Podcasts about pmhnp bc

When we go through heavy trauma or the continuous, exhausting cycle of caretaking, people love to throw clichés at us claiming "everything happens for a reason" or "this will just make you stronger." But the truth is, we all have an absolute breaking point. In this episode, Dr. B sits down with architect Pam Sandler to talk about the raw reality of chronic depression, severe anxiety, and what it really feels like to be forced into survival mode for years.Pam opens up about the deep, compounding grief of raising special needs children, navigating missed milestones, and carrying profound personal loss. Together, they explore why toxic resilience fails us, how childhood trauma shapes our inner critics, and the critical importance of building a psychological safety net before reaching complete burnout.In This Episode:The Reality of Caregiver Burnout: Navigating survival mode when supporting family members with special needsDebunking Toxic Resilience: Why clichés fail us and how to acknowledge true emotional limitsChildhood Conditioning & Inner Critics: How early experiences influence how we process adult stressBuilding a Psychological Safety Net: Practical ways to prevent total emotional and physical collapseResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Pam Sandler: Pam Sandler is an architect, mother, and advocate for caregiver mental health. Drawing from her personal journey of navigating chronic depression while balancing professional demands and family caregiving, she speaks openly about mental health, resilience, and removing the stigma around burnout.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

When you look at someone experiencing massive success at a young age, it's easy to assume they have it all figured out. But behind the business metrics is often a very real, exhausting battle with anxiety, self-doubt, and the pressure to perform. In this episode, Dr. B sits down with 22-year-old Julissa Bruzon to discuss what it actually takes to reprogram your mind for success when your own thoughts are telling you to give up.Julissa shares her journey—from wearing a heart monitor for severe anxiety at age 14 to managing major strategic partnerships in private equity. Together, they unpack how to navigate early 20s transitions, handle generational expectations, and shift your mindset from "I can't do this" to "How can I do this?" without relying on toxic positivity.In This Episode:Behind Young Success: The hidden mental health struggles of early high achieversRewiring Your Mindset: Shifting internal dialogue from limitation to problem-solvingOvercoming Severe Anxiety: Moving from panic and physical symptoms to executive leadershipNavigating Young Adulthood: Managing generational pressure and identity shifts in your twentiesResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Julissa Bruzon: Julissa Bruzon is a 22-year-old entrepreneur and strategic partnership manager working in private equity. Having overcome severe childhood anxiety, she uses her platform to advocate for mental health awareness, mindset reprogramming, and authentic leadership for young professionals.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Can you have anorexia and struggle with binge eating, too? If you find yourself moving between food restriction and binge eating, you may wonder whether your eating disorder has changed or whether you're somehow failing at recovery. In this solo episode, Dr. Marianne talks about the binge-restrict cycle, why eating disorder symptoms can shift over time, and what it means when binge eating shows up during anorexia recovery. Binge eating after restriction does not automatically mean you have binge eating disorder (BED). Extreme hunger, reactive eating, subjective binges, and eating that feels out of control can all occur in the context of restriction and long-term eating disorder recovery. WHAT YOU'LL LEARN Dr. Marianne discusses why restriction can make food feel increasingly urgent, why returning to restriction after a binge can keep the cycle going, and why subtle forms of restriction are easy to miss. She also explains why restriction may feel safer or more familiar than binge eating, especially for people who have lived with anorexia nervosa or other eating disorders for years or decades. For neurodivergent people with ADHD, autism, or AuDHD, food restriction can also become intertwined with routine, sensory needs, predictability, executive functioning, autonomy, and nervous system regulation. You'll learn why binge eating doesn't erase a history of anorexia, why eating more isn't automatically evidence of BED, and why the goal isn't necessarily to determine which eating disorder you "really" have. BREAKING THE BINGE-RESTRICT CYCLE What happens after a binge or an episode of eating more than you intended matters. Skipping meals, delaying breakfast, cutting portions, avoiding certain foods, or exercising to compensate can restart the restriction-binge cycle. Instead, Dr. Marianne discusses returning to consistent nourishment, identifying hidden restriction, getting curious about what preceded the binge, and resisting the pull to romanticize anorexia when binge eating feels frightening. For people with chronic or long-term eating disorders, progress may mean recognizing the cycle sooner, reducing its intensity, and responding to difficult eating experiences without punishment or compensation. EATING DISORDER THERAPY & SUPPORT If you're navigating anorexia, binge eating, bulimia, ARFID, or a long-term eating disorder that doesn't fit neatly into one diagnostic category, Dr. Marianne offers neurodivergent-affirming, sensory-attuned, trauma-informed eating disorder therapy. Learn more about eating disorder therapy, working with Dr. Marianne, and additional resources at drmariannemiller.com. Topics include: anorexia, anorexia recovery, binge eating, binge eating disorder, BED, binge-restrict cycle, restriction-binge cycle, restrictive eating, extreme hunger, reactive eating, chronic eating disorders, long-term eating disorder recovery, neurodivergent eating disorders, autism and eating disorders, ADHD and eating disorders, eating disorder therapy, and eating disorder recovery. RELATED EPISODES ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Beyond Anorexia: The Truth About Long-Term Restrictive Eating on Apple and Spotify. Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify.

Have you ever looked at the anxiety, depression, or chaos in your mind and wondered if it's a chemical imbalance or a survival response to what you've been through? In this Q&A episode, Dr. B addresses a letter from a high-functioning survivor navigating complex PTSD (C-PTSD), Bipolar 1, and Borderline traits to demonstrate how to claim self-agency over a complex mental health journey.This conversation explores how to use the Mentally STRONG Method to separate psychological trauma from biological components, process triggers without resorting to isolation, and release somatic trauma to step forward with self-confidence.In This Episode:Chemical Imbalance vs. Survival Response: Distinguishing biological factors from trauma responsesNavigating Complex Diagnoses: Frameworks for handling C-PTSD, Bipolar 1, and Borderline traitsOvercoming Isolation: Practical tools to handle triggers instead of avoiding social spacesSomatic Healing: Releasing physical trauma stored in the body to regain agencyResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage complex diagnoses, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

In this conversation, Dr. B sits down with global career coach Hülya Kurt, who built her career from secretary to corporate manager before completely reinventing her life following redundancy and the sudden loss of her husband.Together, they dive into the realities of navigating professional burnout, navigating grief, and building the discipline needed to choose life even when motivation is low. This episode provides actionable insights on stepping out of survival mode and taking full ownership as the CEO of your own life.In This Episode:Navigating Career Burnout & Loss: Rebuilding after sudden, life-altering disruptionsBuilding Daily Discipline: Choosing progress and healing even when motivation feels absentReinventing Your Identity: Transitioning from sudden loss or redundancy into renewed purposeBecoming the CEO of Your Life: Taking control of your personal and professional trajectoryResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingHülya Kurt's Profile: Connect with Hülya Kurt on LinkedInJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Hülya Kurt: Hülya Kurt is an international career coach, speaker, and workshop leader. After a corporate career spanning decades, she founded InnKick to empower professionals, women, and leaders to navigate career shifts, overcome adversity, and build resilient careers.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

We've all been told the lie that time heals all wounds, but if you are carrying a deep emotional wound, you know that simply letting days pass doesn't stop the pain. After losing her three children and her husband, Dr. B learned firsthand that profound trauma doesn't heal itself—and ignoring it or letting negative self-talk take over only deepens the injury.In this episode, Dr. B explores how to truly process grief, why the traditional "Five Stages of Grief" model may actually be holding you back, and how to separate clean grief from the trauma, guilt, and anxiety that often become enmeshed with it.In This Episode:Debunking the Time Myth: Why passive waiting doesn't resolve deep emotional woundsRethinking the Five Stages: Moving beyond rigid grief models to personalized healingSeparating Grief from Trauma: Disentangling natural sorrow from guilt, anxiety, and overthinkingOrganizing Your Thoughts: Practical strategies to build self-agency and honor your storyResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage grief, and build lasting mental resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

When life hits you with profound loss, deep trauma, or the lingering impact of childhood shame, it's easy to lose your identity in the chaos. While we are often taught how to perform in our daily roles, we rarely learn how to cultivate mental strength or protect our capacity for love when everything shatters.In this deeply vulnerable conversation, Dr. B sits down with author and love expert Dr. Ava Cadell to look squarely at the experiences women are often told to hide: intense grief, relationship trauma, and church trauma. Dr. Ava opens up about surviving the devastating loss of her late husband and navigating the complex grief that followed. Together, they explore why so many individuals suppress their pain, how early conditioning creates fear around emotional expression, and the practical steps to organize your thoughts and choose happiness after deep loss.In This Episode:Navigating Devastating Loss: Rebuilding identity and mental strength after sudden personal tragedyUnpacking Relationship & Church Trauma: Breaking free from societal conditioning and shameOvercoming Pain Suppression: Why hiding emotional wounds hinders true healingReclaiming Unconditional Self-Love: Practical, daily choices to rebuild capacity for joy and loveResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingDr. Ava Cadell's Work: Love UniversityJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Dr. Ava Cadell: Dr. Ava Cadell is an author, speaker, and founder of Love University. She holds doctorates in human behavior and human sexuality, focusing her work on helping individuals navigate intimacy, heal from relationship trauma, and build unconditional self-love.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting mental resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Whether a divorce hits like a sudden shock or follows a slow breakdown, the pain of navigating a split is real and deep. In this episode, Dr. B strips away generic relationship advice to address what it truly means to cultivate mental strength when a marriage ends. Divorce represents a unique blend of grief, trauma, and often deep betrayal a complex form of loss tied directly to life-altering choices.Drawing from her personal journey of navigating profound loss, Dr. B breaks down the framework she uses to help individuals rebuild their identity from the inside out. This conversation offers practical tools to move past shame and blame, process emotional injury, and write a new chapter focused on personal growth and resilience.In This Episode:Processing Divorce as Trauma: Understanding the unique grief tied to marital separation and betrayalRebuilding Identity: Step-by-step tools for rediscovering who you are after a major life shiftOvercoming Guilt & Shame: Shifting from a feeling of failure to a mindset of personal empowermentSupporting Children Through Change: Managing family dynamics and emotions without losing your own balanceResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, navigate life transitions, and build lasting emotional strength.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

In this conversation, Dr. B sits down with Amy Jackson, founder and CEO of Talesplash, to address the heavy, silent burden of carrying high-functioning anxiety while building a successful career and family. So many of us are experts at "white-knuckling" through high-pressure days, only to have the emotional weight catch up with us the moment we slow down.Together, Dr. B and Amy explore how generational patterns of anxiety shape our adulthood, why childhood worries often follow us into parenthood, and how attempting to suppress fear only fuels emotional burnout. This episode offers practical tools for stepping out of the "freeze" response, finding internal strength, and reframing your relationship with anxiety.In This Episode:Unpacking High-Functioning Anxiety: Moving beyond "white-knuckling" through daily stressBreaking Generational Cycles: How childhood anxiety manifests in adult roles and parentingOvercoming the "Freeze" Response: Practical steps to regulate your nervous systemReframing Sensitivity: Viewing emotional awareness as a strength rather than a weaknessResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingAmy Jackson's Agency: TalesplashJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Amy Jackson: Amy Jackson is the founder and CEO of Talesplash, a boutique PR and communications agency. She works with entrepreneurs and mission-driven organizations while advocating for mental health awareness, honest communication, and emotional resilience in high-pressure leadership roles.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting mental resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

What if binge eating isn't a willpower problem at all? Dr. Marianne welcomes back nutritionist and eating disorder specialist Marcelle Rose @marcellerosenutrition, author of The Binge Freedom Method, for a conversation about binge eating recovery without dieting. Marcelle works with people experiencing binge eating, bulimia, restrictive eating, and emotional eating, and her approach looks beyond food to understand what may actually be driving these patterns. What You'll Learn Dr. Marianne and Marcelle discuss why dieting and restriction can fuel binge eating, how sleep and physiology can affect hunger and cravings, and why reducing shame matters in binge eating recovery. They also talk about body image, weight stigma, emotional regulation, and rebuilding trust with food and your body. Marcelle shares the four pillars of The Binge Freedom Method: Nourish, Balance, Think, and Feel. Her framework incorporates nutrition, physiology, thoughts and beliefs, emotions, and body image rather than treating binge eating as simply a problem of self-control. Check out a free chapter of the book HERE! ADHD and Binge Eating A major focus of the conversation is the connection between ADHD and binge eating. ADHD can make eating consistently difficult, especially when executive functioning challenges, distraction, overwhelm, or hyperfocus interfere with recognizing hunger and stopping to eat. Marcelle and Dr. Marianne discuss practical ADHD-friendly strategies such as simplifying meals, eating familiar foods, using reminders, creating flexible routines, and reducing the cognitive load around breakfast and meal planning. They also discuss why support and accommodations can matter more than rigid expectations when neurodivergent people struggle to eat regularly. Binge Eating, Body Image, and Food Freedom Recovery involves more than stopping binge eating. Marcelle shares how clients can gradually move away from self-blame, chronic dieting, and the belief that they simply need more willpower. You'll also hear about body image healing, weight stigma, diet culture, regular eating, self-compassion, and what it can look like when food finally takes up less space in your mind. If you struggle with binge eating disorder, emotional eating, ADHD and binge eating, the binge-restrict cycle, chronic dieting, or body image, this conversation offers a compassionate alternative to another diet. Related Episodes With Marcelle Rose Disordered Eating in Midlife: Stress, Life Changes, & Perimenopause on Apple & Spotify. WTF Is Happening to My Body?! Gut Health & Midlife Unpacked on Apple & Spotify. Related Episodes on Binge Eating, ADHD, Bulimia ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify. Connect With Dr. Marianne Looking for support with an eating disorder or a difficult relationship with food? Dr. Marianne Miller is an eating disorder therapist specializing in ARFID, binge eating, anorexia, bulimia, and neurodivergent-affirming eating disorder care. Visit DrMarianneMiller.com to learn more about working with Dr. Marianne, her ARFID & Selective Eating course, and other resources. Listen to more episodes of Dr. Marianne-Land for conversations about eating disorder recovery, ADHD, autism, ARFID, binge eating, body image, and neurodivergent-affirming care.

When everything in your life or business feels like it's falling apart, how do you find the mental strength to keep going? In this deeply raw conversation, Dr. B sits down with serial entrepreneur and Wall Street Journal bestselling author Allison Maslan to discuss the messy intersections of trauma, burnout, and authentic alignment.Allison shares how a terrifying near-death car accident at age 30 forced her to rebuild her life from survival mode to true freedom. Together, they explore how modern science intersects with holistic wellness, why physical symptoms often mirror unexpressed emotional grief, and how to practicalize "vision crafting" to shift your internal focus from fear to expectation.In This Episode:Rebuilding after near-death trauma and moving out of survival modeThe link between unexpressed emotional grief and physical symptomsIntegrating emotional truth with strategic business visionPractical "vision crafting" to shift your mindset from fear to expectationResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingAllison Maslan's Network: Pinnacle Global NetworkAllison's Book: Scale or Fail by Allison MaslanJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Allison Maslan: Allison Maslan is a serial entrepreneur, Wall Street Journal bestselling author, and founder of Pinnacle Global Network, where she mentors business leaders and executives. Having built and scaled ten successful companies, she empowers individuals to navigate high-pressure growth while staying grounded in personal wellness.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help individuals process trauma, manage stress, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Do you ever feel like you're just trying to keep your head above water, constantly living in "survival mode" and waiting for the other shoe to drop? In this episode, Dr. B sits down with Amanda (MA in Professional Counseling) to explore how we can move past simply surviving and begin building a life we truly love.Amanda shares her deeply personal journey—from navigating the heartbreak of losing her mother to early-onset dementia, to realizing that having "big feelings" isn't a weakness, but rather a vital strength for showing up for others. Together, they discuss why "fixing" ourselves is a trap, how to build the capacity to hold deep sorrow, and why true healing happens in community rather than self-sufficiency.In This Episode:Unpacking the "Good Girl" Narrative: How people-pleasing can lead to losing your authentic selfSurviving vs. Thriving: Moving out of survival mode and into meaningful livingBuilding Emotional Capacity: Holding big stories and deep grief without being crushedThe Power of Community: Why we aren't meant to be entirely self-sufficientResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingAmanda's Organization: Hope House Canon CityJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Amanda: Amanda holds a Master's in Professional Counseling from Colorado Christian University and has dedicated 15 years to supporting young mothers. At Hope House Canon City, she works to eliminate barriers for teen moms and their children by providing resources, healthy family structures, and a supportive living community.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help others manage stress, process trauma, and cultivate mental strength.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Raising kids who are authentic, resilient, and comfortable in their own skin feels like a massive, complicated task especially when you're navigating your own hardships. Having raised seven children (five adopted and two biological) through periods of deep grief, loss, and overwhelm, Dr. B shares why we cannot raise mentally strong children without first doing the internal work ourselves.In this episode, Dr. B addresses key listener questions about parenting and mental health, moving beyond surface-level behavior modification to give children a reliable framework for processing their thoughts and emotions. Whether you are navigating childhood meltdowns or concerned about passing down your own anxiety, this conversation offers practical tools to help you find your footing.In This Episode:Moving past simple behavior modification to teach true emotional regulationManaging parental anxiety and avoiding passing stress down to your childrenCreating clear "guardrails" instead of rigid restrictions for child growthWhy effective parenting is about continuous growth rather than perfectionResources & Links Mentioned:Free Live Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help parents and individuals process trauma, manage stress, and build lasting resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

In this episode, Dr. B sits down with Edija Šaripova (CPA and Financial Advisor at Denver Wealth Management) to explore the deep connection between mental, physical, and financial well-being. Born in Latvia and migrating to the U.S. in 2001, Edija built a successful career in investment consulting before finding her true calling: helping others achieve a balanced life.Together, they break down why the "pushing through" mentality can actually hinder healing, how to break the silence surrounding abuse, and how Stoic philosophy and faith can help you identify what you can and cannot control.In This Episode:The Myth of Grit: Why "pushing through" often blocks true healingHealing from Abuse: Overcoming the silence and shame that can trap successful womenControl & Clarity: Using Stoic philosophy and faith to separate grief, trauma, and negative self-talkSetting Boundaries: How saying "no" to others is an act of saying "yes" to your growthResources & Links Mentioned:Free Training: Register for the Free Mentally STRONG TrainingJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Edija Šaripova, CPA: Edija Šaripova is a Financial Advisor at Denver Wealth Management with over two decades of experience across accounting and investment management. She leads the Women Who Invest™ community, empowering women to build intergenerational wealth and invest in themselves. Outside of her professional work, Edija enjoys snowboarding in Colorado and playing the violin and piano.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help others manage stress, process trauma, and cultivate mental strength.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

I've spent my career helping people navigate the darkest corners of their minds and the heavy weight of grief, but every so often, I meet someone whose journey reminds me exactly why we do this work. Frank Sinclair is one of those people, and his story is a profound masterclass in mental strength, authenticity, and the power of being truly seen.Have you ever felt like a "hopeless case" numb, or like you're simply a burden to those around you? Frank lived this reality, spiraling from a high-achieving Air Force career into addiction and homelessness on the streets of Colorado Springs. Just when he was ready to give up, a moment of genuine human connection gave him a second chance, proving that our value remains unchanged even at our lowest points.In this episode, Dr. B sits down with Frank to discuss what it means to be honest with yourself, how to navigate the complex reality of recovery and losing a child, and how reframing homelessness can open our eyes to a community deserving of dignity.In This Episode:Moving from rock bottom and addiction to finding true purposeThe power of feeling seen and human connection in healingNavigating grief, child loss, and the "leaky" process of recoveryReframing how we view homelessness and dignity in our communitiesResources & Links Mentioned:Free Training: Register for the Free Mentally STRONG TrainingFrank Sinclair's Work: Dream Again LLC | Be Encouraged PodcastJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Frank Sinclair: Frank Sinclair is the Chief Encouragement Officer of Dream Again LLC, a coaching, speaking, and training enterprise. He is the founder of the podcast Be Encouraged with Frank and Lisa, an in-demand speaker, and author of four books, including The Encouragement Revolution.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help others process depression, anxiety, grief, and stress to build lasting mental resilience.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Whether we're in front of the camera or behind the scenes in a high-pressure job, many of us carry an internal dialogue telling us we aren't enough. In this episode, Dr. B sits down with filmmaker and clinical social worker Mari Moxley to peel back the layers on why we often sacrifice our true selves just to be "palatable" to others.Together, they dive deep into the reality of negative self-talk, the "micro-griefs" we experience every day, and why choosing authenticity even when it leads to rejection is the ultimate act of mental strength. If you've ever felt like you're performing a version of yourself just to belong, there is peace waiting for you on the other side of that performance.In This Episode:The impact of negative self-talk and daily "micro-griefs"Why we sacrifice authenticity to feel acceptedHow to step out of performance mode and embrace your true selfResources & Links Mentioned:Free Training: Register for our free training todayWatch the Documentary: Watch the full documentary hereJoin the Mission: Sign up for our mailing listOfficial Website: Mentally STRONGAbout Mari Moxley: Mari Moxley's background in clinical social work and philosophy fuels her passion for crafting film stories that highlight diverse human perspectives. She views filmmaking as a therapeutic intervention that fosters meaningful conversations and deeper understanding. Mari has led mental health awareness campaigns within the U.S. Air Force, collaborated with the Department of Defense and NATO, and documented advancements in medicine and space exploration.About Your Host: Dr. Cristi Bundukamara (Ed.D, PMHNP-BC) is a Psychiatric Mental Health Nurse Practitioner with a Doctorate in Healthcare Education. Having navigated profound personal trials, Dr. B created the Mentally STRONG Method to help others manage depression, anxiety, grief, and stress to build mental strength and choose happiness.Connect with Dr. B & Mentally STRONG:Facebook: Dr. Cristi BundukamaraInstagram: @cristibundukamaraYouTube: Dr. B Mentally STRONG

Episode 19: Juggling It All Without Losing Ourselves How do we keep all the plates spinning without forgetting how to actually enjoy life? In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) tackle the reality of trying to juggle careers, family, relationships, responsibilities, and everything in between while still making room for joy, connection, and fun. Through honest conversation, relatable stories, and plenty of laughter, Emily and Katie explore why so many women feel pressure to "do it all," the guilt that often comes with taking time for ourselves, and how easily we judge both ourselves and each other for the choices we make. Together they discuss: • The mental load of balancing multiple roles • Why fun often becomes the first thing we sacrifice • Practical strategies for staying grounded when life feels overwhelming • Letting go of comparison and the need to do things "the right way" • Learning to support, not judge, other women whose choices may look different from our own • Making intentional space for rest, laughter, and the people who matter most This episode is a reminder that there is no perfect way to balance life. Every family, every career, and every season looks different. The goal is not perfection. It is creating a life that allows us to care for others without losing ourselves in the process. Join us for a conversation filled with practical tips, encouragement, and a healthy reminder that sometimes the best thing on your to-do list is simply to enjoy the moment. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:

Women: Feeling Overwhelmed, Overstimulated, and Misunderstood. In this episode of Paperclips & Periods Podcast, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) dive into a topic that resonates with women everywhere: feeling overwhelmed, overstimulated, and misunderstood. Through candid conversation, personal stories, and plenty of laughter, Emily and Katie explore the invisible mental load that many women carry every day. From managing households, raising children, navigating careers, supporting relationships, and juggling endless to-do lists, they discuss how overstimulation can often be mistaken for irritability, impatience, or being "mean." The discussion examines the cultural expectations placed on women to remain patient, available, and emotionally regulated at all times, while also highlighting the importance of boundaries, self-awareness, and self-compassion. Emily and Katie share their own experiences with stress, ADHD, motherhood, perimenopause, caregiving, and the challenges of asking for help when life feels overwhelming. Most importantly, they remind listeners that needing a break does not make you selfish, setting boundaries does not make you difficult, and asking for space does not make you unkind. Sometimes what looks like frustration on the outside is simply a nervous system asking for rest. As always, this conversation is not about perfection. It is about creating space for honest discussions, offering practical tools, and helping listeners feel seen, understood, and supported in the realities of everyday life. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast  paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 17: Relationships: Infidelity In this episode of Paperclips & Periods, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) tackle one of the most uncomfortable and emotionally charged topics in relationships: infidelity. Drawing from personal experiences, professional perspectives, and years of navigating marriage, friendship, and life's challenges, Emily and Katie explore what happens when trust is broken. They discuss the differences between emotional and physical cheating, whether friends should reveal what they know, and the lasting impact betrayal can have on relationships and self-worth. The conversation also examines why people stray, the role of trauma and unmet needs, and whether relationships can truly recover after trust has been shattered. Throughout the episode, they emphasize the importance of communication, accountability, and understanding the human emotions behind difficult choices. As always, this discussion is not about judgment. It is about creating space for honest conversations, exploring different perspectives, and helping listeners feel less alone in the experiences they may be facing. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast  paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Why do some people with ADHD feel like no amount of food is ever enough? Why can you finish a satisfying meal and still find yourself searching the pantry, thinking about dessert, or feeling like something is missing? In this solo episode of Dr. Marianne-Land, I explore the often-overlooked connection between ADHD and binge eating disorder (BED). I explain why many ADHDers describe feeling like a "bottomless pit" around food, why satisfaction can remain elusive even when physical hunger has passed, and why traditional cognitive behavioral therapy (CBT) doesn't always address the executive functioning and nervous system challenges that drive binge eating. Using the fictional case example of Zoe, we look beyond willpower and self-control to better understand how ADHD can shape reward processing, food thoughts, understimulation, sensory needs, and the search for regulation. If you've ever wondered why your relationship with food feels different from what most recovery advice describes, this episode offers a compassionate, neurodivergent-affirming perspective. WHAT YOU'LL LEARN You'll learn why ADHD and binge eating frequently occur together, how executive functioning differences can influence eating behavior, and why the feeling of "never being satisfied" isn't always about physical hunger. I also discuss why food often becomes a source of stimulation after mentally demanding days, how shame keeps many people stuck, and why ADHD-informed eating disorder treatment may look very different from traditional CBT. WHO THIS EPISODE IS FOR This episode is for adults with ADHD, binge eating disorder, compulsive overeating, chronic food thoughts, or food noise. It's also for anyone who has worked on emotional eating, stopped dieting, or completed eating disorder treatment but still feels confused by persistent urges to eat. Therapists, dietitians, and other eating disorder professionals who work with neurodivergent clients will also find this discussion helpful. IN THIS EPISODE We explore why binge eating isn't always driven by restriction, how ADHD changes the way many people experience reward and satisfaction, why executive functioning matters in eating disorder recovery, and what clinicians often miss when they focus only on changing thoughts or behaviors. I also explain how approaching binge eating with curiosity instead of self-criticism can open the door to more effective, sustainable healing. RELATED EPISODES ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify. Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy on Apple and Spotify. RESOURCES If you're looking for additional support, check out my Binge Eating Recovery Membership, where you'll find practical tools, education, and guidance through a neurodivergent-affirming, weight-neutral lens. You can also explore my ARFID & Selective Eating course, blog, podcast archive, and additional recovery resources at www.drmariannemiller.com. WORK WITH DR. MARIANNE MILLER I'm Dr. Marianne Miller, PhD, LMFT, an eating disorder therapist specializing in ADHD, binge eating disorder, ARFID, anorexia, bulimia, and neurodivergent-affirming care. I provide virtual therapy throughout California, TWashington, DC, as well as coaching worldwide. If this episode helped you better understand your relationship with food, please follow Dr. Marianne-Land, leave a rating or review on Apple and Spotify Podcasts, and share this episode with someone who has spent years wondering why food never seems like enough.

Episode 16: Women: What it Means to Carry Shame around Money In this episode of Paperclips & Periods, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) explore what it means to carry shame around money and why that silence can quietly shape so much of a woman's life, her choices, her relationships, and her sense of self. Money is one of the last things women feel permission to talk about honestly. Not because the feelings are not there, but because shame has a way of making people go quiet. This episode names that silence directly and asks what it would look like to start telling the truth about money, not to fix everything at once, but to stop carrying it alone. The conversation opens with where money shame comes from in the first place. Long before we were adults making financial decisions, we were children absorbing money scripts, the unspoken rules and beliefs passed down through family, culture, and circumstance. Messages like "we don't talk about money," "there's never enough," or "wanting more is selfish" do not disappear when we grow up. They run quietly in the background and shape behavior in ways that can be hard to trace. From there, they move into the real cost of that shame. Financial stress is not separate from mental health. It activates the same stress response in the body as any other ongoing threat, and when shame is layered on top of it, it becomes even harder to look at clearly or ask for help. They also discuss what shame resilience actually looks like in practice, including how to do a financial audit without judgment, what values-based budgeting means when it is used as a clarity tool rather than a restriction, and why saying a financial truth out loud to one safe person can be a more meaningful starting point than any spreadsheet. The episode closes with an introduction to financial therapy as a legitimate and growing field that sits at the intersection of mental health and financial planning, along with practical guidance on how to find a financial therapist and what to expect. It ends with three reflection questions for listeners to sit with: What money story did you inherit? Where does shame show up for you? And what financial truth has been waiting for some air? Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 14: Hold Gratitude and Worry at the Same Time In this episode of Paperclips & Periods, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC, and Katie Krych, MSN, RN, PMHNP(c), explore what it means to hold gratitude and worry at the same time, especially in seasons where the mind feels full, alert, or overwhelmed. They begin by grounding the conversation in a simple but powerful idea. When anxiety and “what if” thinking take up a lot of mental space, it can become harder to notice what is steady, supportive, and good. Gratitude in this context is not about minimizing fear or pretending everything is fine. Instead, it is about gently widening perspective so that worry and appreciation can coexist without one erasing the other. Throughout the episode, they highlight how gratitude does not need to be profound to matter. It can show up in small, everyday moments such as appreciating a car color that hides dirt more easily, noticing a warm cup of coffee in the morning, or finding a brief pocket of quiet in a busy day. These seemingly small observations can help anchor the nervous system back into the present. From there, the conversation expands into more foundational forms of gratitude, including appreciation for family, friendships, meaningful work, and a supportive social circle. These are often the parts of life that become background noise when stress and worry take center stage, even though they are essential sources of stability and connection. They also discuss how worry naturally narrows attention, why gratitude can feel less accessible during periods of heightened anxiety, and how intentionally noticing both small and meaningful positives can help restore balance. The goal is not to eliminate worry, but to create space for a fuller and more accurate view of lived experience. This episode offers a grounded and realistic approach to gratitude that meets people where they are, especially during emotionally heavy or overstimulated seasons. It closes with a reflective invitation for listeners to identify one small thing and one meaningful thing they can appreciate in the present moment. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Depressive disorders and eating disorders frequently co-occur, but why does this happen and how do you treat both at the same time? In this episode, psychiatric mental health nurse practitioner Holly Willis, MSN, PMHNP-BC, breaks down the complex, bi-directional relationship between the two. She clarifies the difference between feeling low and having clinical depression, explores various depressive disorders, and shares the unique challenges depression can create in both treatment and recovery. You'll also hear about some of her favorite skills and tools, while gaining insight, compassion, and a sense of what it's like to work with her. Most importantly, Holly reminds us that healing is possible, even when depression tries to convince us it's not.   If you enjoy our show, please rate, review, subscribe, and tell your friends and colleagues!   Interested in being a guest on All Bodies. All Foods.? Email podcast@renfrewcenter.com for a chance to be featured.   All Bodies. All Foods. is a podcast by The Renfrew Center. Visit us at: https://renfrewcenter.com/

Episode 13: Why it can Feel so Difficult for Women to truly Rest In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) explore why it can feel so difficult for women to truly rest, even when there is time to do so. While rest is often framed as a simple choice, many women find that the moment they sit down, their minds become more active, running through responsibilities, to-do lists, and unfinished tasks. They discuss how this is not just about being “busy,” but about the constant mental load many women carry. Expectations at home, caregiving roles, work demands, and the pressure to stay productive all contribute to a brain that stays on, even when the body stops. Over time, the nervous system can become used to this constant state of alertness, making stillness feel uncomfortable, unfamiliar, or even guilt-inducing. The belief that rest must be earned can further reinforce this pattern, making it harder to slow down without feeling like something is being neglected. This episode offers a grounded and compassionate perspective, helping listeners understand that difficulty with rest is not a personal failure, but a learned pattern shaped by both environment and biology. It encourages small, realistic shifts, reminding listeners that rest does not have to be perfect to be meaningful. Even brief moments of pause, despite a busy mind, still count. It closes with a simple reflection, inviting listeners to notice one small moment in their day where they allowed themselves to pause, and to begin seeing that as a valid and necessary form of rest. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Does one awkward interaction, unanswered text, or small piece of feedback ruin your entire day? You may not be “too sensitive.” You may be experiencing Rejection Sensitive Dysphoria (RSD), especially if you also live with ADHD or an eating disorder. In this episode, Dr. Marianne explores why rejection can feel emotionally and physically painful, why shame spirals happen so quickly, and how emotional overwhelm can shape eating patterns, body image, and self-worth. What Is Rejection Sensitive Dysphoria (RSD)? Dr. Marianne breaks down what RSD actually is and why perceived criticism, disconnection, or rejection can trigger such intense emotional reactions. She explores how ADHD nervous systems often process emotions differently and why even subtle social shifts can feel catastrophic. This episode also examines how years of feeling misunderstood, corrected, excluded, or “too much” can shape the way neurodivergent people experience relationships and emotional safety. ADHD, Emotional Regulation, & Eating Disorders This episode explores the powerful overlap between ADHD, emotional regulation challenges, and eating disorders. Dr. Marianne discusses how rejection can quickly trigger binge eating urges, emotional eating, restrictive eating patterns, perfectionism, body image spirals, masking, and all-or-nothing thinking. She also explains why many neurodivergent people struggle to “move on” after rejection and why emotional pain can linger in the body long after the moment itself has passed. Why Food Often Becomes Part of the Coping Cycle When rejection activates the nervous system, the brain often searches for relief. For some people, food becomes soothing, grounding, or numbing. For others, appetite disappears completely and restriction begins to feel safer or more controlled. Dr. Marianne explains why these patterns are not about lack of willpower and why eating disorder behaviors often function as attempts to regulate overwhelming emotional states. Anti-Fat Bias, Ableism, & Emotional Pain Rejection does not happen in isolation. Dr. Marianne explores how anti-fat bias, ableism, stigma, and chronic misunderstanding can intensify emotional pain and increase sensitivity to rejection. She also discusses why marginalized people often carry higher levels of hypervigilance in social situations and why intersectionality matters when talking about ADHD, eating disorders, and nervous system regulation. Neurodivergent-Affirming Tools That Can Help Dr. Marianne shares supportive strategies for navigating RSD and eating disorder recovery, including sensory supports, low-lift eating approaches, nervous system regulation, and ways to reduce shame spirals without relying on punishment or rigid food rules. This episode focuses on building more self-understanding and creating coping tools that actually fit neurodivergent brains and lived experiences. Related Episodes Rejection Sensitive Dysphoria (RSD) & Eating Disorders: The Emotional Toll of Feeling “Too Much" on Apple & Spotify. Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy on Apple and Spotify. ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Work With Dr. Marianne Dr. Marianne Miller is a Licensed Marriage and Family Therapist (LMFT) specializing in eating disorders, ARFID, binge eating disorder, neurodivergence, ADHD, and emotional regulation challenges. She offers therapy and coaching for people navigating food struggles, shame, sensory sensitivities, and overwhelming emotional experiences. Check out her self-paced, virtual, ARFID and Selective Eating Course. Listen & Subscribe If this episode resonated with you, share it with someone who may need it and follow the Dr. Marianne-Land podcast on your favorite platform.

Episode 12: Gratitude even when Worry feels Present and Persistent In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) explore what it means to notice gratitude even when worry feels present and persistent. When the mind is focused on stress, uncertainty, or “what if” thinking, it becomes easy to overlook the things that are actually supporting us day to day. Gratitude in these moments is not about ignoring worry or pretending everything is fine, but about gently widening perspective so that both concern and appreciation can exist at the same time. This conversation highlights how gratitude does not have to be complicated or profound to be meaningful. Sometimes it looks like appreciating something as simple as the color of your car because it does not show dirt as easily, which makes life feel a little more manageable. It can also look like noticing a warm cup of coffee in the morning, a quiet moment in the car, or a small window of calm during a busy day. From there, they expand into deeper forms of gratitude that often get overlooked during stress, such as appreciation for family, steady friendships, meaningful work, and a supportive social circle. These are the foundational parts of life that can fade into the background when worry takes over attention. They also discuss how worry can narrow focus, why gratitude can feel harder to access during heightened anxiety, and how intentionally noticing small and large blessings can help bring balance back into perspective. The goal is not to eliminate worry, but to create space for both reality and appreciation to coexist. This episode offers a grounded and realistic approach to gratitude that meets people where they are, especially in seasons where the mind feels full and overwhelmed. It closes with a brief reflection to help listeners identify one small and one meaningful thing they can appreciate in the present moment. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

If eating feels chaotic, unpredictable, or hard to keep up with, especially with ADHD, there are real reasons for that. This episode breaks down why eating can feel all over the place, not because you are doing something wrong, but because your brain is being asked to manage a process that depends heavily on executive functioning, timing, and regulation across the entire day. In this solo episode, Dr. Marianne explores the connection between ADHD, binge eating disorder, and bulimia, including how impulsivity, dopamine, and executive function challenges shape eating patterns in ways that are often misunderstood. You will hear why eating may feel easy to delay and then suddenly urgent, why follow-through can feel inconsistent, and why this pattern is not about willpower. ADHD and Eating Disorders: Why Eating Feels So Chaotic Eating regularly requires more than hunger. It depends on time awareness, task initiation, decision-making, and the ability to shift attention. ADHD directly affects these processes, which means eating can feel disorganized, delayed, or unpredictable. This episode explains why chaotic eating patterns often reflect executive function challenges, not a lack of effort or care. Impulsivity, Dopamine, and Binge Eating Impulsivity in ADHD is not just about acting quickly. It reflects differences in how the brain pauses and redirects. When binge urges show up, they can feel immediate and intense. At the same time, dopamine differences in ADHD can make food a fast and effective way to shift focus, regulate emotions, or create relief. This episode explores how these systems interact and why food can become a powerful regulator. Executive Function Challenges and Follow-Through With Eating Executive function challenges can make it harder to plan, prepare, and initiate eating, even when you want to. You might forget to eat, delay eating, or feel overwhelmed by decisions. This episode breaks down how these patterns develop and why eating consistency is not just about intention, but about access to executive functioning in real time. Restriction, Glucose, and Intensified ADHD Traits When eating gets delayed or inconsistent, even unintentionally, glucose levels can drop. This affects the brain's ability to regulate attention, impulses, and emotions. Lower glucose can intensify ADHD traits, making it even harder to initiate eating or pause during urges. This episode explains how this cycle develops and why it can feel so hard to interrupt. Why This Is Not About Willpower Chaotic eating patterns are often framed as a lack of discipline, but this episode reframes them through a neurodivergent-affirming lens. When your brain is under-fueled and your executive functioning is stretched, it makes sense that eating feels harder to manage. Understanding this can reduce shame and open up more supportive approaches. Related Episodes Midlife Bulimia Recovery: Coping With the Internal Chaos on Apple and Spotify. Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy on Apple and Spotify. ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Work With Dr. Marianne If you are navigating ADHD, binge eating, bulimia, or eating patterns that feel chaotic and hard to predict, you do not have to figure this out alone. Dr. Marianne works with many clients with ADHD in both therapy and coaching, helping them understand their brain, reduce shame, and build ways of eating that are actually doable in real life. You can learn more about working with Dr. Marianne via her website, drmariannemiller.com.

Episode 11: We're Fine. Totally Fine. In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) talk about the things that women say don't bother them but absolutely do. The small stuff. The stuff that feels too minor to bring up but somehow lives rent free. A friend who never follows through on plans. Finally sitting down and your kid immediately needs something. Someone questioning why you bothered getting an advanced degree. Other people posting photos of your children without asking. Replaying a conversation in your head long after it's over. None of it feels "big enough" to say out loud, so it doesn't get said. It just gets carried. This episode is about naming those moments honestly, understanding why women are so quick to minimize their own reactions, and what it costs over time when nothing is ever allowed to actually bother you. It closes with a grounding exercise and a reminder that your feelings don't need to pass a threshold before they count. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

If you have ADHD and struggle with bulimia or binge eating, it may not be about willpower at all. It may be about dopamine, impulsivity, and a nervous system that has been trying to regulate itself the only way it knows how. In this episode of the podcast, I sit down with psychiatric nurse practitioner Kirsten Book to unpack the often-missed connection between ADHD and eating disorders. We move beyond surface-level explanations and into what is actually happening in the brain, including how dopamine dysregulation, executive functioning challenges, and emotional intensity can drive patterns of bingeing, restricting, and purging. ADHD and Bulimia: The Dopamine Connection Kirsten shares her lived experience of recovering from bulimia and being diagnosed with ADHD later in life. She describes how starting ADHD treatment shifted everything. Instead of feeling constantly out of control, she experienced something many people with ADHD and eating disorders rarely feel, which is a pause. A moment to decide what to do next. That shift in impulsivity and regulation can be a turning point in recovery. We break down how ADHD affects dopamine regulation and why the brain begins to seek out stimulation through food. Binge eating, restriction, and purging can all increase dopamine in the short term, which reinforces these patterns even when they create long-term distress. Why ADHD Gets Missed in Eating Disorders Many people, especially girls and women, are never screened for ADHD. Instead, they are diagnosed with anxiety or depression. This episode explores how untreated ADHD can show up as emotional dysregulation, difficulty focusing, chaotic eating patterns, and a constant sense of being overwhelmed. Kirsten explains why comprehensive screening matters and how identifying ADHD can completely change the direction of treatment. When ADHD is addressed directly, many people experience a reduction in binge eating urges and a greater sense of stability with food. Executive Function, Impulsivity, and Eating Patterns ADHD affects the brain's executive functioning, including planning, organization, and follow-through. This makes consistent eating much harder than it looks from the outside. Skipped meals, irregular eating, and impulsive food choices are not random. They are connected to how the brain manages energy, attention, and motivation. We also talk about interoception and why people with ADHD may feel disconnected from hunger and fullness cues. This disconnection can lead to both undereating and overeating, creating cycles that feel confusing and hard to interrupt. The Role of Dopamine in Binge Eating and Restriction This episode offers a clear explanation of how different eating disorder behaviors interact with dopamine. Binge eating and highly palatable foods can create a surge in dopamine, reinforcing cravings and compulsive eating. Restriction can also increase dopamine in a different way, which helps explain why it can feel rewarding even when it is harmful. Over time, these patterns can change how the brain responds to reward, making it harder to feel regulated without them. Understanding this helps reduce shame and opens the door to more effective, targeted support. ADHD Treatment and Eating Disorder Recovery We talk through how psychiatric medications can support both ADHD and eating disorder recovery. This includes the role of stimulants, SSRIs, and other medications in improving impulse control, emotional regulation, and the ability to follow through with consistent eating. Kirsten also addresses common concerns about medication, especially for parents. She emphasizes the importance of asking questions, understanding risks and benefits, and approaching treatment with openness rather than fear. Medication is not the only tool, but for many people, it creates the stability needed to fully engage in recovery. This Is Not About Willpower If your eating feels chaotic, impulsive, or out of control, there may be more going on beneath the surface. ADHD changes how the brain processes reward, attention, and regulation. When that is not understood, eating disorder behaviors can become a way to cope. You deserve support that looks at the full picture, including your brain, your nervous system, and the ways you have learned to get through the day. Connect With Kirsten Book, PMHNP-BC Kirsten Book is a dual-certified psychiatric mental health nurse practitioner and family nurse practitioner who specializes in working with children, adolescents, and adults navigating eating disorders, ADHD, anxiety, and depression. You can learn more about her work and concierge psychiatric services at her website. She is licensed in California, Illinois, Arizona, and Washington. She is also active on Instagram, Facebook, and LinkedIn. The best way to reach her directly is via email at Apple & Spotify “Stuck” Isn't Lazy: Inertia in ADHD, Autism, & Eating Disorder Recovery With Stacie Fanelli, LCSW on Apple & Spotify. Autism & Eating Challenges: Understanding Sensory Needs, Routines, & Safety on Apple & Spotify. Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy on Apple & Spotify. Work With Dr. Marianne If you are looking for eating disorder support that integrates neurodivergent-affirming care, I offer therapy and coaching for ARFID, binge eating disorder, anorexia, and bulimia. I work with clients across California and Washington, D.C., as well as offer coaching more broadly in the U.S. and worldwide. My approach focuses on sensory needs, nervous system regulation, executive functioning, and building sustainable eating patterns that actually work for your life. You can visit my website drmariannemiller.com to learn more about working with me and explore current offerings, including therapy, coaching, and self-paced programs. Share This Episode on Bulimia and ADHD If this episode resonated with you, share it with someone who needs to hear it and follow the podcast so you do not miss upcoming episodes on ADHD, ARFID, binge eating, and neurodivergent-affirming recovery.

Episode 10: The Burden of Being Reliable In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) talk about what happens when being the dependable one stops feeling like a strength and starts feeling like a trap. They explore how women often step into the role of the reliable friend, partner, parent, and colleague—not always by choice, but because someone had to, and they were the ones who showed up. Layered on top of that is the mental load—the invisible, relentless work of remembering, planning, organizing, and anticipating the needs of everyone around them, while their own needs quietly fall to the bottom of the list. From scheduling appointments and managing the household to making decisions at work and showing up emotionally for everyone in their circle, the mental load rarely gets acknowledged and almost never gets shared. Over time, that weight combined with the constant pressure to be the one with all the answers turns exhaustion into resentment. The hosts discuss how that slow burn shows up in relationships, parenting, and professional life, and why women so often suffer in silence before they ever say enough. The episode includes honest conversation about naming the mental load for what it is, recognizing resentment before it reaches a breaking point, setting boundaries without guilt, asking for help without over-explaining, and giving yourself permission to put down what was never yours to carry alone. It closes with a box breathing exercise and a reminder that being reliable should never come at the cost of your own peace. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 9: Decision Fatigue & The Empath Within In this episode, Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Katie Krych, MSN, RN, PMHNP(c) talk about decision fatigue—what happens when the weight of constant choices leaves you running on empty. They explore how women often become the default decision-makers at home, at work, and in relationships, and how that invisible load builds up over time. The hosts discuss how hunger, exhaustion, and emotional overwhelm can push the brain into survival mode, leading to impulsive choices, overspending, and burnout. Real-life moments—like a chaotic grocery run, a six-hour visit from a friend, and a car with bad energy—bring the conversation to life. They also dive into what it means to be an empath, how absorbing the emotions of others magnifies fatigue, and how empaths may feel connected to energy and intuition in ways that are both a gift and a challenge. The episode includes practical strategies such as setting firm boundaries, holding others accountable, prioritizing yourself, and recognizing when your body is sending warning signs. It closes with a box breathing exercise and a reminder that you are not anyone's supervisor—and your paperclip only stretches so far. Paperclips & Periods airs on Dreamvisions 7 Radio Network and supports Dual Minds Integrative Psychiatry, promoting emotional well-being and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast  paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 8: Understanding Rage Crying In this episode of Paperclips & Periods, hosts Dr. Emily K. Cabrera, PMHNP-BC, and Katharine "Katie" Krych, MSN, RN, talk about rage crying. This is the moment when anger and tears show up at the same time. Emily and Katie explore why this happens and what it can mean. Anger is often a secondary emotion that protects deeper feelings such as hurt, exhaustion, or feeling unheard. When emotions build up for too long, the body may release that stress through tears. Emily explains how the brain and nervous system respond to strong emotions. When the body enters a fight or flight response, stress hormones increase and emotions can feel overwhelming. Crying can sometimes help the nervous system calm down and return to balance. Throughout the conversation, they talk about everyday situations that can lead to emotional overload. Parenting stress, relationship conflict, work demands, and the mental load of daily life can all build over time. They also discuss how past experiences can shape how emotions appear in the present. When emotions are pushed down for too long, they may eventually come out in intense ways. The hosts share simple strategies for managing these moments. They discuss grounding, taking space when emotions rise, healthy outlets for stress, and the importance of communication and boundaries. The episode closes with the podcast's signature box breathing exercise, a 16 second practice to help calm the nervous system. This conversation reminds listeners that strong emotions are part of being human and deserve understanding and care. Paperclips & Periods airs on Dreamvisions 7 Radio Network, a Boston-based syndicated internet radio station reaching listeners across 135 to 200+ countries through platforms including iHeartRadio, TuneIn, Stitcher, Spotify, and more. The podcast aligns with the mission of Dual Minds Integrative Psychiatry, supporting conversations that promote emotional well-being, maternal mental health, and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 7: Understanding Maternal Ambivalence In this episode of Paperclips & Periods, hosts Dr. Emily K. Cabrera, PMHNP-BC, and Katharine "Katie" Krych, MSN, RN, tackle a topic many mothers feel but rarely say out loud: maternal ambivalence—loving your children while longing for your pre-parent self. Emily and Katie create a safe space to explore what maternal ambivalence actually means—and what it doesn't. Missing yourself, questioning decisions, or grieving your old life does not mean you regret your children or are a bad parent. These feelings reflect the profound identity shift that comes with caregiving. You weren't born "Mom"—you were born you. The hosts explain that maternal ambivalence often stems from exhaustion, sleep deprivation, and the relentless mental load—not from wanting to undo parenthood. They distinguish between normal feelings and clinical concerns like postpartum depression, providing guidance on when to seek professional help. They also validate mothers who have experienced late-term miscarriage, emphasizing that grief and hormonal shifts require support even when a baby isn't physically present. Throughout the episode, Katie and Emily challenge the cultural expectation that mothers should be superhuman and always put-together. They normalize the guilt of asking for help, the fear of judgment, and the difficulty of trusting others with your children. Using techniques from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, they encourage listeners to reframe thoughts: replace "I shouldn't feel this way" with "I love my child, and it's okay that I miss my old life." The hosts guide listeners through practical exercises: identify what you miss most, reclaim small rituals that reconnect you with yourself, and recognize when feelings cross into clinical depression. They share personal strategies—taking baths with the door locked, grounding in nature, finding moments of rest—demonstrating that self-care doesn't require grand gestures, just intentional moments. The episode closes with the signature box breathing exercise—a 16-second nervous system reset. Reflective and validating, this conversation invites mothers to release the myth of perfection and embrace the truth: you can love your children fiercely and still miss parts of yourself. You don't have to carry everything alone. Paperclips & Periods airs on Dreamvisions 7 Radio Network, a Boston-based syndicated internet radio station reaching listeners across 135 to 200+ countries through platforms including iHeartRadio, TuneIn, Stitcher, Spotify, and more. The podcast aligns with the mission of Dual Minds Integrative Psychiatry, supporting conversations that promote emotional well-being, maternal mental health, and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 6: The Mental Load I Didn't Consent For – Paperclips & Periods Podcast In this episode of Paperclips & Periods, hosts Dr. Emily K. Cabrera, PMHNP-BC, and Katharine "Katie" Krych, MSN, RN, dive into the invisible burden exhausting women everywhere: the mental load. This is the constant cognitive labor of remembering, planning, organizing, and managing every detail of household and family life without recognition or rest. Emily and Katie unpack what the mental load actually looks like. It's not just doing the laundry. It's remembering the laundry needs to be done, noticing when detergent is running low, adding it to the shopping list, and keeping track of who needs clean uniforms tomorrow. It's being the household manager, the default parent, the one holding everyone's schedules while your own needs fall to the bottom. The hosts explore why this burden falls disproportionately on women, even when partners "help." They discuss how helping is not the same as owning the responsibility, and why being asked to delegate tasks you never agreed to manage creates resentment and burnout. Katie and Emily validate the exhaustion of carrying invisible labor, the guilt of feeling ungrateful, and the anger of shouldering a load you never consented to carry alone. This conversation extends beyond motherhood to nurses, first responders, and healthcare workers managing professional and personal lives simultaneously. The hosts explain how the mental load compounds stress, contributes to anxiety and depression, and often goes unrecognized until someone breaks. Katie and Emily offer practical strategies: name the mental load out loud, have honest conversations with partners about shared ownership (not just shared tasks), and set boundaries. They discuss tools like shared calendars and the concept of letting go when others do things differently than you would. The hosts also address when the mental load becomes a mental health crisis, providing guidance on recognizing burnout and caregiver fatigue. Emily explains how therapy can help process resentment, rebuild boundaries, and reclaim mental space. The episode closes with the signature box breathing exercise. Honest and validating, this conversation gives permission to acknowledge the invisible work you do and challenges the expectation that you should carry it all. You deserve partnership, not help. You deserve rest, not just productivity. And you deserve to be seen. Paperclips & Periods airs on Dreamvisions 7 Radio Network, a Boston-based syndicated internet radio station reaching listeners across 135 to 200+ countries through platforms including iHeartRadio, TuneIn, Stitcher, Spotify, and more. The podcast aligns with the mission of Dual Minds Integrative Psychiatry, supporting conversations that promote emotional well-being, maternal mental health, and whole-person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 5: PMS, Hormones & the Emotional Realities of Womanhood  In this episode of Paperclips & Periods, hosts Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP‑BC, and Katharine “Katie” Krych, MSN, RN, Graduate Certificate in Nursing Education, PEL‑CSN, open up an honest, unfiltered conversation about one of the most universal yet least openly discussed aspects of women's lives: hormones—from first periods to perimenopause, and every emotional, physical, and psychological shift in between. Together, they explore how hormonal changes shape women's daily experiences, communication, relationships, and mental health across the lifespan. The discussion moves naturally from early puberty and helping young girls understand their bodies, to the complexities of PMS and unpredictable mood shifts, to the emotional impact of fertility struggles, pregnancy loss, and postpartum changes. With vulnerability and humor, they share their personal stories as mothers, clinicians, partners, and women navigating the evolution of their own cycles. Drawing from their backgrounds in psychiatric mental health, nursing, and education, Emily and Katie unpack the emotional realities behind menstruation and reproductive transitions—how cycles sync, how hormones influence sensitivity and emotional regulation, how cultural messaging shapes young girls' understanding of their bodies, and how women often carry the invisible weight of silence when navigating infertility, loss, or perimenopause. They also highlight the layered challenges nurses and caregivers face when balancing their clinical knowledge with their lived emotional experiences. This episode explores the private struggles that often accompany womanhood, including the monthly disappointment of a period when trying to conceive, the loneliness of maintaining secrecy after pregnancy loss, the fear and anxiety during high‑risk pregnancies, and the unexpected emotional reactivity that can surface during perimenopause. The hosts examine how partners cope differently, how miscommunication can deepen isolation, and why many women feel unsupported during some of the most physically and emotionally demanding moments of their lives. Grounded in lived experience, emotional honesty, and clinical insight, this episode reframes hormonal health as far more than a physical process—it is a deeply human journey that deserves openness, compassion, and community. Emily and Katie emphasize the need for generational change, encouraging listeners to speak truthfully about their experiences and to teach their children healthier ways to understand their bodies, emotions, and boundaries. As always, the hosts offer grounding takeaways, including the importance of support networks, the value of speaking openly with trusted others, and the need for emotional follow‑up during fertility challenges and pregnancy loss—areas where the healthcare system often falls short. The episode closes with a calming moment of box breathing to help listeners regulate their nervous systems and reconnect to their bodies with gentleness. Reflective, validating, and deeply real, this episode invites women to honor the full emotional landscape of their hormonal lives—and reminds every listener: you do not have to navigate these experiences in silence. Paperclips & Periods airs on the Dreamvisions 7 Radio Network, a Boston‑based syndicated internet radio station reaching listeners across 135–200+ countries through platforms including iHeartRadio, TuneIn, Stitcher, Spotify, and others. The podcast aligns with the mission of Dual Minds Integrative Psychiatry, supporting conversations that promote emotional well‑being, personal growth, and whole‑person care. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

A diagnosis of HCM impacts mental as well as physical health. Hear from Lora Peppard, PhD, DNP, PMHNP-BC on interventions that nurses can use to support patients with HCM and lead to improved quality of life, adherence, and long-term health outcomes.Related resources:HCM & Mental Health: https://www.4hcm.org/hcm-and-mental-health American Psychiatric Nurses Association connection paradigmSpirituality wellness assessmentsMattering Science: Zach MercurioFlourishing Science: Christie BethelPCNA resources on HCM for providers and patientsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 4: High‑Achieving Women Who Are Silently Struggling In this episode of Paperclips & Periods, hosts Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP‑BC, and Katharine “Katie” Krych, MSN, RN, Graduate Certificate in Nursing Education, PEL‑CSN, sit down with special guest Dr. Arlicia Miller, founder and Chief Transformation Officer of the Umbrella of Artistic Expression and life transformation coach with Dual Minds Integrative Psychiatry. Together, they dive into a topic so many women live with daily but rarely name out loud: the experience of being a high‑functioning woman who is quietly, persistently struggling beneath the surface. Drawing from Dr. Miller's transformational coaching work, Dr. Cabrera's psychiatric mental health expertise, and Katie's background in nursing and education, the conversation unpacks the hidden challenges that accompany competence, ambition, caregiving roles, and emotional labor. They explore why high‑functioning women often feel obligated to “push through,” how early conditioning reinforces silence, and why vulnerability can feel risky—even among friends, colleagues, and partners. From motherhood and marriage, to career advancement, to the weight of societal expectations, this episode explores how women learn to hold everything together externally while internally battling exhaustion, depletion, and self‑doubt. The hosts also examine how gender norms, family roles, trauma histories, and cultural narratives shape women's measurements of worthiness and success. With compassion and honesty, they discuss the “struggle bus,” the fear of judgment, the stigma around asking for help, and the labels women often carry without realizing how deeply they shape identity. Grounded in lived experience, psychology, and integrative wellness, this episode reframes “high‑functioning” not as a badge of honor, but as a clue—an invitation to pause, rest, and reconnect with one's authentic self. As always, the hosts offer thoughtful takeaways and practical strategies, including the importance of small resets, the power of journaling, the need for safe relationships, and even a guided moment of box breathing to help listeners regulate their nervous systems in real time. Reflective, relatable, and deeply human, this episode encourages women to release the myth of having it all together and replace it with a more compassionate truth: you don't have to carry everything alone. Dreamvisions 7 Radio Network syndicates content widely, partnering with dozens of platforms and directories (including TuneIn, iHeartRadio, Stitcher, Spotify, and more), giving Paperclips & Periods ongoing global exposure beyond traditional podcast outlets.Paperclips & Periods aligns with the mission of Dual Minds Integrative Psychiatry, supporting whole-person care and conversations that promote emotional well-being, understanding, and growth. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 3: Setting Boundaries Without Becoming the Villain – Paperclips & Periods Podcast In this episode of Paperclips & Periods, the conversation focuses on one of the most challenging and misunderstood topics for women: boundaries. Hosted by Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC, and Katharine “Katie” Krych, MSN, RN, Graduate Certificate in Nursing Education, PEL-CSN, this episode features Dr. Jamy Gaynor, EdD, MS, RN, NCSN, MSN(c), a neuroscience-trained school nurse whose work centers on child development, emotional regulation, and nervous system awareness. Drawing from Jamy's experience working closely with children, families, and school systems, alongside Dr. Cabrera's background in psychiatric mental health and Katie's experience in nursing and education, the conversation explores how boundaries are shaped by caregiving roles, trauma, and social conditioning — and why women are often penalized for setting them. This episode examines how boundary challenges show up across the lifespan, from childhood and adolescence to adult personal and professional relationships. Particular attention is given to how children, especially girls, internalize messages about compliance, emotional labor, and self-advocacy. Grounded in psychology, neuroscience, and lived experience, the discussion reframes boundaries not as rejection or conflict, but as essential practices for safety, clarity, and self-respect. Thoughtful, reflective, and intentionally human, this episode invites listeners to reconsider what it means to hold boundaries — and why doing so is an act of care for ourselves and future generations. Paperclips & Periods is broadcast on the Dreamvisions 7 Radio Network, a Boston-based syndicated internet radio station with a global reach. The network streams shows locally, nationally, and internationally — with listeners in well over 135 countries around the world, and in some listings even 200+ countries across platforms and syndication partners. Dreamvisions 7 Radio Network syndicates content widely, partnering with dozens of platforms and directories (including TuneIn, iHeartRadio, Stitcher, Spotify, and more), giving Paperclips & Periods ongoing global exposure beyond traditional podcast outlets.Paperclips & Periods aligns with the mission of Dual Minds Integrative Psychiatry, supporting whole-person care and conversations that promote emotional well-being, understanding, and growth. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio Paperclips & Periods Podcast  paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Episode 2: Navigating Trauma, Emotional Blunting, and Resilience In Episode 2 of Paperclips & Periods, hosts Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC, and Katharine “Katie” Krych, MSN, RN, PEL-CSN, dive into the real-life challenges of navigating past trauma as both moms and healthcare professionals. This episode explores emotional blunting—the way our minds sometimes shut down feelings as a coping mechanism—and how it can affect personal and professional life. Emily and Katie share insights on building resilience, emphasizing the importance of continuing forward even when the weight of past experiences feels heavy. Listeners are also introduced to box breathing, a practical tool to remain grounded during moments of stress and overwhelm. The conversation is candid, reflective, and deeply human, offering both professional perspectives and personal experiences that resonate with anyone balancing caregiving roles, motherhood, and the demands of high-pressure environments. Episode 2 reinforces the podcast's commitment to creating a space for honest, nuanced discussions around mental health, self-care, and growth. It invites listeners to explore coping strategies, acknowledge their experiences, and cultivate strength with intention and compassion. New episodes of Paperclips & Periods air every Friday at 7:00 a.m. and 7:00 p.m. Paperclips & Periods aligns with the mission of Dual Minds Integrative Psychiatry, supporting whole-person care and conversations that promote emotional well-being, understanding, and growth. Learn more: www.dualmindspsychiatry.com | Listen on Dream Visions 7 Radio

Step Into an Honest, Curiosity-driven Discussion Paperclips & Periods Podcast officially launches with Episode 1, an introductory conversation that sets the tone and intention for the series. Hosted by Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC, co-founder of Dual Minds Integrative Psychiatry, and Katharine “Katie” Krych, MSN, RN, Graduate Certificate in Nursing Education, PEL-CSN, this inaugural episode focuses on why the podcast was created, who it is meant to serve, and the kinds of conversations listeners can expect going forward. Step into an honest, curiosity-driven discussion that introduces the heart of Paperclips & Periods – where mental health, mom-hood, women-hood, and real life intersect. Drawing from their combined backgrounds in nursing and education, Dr. Cabrera, PMHNP-BC and Katie, RN outline the intent behind the podcast and the values that will guide future conversations. Grounded, reflective, and intentionally human, Episode 1 invites listeners into a space designed for thoughtful dialogue rather than quick fixes. It serves as a foundation for exploring complex topics with nuance, compassion, and clarity. New episodes of Paperclips & Periods will air Fridays at 7:00 a.m. and 7:00 p.m. each week. Paperclips & Periods aligns with the mission of Dual Minds Integrative Psychiatry, supporting whole-person care and conversations that promote emotional well-being, understanding, and growth. Paperclips & Periods Podcast  paperclipsandperiods@gmail.com Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com

Sponsored by the Institute for Functional Nursing. Learn more about our programs at www.fxnursing.com Functional psychiatry is one of the least common niches in the functional medicine world, but it is often where patients experience some of the most profound “whole person” care. In this episode, Brigitte Sager interviews Everest Goldstein, board-certified psychiatric nurse practitioner and IFM certified clinician, about what functional psychiatry really means, how she built her practice, and why nursing is uniquely positioned to lead in this space. Everest shares her own turning point after Lyme disease, when a provider spent the time to take a full functional history and connect the dots. From there, she explains how functional psychiatry treats depression and anxiety as symptoms with root causes, not labels that end the conversation. You'll hear practical, surprising examples of how gut health, cortisol dysregulation, dysbiosis, H. pylori, constipation, and yeast overgrowth can drive mood symptoms, and why foundations like sleep, stress, movement, and nutrition matter more than “shiny objects” like endless supplements, peptides, or IVs. They also discuss building community as a clinician, the realities of starting a practice, and how nurses can confidently work within scope by focusing on foundational health behaviors and patient education. Missed the Redefining the Future of Nursing Summit? Click here to get access to all the session replays. Key Takeaways Functional psychiatry is a root-cause approach that integrates conventional and functional tools to restore whole-person health Depression and anxiety can reflect underlying physiology such as gut dysfunction, cortisol patterns, hormones, sleep disruption, or unresolved trauma Gut health is a recurring driver in mental health cases, including dysbiosis, H. pylori, constipation, and yeast overgrowth “Treatment-resistant depression” often signals an incomplete root-cause workup, not a lack of options Many medication side effects and poor responses make more sense when you evaluate stress physiology (including low cortisol patterns) Nurses can create major impact within scope by prioritizing foundations: nutrition, sleep, movement, stress regulation, and lifestyle change support New functional providers often overuse supplements; experienced clinicians typically simplify and return to the basics Sustainable practice building requires boundaries, community, and a clear niche that patients can understand Featured Guest Everest Goldstein, PMHNP-BC, IFMCP Founder, Everest Functional Psychiatry and Wellness, and Evergreen Functional Collective Facebook Instagram

In this episode of The Nurse Practitioner Podcast, Trae Stewart, PhD, MPH, MSN, MN, MS, PMHNP-BC, APRN discusses the impact of psychotropic medications on oral health.

The Epstein scandal has raised awareness of the realities of human trafficking. Prevention experts say the general public could be more versed in how to spot trafficking in order to help survivors. This hour, we discuss the state of human trafficking in this country, how the current climate is affecting survivors, and what advocates say is needed to curb an epidemic that hides in plain sight. Our guests: Melanie Blow, founding member and board vice president for the Rochester Regional Coalition Against Human Trafficking, and executive director of the Stop Abuse Campaign Celia McIntosh, DNP, RN, FNP-C, PMHNP-BC, CCRN, CEN, SCRN, CNRN, president emeritus of the Rochester Regional Coalition Against Human Trafficking, and founder and CEO of McIntosh Advocacy and Consulting Jacob Kirkman, U.S. marketing coordinator for Inland Kenworth ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.

From Bedside to Brain: A Nurse's Transition into Psychiatry with Dr. Emily Cabrera, PMHNP-BC Join us as we discuss Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC and Integrative Psychiatric Mental Health Nurse Practitioner's transitional journey from being a critical care nurse to becoming the Co-Founder of Dual Minds Integrative Psychiatry. In this episode, we explore the shift from traditional psychiatry to an integrative approach to mental health. Dr. Emily discusses strategies for building resilience and balance and ways to take a holistic approach to mental health and wellness. Connect with Dr. Emily: Dr. Emily K. Cabrera, EdD, MSN, CAGS, PMHNP-BC Dual Minds Integrative Psychiatry www.dualmindspsychiatry.com (508) 233-8354 Connect with She Wise Wellness: Website: https://www.shewisewellness.com/ Website: www.shewisepublications.com Email: shewisepublications@gmail.com Instagram: https://www.instagram.com/she_wise_publications/ https://www.facebook.com/profile.php?id=100094044723450 YouTube: SHE Wise @survivingthehumanexperience https://www.youtube.com/channel/UCtYaqS-cL1WAFQKDadapxPQ

This episode explores the evolving role of ketamine in mental health care and what it means for the future of nursing practice as psychedelic-assisted therapies move toward mainstream medical use. Rebecca Ivory, DNP, MS, PMHNP-BC, Adjunct Faculty at the University of Delaware School of Nursing in Newark, Delaware, and Jennifer Graber, EdD, APRN, PMHCNS-BC, Associate Dean at the University of Delaware School of Nursing, co-authors of the NCPD article, "Ketamine infusion therapy for treatment-resistant major depressive disorder and suicidal ideation: Nursing care and considerations,"published in the December 2025 issue of Nursing share their insights.

Trauma Storming with Leigh Geffken & Michelle Geffken Rubino In this episode, Founders of Heart, Mind, Body, LLC, Leigh Geffken, DNP Scholar UPENN, APN, MSN, PMHNP-BC, C-PD, NE-BC and trauma-informed care practitioner, and Michelle Geffken Rubino, Certified Business, Health, Life & Wellness Coach, and Chief Operational Officer, discuss the impact "Trauma Storming" is having on the human experience. Join us as we unpack what trauma storming is, recognizing the signs, and tools and techniques for addressing and working through the storm!  Connecting with Leigh & Michelle:  Heart, Mind, Body LLC (862) 362-6408 Heart Mind Body LLC   Connect with She Wise Wellness: Website: https://www.shewisewellness.com/ Website: www.shewisepublications.com Email: shewisepublications@gmail.com Instagram: https://www.instagram.com/she_wise_publications/ https://www.facebook.com/profile.php?id=100094044723450 YouTube: SHE Wise @survivingthehumanexperience https://www.youtube.com/channel/UCtYaqS-cL1WAFQKDadapxPQ

Many people go into the holiday season feeling a heaviness they can't quite explain. Lead-Deadwood Hospital and Clinic's Erin Adkins, CSW, QMHP-PIP, Mental Health Counselor, and Mandi Leiti, PMHNP-BC, a Nurse Practitioner who specializes in psychiatric and mental health, return to discuss winter mental health. They explain why January often brings the biggest wave of people seeking help, how to navigate holiday gatherings when you're already struggling and the difference between winter blues and seasonal affective disorder. The duo offer practical advice on managing financial stress during the holidays, dealing with grief when facing the first season without a loved one and recognizing when it's time to seek professional help. They also discuss how simple steps like getting morning sunlight can make a real difference. If you're feeling the weight of the season, this conversation offers valuable guidance. Hosted on Acast. See acast.com/privacy for more information.

Overview Evelyn Eddy Shoop PMHNP-BC joins Psychedelics Today to share her journey from Division I athlete to psychiatric mental health nurse practitioner and psilocybin research participant. In this conversation, she explains how sports injuries, OCD, and intensive treatment led her into psychiatry and eventually into a psilocybin clinical trial at Yale. Her story weaves together lived experience, clinical training, and a call for more humane systems of care and better qualitative data in psychedelic science. Early Themes: Injury, OCD, and Choosing Psychiatry Early in the episode, Evelyn Eddy Shoop PMHNP-BC describes how multiple season ending injuries in college and serious mental health stressors in her family pushed her to rethink her life path. Originally pre vet, she stepped away from veterinary medicine after realizing she could not tolerate that environment. During a semester off for surgery and mental health, she completed intensive outpatient treatment and family therapy. That time showed her how powerful psychological work could be. It also reawakened a long standing curiosity about the brain, consciousness, and human experience. This led her to switch her major to psychology and later pursue psychiatric mental health nurse practitioner training at the University of Pennsylvania. At Penn, she felt supported academically and personally. Her interest in psychedelics grew as she realized that standard OCD treatments and high dose SSRIs were not giving her the level of functioning or happiness she knew was possible. Core Insights: Psilocybin Trials, Qualitative Data, and Clinical Skepticism In the middle of the episode, Eddy shares the story of finding a psilocybin trial on ClinicalTrials.gov just as she was about to start ketamine therapy. She received placebo first, then open label psilocybin, and describes the dosing day as one of the hardest days of her life, with benefits that emerged slowly over months through integration. She uses her experience to highlight why qualitative data matters. Numbers alone cannot capture the depth of a psychedelic journey or the slow unfolding of meaning over time. She argues that subjective stories, even difficult ones, are essential for clinicians, researchers, and policymakers. Key themes include: The central role of integration support in turning a crisis level session into lasting growth How trial environments on inpatient psychiatric units can feel like prison instead of healing spaces The limits of double blind placebo trials when participants become desperate for active treatment The need for more nuanced language around psychosis and psychedelic harms Eddy also addresses skepticism in psychiatry. Many providers fear substance induced psychosis and feel uneasy with medicines whose mechanisms are not fully understood. She suggests that more lived experience stories and careful education can help bridge that gap. Later Discussion and Takeaways In the later part of the episode, Eddy and Joe discuss harm reduction, ketamine risks, and how poorly designed systems can create harm even when the medicine itself is helpful. Eddy describes being treated as "just another psych patient" once the research team left for the day, including being denied basic comforts like headache relief after an emotionally intense session. She calls for: More humane hospital and research environments Required psychedelic education in psychiatric training Honest, nonjudgmental conversations about substance use with patients Stronger public education for students and festival communities Eddy also invites listeners in Wilmington, Delaware and nearby regions to connect if they need a psychiatric mental health nurse practitioner for psychedelic related research. She hopes to bring her lived experience and clinical skills into the emerging field as psilocybin and other treatments move toward approval. Frequently Asked Questions Who is Evelyn Eddy Shoop PMHNP-BC? She is a psychiatric mental health nurse practitioner trained at the University of Pennsylvania, a former Division I athlete, and a psilocybin trial participant who now advocates for more humane and data informed psychedelic care. What did Eddy learn from her psilocybin clinical trial experience? She learned that the hardest sessions can lead to deep change when integration support is strong and when there is time to unpack insights, rather than rushing to rate symptoms on a scale. Why does she care so much about qualitative data in psychedelic research? Eddy believes that numbers cannot capture the full human impact of psychedelic therapy. Stories show how people actually live with their disorders and integrate change, which is vital for ethical practice and policy. How does she view psychedelic harms and psychosis risk? She acknowledges real risks, especially for people with certain histories, but also notes that some psychotic experiences are not distressing. She calls for more precise language, better containers, and honest harm reduction education. What role does a psychiatric nurse practitioner like Evelyn play in psychedelic care? Practitioners like Evelyn can assess risk, prescribe within legal frameworks, provide preparation and integration, and help bridge the gap between traditional psychiatry and emerging psychedelic therapies. Psychedelic care is evolving fast, and this episode shows why voices like Evelyn Eddy Shoop PMHNP-BC are essential in the current psychedelic resurgence. Her blend of lived experience, clinical training, and critical thinking points toward a future where data and story, safety and possibility, can finally grow together.

In episode 72, Allyson chats with psychiatric nurse practitioner and lived experience advocate, Grace Kim PMHNP-BC, about the contradictions of psychiatry, as well as what psychiatry in eating disorder care can look like. There is so much (understandable) skepticism when it comes to psychiatric medications, how can we hold both the ways that it can be useful and life saving, as well as the ways it can create more harm and distress? You'll hear us cover:Care vs. Control in Psychiatry Science vs. Subjectivity in PsychiatryLiberation vs. Oppression in PsychiatryMedication Supports for Eating DisordersHow to hold client skepticism through an anti-oppression lensGrace's personal experience with EDs, Korean beauty standards and psychiatric support.About our guest:Grace Kim, PMHNP-BC (she/her) is a board-certified Psychiatric-Mental Health Nurse Practitioner offering virtual and in-person care for adults across New York, New Jersey, and Connecticut. Her practice is grounded in a collaborative, trauma-informed approach that recognizes healing is often non-linear and actively rejects coercive models of care. She specializes in mood and anxiety disorders, trauma, identity exploration, and disordered eating, providing comprehensive psychiatric evaluations, medication management, and supportive therapy. Grace earned her Bachelor's degree from UCLA and her Master of Science in Nursing from Yale University.WebsiteInstagram: @psychnpgraceAs a reminder, this podcast is for educational purposes only. It is not meant for individual medical or therapeutic advice. Please consult with your providers for specific treatment options. If you're interested in becoming a client at my practice, ED and OCD Therapy, please reach out! We see therapy clients in CA, WA, UT & FL, as well as recovery coaching clients worldwide. We would be honored to support you.Allyson's WebsiteAllyson's InstagramLastly, it would mean the world to me if you left Body Justice a review, either on Apple or Spotify. This helps the show reach more people, and I need your help. I appreciate your support