Podcasts about pmhnp bc

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.

Connection can be the key to health, and those facing disconnection are at significantly higher risk of CVD, stroke, T2D, and other health issues. Guest Lora Peppard, PhD, DNP, PMHNP-BC, describes the importance of relationships and the 6 core beliefs that can help our patients and ourselves have improved health.Resources:Related PCNA CE course: https://pcna.net/course/the-extraordinary-impact-of-connection-on-mental-and-cardiovascular-health/Our Epidemic of Loneliness and Isolation: https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdfhttps://www.julianneholtlunstad.com/ https://bronnieware.com/regrets-of-the-dying/ https://www.zachmercurio.com/https://publichealth.jhu.edu/faculty/3038/christina-d-bethell Family Resilience Connection Index: https://nurtureconnection.org/child-flourishing-a-critical-indicator-for-erh/ American Psychiatric Nurses Association https://www.apna.org/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Mandi Leite, a Nurse Practitioner who specializes in psychiatric and mental health at Lead-Deadwood Hospital and Erin Adkins a Certified Social Worker at Lead-Deadwood Clinic join Mark Houston to talk about providing mental health and counseling services to the area. They discuss their individual approaches to treatment and how they collaborate together. Much like Lead and Deadwood themselves, medication and therapy can be thought of as interlinked. Listen in as Mandi and Erin describe how they encounter and treat the wide spectrum of mental health symptoms as part of the emerging whole-person model of care. Hosted on Acast. See acast.com/privacy for more information.

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

In this inspiring and candid interview, Dr. Marianne Miller speaks with psychiatric mental health nurse practitioner Kirsten Book @bookconciergepsych about her powerful journey from living with bulimia for more than a decade to building a successful career in mental health care. Kirsten reveals how her early struggles were shaped by inadequate treatment, provider misconceptions, and the absence of neurodivergent-affirming approaches, especially before her ADHD diagnosis at age 30. Kirsten describes the turning point that came when she became pregnant with her son, which motivated her to pursue lasting recovery. She discusses her imperfect but determined healing process, her career change from business to nursing, and her passion for treating eating disorders, ADHD, anxiety, depression, and substance use disorders. Content Caution: This episode contains discussions of eating disorders, bulimia, anorexia, substance use, and experiences with psychiatric care. Key Topics Covered Early signs of bulimia and anorexia, and how puberty shaped her body image and self-esteem The emotional toll of being dismissed or misunderstood by treatment providers Why early emotional education should be part of every child's learning experience How hope can sustain recovery even in the most difficult moments The role of a late ADHD diagnosis in helping her maintain stability in recovery The connection between undiagnosed ADHD, eating disorders, and substance use Why thorough assessments are essential beyond the presenting symptoms Benefits of collaborative treatment teams in both higher levels of care and private practice Designing a concierge psychiatric practice with a focus on quality and accessibility About Kirsten Book, PMHNP-BC Kirsten is a board-certified psychiatric mental health nurse practitioner treating children, adolescents, and adults. She has worked at every level of care and now runs a concierge-style integrative psychiatric practice in Illinois, Arizona, Washington, and California. Her lived experience in recovery shapes her hopeful, compassionate, and personalized care. Connect with Kirsten: Website: kirstenbook.com Email: @bookconciergepsych Related Episodes on Bulimia & ADHD: A Bulimia Recovery Story + How Weight-Neutral Fitness Can Help Eating Disorder Recovery With Abbey Griffith @claritydecatur on Apple or Spotify. Understanding Bulimia: Causes, Solutions, & Coping Strategies on Apple & Spotify. ADHD & Eating Disorders: The Overlooked Link on Apple & Spotify. Overexercising, ADHD, and Eating Disorders via Apple and Spotify. Resources & Support If you or someone you know is struggling with an eating disorder, you are not alone. In the U.S., you can reach the National Eating Disorders Association (NEDA) Helpline at 1-800-931-2237 or visit nationaleatingdisorders.org. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

In this episode, Dr. Andy Cutler interviews Dr. Pamela Wall about the complex intersection of PTSD and mild traumatic brain injury (mTBI) in veterans. They explore how military culture influences the experience and treatment of trauma, the challenges of distinguishing overlapping symptoms, and evidence-based strategies for assessment and intervention. Tune in for practical insights, clinical pearls, and resource recommendations for improving care in this uniquely vulnerable population.  Pamela Wall, PhD, PMHNP-BC is an associate professor in the College of Nursing at Rosalind Franklin University and maintains a clinical practice at a neuropsychiatric clinic in Fairfax, VA. She has extensive experience working with adult psychiatric mental health populations, and her research has focused on PTSD, mTBI, and sleep disorders in deployed military service members. Dr. Wall served 20 years on active duty as a Nurse Corps Officer in the United States Navy.  Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.  Resources  Center for Deployment Psychology   National Center for PTSD  Traumatic Brain Injury Center of Excellence    Never miss an episode!

In this episode, Dr. Dawn Vanderhoef, PhD, DNP, PMHNP-BC, FAANP, a Board-Certified Psychiatric Mental Health Nurse Practitioner and the Associate Medical Director at Neurocrine Biosciences, in San Diego, California, talks with Dr. Kaylee Mehlman, PharmD, RPh, BCGP, FASCP, a Board-Certified Geriatric Pharmacist and Long-Term Care Clinical Practice Liaison for Neurocrine Biosciences in the Northeast. They share their insights about the recognition, diagnosis, and management of tardive dyskinesia, including its pathophysiology, clinical presentation, patient impact, and current treatment strategies.Dr. Dawn Vanderhoef, PhD, DNP, PMHNP-BC, FAANP, is a Board-Certified Psychiatric Mental Health Nurse Practitioner and the Associate Medical Director at Neurocrine Biosciences, in San Diego, California.  Dr. Kaylee Mehlman, PharmD, RPh, BCGP, FASCP, is a Board-Certified Geriatric Pharmacist and Long-Term Care Clinical Practice Liaison for Neurocrine Biosciences in the Northeast.This podcast is an educational program sponsored and co-developed by Neurocrine Biosciences.Neurocrine Biosciences is a pioneering company with over 30 years of experience dedicated to discovering and developing life-changing treatments for neurological, neuroendocrine, and neuropsychiatric disorders. Learn more: https://www.neurocrine.com/Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

Providing access to consistent, quality care in sparsely populated or hard-to-reach places is no easy feat. It involves addressing issues including infrastructure, workforce, funding, and proximity, not to mention tackling problems from hospital closures to the shrinking provider workforce.   In this episode, we're taking a road trip across the vast state of Texas, a state where 83% of its nearly 270,000 square miles of land is made up of farms, ranches, and forests, with over 4 million people living in these rural areas. At the steering wheel is a nurse practitioner and professor  Barbara Chapman DNP, MBA, APRN, FNP-C, NHDP, PMHNP-BC who is committed to using and combining every approach possible, including mobile health care, to address access to care issues not only in rural areas, the places where people are hard to reach and often hardly reached, but also driving toward solutions where everyone, regardless of where they live, has access to the quality, timely, whole-person care they need and deserve.  Find this episode's resources at www.seeyounowpodcast.com, and for more information on the podcast bundles, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/education/.   Have questions for the SEE YOU NOW team? Feedback? Future episode ideas? Contact us at hello@seeyounowpodcast.com.    

The story of schizophrenia has too often been told through a lens of fear and misunderstanding. But that's changing. Thanks to relentless advocates, awareness campaigns, and policy reform, stigma is being challenged and access to care is improving. But how do we join this fight? What does real advocacy look like — and where do we even begin? In this episode, host Rachel Star Withers, who lives with schizophrenia, and co-host Gabe Howard share their own advocacy journeys and break down the many ways you can make a difference. Joining them is Dr. Tracy Hicks, a doctor of nursing practice and dual certified psychiatric and family nurse practitioner. With years of hands-on experience pushing for mental health reform, Dr. Hicks offers insight into what effective advocacy really takes — from the clinic to the capitol. Guest Information: Dr. Tracy Hicks, MBA, APRN, FNP- BC, PMHNP-BC, CARN-AP, FIAAN, FAANP Doctor of Nursing Practice, Dual Certified Family Nurse Practitioner and Psychiatric Nurse Practitioner, Founder and CEO, Director of Clinical Services Founder and CEO of C-Trilogy, Dr. Hicks has been an advocate in the mental health community for many years as well as actively involved in attempts to make changes in legislation to break down barriers to care. C-Trilogy Comprehensive clinical care was established by Dr. Tracy Hicks as a for-profit entity in 2015, and in 2020 the Non-profit sector C-Trilogy Outreach was founded to answer the needs of the community during and after the pandemic. Dr. Hicks is an experienced speaker with several appearances and presentations across the country, primarily in Diversity, Equity, Inclusion and Belonging (DEIB), Social Determinants of Health (SDoH), Emotional Intelligence (EI), Leadership, and substance use disorder treatment. She also serves as an advisor, consultant, and speaker in the pharmaceutical industry. Moreover, she is certified in addictions nursing and was inducted into the Fellows of the International Academy of Addiction Nurses in 2019 and the American Association of Nurse Practitioners in 2021. She is a clinic owner and non-profit founder. She serves as Vice President of Texas Nurse Practitioners.  She believes that “restricted NP practice anywhere is restricted access to care everywhere.” https://www.ctrilogyoutreach.org Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode includes extended Q&A sessions that address your unanswered questions from the following presentations delivered at the 2025 Spring Congress in Philadelphia, Pennsylvania:  (00:20) All the Tea on ADHD: Guidance for Developing Effective Treatment Strategies for Patients With ADHD by Andrew Cutler, MD   (20:20) You and I and an LAI: Benefits, Early Adoption, and Options for Patients With Serious Mental Illness Desiree Matthews, MSN, PMHNP-BC and Jonathan Meyer, MD (Q&A with Desiree Matthews)   (38:53) A Practical Guide to Ordering and Interpreting Kidney Function Tests by Rajnish Mago, MD   (59:13) Preventing the Progression From Casual to Casualty: An Update on Interventions for Substance Use Disorders by Hara Oyedeji, APRN, PMHNP-BC, MSN, MSEd and Andrew Cutler, MD (Q&A with Hara Oyedeji)    Never miss an episode!

On this compelling episode of NP Pulse: The Voice of the Nurse Practitioner®, Dr. Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, and guest Dr. Ashley Hodges, PhD, CRNP, WHNP-BC, PMHNP-BC, FAANP, FAAN, dive deep into the adolescent mental health crisis, shedding light on the alarming trends affecting today's youth. From the long-term impacts of the COVID-19 pandemic to the pressure of growing up in a hyper-connected digital world, this discussion explores critical risk factors, early warning signs and practical strategies for nurse practitioners (NPs) and families alike. This episode also emphasizes the importance of upstream prevention, holistic care, reducing stigma and integrating mental health support into primary care. Drawing from decades of clinical experience, Jessica and Ashley offer compassionate, expert insight on how to recognize and respond to adolescent mental health challenges, while highlighting resources, screenings and training opportunities for NPs committed to making a difference.

In this episode we're joined by Carrie Hill, PMHNP-BC, CARN-AP—a seasoned psychiatric nurse practitioner with over 16 years of experience—to dive deep into the often misunderstood world of medication management in mental health care. Carrie shares her compassionate, patient-centered approach to treatment, blending personalized medication plans with therapy and holistic care for individuals aged 13 to 64. We tackle common fears about psychiatric medications, including public misconceptions and high-profile critiques, while exploring how open communication and ongoing assessment can lead to better outcomes. You will learn how combining therapy and medication can empower individuals on their mental health journey—and hear real-world success stories that show what's possible when care is tailored, collaborative, and rooted in empathy. Tune in to see Medication Management Through a Therapist's Eyes.  

In this Medical Spa Show speakers series, we hear from Sara Cole, AGACNP-BC, CANS, Siren Medical Spa; Chakika Williams, DNP-L, MBA/HCM, FNP-BC, PMHNP-BC, FPA, SkyRose Rejuvenation Clinic & Spa; Alexander Rivkin, MD, Westside Aesthetics; Alyssa Rapp, Empower Aesthetics; Georgia Cirese, RN, CANS, CLT, Gorgeous Aesthetic Bar; Jenna Hilton, PA-C, Vibrant Skin Bar. They share their biggest wins, lessons learned, and must-know insights for conference attendees. Don't miss their sessions at Medical Spa Show 2025, from April 10 - 13, 2025!   Sara Cole, AGACNP-BC, CANS Saturday, April 12: 10:10 - 10:35 a.m. | The Psychology Behind Your Best Consultation Sunday, April 13: 9 - 10:30 a.m. | When Is It Right to Say “No” Sunday, April 13: 11:15 - 11:45 a.m. | Addressing Lower Face Laxity Chakika Williams, DNP-L, MBA/HCM, FNP-BC, PMHNP-BC, FPA Saturday, April 12: 10:35 - 11 a.m. | Diversity in Aesthetics: All Faces Are Not Created Equal Alexander Rivkin, MD Friday, April 11: 3:50 - 4:15 p.m. | Nonsurgical Rhinoplasty: The Good, the Bad and the Ugly Alyssa Rapp Friday, April 11: 1:05 - 1:30 p.m. | Leadership and Life Hacks: Insights from a Mom, Wife, Entrepreneur and Executive Georgia Cirese, RN, CANS, CLT Friday, April 11: 3:50 - 4:15 p.m. | Sell It Like a Scholar: Leveraging Knowledge as a Strategic Sales Tool Jenna Hilton, PA-C Saturday, April 12: 3:50 - 4:50 p.m. | Panel: The Worst I Ever Had: Complications and How to Overcome Them --- Music By Ghost Score

Everest Goldstein, M.Ed, MSN, PMHNP-BC, IFMCP, and Ashley Madsen, PA-C, HHC, join Integrative Practitioner Content Specialist Avery St. Onge to discuss sexual wellness from the biopsychosocial perspective in a live interview at the 2025 Integrative Healthcare Symposium. About the Experts Everest Goldstein is a board-certified psychiatric nurse practitioner certified in functional medicine. She was born and raised in Dallas, Texas and then obtained her B.A. in Psychology from Princeton University. Following Princeton, she worked for Teach for America as a bilingual elementary school teacher, administrator, and curriculum developer. During this time, she also received her Master of Education from Southern Methodist University in Dallas, TX. Realizing the great need for mental health services in this community, Everest decided to follow her passion and earned her Psychiatric Nurse Practitioner degree at Vanderbilt University. In order to better provide holistic care to her patients, Everest completed her functional medicine certification through the Institute for Functional Medicine. Ashley Madsen is a board-certified physician associate, speaker, and educator.  Ms. Madsen's passion lies in functional medicine and longevity science, receiving clinical training from Stanford University, the Institute for Functional Medicine, the Institute for Integrative Nutrition, and the American Board of Anti-Aging Medicine.  Over the span of her career she has worked with elite athletes, top business leaders, and tech innovators in their quest to optimize performance and change their health trajectory.  Ms. Madsen holds advanced training in hormone therapy, genomics, cellular medicine, peptide therapy, and IV hydration.  Her growing passion for preventing and reversing chronic inflammatory disease has influenced her treatment approach.  She is currently the Clinical Director of Wellness at Ethos Aesthetics & Wellness, and a Co-Founder of Athena Healthspan.

In today's episode of Compassion & Courage, Marcus Engel speaks with Angie Osborn, a psychiatric mental health nurse practitioner, discussing her journey in mental health, the importance of compassionate communication, and the need for integrated care. They explore the impact of mentorship, the stigma surrounding mental health, and the significance of active listening in supporting others. Angie shares her insights on managing emotional triggers and emphasizes the importance of kindness and understanding in healthcare and personal relationships. Key Moments00:00 – Introductions00:45 – Angie's Journey in Mental Health03:05 – Mentorship and Leadership in Healthcare05:10 – The Importance of Compassion and Grace09:12 – Witnessing Compassion15:45 – Understanding Mental Health Stigmas18:30 – Active Listening as a Tool for Support23:00 – Managing Triggers and Emotional Responses32:05 – “We are all, really, the same and we need be kinder to each other” Resources for you: More communication tips and resources for how to cultivate compassion: https://marcusengel.com/freeresources/Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/Connect with Angie on LinkedIn: www.linkedin.com/in/angie-o-b692a223aLearn more about Unwind Your Mind Psychiatry Clinic: UYM-Clinic.comLearn more about the Mom & Mitchell Foundation: https://momandmitchell.org/Learn more about Marcus' Books: https://marcusengel.com/store/Subscribe to our podcast through Apple: https://bit.ly/MarcusEngelPodcastSubscribe to our podcast through YouTube: https://bit.ly/Youtube-MarcusEngelPodcast More about Angie:Angie Osborn, APRN, PMHNP-BC, is the founder of Unwind Your Mind Psychiatry & Wellness in Yukon, where she delivers compassionate, inclusive, and nonjudgmental mental health care to individuals ages 5 to 99, with a special focus on children and adolescents. With nearly 20 years of nursing experience, Angie's journey began at 17 when she enrolled in an LPN program, graduating in 2006. This marked the start of her dedicated career in nursing and mental health.Determined to advance her education, Angie earned an Associate Degree in Nursing (ADN) in 2010. Despite facing various challenges, she persevered with resilience and determination—a trait inherited from her mother. Initially focusing on critical care and cardiac issues, she soon recognized a significant lack of support for the mental health community, particularly in Oklahoma, which inspired her to address this gap.Angie values the importance of having healthcare providers who reflect and understand the diverse communities they serve. In 2015, she completed her bachelor's degree and discovered a passion for psychiatry. Driven by the critical need for mental health resources in her community, she earned her master's degree in psychiatry from Maryville University in 2022.Her psychiatry experience began in 2023 at an urgent care and primary care clinic in Yukon, Oklahoma, where she honed her skills in comprehensive patient care and developed a deeper understanding of diverse health needs. Angie launched her clinic in October 2025, offering medication management and psychotherapy services. Her dedication to fostering a supportive environment for mental wellness continues to inspire her work.2/10/2025 Compassion & Courage: Conversations in Healthcare Ep 161 – Navigating Mental Health – Angie Osborn

In this Friends of NPACE Podcast Episode, Dr. Rhone D'Errico DNP, MBA, APRN, PMHNP-BC, FNP-BC, ENP-C, CNE, ACUE Joins NPACE Executive Director Terri Schmitt to discuss moving beyond the basics of a suicide assessment into compassion for our patients and ourselves. This discussion is a great lead up to the February 2025 Las Vegas NPACE conference and highlights tangible actions clinicians can take to make an impact. Tune in every other Wednesday for new episodes of the Friends of NPACE Podcast on your favorite streaming platform (Spotify, Apple Music, YouTube, and Amazon Music).

Send us a textNarcissistic abuse often leaves devastating consequences to the survivor's confidence and self-esteem.Today, Kristin Arden, DNP, APRN, PMHNP-BC, Mindbloom's Clinical Director, and Shari Botwin, LCSW, trauma counselor, join me to discuss the use of ketamine therapy as a new alternate treatment option for trauma survivors.If you would like to learn more about Mindbloom or ketamine therapy, please see https://mindbloom.com/kerrym100. To take advantage of the $100 off total of your first two treatments, use discount code “kerrym100.”Did you know the brain is malleable and open to change? It's called neuroplasticity. In this week's exclusive Podcast Extra interview, Kristin and Shari discuss how to best capitalize on our brain's openness to change. Get immediate access to this interview when you subscribe to the weekly newsletter.Join here: substack.com/@breakingfreenarcabuseDid you know you don't need to wait a week for your next podcast fix? For only $5/month, sign up for weekly podcast extras!  Join me on Substack! Follow Dr. McAvoy!YouTube: @kerrymcavoyphdInstagram: @kerrymcavoyphdFacebook: @kerrymcavoyphdE-mail: hello@kerrymcavoyphd.comNewsletter: https://breakingfreenarcabuse.substack.com/ Website: https://www.breakingfreenarcissisticabuse.com/Kerry Kerr McAvoy, Ph.D., a mental health specialist and author, is an expert on cultivating healthy relationships, deconstructing narcissism, and understanding various other mental health-related issues. Her memoir, Love You More: The Harrowing Tale of Lies, Sex Addiction, & Double Cross, gives an uncensored glimpse into the dynamics of narcissistic abuse.As an Amazon affiliate, a commission is earned from qualifying purchases.Support the show

Good Morning Nashville ☀️ We hope that you guys are coming off of a holiday weekend well spent with family, food, and fellowship. A holiday every year where we center our thoughts around being thankful for everything God has done for us. We are thankful to have you, yes YOU, listen in today to the ONLY black father and son podcast in the state of Tennessee. Let's get into today's episode! ⭐️ From the west coast to the south, we are excited to have our guest grace our platform today. A mental health professional, today's guest is none other than Dr. Doug Mitchell.

Folks this is a jaw-dropping self-defense success story! Meet Ashlyn Johnson, a martial artist of many years who uses her skills and experience to help make the world a better place. Here's Ashlyn's bio: Ashlyn Johnson, DNP, APRN, FNP-BC, PMHNP-BC, CNE Dr. Johnson is an assistant professor of nursing and a dual-certified family nurse practitioner and psychiatric-mental health nurse practitioner. She maintains clinical practice providing psychiatric services to patients struggling with substance use disorders.  Her service and research agendas focus on mental health and empowerment, particularly related to interpersonal violence, trauma, and resilience. She is currently investigating the relationship between self-defense training, trauma, PTSD symptoms, and resilience. Outside of work, she enjoys tea and a good book, martial arts, travel, and spending time with her 4-year-old daughter.

Welcome to this episode of Diverse Thinking Different Learning, where we dive into a topic that is of growing interest to parents and caregivers of children and adolescents with ADHD: integrative treatments for ADHD symptoms. Today's guest, Sara Langley, is an expert in Nutritional Psychiatry and will share valuable insights on how diet and integrative approaches can complement traditional ADHD treatments. ADHD is the most searched topic on ChildNEXUS, and our episodes on ADHD are among the most downloaded. It's clear that parents and caregivers are eager to learn about different options to support their children, and this episode is packed with useful information. Sara specializes in how diet can impact mood and behavior, and she offers practical advice on where to begin. She suggests some starting points, but acknowledges that making dietary changes can feel overwhelming, so she shares helpful tips for parents on how to start small and build from there. Throughout the episode, Sara discusses the common challenges faced by children with ADHD and the supplements that can help. While she emphasizes that nutrition isn't a “cure” for a problem, it is an important piece of the puzzle. Sara also highlights the strong connection between the gut and brain and how addressing this can benefit not only ADHD symptoms but overall well-being. If you're looking for new ways to support your child or simply curious about how integrative approaches can complement traditional treatments, you won't want to miss this episode!   Show Notes: [3:16] - Sara specializes in Nutritional Psychiatry, which is about how diet can impact mood and behavior. [5:16] - One good starting place that Sara recommends is to start integrating probiotics. [6:28] - Supplements are commonly asked about by parents of children with ADHD and there are several that could benefit as an addition to a vitamin rich diet. [9:17] - A lot of time, we cannot get the full nutritional benefit from the food we eat due to different factors. [10:43] - It can be very overwhelming to parents to make dietary changes. Sara gives some tips on where to start. [12:30] - Generally, children with ADHD have trouble falling asleep. There are supplements that can help with this as well. [13:53] - Nutrition is part of a puzzle. It isn't a “cure”. [17:18] - Working with a mental health professional or pediatrician can help guide a parent in choosing the right things for their child. [18:40] - There is a connection between the gut and the brain. [22:31] - It is tricky for many parents to make dietary changes due to the pickiness of their child as an eater and their need for quick dopamine through snacking. [23:47] - Some parents are seeking something different from medication. [25:59] - This integrative approach benefits more than ADHD symptoms.   About Our Guest: Sara Langley is a dedicated Psychiatric Mental Health Nurse Practitioner who specializes in treating children and adolescents with brain-based medical conditions. She is double board-certified in both Primary Care and Psychiatry. A graduate of the Columbia University School of Nursing, class of 2014, she later earned her Post Master's certificate in Psychiatric Mental Health Nursing from UCSF and completed a Fellowship in Primary Care Psychiatry with UCI. Additionally, she holds a certification in Nutritional Psychiatry through the Integrative Psychiatry Institute. In her practice, Sara integrates Nutritional Psychiatry, focusing on how diet affects mood and behavior, and Functional Psychiatry, which aims to identify and treat the root causes of mental illness. This is combined with FDA-approved traditional medication management, providing families with care that is truly comprehensive and balanced.   Connect with Sara Langley: ChildNEXUS Provider Profile Email: sara@childkindpsychiatry.com Child Kind Psychiatry Website   Links and Related Resources: ADHD for Parents: An Integrative Approach Episode 124: A Non-Medication Treatment for Children with ADHD with Dr. Sandra Loo Episode 40: Lifestyle Activities That Can Improve ADHD Symptoms with Dr. Joel Nigg   Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses with LIVE AMA Sessions   The Diverse Thinking Different Learning podcast is intended for informational purposes only and is not a substitute for medical or legal advice, diagnosis, or treatment. Additionally, the views and opinions expressed by the host and guests are not considered treatment and do not necessarily reflect those of ChildNEXUS, Inc or the host, Dr. Karen Wilson.  

Since the 1950s, the go-to treatment for schizophrenia has been oral antipsychotics. However, the landscape of schizophrenia treatment is changing and evolving, from advancements in antipsychotic long-acting injections to promising new treatments targeting muscarinic receptors to different types of neuromodulation stimuli of the brain, and even new theories connecting schizophrenia to other diseases like chronic traumatic encephalopathy (CTE). Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard explore the innovations in schizophrenia treatment in this episode of “Inside Schizophrenia.” Psychiatric Mental Health Nurse Practitioner Desiree Matthews, who is at the forefront of helping people with treatment-resistant depression and schizophrenia, joins as a guest to discuss some of the current and upcoming treatments. To learn more -- or read the transcript -- please visit the official episode page. Our guest, Desiree Matthews, PMHNP-BC, is a board certified psychiatric nurse practitioner with over a decade of experience in mental health treatment, providing top-tier care for those living with severe and persistent mental illness. Desiree is the founder and clinical director of Different Mental Health Program (MHP), which provides a virtual, personalized, and holistic approach to mental health care for patients in North Carolina. In addition to clinical practice, she serves as a member of the steering committee for US Psych Congress and has served faculty appointments with US Psych Congress, Psych Elevate, NP Institute, and with NEI. She is passionate about bringing practical future-focused healthcare education to healthcare providers to improve their patient outcomes. Rachel Star Withers creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices