinical trajectory may include: Rising heart rate, Increasing oxygen needs, Rising lactate, and Progressive RV dysfunction. Serial reassessment is essential for timely escalation of care. 9. What role do Pulmonary Embolism Response Teams (PERT) play in risk stratification? PERT facilitates: Multidisciplinary decision-making and Integration of imaging, biomarkers, and clinical physiology. PERT is most valuable for: Intermediate-risk and high-risk PE and Patients with complex comorbidities or uncertain trajectory. PERT enables a shift from category-based to physiology-driven PE care. References 1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Respir J. 2019;54(3):1901647. Published 2019 Oct 9. doi:10.1183/13993003.01647-2019 2. Leidi A, Bex S, Righini M, Berner A, Grosgurin O, Marti C. Risk Stratification in Patients with Acute Pulmonary Embolism: Current Evidence and Perspectives. J Clin Med. 2022;11(9):2533. Published 2022 Apr 30. doi:10.3390/jcm11092533 3. Choi WH, Kwon SU, Jwa YJ, et al. The pulmonary embolism severity index in predicting the prognosis of patients with pulmonary embolism. Korean J Intern Med. 2009;24(2):123-127. doi:10.3904/kjim.2009.24.2.123 4. Jiménez D, Aujesky D, Moores L, et al. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010;170(15):1383-1389. doi:10.1001/archinternmed.2010.199 5. Chen X, Shao X, Zhang Y, et al. Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis. Thromb Res. 2020;193:99-106. doi:10.1016/j.thromres.2020.05.047 6. Zhang RS, Yuriditsky E, Zhang P, et al. Composite Pulmonary Embolism Shock Score and Risk of Adverse Outcomes in Patients With Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(8):e014088. doi:10.1161/CIRCINTERVENTIONS.124.014088 7. Zhang RS, Alam U, Sharp ASP, et al. Validating the Composite Pulmonary Embolism Shock Score for Predicting Normotensive Shock in Intermediate-Risk Pulmonary Embolism. Circ Cardiovasc Interv. 2024;17(2):e013399. doi:10.1161/CIRCINTERVENTIONS.123.013399 8. Ehret J, Wakefield D, Badlam J, Antkowiak M, Erdreich B. Development of the Pulmonary Embolism Progression (PEP) score for predicting short-term clinical deterioration in intermediate-risk pulmonary embolism: a single-center retrospective study. J Thromb Thrombolysis. 2025;58(2):243-253. doi:10.1007/s11239-024-03051-5 9. Weekes AJ, Raper JD, Lupez K, et al. Development and validation of a prognostic tool: Pulmonary embolism short-term clinical outcomes risk estimation (PE-SCORE). PLoS One. 2021;16(11):e0260036. Published 2021 Nov 18. doi:10.1371/journal.pone.0260036 10. Zondag W, Hiddinga BI, Crobach MJ, et al. Hestia criteria can discriminate high- from low-risk patients with pulmonary embolism. Eur Respir J. 2013;41(3):588-592. doi:10.1183/09031936.00030412 11. Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001;135(2):98-107. doi:10.7326/0003-4819-135-2-200107170-00010 12. Wolf SJ, McCubbin TR, Feldhaus KM, Faragher JP, Adcock DM. Prospective validation of Wells Criteria in the evaluation of patients with suspected pulmonary embolism. Ann Emerg Med. 2004;44(5):503-510. doi:10.1016/j.annemergmed.2004.04.002 13. Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006;144(3):165-171. doi:10.7326/0003-4819-144-3-200602070-00004 14. Kline JA, Mitchell AM, Kabrhel C, Richman PB, Courtney DM. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost. 2004;2(8):1247-1255. doi:10.1111/j.1538-7836.2004.00790.x 15. Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008;6(5):772-780. doi:10.1111/j.1538-7836.2008.02944.x

Episode 84 of Body Justice is all about Jen Caspari's lived experience navigating cerebral palsy and how being disabled impacted her body image over the course of her life. She discusses various insights and strategies that have helped her build a more peaceful relationship to her body despite living in a world that is often not accommodating. Jenn also has professional experience as a psychologist supporting many clients living with chronic illness, chronic pain and disabilities- she is a wealth of knowledge!More about Jenn: Jennifer Caspari, PhD, is a licensed clinical psychologist currently working in Vancouver, BC, who specializes in general and health psychology. She is passionate about helping clients live full and meaningful lives, including those living with acute or chronic illness and chronic pain. She lives with cerebral palsy, and when not meeting with clients, greatly enjoys writing, including a Psychology Today blog, Living Well When Your Body Doesn't Cooperate, and for The Globe and Mail column, Ask A Therapist. Dr. Caspari also values providing training to health professionals and is the creator and instructor of a chronic pain course with PESI, a national leader in continuing education to mental health professionals.In her free time, Dr. Caspari enjoys spending time with loved ones, feeling the sun on her face, listening to audiobooks while moving her body, watching cooking and baking shows, and eating delicious food. You can find her on social media @moxie_mindset.Jenn's Book: You Are More Than Your Body.Disclaimer: this podcast is intended for informational and educational purposes only. This is not a replacement for individual therapy or medical advice. As always, you can find the host of this podcast, Allyson, on her website: ⁠⁠⁠⁠⁠⁠www.eatingdisorderocdtherapy.com⁠⁠⁠⁠⁠⁠ or IG: ⁠⁠⁠⁠⁠⁠@bodyjustice.therapist.⁠⁠⁠

Original air date: September 3, 2024 Lisa welcomes Tammi Van Hollander, LCSW, RPT-S, to explore a transformative approach to bibliotherapy. Moving beyond the traditional view of books as cognitive tools, Tammi introduces us to using bibliotherapy as a means for co-regulation, attachment, and creating a sense of safety within the therapeutic space. Tammi, who was initially trained in client-centered play therapy, shares her journey of discovering the profound impact that books can have when used as co-regulators. Through her experiences and insights, she reveals how stories can extend beyond mere words, becoming powerful tools that facilitate deeper connections between children and their caregivers. Key Takeaways: Tammi's Journey with Bibliotherapy: How she discovered the power of books as a co-regulation tool. A Paradigm Shift: Using bibliotherapy from a "bottom-up" approach to support attachment, safety, and emotional regulation in children. Integrating Books into Play Therapy: Practical strategies for making books an extension of a child's play, fostering a more client-centered therapeutic experience. Engaging Kids Who Aren't Interested in Reading: Innovative ways to use books beyond just reading the words. Types of Bibliotherapy: Differentiating between developmental, therapeutic, and play-based bibliotherapy. Enhancing Parent-Child Relationships: How books can strengthen the bond between parents and children, addressing attachment and repair in relationships. Attunement and Trusting the Process: The importance of being present and attuned to the child, allowing books and other tools in the therapy space to facilitate healing naturally. *Check out Tammi's new book on Amazon, PESI website, or Tammi's website: The Bibliotherapy Toolbox: 100+ Creative and Playful Story-Based Interventions to Help Kids Create Safety, Overcome Challenges, and Build Resiliency. *Tammi Van Hollander, LCSW, RPT-S™, is a leading expert in attachment, sandtray play therapy, and sensory integration with over 25 years of experience. She holds a Master of Social Work from the University of Pennsylvania and advanced training from the Family and Play Therapy Center in Philadelphia. Tammi is the author of Casey's Greatness Wings and The Bibliotherapy Toolkit, and she delivered a TEDx Talk, "Stories in the Sand: Healing Trauma, Anxiety, and Grief," in 2023. Connect with her on Instagram and Facebook. Podcast Resources:  Synergetic Play Therapy Institute Synergetic Play Therapy Learning Website FREE Resources to support you on your play therapy journey  Aggression in Play Therapy: A Neurobiological Approach to Integrating Intensity * If you enjoy this podcast, please give us a five-star rating and review on Apple Podcast, subscribe wherever you listen to podcasts, and invite your friends/fellow colleagues to join us.

L'Aria che Tira - La 7 (7/05/26)

Today, I welcome back pediatrician, Dr. Mary H Jones. Mary has been a guest on the show and contributed to Uniquely Us, chapter 11, discussing additional biases and stigma BIPOC individuals can face in getting an accurate diagnosis and accommodations. Dr. Jones shares her experience as a pediatrician and mom of neurodivergent kids and in a neurodiverse marriage.Today, Dr. Stephanie and Dr. Jones discuss early intervention and how diagnosis impacts accommodations and interventions. Dr. Mary Jones is licensed in over 20 states and specializes in ADHD and ASD diagnosis in children, teens, and adults.Dr. Stephanie asks Dr. Jones when she uses the three most well-known measures: the ADOS, CARS, and MIGDAS-2Today, with a focus on diagnosis, Patreon with Dan and Stephanie will discuss a different topic About Dr. Mary H. Jones & Bright StartsAt Bright Starts, we're dedicated to helping children, teens, and young adults reach their full potential through early, accurate ADHD evaluations and autism diagnostic services. We understand that every individual is unique — and so is their journey. That's why we provide personalized evaluations, compassionate guidance, and clear next steps for families navigating developmental concerns.https://brightstartshealth.com/home Dr. Mary "What is Autism?"https://brightstartshealth.com/about-us Mary H. Jones, MD, FAAPAssesses with ADOS-2, CARS and MIGDAS-2​Dr. Mary Jones believes there is greatness in each of us and is passionate about equipping and empowering women to reach their fullest potential. Throughout her life and career, she has had the privilege of working to empower and equip women and girls to be their best selves. Dr. Mary has also completed a study in autism as a speciality through PESI, and has become an Autism Spectrum Disorder Clinical Specialist. Her vision is to see women living out their purpose and affecting change in their worlds. She is an NT married to a neurodivergent spouse and the mother of a son on the autism spectrum.   

Perma Fix Environmental Services, Inc (NASDAQ:PESI) CEO Mark Duff, CFO Ben Naccarato present at the 12th Annual Gabelli Waste & Environmental Services Symposium held on April 9th, 2026. Moderated by Michael Burgio, Gabelli Research Analyst. To learn more about Gabelli Funds' fundamental, research-driven approach to investing, visit https://m.gabelli.com/gtv_cu or email invest@gabelli.com. Connect with Gabelli Funds: • LinkedIn - https://www.linkedin.com/company/investgabelli/ • X - https://x.com/InvestGabelli • Instagram - https://www.instagram.com/investgabelli/ • Facebook - https://www.facebook.com/InvestGabelli. http://www.Gabelli.com Invest with Us 1-800-GABELLI (800-422-3554).

You're listening to Voices of Your Village, and today we're talking about the kids who often get missed. The ones who look fine on the outside, hold it together at school, and then unravel at home. The kids whose feeding struggles, big reactions, sensory needs, or shutdowns can get mistaken for defiance when what's really happening is so much more nuanced. In this episode, I'm joined by Polina Shkadron, and we're digging into what it looks like to truly support neurodivergent kids through the lens of relationship, regulation, and trust. We talk about feeding challenges, masking, sensory differences, executive functioning, and why believing the child's experience changes everything. This conversation hit home for me as a parent, because so much of this is about shifting out of “How do I make this behavior stop?” and into “What is this child telling me about their experience?” And that shift matters at home, in classrooms, and in every relationship we have with kids. Alright folks, let's dive in. Connect with Polina: Instagram: @playtolearnconsulting Website: playtolearnconsulting.com Newsletter: https://playtolearnconsulting.com/resources/ PESI webinars mentioned: The “Not So Picky” Picky Eater  Executive Functioning in Children and Adolescents Connect with us: Instagram and TikTok: @seed.and.sew  Seed and Sew's NEW Regulation Questionnaire: Take the Quiz Order Big Kids, Bigger Feelings now!  Website: seedandsew.org Credits: Host: Alyssa Blask Campbell Co-host: Rachel Lounder Production/Editing: Kristin Mork-McVeigh Graphics: Kayla Kurland-Davis/ Beki Rohrig Music by: Ruby Adams and  Bensound Learn more about your ad choices. Visit podcastchoices.com/adchoices

→il mio nuovo corso sugli infortuni in palestra: https://www.calabrettosimone.it/corso-infortuni-in-palestra-online/ → il mio libro “powerlifting dalla teoria alla pratica”: https://amzn.eu/d/6QK8B62 → Visita il mio sito: https://www.calabrettosimone.it/ → Leggi tutti gli articoli gratuiti nel mio blog: https://www.calabrettosimone.it/blog/ → Info su coaching online, consulenze dal vivo e online, programmi di allenamento personalizzati, info sul corso “imparare a programmare l'allenamento della […]

Per la prima volta dall'inizio del conflitto, Israele ha bombardato il giacimento di gas iraniano di Pars, il più importante del Paese. In risposta, Teheran ha colpito l'enorme hub energetico di Ras Laffan in Qatar e lanciato missili in direzione dell'Arabia Saudita (Reuters). A seguito dell'attacco, il presidente degli Usa Donald Trump ha dichiarato che Israele non effettuerà più operazioni su infrastrutture simili (Axios). Ma nel frattempo l'Iran ha attaccato i siti produttivi dei Pesi del Golfo.La direttrice dell'Intelligence americana Tulsi Gabbard ha dichiarato che gli obiettivi americani e israeliani in Iran non coincidono. "Gli obiettivi delineati dal presidente differiscono dagli obiettivi stabiliti dal governo israeliano", ha affermato durante un'audizione dinanzi alla commissione Intelligence della Camera. "Il governo israeliano si è concentrato sul neutralizzare la leadership iraniana. Trump ha invece dichiarato che i suoi obiettivi consistono nel distruggere la capacità dell'Iran di lanciare missili balistici, la sua capacità di produzione di tali missili e la sua marina militare", ha aggiunto la funzionaria.Rinforzi sul terreno Secondo Reuters, l'amministrazione Trump starebbe valutando l'invio di rinforzi in Medio Oriente. L'obiettivo sarebbe garantire la sicurezza dello Stretto di Hormuz con operazioni aeree e marittime, ma anche con l'occupazione di parte delle zone costiere dell'Iran. Tra gli obiettivi ci sarebbe anche un'invasione dell'isola di Kharg, terminale da cui passa il 90% del petrolio iraniano. Per tentare di ridurre i costi di petrolio, gas e altre materie prime negli Stati Uniti, il presidente Donald Trump ha temporaneamente sospeso le sanzioni alla compagnia petrolifera statale venezuelana (Reuters) e una legge sul trasporto marittimo (Jones Act), autorizzando le navi battenti bandiera straniera a trasportare merci tra i porti statunitensi (Bloomberg). Il Jones Act prevede che il trasporto di petrolio nelle spedizioni nazionali sia effettuato con navi costruite negli Stati Uniti, di proprietà americana e con equipaggio a stelle e strisce. Affrontiamo il tema con Micaela Cappellini, Il Sole24OreLe banche centrali tengono le porte aperteQuesta settimana quasi tutte le principali banche centrali dei mercati sviluppati hanno mantenuto i tassi invariati, sottolineando tuttavia la propria prontezza a intervenire per frenare l'inflazione qualora lo shock energetico causato dal conflitto tra Stati Uniti-Israele e Iran dovesse innescare un'impennata generalizzata dei prezzi. La Bank of England ha mantenuto i tassi fermi al 3,75% giovedì, ma gli analisti hanno interpretato il comunicato post-riunione come "hawkish", aggressivo. La Federal Reserve ha mantenuto i tassi invariati nel range 3,50%-3,75%, ma il tono rigorista del presidente Jerome Powell posticipa le aspettative di taglio dei tassi al 2027. Anche la Banca Centrale Europea ha lasciato i tassi invariati, come previsto, ma ha segnalato di monitorare attentamente i rischi per la crescita e l'inflazione derivanti dall'impennata dei prezzi energetici. Il tasso sui depositi resta così al 2%, quello sulle operazioni principali di rifinanziamento al 2,15% e quello sui prestiti marginali al 2,40%. I mercati prevedono ora più di due rialzi da 25 punti base del tasso sui depositi (attualmente al 2%) entro l'anno. Si ritiene infatti che i banchieri centrali, accusati di aver agito troppo tardi durante l'ondata inflattiva del 2021/2022, saranno più rapidi a intervenire questa volta. Il commento è di Giorgio Di Giorgio, Professore Ordinario di Politica Monetaria alla LUISSCarburanti, taglio di 25 cent al litro. Ma da quando?Uno sconto di 25 centesimi per 20 giorni, fino al 7 aprile, realizzato muovendo le forbici sulle accise e di conseguenza sull Iva, oltre che sui fondi dei ministeri chiamati a contribuire con un taglio lineare. Una regola anti «rincari ombra», con l obbligo per le società petrolifere di inviare ogni giorno al ministero delle Imprese i prezzi consigliati e una sanzione pari all 1 per mille del fatturato quotidiano per chi non lo fa. E un credito d imposta del 20%, anch esso temporaneo, per gli acquisti di carburante di autotrasportatori, agricoltori e pescatori. Sono i tre pilastri del decreto legge approvato ieri sera in consiglio dei ministri per frenare la corsa dei prezzi di benzina, gasolio e gpl. In mattinata un vertice a Palazzo Chigi fra la premier Meloni e il ministro dell Economia Giorgetti aveva messo in fila le opzioni, discusse anche a Milano dal vicepremier Salvini con le compagnie petrolifere e tradotte in un testo arrivato alle 19 a Palazzo Chigi. Il risultato è un decreto da circa 500 milioni, che dovrebbe alleggerire il costo dei carburanti intorno a una media da 1,9 euro per litro di gasolio, e 1,65 euro per la benzina. La riduzione sulle accise è intorno ai 20 centesimi al litro, e porta lo sconto a 25 centesimi con il trascinamento sull Iva (l imposta, al 22%, si calcola anche sulle accise). Per il gpl, l effetto è da 12 centesimi al litro. Il menù del provvedimento contempla poi icrediti d'imposta, al 20%, per autotrasporto, agricoltura e pesca. Non c'è spazio invece, almeno per ora, per il rifinanziamento della carta «Dedicata a te», presente in alcune bozze iniziali. Il taglio è temporaneo, perché il costo non è indifferente e i pronostici sull'evoluzione della guerra in Medio Oriente sono a dir poco incerti. Dopo Pasqua si vedrà. Intervengono: Gianni Trovati, Il Sole 24 Ore e Giuseppe Sperduto, presidente FAIB (Federazione autonoma italiana benzinai)

This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/

What happens when over 1,000 supervisors show up—hungry for better leadership, clearer ethics, and supervision that actually works?Something shifted at this supervision summit—and it wasn't just the content.From the questions being asked to the conversations happening behind the scenes, it was clear that supervisors are craving something deeper than techniques and checklists. In this episode, Dr. Amy Parks pulls back the curtain and shares what she witnessed firsthand: the themes, tensions, and moments that quietly raised the bar for supervision across the field.You'll hear Amy's candid reflections on standout sessions covering:Presence and mindfulness in supervisionNeurodiversity-affirming supervisionRemediation, gatekeeping, and ethical leadershipProfessional identity developmentCulturally responsive supervisionTrauma-informed supervision and burnoutAdvanced clinical thinking and questioningEFT-informed supervision in actionMore importantly, Amy explains why this content landed so strongly, what supervisors are clearly craving right now, and how this summit raised the bar for what supervision education should look like.If you supervise clinicians—or plan to—this episode will help you decide whether the PESI self-study recording is worth your time (spoiler: Amy doesn't mince words).

In questo episodio parlo di cinque frasi che non servono a rendere i nostri figli più obbedienti o più facili da gestire, ma più liberi di restare bambini senza sentirsi responsabili delle nostre paure, del nostro equilibrio, delle nostre aspettative.Parliamo di paura nella genitorialità, di confini, di consenso, di autorità e di riparazione, con esempi concreti della vita quotidiana e senza frasi fatte.Un episodio per chi sente che educare non è trovare le parole giuste, ma imparare a stare nel ruolo adulto senza scaricarlo sui figli.Se senti che alcune di queste frasi ti risuonano ma allo stesso tempo ti sembrano difficili da usare nella vita vera, CLICCANDO QUI trovi la lista d'attesa de La Dolce Guida, il percorso dedicato alla disciplina dolce e alla crescita genitoriale. Tra poco riaprirò le iscrizioni, non perdere questa occasione!

In this episode I speak with Dickens, originally from Hong Kong, having worked in social work and counselling in Hong Kong, Singapore, Melbourne, and Thailand. Drawing on his international experience, he currently serves as an international school counsellor in Phuket, Thailand. He is registered with Social Work England and the Hong Kong Social Worker Registration Board. He is also a Certified Clinical Anxiety Treatment Professional.Links to resources mentioned in this week's episode:PESI online professional development - https://www.pesi.com/International Social Service Hong Kong branch - https://www.isshk.org/en/PsychWire online training - https://psychwire.com/This episode's transcript can be viewed here: https://docs.google.com/document/d/1wN8QG7rYzE2kmoxSKaugZCs_iKRiBSdjfjnWeJRruDs/edit?usp=sharingThanks to Kevin Macleod of incompetech.com for our theme music.

Are you wisely using your genius energy? In this episode, Michael reconnects with Diana Hill, a therapist and author who has recently explored the concept of focusing your genius energy on what matters most through her book Wise Effort.Their discussion spans from insights from ancient Buddhist wisdom to the application of commitment therapy to the practice of finding one's unique 'genius energy.' If you're interested in practical ways to maximize your strengths, handle emotional challenges, and cultivate a meaningful and balanced life, you'll want to join them to unearth actionable tips and exercises for making the most out of your efforts and ultimately enhancing your well-being.Listen and Learn: What is “Wise Effort” and how can this practice reshape your energy, choices, and well-being?Identifying and using your unique “genius energy” while also recognizing how overusing those strengths can become a stumbling block, and how cultivating awareness, curiosity, and context helps direct those strengths with wisdomPractical self-reflection questions to uncover your geniusA simple four-question “energy audit” for knowing when to dial your genius up or downWhere true wisdom really comes from, and what if rethinking how growth happensAdopting “Wise Effort” helps you understand your struggles in context, align your actions with your values, and transform both self-judgment and relationshipsBringing mindful intention to even mundane tasks to transform how you use your time, connect with yourself, and balance structure with flexibility in a meaningful lifeResources: Wise Effort: How to Focus Your Genius Energy on What Matters Most: https://bookshop.org/a/30734/9781649633361 Diana's Website: drdianahill.comConnect with Diana on Social Media: https://www.linkedin.com/in/drdianahillhttps://www.facebook.com/drdianahill/https://www.youtube.com/drdianahillhttps://www.instagram.com/drdianahill/https://insighttimer.com/drdianahill FREE Energy Audit guide: https://drdianahill.com/energy Wise Effort: The Business Of Therapy Program: https://drdianahill.com/wise-effort-the-business-of-therapy Michael's Real Play Episode on The Wise Effort Podcast: https://wiseeffortshow.com/episode/living-life-on-your-own-terms-with-michael-herold-real-play About Diana HillDr. Diana Hill, PhD is a clinical psychologist, author, international trainer, and recognized expert in Acceptance and Commitment Therapy (ACT), compassion-based interventions, and psychological flexibility. With a background that bridges neuroscience, mindfulness, and behavioral science, she is known for making complex psychological concepts both practical and inspiring.A summa cum laude graduate of the University of California, Santa Barbara, where she majored in Biopsychology, Dr. Hill earned her doctoral degree in Clinical Psychology from the University of Colorado at Boulder. She later collaborated with Dr. Debra Safer at Stanford University, researching Dialectical Behavior Therapy and Appetite Awareness Training (AAT) for bulimia nervosa. She completed her clinical internship at the University of California, Davis, followed by a postdoctoral fellowship at La Luna Intensive Outpatient Center, where she later served as Clinical Director and developed their ACT- and AAT-based treatment program.A leading voice in the evolution of ACT and Process-Based Therapy, Dr. Hill works closely with pioneers in the field. She co-leads ACT BootCamp Training for Therapists with ACT founder Dr. Steven Hayes and is actively involved in shaping the future of therapy—including applications of AI, advances in diagnostic systems, network modeling, and process-based approaches. She serves as a senior meditation teacher and curriculum developer for the University of California's Climate Resilience Initiative, integrating ACT and mindfulness into interdisciplinary environmental education.Dr. Hill has contributed to publications in the International Journal of Eating Disorders and co-authored a seminal article on Process-Based Therapy, advancing evidence-based clinical practice. She is a contributor to PsychFlex, a digital platform that helps clinicians incorporate ACT into their work and track client outcomes in real time through ecological measurements. She also speaks regularly at global conferences including the Association for Contextual Behavioral Science (ACBS) World Conference, Innovations in Psychotherapy, and the Evolution of Psychotherapy Conference.In addition to her clinical and academic work, Dr. Hill teaches at organizations and retreat centers such as InsightLA, Blue Spirit Costa Rica, PESI, and PraxisCET. She serves on the clinical advisory board of Lightfully Behavioral Health and is a board member of the Institute for Better Health.She is the author of Wise Effort: How to Focus Your Genius Energy on What Matters Most (Sounds True, 2025), The Self-Compassion Daily Journal, I Know I Should Exercise But…, and ACT Daily Journal. Her insights have been featured in NPR, The Wall Street Journal, Psychology Today, Mindful, Prevention, Real Simple, Woman's Day, and other leading media outlets. She is also the host of the Wise Effort podcast.With more than 20 years of study and practice in yoga and meditation—including training in the tradition of Thich Nhat Hanh—Dr. Hill integrates contemplative practice into her approach to healing and growth. She lives in California, where she raises two sons, cares for bees, and embodies the Wise Effort principles she teaches—living a life guided by presence, purpose, and compassion.Related Episodes:48. Practical Wisdom with Barry Schwartz349. The Hunger Habit with Judson Brewer188. Unwinding Anxiety with Judson Brewer122. Taking in the Good with Rick Hanson138. Exploring Existence and Purpose: Existentialism with Robyn Walser320. Anger and Forgiveness with Robyn Walser346. Self-compassion Daily Journal with Diana Hill301. Seven Daily ACT Practices for Living Fully with Diana Hill and Debbie SorensenSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

About Diana:Short Bio:Diana Hill, Ph.D. is a clinical psychologist, international trainer, and a leading expert on Acceptance and Commitment Therapy (ACT)—a revolutionary approach to psychology that is changing our understanding of mental health. Drawing from the most current psychological research and contemplative wisdom, Diana bridges science with real-life practices to help people grow fulfilling and impactful lives. She is the author of four books including I Know I Should Exercise, But…, The Self-Compassion Daily Journal, ACT Daily Journal, and her latest Wise Effort: How to Focus Your Genius Energy on What Matters Most (September 2025). She's the host of the Wise Effort Podcast and her insights have been featured by NPR, Wall Street Journal, Psychology Today, Real Simple, and other national media.Long Bio: Dr. Diana Hill, PhD is a clinical psychologist, author, international trainer, and recognized expert in Acceptance and Commitment Therapy (ACT), compassion-based interventions, and psychological flexibility. With a background that bridges neuroscience, mindfulness, and behavior science, she is known for making complex psychological concepts both practical and inspiring.A summa cum laude graduate of the University of California, Santa Barbara, where she majored in Biopsychology, Dr.Hill earned her doctoral degree in Clinical Psychology from the University of Colorado at Boulder, in collaboration with Dr. Debra Safer at Stanford University where she researched Dialectical Behavior Therapy and Appetite Awareness Training (AAT) for bulimia nervosa. She completed her clinical internship at the University of California, Davis, followed by a postdoctoral fellowship at La Luna Intensive Outpatient Center, where she later served as Clinical Director and developed their ACT and AAT-based treatment program.A leading voice in the evolution of ACT and Process-Based Therapy, Dr. Hill works closely with pioneers in the field. She co-leads ACT BootCamp Training for Therapists with ACT founder Dr. Steven Hayes, and is actively involved in shaping the future of therapy—including the applications of AI, revolutionizing the diagnostic system, network modeling, and process-based approaches. She serves as a senior meditation teacher and curriculum developer for the University of California's Climate Resilience Initiative, helping integrate ACT and mindfulness into interdisciplinary environmental education.Dr. Hill has contributed to publications in the International Journal of Eating Disorders and co-authored a seminal article on Process-Based Therapy, advancing evidence-based clinical practice. She is a contributor to PsychFlex, a digital platform that helps clinicians incorporate ACT into their work and track client outcomes in real time with ecological measurements, and she regularly speaks at global conferences, including the Association for Contextual Behavioral Science (ACBS) World Conference, Innovations in Psychotherapy, and the Evolution of Psychotherapy Conference.In addition to her clinical and academic work, Dr. Hill teaches at organizations and retreat centers such as InsightLA, Blue Spirit Costa Rica, PESI, and PraxisCET. She is on the clinical advisory board of Lightfully Behavioral Health and a board member of the Institute for Better Health.She is the author of Wise Effort: How to Focus Your Genius Energy on What Matters Most (Sounds True, 2025), The Self-Compassion Daily Journal, I Know I Should Exercise But…, and ACT Daily Journal, and her insights have been featured in NPR, The Wall Street Journal, Psychology Today, Mindful, Prevention, Real Simple, Woman's Day, and other leading media outlets. She is also the host of the Wise Effort podcast.With over 20 years of study and practice in yoga and meditation, including studying in the tradition of Thich Nhat Hanh, Dr. Hill integrates contemplative practice into her approach to healing and growth. She lives in California where she raises two sons, cares for bees, and embodies the Wise Effort principles she teaches—living a life guided by presence, purpose, and compassion.Links:Connect with her at drdianahill.com or on Instagram, Facebook, LinkedIn, YouTube, and Insight Timer @drdianahill.

Il mio giogo è dolc e il mio carico è leggero.Matteo 11:30

Dr. Amy Parks has worn many hats-teacher, school counselor, private practice owner, and group practice leader. After 15 years running a group practice with 16 clinicians, she sold it and shares what led to her decision and the status it stands today. She is candid about the challenges of sustaining a practice and managing people and  offers invaluable insights for anyone navigating the world leadership. Amy is also the force behind The Clinical Supervision Directory, the only national directory that helps supervision seekers find the right fit and is the closer for the Clinical Supervision Summit offered by PESI. Learn more here.Key Takeaways:Your legacy should not be your business-it should always be the relationships and people you impact.Clarity is kind-being direct benefits everyone.There is no shame in taking a different direction.Dr. Amy's Links:The Clinical Supervision DirectorySupervision Simplified Podcast

Gerry shares some myth busters about PESI Canada certifications. Episode Show Notes: kayla.das.com/bonus-episode-pesi-canada-certifications PESI Canada Courses: kayladas.com/pesicanada Free Boosting Business Community: facebook.com/groups/exclusiveprivatepracticecommunity Canadian Clinical Supervision Therapist Directory: canadianclinicalsupervision.ca Credits & Disclaimers Music by ItsWatR from Pixabay The Designer Practice Podcast and Evaspare Inc. has an affiliate and/or sponsorship relationship for advertisements in our podcast episodes. We receive commission or monetary compensation, at no extra cost to you, when you use our promotional codes and/or check out advertisement links.

What if the key to deeper intimacy lies in understanding the echoes of our past? Dr. Alexandra Solomon sits with Christine Hassler, a Master coach, podcast host, and author, to discuss how our family of origin roles shape our present connections, emphasizing the importance of inner child work and relational self-awareness. Christine shares her journey through the unhealthy patterns that surfaced in her own relationship with her partner, Stef, offering a raw look at the necessity of self-reflection in cultivating healthier dynamics.You'll come away from this episode with:A deeper understanding of how family of origin influences shape your current relationships.Practical strategies for engaging in inner child work to enhance self-awareness and relational dynamics.Insights into the importance of self-advocacy (especially as women!) and authentic communication in intimate partnerships.Perspective on how our professional roles and work offer yet another arena for us to notice and tend to old pain and create new ways of relating to ourselves and the world around us. Resources worth mentioning from the episode:Podcast - Life Coaching with Christine Hassler:https://podcasts.apple.com/us/podcast/life-coaching-with-christine-hassler/id1050321415Christine Hassler's The Women's Retreat in San Diego, Oct 17-19, 2025:https://christinehassler.com/womensretreat/“Managing Back to School Stress on MasterClass:  http://masterclass.com/backtoschoolCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Anxiety is one of the most common emotional struggles today. Whether you have a formal diagnosis or are simply experiencing the symptoms, you are not alone. In this episode, Dr. Alexandra is joined by anxiety expert, therapist, and author Noelle McWard Aquino to talk about the three distinct root causes Noelle has identified and written about in her book Anxiety Unpacked. Together, they discuss which characteristics each type has and what core needs drive them. And most importantly, they discuss practical tools and strategies to help you find relief and peace, regardless of your anxiety type.You'll come away with this conversation with:A thorough overview of anxiety, with answers to questions that often come up such as: -What's the difference between anxiety and intuition?-Is it okay if I just avoid the things that make me anxious?-How am I possibly going to change my behaviour when I feel as anxious as I do?-Why do we have to deal with anxiety in the first place?The three root causes of anxiety, characteristics to identify each type, and strategies to manage each typeTips on what to do if you're struggling with anxiety in your intimate partnership, and what to do if your partner is struggling with anxietyValidation on the experience of anxiety and a mindset shift to provide hope that you can find peace and calm Resources worth mentioning from the episode:Learn more about Noelle McWard Aquino:https://noellemcwardaquino.com/Anxiety Unpacked by Noelle McWard Aquino:https://bookshop.org/p/books/anxiety-unpacked-noelle-mcward-aquino/a60a608d74e71afb?ean=9781960876904&next=t&“Your Anxiety Toolkit” on MasterClass:www.masterclass.com/youranxietytoolkitCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Have you ever felt like your resilience is being pushed to its limits, especially in the chaotic and complex world we live in today? Dr. Alexandra sits down with organizational psychologist, researcher, and New York Times best-selling author Dr. Tasha Eurich to delve into the insights from her new book, Shatterproof: How to Thrive in a World of Constant Chaos (and Why Resilience Alone Isn't Enough). In this conversation, they discuss the myths of resilience, as well as what a “resilience ceiling” is and how to identify when we've hit it. Most importantly, they talk about how to understand the limits of resilience so that we don't, as Dr. Tasha would call it, “grit gaslight” ourselves when our usual coping strategies don't work the way they used to.You'll come away from this episode with:A clearer understanding of the limitations of resilience and how to identify when you've reached your 'resilience ceiling'.A renewed perspective on the importance of acknowledging struggles as part of personal growth and healing (stoicism isn't the answer here!).Practical strategies and tools to enhance your self-awareness and well-being, such as Dr. Tasha's self-assessment for determining how much of our self-definition is about our work and ambition, and her 2-2-2 tool for managing overwhelm.Insights into the essential emotional needs that foster deeper connections in your relationships.Resources worth mentioning from the episode:The Resilience Ceiling Quizhttps://resilience-quiz.com/Shatterproof: How to Thrive in a World of Constant Chaos (And Why Resilience Alone Isn't Enough) by Tasha Eurichhttps://bookshop.org/p/books/shatterproof-how-to-thrive-in-a-world-of-constant-chaos-and-why-resilience-alone-isn-t-enough-tasha-eurich/9f0e6a8876113ed0Managing Back to School Stress on MasterClass:  http://masterclass.com/backtoschoolCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This is a free preview of a paid episode. To hear more, visit rethinkingwellness.substack.comClinical psychologist and author Jennifer Caspari (You Are More Than Your Body) joins us to discuss how to accept your body when you have a chronic illness, chronic pain, or disability. We talk about her experience living with cerebral palsy, how to practice body neutrality, the importance of emotion-regulation skills, and how to navigate the tension between self-acceptance and not liking the way things are. Behind the paywall, we get into wellness culture's toxic beliefs about chronic illness and disability, how to dispel the fear that accepting your health conditions means giving up on ever feeling better, how to cope when people offer unsolicited advice, how to set boundaries, and more.  Paid subscribers can hear the full interview, and the first half is available to all listeners. To upgrade to paid, go to rethinkingwellness.substack.com. Jennifer Caspari, Ph.D., is a licensed clinical psychologist working at a group practice in Colorado, CBT Denver, specializing in general and health psychology. She is passionate about helping clients live full and meaningful lives, including those living with acute or chronic illness and chronic pain. She lives with cerebral palsy and writes a Psychology Today blog titled Living Well When Your Body Doesn't Cooperate. Dr. Caspari is the creator and instructor of a nationwide chronic pain course with PESI, a national leader in providing continuing education to mental health professionals: 2 Day: Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Start to Finish Training for Clinicians.In her free time, Dr. Caspari enjoys spending time with loved ones, feeling the sun on her face, listening to audiobooks while moving her body, watching cooking and baking shows, and eating delicious food. You can find her on social media @moxie_mindset, and get her book YOU ARE MORE THAN YOUR BODY (Bookshop affiliate link) wherever you buy books.If you like this conversation, subscribe to hear lots more like it! Support the podcast by becoming a paid subscriber, and unlock great perks like extended interviews, subscriber-only Q&As, full access to our archives, commenting privileges and subscriber threads where you can connect with other listeners, and more. Learn more and sign up at rethinkingwellness.substack.com.Christy's second book, The Wellness Trap, is available wherever books are sold! Order it here, or ask for it in your favorite local bookstore. If you're looking to make peace with food and break free from diet and wellness culture, come check out Christy's Intuitive Eating Fundamentals online course.Contains affiliate links to Bookshop.org, where I earn a small commission for any purchases made.

Podcast favorite Dr. Amelia Kelley is back on the show! Today we're unpacking something I know will resonate with so many of you: our trauma responses. Fight, flight, freeze, or fawn… we all have them. But what if instead of shaming ourselves for these responses, we learned to use them for our benefit? Amelia and I get into what each response actually looks like day-to-day, why they happen so quickly in the body, and how to bring more consciousness when they show up. We also explore ways to reframe them so they can become tools that work in your favor: turning fight into advocacy, flight into creativity, freeze into stillness, and fawn into compassion and service. ✨ Podcast episodes are available in two formats - audio and video! If you'd like to watch the video version of this episode, you can find it here. What you'll hear about in this episode: The four trauma responses: fight, flight, freeze, and fawn (2:36) Why these responses happen so fast in the brain and nervous system (5:41) The role of naming and grounding in shifting your experience (17:47) How to recognize your default response and bring more choice into it (19:55) Using trauma responses in intentional ways, like boxing, cycling, meditation, or setting boundaries (38:20) Learn more about Dr. Amelia Kelley:  Dr. Amelia Kelley is a trauma-informed therapist, author, co-host of The Sensitivity Doctor Podcast, researcher, and certified meditation and yoga instructor. Her specialties include art therapy, internal family systems (IFS), EMDR, and brainspotting. Her work focuses on women's issues, empowering survivors of abuse and relationship trauma, highly sensitive persons, motivation, healthy living, and adult ADHD. She is an adjunct professor in Psychology at Yorkville University and a nationally recognized relationship expert featured on SiriusXM Doctor Radio's The Psychiatry Show as well as NPR's The Measure of Everyday Life and 411 Teen. Her private practice is part of the Traumatic Stress Research Consortium at the Kinsey Institute. She is also a resident trainer at PESI offering continuing trauma-focused education to professionals. She is the author of Powered by ADHD: Strategies and Exercises for Women to Harness their Untapped Gifts, Gaslighting Recovery for Women: The Complete Guide to Recognizing Manipulation and Achieving Freedom from Emotional Abuse, coauthor of What I Wish I Knew: Surviving and Thriving After an Abusive Relationship, as well as Surviving Suicidal Ideation: From Therapy to Spirituality and the Lived Experience, and a contributing author for Psychology Today, ADDitude Magazine, as well as Highly Sensitive Refuge. Her work has been featured in Teen Vogue, Yahoo News, Lifehacker, Well + Good and Insider.  Resources & Links: ALL NEW: The Divorce Survival Guide Podcast Episodes are Now Available on YouTube! Focused Strategy Sessions with Kate The Divorce Survival Guide Resource BundlePhoenix Rising: A Divorce Empowerment CollectiveKate on InstagramKate on FacebookKate's Substack Newsletter: Divorce Coaching Dispatch Dr. Amelia Kelley's websiteDr. Amelia Kelley on Instagram =================== DISCLAIMER:  THE COMMENTARY AND OPINIONS AVAILABLE ON THIS PODCAST ARE FOR INFORMATIONAL AND ENTERTAINMENT PURPOSES ONLY AND NOT FOR THE PURPOSE OF PROVIDING LEGAL OR PSYCHOLOGICAL ADVICE.  YOU SHOULD CONTACT AN ATTORNEY, COACH, OR THERAPIST IN YOUR STATE TO OBTAIN ADVICE WITH RESPECT TO ANY PARTICULAR ISSUE OR PROBLEM. =================== Episode link: https://kateanthony.com/podcast/episode-335-making-your-trauma-responses-work-for-you-with-dr-amelia-kelley/  

There are a few things we likely can all agree on: (1) we are living in a very polarizing time, (2) it's hurting us, and (3) the way that we talk about politics is broken, given that we are all living in different information orbits. In this episode, Dr. Alexandra sits down with Mónica Guzmán who offers us some hope for the relationships in our lives that have suffered as a result of this polarization. She also offers us the perspective we need to help us stay grounded, even as the structures all around us fiercely demand our attention and invite our reactivity. The goal is not necessarily to seek to change each other's view on the issues but to change our view on each other. And to see that “engagement is not endorsement”, as we work to enter into curious dialogue with the people in our lives and to perhaps notice the ways that we are not as divided as we believe we are.You'll come away with this conversation with:Strategies on how to approach the conversations with the people in your life that have historically gone sideways due to ideological misalignmentsInsights on maintaining curiosity and connection in the face of divisionTips for navigating the online dating landscape without compromising your values or limiting yourselfResources worth mentioning from the episode:Mónica Guzmán's Reclaim Curiosity Newsletter: https://www.moniguzman.com/subscribeI Never Thought of It That Way: How to Have Fearlessly Curious Conversations in Dangerously Divided Times by Mónica Guzmán: https://bookshop.org/p/books/i-never-thought-of-it-that-way-monica-guzman/22293096?ean=9781637740323&next=t&next=t&affiliate=4380Managing Back to School Stress on MasterClass:  http://masterclass.com/backtoschoolCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/

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We're living in a time of information abundance (sometimes information overload!) and lots of that information is about mental health, wellness, and relational health! But there's a difference between consuming content and integrating it. When we consume, the information might just pass through us. Whereas when we integrate, the information weaves its way into our unique story or situation. This creates insight and the potential for a shift in mindset, in emotion, in belief, and in behavior.Reflect and journal with Dr. Alexandra to integrate core lessons from the podcast, continuing with today's conversation from the archive. Originally released in September 2022, Dr. Alexandra and Dr. Thema Bryant discuss the importance of resting and of tapping into the things that make you feel truly alive. They also recognize that the ways the system impacts our sense of identity may hinder us from experiencing ease in rest or leisure. They invite us to incorporate these essential self-care acts into our lives little by little.Get out your favorite pen and journal to reflect on these perspectives:Many of your struggles are influenced by systemic issues and are not as personal as you might think. Acknowledging this makes a lot of the negative voices in our heads related to our worth less of a mystery - often, they did not come from us.Rest is a radical act of self-compassion and connection (and not selfish or lazy!), although many people find it very difficult to slow down for a variety of reasons, particularly those from historically excluded identities.While slowing down can feel overwhelming because it brings up avoided emotions, integrating this practice gradually, and slowly noticing the information our emotions provide us can allow us to tap into our truth.Journaling Prompts:How ​do ​the ​macro ​issues ​of ​the ​world ​shape ​your ​sense ​of ​yourself ​in ​this ​moment ​today? ​What ​do ​the ​voices ​in ​your ​head ​tell ​you ​about ​your ​worth? Did ​that ​voice ​come ​from ​you? ​How ​might ​you ​show ​up ​differently ​if ​you ​rejected ​what ​the ​voices ​told ​you ​when ​they ​told ​you ​negative ​things ​about ​your ​worth? ​What's ​your ​relationship ​with ​rest and ​stillness?  Is ​there ​some ​discomfort ​there? What, ​perhaps, ​keeps ​you ​from ​feeling ​at ​ease ​while ​resting? What ​does ​it ​feel ​like ​in ​your ​body ​to ​be ​still, to ​do ​nothing, ​to ​not ​be ​productive? What ​does ​doing ​something ​just ​for ​the ​sake ​of ​doing ​it, ​not ​as ​a ​means ​to ​an ​end, but ​just ​to ​be ​in ​the ​moment - what ​does ​that ​feel ​like? ​What's ​coming ​up ​for ​you ​as ​we ​sit ​here ​together ​right ​now? ​What ​comes ​to ​mind ​when ​you ​are ​being ​invited ​to ​reconnect with ​​some ​neglected ​parts ​of ​yourself? ​What ​are ​you ​doing when ​you ​feel ​the ​most ​alive? What's ​the ​setting? ​What's ​the ​context? ​What ​time ​of ​day ​is ​it? What ​are ​you ​up ​to? What ​are ​the ​constraints ​to ​entering ​that ​space ​that ​makes ​you ​feel ​most ​alive? ​   What, ​perhaps, keeps ​you ​from ​feeling ​entitled ​to ​make ​space for ​that which ​makes ​you ​come ​alive? ​What ​is ​a ​pledge ​that you ​can ​make ​to ​yourself ​this ​week ​to ​carve ​out ​even ​the ​tiniest ​bit ​more ​space ​for ​rest, for ​stillness, for ​doing ​that ​which ​makes ​you ​feel ​alive? And ​if ​and ​when ​you ​carve ​out ​a ​little ​tiny ​bit ​more ​space, ​can ​you ​just ​notice ​and ​land ​and ​savor how you ​feel when ​you ​enter that ​space ​of ​rest and ​stillness?Resources worth mentioning from the episode:Reimagining Love episode, Coming Home to Ourselves: The Path to Thriving with Dr. Thema Bryanthttps://dralexandrasolomon.com/podcasts/coming-home-to-ourselves-learning-to-thrive-with-dr-thema-bryant/Homecoming: Overcome Fear and Trauma to Reclaim Your Whole, Authentic Self by Dr. Thema Bryant:https://bookshop.org/p/books/homecoming-healing-trauma-to-reclaim-your-authentic-self-thema-bryant/20204100?ean=9780593418321&next=tThe Homecoming Podcast:https://podcasts.apple.com/us/podcast/the-homecoming-podcast-with-dr-thema/id1471604689Dr. Thema's Instagram:https://www.instagram.com/dr.thema/Tricia Hershey's The Nap Ministry (Healing via the REST IS RESISTANCE framework):https://thenapministry.wordpress.com/about/Managing Back to School Stress on MasterClass:  http://masterclass.com/backtoschoolCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/ 

The fourth and final mailbag episode of the summer is here! Dr. Alexandra has advice for three listeners with three relationship dilemmas related to infidelity and rebuilding trust, both relationally and within themselves.Start healing together with these listener challenges:Our first listener question concerns shame upon discovering an extramarital affair.The second question deals with jealousy in the wake of some boundary-breaching behavior that is impacting the relationship.An affair partner asks our third question, as she struggles with honesty and clarity within the affair from her married partner.Resources worth mentioning from the episode:Can I Trust You Again? e-course: https://courses.dralexandrasolomon.com/can-i-trust-you-again-rebuilding-after-betrayal-or-deceitReimagining Love episode, When Shame Blocks Repair: https://dralexandrasolomon.com/podcasts/when-shame-blocks-repair/Reimagining Love episode, When You're the Affair Partner: https://dralexandrasolomon.com/podcasts/when-youre-the-affair-partner/Your Midyear Refresh on MasterClass: http://masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: http://pesi.com/dralexandraContinue the conversation with Dr. Alexandra Solomon:Ask a question! Submit your relationship challenge: https://form.jotform.com/212295995939274Order Dr. Alexandra's book, Love Every Day: https://bookshop.org/p/books/love-every-day-365-relational-self-awareness-practices-to-help-your-relationship-heal-grow-and-thrive-alexandra-solomon/19970421?ean=9781683736530Cultivate connection by subscribing to Dr. Alexandra's newsletter: https://dralexandrasolomon.com/subscribe/Learn more on IG: https://www.instagram.com/dr.alexandra.solomon/

Dr. Alexandra sits down with Case Kenny – creator, mindfulness expert, host of the podcast New Mindset, Who Dis? and author of That's Bold of You and The Opposite of Settling: How to Get Everything You Want Out of Love and Life Without Losing Your Spark – to discuss how societal “shoulds” around dating and relationships can create rigid expectations and fear-based decisions. Instead, they invite us to lean into curiosity, optimism, and self-awareness to get what we want out of love and dating.Together, they dive into:Why the concept of “settling down” needs an upgrade—and what it means to “settle up” instead How understanding your “why” of dating shifts your whole approach Using the peak-end rule to reframe past dating experiences How showing up enthusiastically and with trust as the default right from the start can amplify your dating and relationship experiences            And so much more!“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraThe Opposite of Settling: How to Get Everything You Want Out of Love and Life Without Losing Your Spark by Case KennyInstagram @case.kennyLearn more about Case Kenny: https://www.casekenny.com/Order Dr. Alexandra's book, Love Every DaySubmit a Listener Question

Royce and Pesi return to talk about The Naked Gun trilogy starring Leslie Nielson and the newest film starring Liam Neeson. Our missions is to try and figure out which one is the BEST Naked Gun movie!https://youtube.com/live/F6I0MJbZKvAhttps://rumble.com/v6xjuuq-what-is-the-best-naked-gun-movie-hack-the-movies.html?e9s=src_v1_upp_a

First-generation children of immigrants often struggle with bicultural straddling, impacting their sense of identity, their mental health, their priorities and values, and their relationships. They can also find it difficult to be understood and loved by their parents in a way they can truly feel. Dr. Alexandra is joined by Sahaj Kaur Kohli, founder of Brown Girl Therapy and author of But What Will People Say: Navigating Mental Health, Identity, Love and Family Between Cultures to discuss how we can develop more capacity to love across differences and make shifts within ourselves to change our relationships for the better.You will come away from this conversation with:Validation for identity tensions you may carry as the child of immigrant parents (or more perspective on these identity tensions if you are not!)Insight into balancing personal boundaries with cultural expectations, especially when dealing with clashing priorities - plus a fresh perspective on how to approach healingTips on finding the right therapist and how to ensure you're receiving culturally-attuned care given the mental health field's bias toward a Eurocentric and individualized approach Strategies for building healthier relationships - with yourself, your family, and romantic partners - while honoring your heritage“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraBut What Will People Say: Navigating Mental Health, Identity, Love and Family Between Cultures by Sahaj Kaur KohliBrown Girl Therapy Instagram Culturally Enough SubstackLearn more about Sahaj Kaur KohliOrder Dr. Alexandra's book, Love Every DaySubmit a Listener Question

Pesi Katz chats about our upcoming 5K on August 23rd. Sign up by going to https://forrestspence5k.raceroster.com. We hope to see you there for a fun day! Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

When grappling with aspects of ourselves that we deem less good, less productive or less loveable, it may be tempting to completely write those parts off, or to hide them away in shame.  Today's guest, Britt Frank, sits down with Dr. Alexandra to make a compelling case for why it is essential to use the power of parts work to embrace these aspects of ourselves so that we can make better sense of the full range of the human experience and show up more fully in our important relationships.  You will come away from this episode with:Inspiration to embrace all parts of yourself, good and “bad”Know-how to A.L.I.G.N your mind, using this acronym to work with your partsGreater “parts literacy” to navigate your relationships with more skill, understanding, and compassionA new perspective on Attachment Styles in relation to our parts“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraAlign Your Mind: Tame Your Inner Critic and Make Peace with Your Shadow Using the Power of Parts Work by Britt FrankLearn more about Britt Frank at https://www.brittfrank.com/Reimagining Love Episode, Finding The “Self”: Exploring Family Systems Therapy With Dr. Richard C. SchwartzOrder Dr. Alexandra's book, Love Every Day

Welcome to R&R: Revisit & Reflect, a new episode format here on the podcast. We're living in a time of information abundance (sometimes information overload) and lots of that information is about mental health and relational health! But there's a difference between consuming content and integrating it. When we consume, the information might just pass through us, whereas when we integrate, the information weaves its way into our unique story or situation, creating insight and the potential for a shift in mindset, in emotion, in belief, and in behavior. With these R&R episodes, you'll reflect and journal with Dr. Alexandra to integrate core lessons from the podcast, continuing with today's conversation from the archive with the esteemed Drs. John & Julie Gottman. The Gottmans share some of the most groundbreaking findings to ever come out of their Love Lab and discuss with Dr. Alexandra the relationship principle of “Small Things Often.” So, get out your favorite pen and journal and join in this summer reflection. You'll come away from this episode with:A deeper understanding of how 'small things often' can create lasting bonds in your intimate partnerships.An opportunity to identify and appreciate the positive moments that contribute to your relationship's health.A framework for self-reflection with actionable journaling prompts to enhance intimacy.Journaling Prompts:What messages did you receive growing up, either from your family, your culture, or from media you consumed, about HOW to express love? In what ways were those messages limited, and how might you update them based on what you heard in this clip?What keeps you from making small gestures of love towards your partner / toward your past partner? What keeps you from ACCEPTING bids for connection from partners? Is it discomfort? If so, what specifically feels uncomfortable? Is it fear? If so, what specifically is the fear? Is it a feeling of unworthiness? If so, what do you want to remember about who you are?In the clip, the Gottmans remind us that our PERCEPTION of our partner can play a huge role in the dynamic, and that we might actually be missing positive moments and bids for connection that are already happening. Write down a commitment you want to make this week to help you to keep an eye out for the positive.What's something you find beautiful about your partner, either inside or out? What would it be like to share this with them, without any agenda, but just because it might light them up?“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraReimagining Love Episode, “How to Love Well: The Little Things that Change Everything with Drs. John & Julie Gottman”Order Dr. Alexandra's book, Love Every DaySubscribe to Dr. Alexandra's NewsletterSubmit a Listener Question

Welcome to another summer mailbag episode, in which Dr. Alexandra digs into recent listener questions so that we can all grow, together. Two of the questions today follow a general shape of a question that comes across Dr. Alexandra's desk quite often. Something like: “Everything's perfect in my relationship…BUT….” There's some challenge, incompatibility, or roadblock that feels outside of our control—or, something within *US* that's holding us back from taking things to the next level, even though everything feels so right—and we can't get unstuck. Dr. Alexandra speaks to two listeners in this spot, as well as answering a unique question from a listener who is wanting to reclaim a special place for herself and her daughter, a place that holds both “pain and potential,” in her words, in the wake of the end of her marriage. Listen to hear Dr. Alexandra's tips on how she can reclaim her paradise.“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraTake the Family of Origin Roles QUIZ Previous summer mailbag episodes: Mailbag 1, Mailbag 2Order Dr. Alexandra's book, Love Every DaySubscribe to Dr. Alexandra's NewsletterSubmit a Listener Question

Sex isn't always easy to talk about, but today, you're going to hear from someone who is bringing the sexy back to sex ed. Dr. Alexandra is joined by Shan Boodram, a sexuality educator and certified sexologist, known for her work on Netflix's Too Hot To Handle, The Marriage Pact on The Roku Channel, and Ex-Rated on Peacock, as well as her MasterClass, “The Art of Seduction,” which leads folks through the fundamentals of flirting, intimacy, and how to foster deep physical and emotional connections. Shan's approach to sex education is welcoming and approachable, and she has a reverence for this topic that is oh-so central to our humanity and aliveness. From re-defining the way we draw wisdom from the ancient Kama Sutra text, to even designing jewelry that encourages folks to reclaim their pleasure in the bedroom, Shan & this conversation will inspire you to see your and your partner's sexuality with fresh eyes. And if you're looking for practical advice on the art of seduction, you'll get that in this episode, too (enter Shan's iconic “sexy eye triangle” tip). There's so much to glean from this episode, whether you're looking to spice things up with your partner in the bedroom, move past sexual shame, or just see sex in a new way.You'll come away from this episode with:A refreshed perspective on the “intimate self” and a reminder of how central our sexuality is to our humanityPractical tips for how to use flirting and seduction to connect with others, and even more importantly, with yourself New ideas for how to bring novelty, improved communication, and playfulness into the bedroom“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandra“The Art of Seduction on MasterClass: masterclass.com/shanKäma, Shan's jewelry collaboration with SurmeyiShan's websiteLOVERS by shan, Shan's podcastOrder Dr. Alexandra's book, Love Every DaySubscribe to Dr. Alexandra's NewsletterSubmit a Listener Question

Dr. Alexandra sits down with author and speaker Jennifer Pastiloff for a heartfelt conversation centered on vulnerability, new beginnings, and embracing joy through trying times. Jen's candid sharing of her personal journey reminds us that we're constantly given opportunities to evolve ourselves, heal, and step more deeply into our authenticity. Jen and Dr. Alexandra also discuss navigating the "messy middle" after a breakup or divorce, and how we can begin again in life after facing bumps in the road. Jen's new book, Proof of Life: Let Go, Let Love, and Stop Looking for Permission to Live Your Life, is out today and explores all of these topics and many more.You'll come away from this episode with:Hope & permission to live a bigger and more beautiful lifeReminders for how to cultivate emotional safety in your intimate partnerships, which will pave the way for deeper connectionA deeper understanding of the importance of "I Got You" people—the supportive folks in your circle who reflect your best self back to you—and clues for how to find themEmpowerment to feel joy and search for beauty even in the most difficult or heartbreaking chapters of your life“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraProof of Life: Let Go, Let Love, and Stop Looking for Permission to Live Your Life by Jennifer PastiloffOrder Dr. Alexandra's book, Love Every DaySubscribe to Dr. Alexandra's NewsletterSubmit a Listener Question

Welcome to R&R: Revisit & Reflect, a new episode format here on the podcast. We're living in a time of information abundance (sometimes information overload) and lots of that information is about mental health and relational health! But there's a difference between consuming content and integrating it. When we consume, the information might just pass through us, whereas when we integrate, the information weaves its way into our unique story or situation, creating insight and the potential for a shift in mindset, in emotion, in belief, and in behavior. With these R&R episodes, you'll reflect and journal with Dr. Alexandra to integrate core lessons from the podcast, starting with today's conversation from the archive with the inimitable relationship expert Esther Perel. They explore relational ambivalence and how to reignite the spark inside your relationship, and within yourself, inspired by a listener's question. So, get out your favorite pen and journal and join in this summer reflection. You'll come away from this episode with:A deeper understanding of the importance of rituals in maintaining connection amidst life's challengesA new perspective on the impact of external circumstances on anxiety in your relationships.The ability to recognize and respond to your partner's bids for connection.A framework for self-reflection with actionable journaling prompts to enhance intimacy.Journaling Prompts:How do the macro issues of the world shape your love life today? To what degree are you able to give yourself permission for play and pleasure, even as the world feels so hard? What allows you to do that?In the clip, Esther reminds us that if you don't know how to turn yourself on, there's nothing your partner can do to turn you on. How are you finding ways to connect to your own aliveness? What are some things you can do this week, just for you, that could reinvigorate your internal spark? This could include engaging with nature, art, food, movement, or play.In this clip, Esther and Dr. Alexandra talk about how for a couple to create an experience together, one partner is the initiator and one is the responder. These roles aren't fixed, but which role do you do you tend to find yourself in more? What do you like about being in each position, and what's hard about each of them?“Your Midyear Refresh” on MasterClass: masterclass.com/yourmidyearrefreshCouple Therapy Certification Course from PESI: pesi.com/dralexandraOrder Dr. Alexandra's book, Love Every DaySubscribe to Dr. Alexandra's NewsletterSubmit a Listener Question

Children with secure attachment bonds will be able to feel protected by their parents, and they will be able to know that they can depend on them to guide them and support them in the emotional areas they require in order to develop relationships that are healthy and that of earned security.Connect with me --> https://drmatmonharrell.bio.link/Written by Dr. Matmon HarrellReferencesDiamond, G. S., Diamond, G. M., & Levy, S. A. (2014). Attachment-based family therapy for depressed adolescents. American Psychological Association. https://doi.org/10.1037/14296-000Links to an external site.Allen, K.R., & Henderson, A.C. (2017). Family theories: Foundations and applications. Wiley BlackwellAnderson, F.G., Sweezy, M., Schwartz, R.C. (2017) Internal family systems skills training manual: Trauma-informed treatment for anxiety, depression, PTSD and substance abuse. PESI, Inc.Diamond, G. S., Diamond, G. M., & Levy, S. A. (2014). Attachment-based family therapy for depressed adolescents. American Psychological Association. https://doi.org/10.1037/14296-000Kanter, D., & Lehr, W. (1975). Inspire the family: Toward a theory of family process. Joseph-Bass.Nelson, T. S. (2018). Solution-Focused Brief Therapy with Families. Taylor & Francis.Music provided by Podcastle Become a member at https://plus.acast.com/s/themindfulpharmd. Hosted on Acast. See acast.com/privacy for more information.

Tony, Royce, and Pesi team up to talk about A24's Friendship. Is it a hilarious comedy or total cringe fest? Audiences are divided. What will we think? Watch and find out!

To donate to my PayPal (thank you): https://paypal.me/danieru22?country.x=US&locale.x=en_US I hope you enjoy this interview with Andrew Christensen, PhD, and one of the developer of Integrative Behavioral Couples Therapy (IBCT). His Website: https://drandrewchristensen.com/ PESI courses: https://www.pesi.com/item/integrative-behavioral-couple-therapy-ibct-utilizing-deep-assessment-target-couples-distress-zach-145404 Resources: https://ibct.psych.ucla.edu/resources/ IBCT Book: https://www.barnesandnoble.com/w/integrative-behavioral-couple-therapy-andrew-christensen/1134861728 Note: Information contained in this video is for educational purposes only and is not intended as a substitute for treatment or consultation with a mental health professional or business consultant.https://drandrewchristensen.com/

Perché la guerra in Ucraina viene raccontata in un modo e quella a Gaza in un altro? Con Marco Travaglio, al BSMT, abbiamo parlato anche di questa disparità mediatica sempre più lampante. Il resto della puntata ti aspetta nel

Pesi and Alexis chat with us about our upcoming Spring for Forrest Cocktail Party and Auction event on April 11. We will have live music, delicious food, a live and silent auction, and more! You can purchase your tickets through our website at the cost of $100 per person. We hope to see you there!Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

Send us a textJayne Amelia speaks with Jeanette Yoffe, M.A., M.F.T., who is a therapist specializing in adoption and foster care and the Director and Founder of Celia Center, the non-profit she named after her first mother, Celia.  *In this episode we talk about:Treating the Whole Family- Emphasis on the importance of treating the entire family unit, not just the child.- Benefits of a holistic approach by acknowledging all members and including the constellation of all family in addressing the root causes of trauma, grief, and loss.Open Adoption and Open Foster Care ServicesGenerational Foster CareDiscussion of the Underlying Causes of Stress, Loss, and TraumaAddressing Multigenerational TraumaProviding Support and Resources and Preventive MeasureBreaking the Cycle of Generational Foster CareJeanette treats children, teens, and adults with serious psychological problems secondary to histories of abuse, neglect, adoption, and /or multiple foster care placements. She has specialized for the past 20 years in the treatment of children and teens who manifest serious deficits in their emotional, cognitive, and behavioral development. Celia Center Inc is a non-profit organization in Los Angeles supporting all members of the foster care and adoption constellation which includes birth parents, foster youth, adoptees, foster and adoptive parents as well as professionals working in the field. ​She is also the Clinical Director of Yoffe Therapy Inc., a mental health center in Los Angeles provides services to families, children, teens, and adults connected by foster care and adoption. Learn more here.Jeanette's desire to become a therapist with a special focus on adoption and foster care issues derived from her own experience of being adopted and moving through the foster care system. Her personal experience has informed her education and provided insight into the unique stresses involved with these issues. In 2006 she was awarded the Los Angeles Foster Care Hero Award for her dedication to children and families in foster care. Please learn more at JeanetteYoffe.comJeanette's has many courses and programs on Pesi.com and her new book can be found on their website: The Traumatized and At-Risk Youth ToolboxOver 160 Attachment-Informed Interventions for Working with Kids and Families in Foster Care and BeyondSee bonusbabies.org to learn more about what we are doing and please donate to support us by making a 100% tax-deductible contribution. EVERY PENNY OF YOUR CONTRIBUTION GOES TO RECORDING AND PLATFORMING THESE STORIES. Yeah!IG@bonusbabiespodcastTW@BonusBabiesPodFB@BonusBabiesPodcast

Part 2! Some of you had questions for Drs. Jeff and Mary so we had them back?Drs. Jeff and Mary are back to discuss therapeutic separation, addiction, autism, and healing! Some of you had questions, and some of you had criticism, and they are discussed today!Listen to part one here:https://www.spreaker.com/episode/autism-addiction-healing-with-therapeutic-separation-s-with-drs-jeff-mary-jones--62412733Find Dr. Mary at:Dr. Mary Jones believes there is greatness in each of us and is passionate about equipping and empowering women to reach their fullest potential.Throughout her life and career, she has had the privilege of working to empower and equip women and girls to be their best selves. Dr. Mary has also completed a study in autism as a specialty through PESI, becoming an Autism Spectrum Disorder Clinical Specialist. Her vision is to see women living out their purpose and affecting change in their worlds. She is an NT married to a neurodivergent spouse and the mother of a son on the autism spectrum.​​Contact her at: https://drmarycoaches.com/contact-meDr. Jones has been featured on our NeuroDiverse Christian Couples (NDCC) podcast. Listen to her episode HERE!

Pesi Katz chats with us about our upcoming No Show Ball on Saturday, February 8th in Memphis, TN. The No Show Ball comes to you in the form of a dinner in a cooler bag dropped off at your door. Purchase your cooler today through the link on our website!Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

I'm celebrating the last night of Hanukkah with Royce and Pesi as we talk about The Hebrew Hammer! This played a LOT on Comedy Central back in the day and believe it or not it is still hilarious!

Are you looking for a step-by-step holistic approach to eating disorder recovery? Tune in for an inspiring discussion with Ann Saffi Biasetti, PhD, LCSW on her book Befriending Your Body: A Self-Compassionate Approach to Freeing Yourself from Disordered Eating.Moments with Marianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio Affiliate!  Ann Saffi Biasetti, PhD, LCSW, is a practicing Psychotherapist for over 34 years. Ann holds a PhD in Psychology with a Transpersonal concentration and she is licensed as a Clinical Social Worker. She specializes in somatic psychotherapy, and is an eating disorder specialist. She is a certified Mindfulness teacher, Mindful Self-Compassion (MSC) Teacher, and a Certified Yoga Therapist (C-IAYT). She is an author, speaker, and teacher of self-compassion and somatic interventions in eating disorder recovery as well as retreat leader teaching embodiment, women's empowerment, and body image. She trains professionals through PESI and in her Befriending Your Body (BFYB) certification program for eating disorder recovery and in Restorative Yoga through her school An Embodied Life. https://www.anembodiedlife.comFor more show information visit: www.MariannePestana.com#book #newbook #bookclub #mustread #wellbeing #mentalhealth #selfdiscover #selfhelp #personalgrowth #personaldevelopment #inspiration 

Send us a textOn this week's episode I have the pleasure of talking to  Dr. Gina Simmons Schneider. Gina is the author of Frazzlebrain: Break Free from Anxiety, Anger, and Stress Using Advanced Discoveries in Neuropsychology (Central Recovery Press, March 2022). She is a licensed psychotherapist, executive coach, and corporate trainer. She serves as codirector of Schneider Counseling and Corporate Solutions.Dr. Schneider is a coping skills expert with more than 25 years of experience helping people regulate difficult emotions and conflicts. Dr. Schneider is certified in Neuroscience for Clinicians through PESI and Critical Incident Stress Debriefing through National Trauma Services. In short, she is a remarkably qualified person when it comes  to dealing with stressful situations and emotions.We have a tremendous conversation about how we can all deal with stressful situations better and more productively, making sure we don't stay in that stressed state for too long and realising that we might not control the situation but, with a bit of help, we can control our response and make our life easier for ourselves.We are talking the power of the mind when it comes to stress but even when it comes to things like weightloss and athletic performance and post-partum recovery.I would highly recommend reading Frazzlebrain, it's a great read, and Dr Gina has a gift for explaining these concepts in a clear and engaging way.You can find her in all the usual spaces;Her websiteFacebookInstagramAs always; HPNB still only has 5 billing cycles. So this means that you not only get 3 months FREE access, no obligation! BUT, if you decide you want to do the rest of the program, after only 5 months of paying $10/£8 a month you now get FREE LIFE TIME ACCESS! That's $50 max spend, in case you were wondering. Though I'm not terribly active on  Instagram and Facebook you can follow us there. I am however active on Threads so find me there! And, of course, you can always find us on our YouTube channel if you like your podcast in video form :) Visit healthypostnatalbody.com and get 3 months completely FREE access. No sales, no commitment, no BS. Email peter@healthypostnatalbody.com if you have any questions, comments or want to suggest a guest/topic      

In this special episode, Lisa welcomes Tammi Van Hollander, LCSW, RPT-S™, to explore a transformative approach to bibliotherapy. Moving beyond the traditional view of books as cognitive tools, Tammi introduces us to using bibliotherapy as a means for co-regulation, attachment, and creating a sense of safety within the therapeutic space. Tammi, who was initially trained in client-centered play therapy, shares her journey of discovering the profound impact that books can have when used as co-regulators. Through her experiences and insights, she reveals how stories can extend beyond mere words, becoming powerful tools that facilitate deeper connections between children and their caregivers. Key Takeaways: Tammi's Journey with Bibliotherapy: How she discovered the power of books as a co-regulation tool. A Paradigm Shift: Using bibliotherapy from a “bottom-up” approach to support attachment, safety, and emotional regulation in children. Integrating Books into Play Therapy: Practical strategies for making books an extension of a child's play, fostering a more client-centered therapeutic experience. Engaging Kids Who Aren't Interested in Reading: Innovative ways to use books beyond just reading the words. Types of Bibliotherapy: Differentiating between developmental, therapeutic, and play-based bibliotherapy. Enhancing Parent-Child Relationships: How books can strengthen the bond between parents and children, addressing attachment and repair in relationships. Attunement and Trusting the Process: The importance of being present and attuned to the child, allowing books and other tools in the therapy space to facilitate healing naturally. *Check out Tammi's new book on Amazon, PESI website, or Tammi's website: The Bibliotherapy Toolbox: 100+ Creative and Playful Story-Based Interventions to Help Kids Create Safety, Overcome Challenges, and Build Resiliency. *Tammi Van Hollander, LCSW, RPT-S™, is a leading expert in attachment, sandtray play therapy, and sensory integration with over 25 years of experience. She holds a Master of Social Work from the University of Pennsylvania and advanced training from the Family and Play Therapy Center in Philadelphia. Tammi is the author of Casey's Greatness Wings and The Bibliotherapy Toolkit, and she delivered a TEDx Talk, "Stories in the Sand: Healing Trauma, Anxiety, and Grief," in 2023. Connect with her on Instagram and Facebook. Podcast Resources:  Synergetic Play Therapy Institute Synergetic Play Therapy Learning Website FREE Resources to support you on your play therapy journey  Aggression in Play Therapy: A Neurobiological Approach to Integrating Intensity * If you enjoy this podcast, please give us a five-star rating and review on Apple Podcast, subscribe wherever you listen to podcasts, and invite your friends/fellow colleagues to join us.  

Therapists and authors Judith Matz and Amy Pershing join us to discuss our new collaboration, The Emotional Eating, Chronic Dieting, Binge Eating & Body Image Workbook; why the typical diet-culture response to emotional eating is unhelpful, and what to do instead; how to know if you're a chronic dieter (as opposed to just a “healthy eater”); the role of trauma in binge eating; why high body weight isn't a sign that you've suffered trauma; and lots more.   Judith Matz, LCSW, ACSW, is a therapist, nationally recognized speaker, and consultant on the topics of diet culture, binge eating, emotional eating, body image, and weight stigma. She is co-author of the new Emotional Eating, Chronic Dieting, Binge Eating & Body Image Workbook, as well as The Diet Survivor's Handbook, Beyond a Shadow of a Diet, The Making Peace with Food Card Deck, The Body Positivity Card Deck, and author of Amanda's Big Dream. Judith offers continuing education and training for professionals through PESI as well as customized presentations for a variety of companies and organizations. Judith's work has been featured in the media including NPR, The New York Times, Good Housekeeping and Psychotherapy Networker. She has a private practice via telehealth in Illinois where she meets with clients seeking to heal their relationship with food and their bodies. Find her at judithmatz.com and on Instagram @judmatz. Amy is an internationally known leader in the development of treatment paradigms for BED, and one of the first clinicians to specialize in BED treatment. Based on 35 years of clinical experience, Amy has pioneered an approach to BED recovery that is strengths-based and trauma informed, incorporating Internal Family Systems (IFS) and body-based techniques to heal the deeper issues that drive binge behaviors. Her approach integrates a non-diet body autonomy philosophy, helping clients create lasting change with food and body image. She is the author of the book Binge Eating Disorder: The Journey to Recovery and Beyond (Taylor and Francis, 2018) and The Emotional Eating, Chronic Dieting, Binge Eating & Body Image Workbook, with co-authors Judith Matz and Christy Harrison (PESI Publishing, 2024). She also offers a variety of trainings on BED treatment through PESI. Amy maintains her clinical practice in Ann Arbor, Michigan. Learn more about her work at thebodywiseprogram.com. Check out Christy's three books, Anti-Diet, The Wellness Trap, and The Emotional Eating, Chronic Dieting, Binge Eating & Body Image Workbook for a deeper dive into the topics covered on the pod.  If you're ready to break free from diet culture and make peace with food, come check out Christy's Intuitive Eating Fundamentals online course. For more critical thinking and compassionate skepticism about wellness and diet culture, check out Christy's Rethinking Wellness podcast! You can also sign up to get it in your inbox every week at rethinkingwellness.substack.com. Ask a question about diet and wellness culture, disordered-eating recovery, and the anti-diet approach for a chance to have it answered on Rethinking Wellness. You can also subscribe to the Food Psych Weekly newsletter to check out previous answers!