Podcasts about prolonged grief disorder

Send us a textUnlock the complexities of Prolonged Grief Disorder (PGD) and discover how it challenges the natural grieving process as defined in the DSM-5-TR. Explore how PGD differs from typical grief, with symptoms that persist beyond usual timelines. We'll guide you through the dual process model of grief and attachment theory, shedding light on why some individuals struggle to adapt naturally to loss. Our discussion also covers key assessment tools like the Prolonged Grief Disorder-13 (PG-13) and Brief Grief Questionnaire (BGQ), which are essential for evaluating the severity and impact of grief. Along the way, we introduce vital grief-related terms such as anticipatory grief, complicated grief, and disenfranchised grief, providing a thorough groundwork in understanding PGD.Step into the therapeutic world with the poignant case of Sarah, who navigates the turbulent waters of PGD after losing her teenage son. We emphasize the importance of building a robust therapeutic alliance, and share strategies that help integrate loss into life's narrative without diminishing the memory of a loved one. Discover how cognitive restructuring, narrative reconstruction, and exposure-based techniques, including the impactful empty chair method, offer pathways to healing. This episode also underscores the delicate balance between validating profound grief and promoting healthy adaptation, while highlighting the increased suicide risk associated with PGD. Finally, we remind therapists to be mindful of their own grief journeys and potential countertransference, ensuring they remain effective in supporting clients on their path to recovery.If you need to study for your national licensing exam, try the free samplers at: LicensureExamsThis podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

In case you didn't know, we're still making two episodes a month for our Patreon and Apple Plus subscribers. We wanted to give all of our listeners a little preview of our most recent episode! Consider joining TTFA Premium on Apple to listen to the rest of the episode, get additional bonus episodes, and ad-free episodes! _ In 2022, Prolonged Grief Disorder was added to the DSM-V. A new mental health disorder tied to grief ruffled a lot of feathers, including Nora's. She talked about it on TTFA (including skepticism around this diagnosis) and you all shared your thoughts on this news as well.  This episode is a very cool follow up because we get to learn more about this disorder from one of the doctors who created the diagnosis. Nora interviews Dr. Katherine Shear from Columbia University's Center for Prolonged Grief about the difference between grief and prolonged grief, the treatment plan she and her team developed, and how American culture is still *so* bad at grieving.  Listen to the previous episodes: How Long Should Grief Last? How Long Should Grief Last? Part 2  _ Please send us your questions and comments about this episode or any other! You can email us at ttfapremium@feelingsand.co or leave us a voicemail at 612-568-4441.  — Check us out on YouTube. Find all our shows and more at feelingsand.co

Heal the past, create the present, and build the future.    On this week's episode, Licensed Clinical Psychologist Dr. Kate Truitt, joins the podcast for an episode on navigating through stress, trauma, and betrayal. Listen as they talk through lifelong issues as a result of complex childhoods, avoiding Prolonged Grief Disorder, and giving yourself permission to "feel the feels".    This episode is a reminder that it's hard to rise up and see the lesson when you're in the situation, but one day you will and when you do - give it a purpose.    To learn more about Just Go F Yourself visit www.justgofyourself.com.    

Today, you'll learn about a newly discovered deep sea ghost shark, the best way to treat prolonged grief disorder, and how the blood vessels in our brain coordinate to improve brain functioning. Ghost Shark “‘Ghost shark' with enormous head and giant iridescent eyes discovered off Thailand.” by Elise Poore. 2024. “Chimaera.” Shark Trust. 2020. “Chimaera supapae (Holocephali: Chimaeriformes: Chimaeridae), a new species of chimaera from the Andaman Sea of Thailand.” by David A. Ebert, et al. 2024. Grief Treatment “Which therapy works best to treat prolonged grief disorder?” by Lachlan Gilbert. 2024. “Cognitive Behavior Therapy vs Mindfulness in Treatment of Prolonged Grief Disorder.” by Richard A. Bryant, et al. 2024. “Comparing the efficacy of mindfulness-based therapy and cognitive-behavioral therapy for depression in head-to-head randomized controlled trials: A systematic review and meta-analysis of equivalence.” by Kristine Tretto Sverre, et al. 2022. “Prolonged Grief Disorder.” Psychology Today. N.d. Blood Vessel Coordination “Coordinating Blood Vessel Activity Might be Associated with Better Brain Performance.” Tohoku University. 2024. “Plastic vasomotion entrainment.” by Daichi Sasaki, et al. 2024. Follow Curiosity Daily on your favorite podcast app to get smarter with Calli and Nate — for free! Still curious? Get exclusive science shows, nature documentaries, and more real-life entertainment on discovery+! Go to https://discoveryplus.com/curiosity to start your 7-day free trial. discovery+ is currently only available for US subscribers. Hosted on Acast. See acast.com/privacy for more information.

Grief takes many forms and recently psychiatrists realized that some suffer from extended grieving which may require therapy to get over. Dr. Shear worked to investigate this phenomenon, which was officially recognized as ‘prolonged grief disorder' in 2022. Studies show it's particularly common with tragedies like McKay's – following the sudden, unexpected death of a spouse or child, especially in horrific circumstances like murder. Thank you for supporting our sponsors: SimpliSafe: Get 20% off any new SimpliSafe system with Fast Protect Monitoring at https://SimpliSafe.com/RANSOM

The number of labels to describe different types of mental disorder has mushroomed in recent years. New categories include Oppositional Defiant Disorder, Prolonged Grief Disorder and Mild Cognitive Impairment. Many classifications have been created or influenced by a book called the Diagnostic and Statistical Manual of Mental Disorders (DSM). Advocates of DSM say labels help people take ownership of their situation, provide them with answers, treatments and social support. Critics think it creates stigma, medicalises normality and leads to a glut of unnecessary and harmful drug prescriptions. UK based musician Jay Emme asks if labels help or hinders in everyday life and whether it's time to drop the terms ‘mental' and ‘disorder'?

Dive into a heartfelt discussion on grief, healing, and the transformative power of psychedelics and psychiatric service dogs – a must-listen for anyone seeking solace and insight in life's unpredictable journey. More info, resources, links & ways to connect: https://www.tacosfallapart.com/podcast-live-show/podcast-guests/g-scott-graham In this episode of Even Tacos Fall Apart, MommaFoxFire interviews G Scott Graham on the complex topics of Prolonged Grief Disorder, Psychedelics, and Psychiatric Service Dogs. The conversation begins with a candid exploration of Prolonged Grief Disorder (PGD), a newly recognized diagnosis that attempts to put a timeline on the grieving process. Scott highlights the problematic nature of this diagnosis, emphasizing that grief is a fluid and deeply individual experience that cannot be neatly categorized. He stresses the importance of checking in with friends and loved ones about their mental health, encouraging open and honest communication by asking specific questions about their emotions, such as "How's your depression?" or "How's your grief today?" The societal norms surrounding grief and mental health are also scrutinized, with Scott underscoring their limitations in accurately reflecting individual experiences. He advocates for a more supportive and understanding approach, emphasizing the significance of providing unconditional support to those who are grieving or struggling with mental health issues. The conversation then shifts to the therapeutic potential of psychedelics for mental health treatment. Scott discusses his own experiences with psychedelics and highlights the importance of effective engagement and integration for a meaningful psychedelic experience. He emphasizes the need for careful consideration and preparation when embarking on a psychedelic journey, as well as the importance of integrating insights gained from these experiences into everyday life. Another significant topic explored in this conversation is the role of psychiatric service dogs in providing support and assistance to individuals with disabilities. Scott shares personal anecdotes about his own service dogs and highlights the invaluable companionship and support they offer during difficult times. He emphasizes the importance of being present for others and offering support without trying to fix their problems, highlighting the profound impact that service animals can have on individuals' mental health and well-being. Throughout the discussion, a common thread emerges: the importance of finding balance and acceptance in navigating life's challenges. Scott emphasizes the need for a clear vision and purpose in life to find meaning and fulfillment, while also advocating for equanimity – the acceptance of life's ups and downs without attachment or resistance – as a pathway to greater peace and happiness. Overall, the interview provides a thought-provoking exploration of complex issues surrounding grief, mental health, psychedelics, and the role of service animals. Through personal anecdotes and insightful commentary, Scott and MommaFoxFire offer valuable perspectives and insights, encouraging listeners to approach these topics with compassion, understanding, and an open mind. --- Send in a voice message: https://podcasters.spotify.com/pod/show/mommafoxfire/message Support this podcast: https://podcasters.spotify.com/pod/show/mommafoxfire/support

في الحلقة دي هنتكلم عن: ليه فقد الأشخاص صادم أحساس الذنب عند فقدان الأشخاص صور الحزن بعد الفقد المختلفة إزاي نتعامل مع الحزن بعد الفقد إزاي نكمل حياتنا بعد الفقد علامات التعافي من الحزن بعد الفقد علامات ال Prolonged Grief Disorder الفرق مابين الأكتئاب و الحزن بعد الفقد Roots Facebook Community: https://www.facebook.com/groups/826452462523581 Salama Tarek's Instagram Page: https://www.instagram.com/thrivewiththerapy/

PROLONGED GRIEF DISORDER! It's everywhere - social media, The New York Times, The Washington Post… it's the hot new medical condition everyone's talking about. But why is everyone so mad about it?  This week on the show, an overview of this hotly contested “new” human disorder, and what it means for the average person, for healthcare providers, and honestly - for the whole world. This is one medical diagnosis that affects everyone.    In this episode we cover:    Why anyone should care what the APA thinks about grief The actual diagnostic criteria for prolonged grief disorder (translated from psych-jargon into the way real people speak) Access to care + funding for research: two of the main reasons people think this diagnosis could be helpful (and why it isn't)  The real world impact of the DSM: doubling down on shame and misunderstanding One surprise reason this diagnosis *could* be seen as a good thing   We're re-releasing some of our favorite episodes from the first 3 seasons. This episode was originally recorded in 2022   Looking for a creative exploration of grief? Check out the best selling Writing Your Grief course here.   About Megan:  Psychotherapist Megan Devine is one of today's leading experts on grief, from life-altering losses to the everyday grief that we don't call grief. Get the best-selling book on grief in over a decade, It's Ok that You're Not OK, wherever you get books. Find Megan @refugeingrief   Additional resources: For an interview with both Megan and the author of the NYT article, Ellen Barry, on WGBH TV Boston, click here.    To read Megan's more detailed response to the NYT article, check out the original Twitter thread, and the extended thread.    Want to talk with Megan directly? Join our patreon community for live monthly Q&A grief clinics: your questions, answered. Want to speak to her privately? Apply for a 1:1 grief consultation here.    Check out Megan's best-selling books - It's OK That You're Not OK and How to Carry What Can't Be Fixed Books and resources may contain affiliate links.See omnystudio.com/listener for privacy information.

Dr. Donna Schuurman is back - this time talking about the dangers of pathologizing grief. While the term "complicated grief" has been used in various grief settings for years, it wasn't until March of 2022 that Prolonged Grief Disorder made it into the DSM-5-TR - the Diagnostical & Statistical Manual of Mental Disorders - as an official diagnosis. This conversation explores the concerns Donna and others in the field share about the move to pathologize grief. We discuss: What Donna's learned about grief working in the field for over 30 years  How that work experience shapes her personal grief  Why she is so passionate about this topic  The history of how Prolonged Grief Disorder came to be in the DSM  How diagnoses are social constructs - and who often gets left out of the studies behind these constructs The dangers of pathologizing grief as a mental disorder  The (short list) of positives of Prolonged Grief Disorder being available as a diagnosis  Other trends in the field to pathologize or "do away" with grief What Donna is optimistic about in the field of bereavement  Register for Donna's upcoming webinar: Flawed Foundations, Deconstructing Three Contemporary Grief Constructs Thursday, February 8, 2024.   Donna L. Schuurman, EdD, FT, is the Senior Director of Advocacy & Education at Dougy Center. Dr. Schuurman was the Executive Director of Dougy Center from 1991–2015. Dr. Schuurman is an internationally recognized authority on grief and bereaved children, teens, and families, and the author of Never the Same: Coming to Terms with the Death of a Parent (St. Martin's Press, 2003), among other publications.     

Time does not heal ALL wounds. Period.In fact, with some kinds of emotional wounds, time actually makes things worse.So what does time have to do with grief, and what happens if you're grieving for an extended period of time?I'm talking through some of the symptoms and effect of prolonged grief disorder in this one. Get my book: For When Everything is Burning https://bit.ly/forwheneverythingisburning Connect with me on TikTok: https://www.tiktok.com/@dr.scott.eilers See the Podcast: https://www.youtube.com/@DrScottEilers Disclaimer: This content is not intended to be a replacement for receiving treatment. It is purely educational in nature. My relationship with you is that of presenter and audience, not therapist and client. But I do care. --- Support this podcast: https://podcasters.spotify.com/pod/show/scott-eilers/support

Quem nunca ouviu falar nas fases do luto? Negação. Raiva. Barganha. Depressão. Aceitação. Mas elas têm evidências científicas? A quem elas se aplicam?Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.> OUÇA (56min 49s)*Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*PARCERIA: ALURAAprofunde-se de vez: garantimos conhecimento com profundidade e diversidade, para se tornar um profissional em T - incluindo programação, front-end, data science, devops, ux & design, mobile, inovação & gestão.Navegue sua carreira: são mais de 1450 cursos e novos lançamentos toda semana, além de atualizações e melhorias constantes.Conteúdo imersivo: faça parte de uma comunidade de apaixonados por tudo que é digital. Mergulhe na comunidade Alura.Aproveite o desconto para ouvintes Naruhodo no link:alura.tv/naruhodo*REFERÊNCIASGrief as pathology: The evolution of grief theory in psychology from Freud to the presenthttps://pubmed.ncbi.nlm.nih.gov/20499613/Cautioning Health-Care Professionals: Bereaved Persons Are Misguided Through the Stages of Griefhttps://journals.sagepub.com/doi/full/10.1177/0030222817691870The dual process model of coping with bereavement: rationale and descriptionhttps://www.tandfonline.com/doi/abs/10.1080/074811899201046Grief and loss in people living with dementia: a review and metasynthesis of qualitative studieshttps://www.tandfonline.com/doi/full/10.1080/13607863.2023.2280925Influence of loss- and restoration-oriented stressors on grief in times of COVID-19https://www.nature.com/articles/s41598-023-46403-6An exploration of gender and prolonged grief symptoms using network analysishttps://www.cambridge.org/core/journals/psychological-medicine/article/abs/an-exploration-of-gender-and-prolonged-grief-symptoms-using-network-analysis/F2918C5F8D3F017F5608280F7F4219C8The integrated process model of loss and grief - An interprofessional understandinghttps://www.tandfonline.com/doi/full/10.1080/07481187.2023.2272960History and Status of Prolonged Grief Disorder as a Psychiatric Diagnosishttps://www.annualreviews.org/doi/abs/10.1146/annurev-clinpsy-081219-093600Grief and bereavement: what psychiatrists need to knowhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691160/The myths of coping with loss.https://psycnet.apa.org/doiLanding?doi=10.1037%2F0022-006X.57.3.349The myths of coping with loss revisited.https://psycnet.apa.org/record/2001-18149-017An Empirical Examination of the Stage Theory of Griefhttps://jamanetwork.com/journals/jama/fullarticle/205661Talking to children who are bereavedhttps://www.youtube.com/watch?v=vUS89lFr0XA&ab_channel=NHSEducationforScotlandAn Examination of Stage Theory of Grief among Individuals Bereaved by Natural and Violent Causes: A Meaning-Oriented Contributionhttps://www.researchgate.net/publication/45658453_An_Examination_of_Stage_Theory_of_Grief_among_Individuals_Bereaved_by_Natural_and_Violent_Causes_A_Meaning-Oriented_ContributionNaruhodo #349 - O que são relações parassociais?https://www.youtube.com/watch?v=k7qj3moihegNaruhodo #98 - Por que precisamos falar sobre suicídio?https://www.youtube.com/watch?v=Yow-FP77YHYNaruhodo #215 - Por que uma multidão cantando parece afinada?https://www.youtube.com/watch?v=CJypXtz3bZM*APOIE O NARUHODO PELA PLATAFORMA ORELO!Um aviso importantíssimo: o podcast Naruhodo agora está no Orelo: https://bit.ly/naruhodo-no-oreloE é por meio dessa plataforma de apoio aos criadores de conteúdo que você ajuda o Naruhodo a se manter no ar.Você escolhe um valor de contribuição mensal e tem acesso a conteúdos exclusivos, conteúdos antecipados e vantagens especiais.Além disso, você pode ter acesso ao nosso grupo fechado no Telegram, e conversar comigo, com o Altay e com outros apoiadores.E não é só isso: toda vez que você ouvir ou fizer download de um episódio pelo Orelo, vai também estar pingando uns trocadinhos para o nosso projeto.Então, baixe agora mesmo o app Orelo no endereço Orelo.CC ou na sua loja de aplicativos e ajude a fortalecer o conhecimento científico.https://bit.ly/naruhodo-no-orelo

Ever find grief a difficult terrain to navigate? Ever tried to distinguish between prolonged grief disorder and uncomplicated bereavement? Well, folks, this episode will help you do just that. Join me, Dr. Linton Hutchinson, and my co-host, Stacy Frost, as we pull back the veil on this deeply important subject matter. We'll not only break down the distinction between the two forms of grief but also delve into the ways this newly classified disorder impacts various areas of functioning. We're not just about theory, though! We'll provide you with some practical examples and even share our 'ROSE' mnemonic device to help you remember the areas of functioning most affected by prolonged grief disorder. We also share tips on identifying key symptoms and walk you through their duration for diagnosis in both adults and children - an important distinction! With our blend of humor and information-rich content, this episode promises a wealth of insights for therapists, whether you're preparing for licensing exams or seeking to keep your practice current and effective in dealing with the complexities of grief and loss. Ready? Let's dive in!If you need to study for your NCMHCE narrative exam, try the free samplers at: CounselingExam.comThis podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.

NationalCounselingExamEver find grief a difficult terrain to navigate? Ever tried to distinguish between prolonged grief disorder and uncomplicated bereavement? Well, folks, this episode will help you do just that. Join me, Dr. Linton Hutchinson, and my co-host, Stacy Frost, as we pull back the veil on this deeply important subject matter. We'll not only break down the distinction between the two forms of grief but also delve into the ways this newly classified disorder impacts various areas of functioning.If preparing for your National Counseling Exam visit NationalCounselingExam and try our samplers completely free of charge! It's a fantastic way to identify any areas you might want to review. and brush up on.This podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.

Many of us celebrate Halloween,  Dia de los muertos, and even All Saints Day and All Souls Day -- the time of year when we remember loved ones who have passed away. These holidays also give us an opportunity to think about loved ones we lost and how we grieve. However, some people, regardless of age, can become overwhelmed by their grief. Prolonged grief disorder is when the feeling of intense grief persists and prevents someone from continuing on with their life. Our guest for this episode is Natalie Scanlon, Ph.D., clinical psychologist in the department of psychiatry. Dr. Scanlon explains what prolonged grief disorder is, how they diagnose and treat it and what we can do for our family, friends or coworkers who are grieving.

Join host Ned Buskirk in conversation with best-selling author, psychotherapist, & grief advocate Megan Devine, while they talk about how it's okay that it's not okay, the complicated case of Prolonged Grief Disorder, & how the work of other people's grief might impact us & what's required to keep doing it.This episode originally aired April 14th, 2022.megan devine'swebsite: https://www.megandevine.co/ And here: https://refugeingrief.com/ ”How Do You Help a Grieving Friend?”: https://youtu.be/l2zLCCRT-nEProduced by Nick JainaSoundscaping by Nick Jaina”YG2D Podcast Theme Song” by Nick JainaTHIS PODCAST IS MADE POSSIBLE WITH SUPPORT FROM LISTENERS LIKE YOU.Become a podcast patron now at https://www.patreon.com/YG2D.

In Western society, the way we handle the death of a loved one is largely outsourced. No longer do we sit in our homes with a loved one who has departed, as we did in the past. This modification changes the way our brain processes our grief and may inhibit the realization that our loved one will not return to us.To discover ways to restore ourselves to a meaningful life after a loss, Harvesting Happiness Podcast Host Lisa Cypers Kamen speaks with the director of the Grief, Loss and Social Stress (GLASS) Lab, Mary-Frances O'Connor PhD.Mary-Frances explains the neurological differences in the brain during periods of grief and complicated grief, or Prolonged Grief Disorder, and delves into insights from her book, The Grieving Brain: The Surprising Science of How We Learn from Love and Loss.To learn more, visit www.harvestinghappinesstalkradio.com.

As we continue through Mental Health Awareness Month we dig into grief on this week's episode. Post production after a little Google search, we realized that Prolonged Grief Disorder is actually in the DSM-5.  So, Sarah was right when she said it should be its own mental illness.  Diagnosis or not, grief is a sneaky b*tch. Grief isn't linear, the pain ebbs and flows. Important days like The Death Anniversary, Birthday, and holidays are only a few of the things that can bring up the grief. The healing journey is different for everyone, but the one thing we all should have in common is grace for ourselves as we travel this road.  Xo, Amy & Sarah We want to keep on keeping on with our mental health awareness mission and to do that, we need to grow our Patreon community so that we can continue to put out the Unqualified Therapists podcast. YOU can help us keep the mics on and join our community for as little as $5. Your support means the world to us as we continue to stop the stigma surrounding mental health and mental illness. Find all things UTI here. Have a story to share? Contact us here. Help us out with a short survey for what you want to hear next on the pod. Starting your own podcast and want an easy and affordable platform? Get your first month FREE by using this link. *The Unqualified Therapists Podcast is not recommending medical advice as they are not actual doctors (Hence the name: Unqualified

Everyone faces grief from a loss at some point in their life. In this episode I go through Prolonged Grief Disorder or Complicated Grief. It was an honor to learn from two professions in the field. Dr. Brittany Trauthwein is a Licensed Clinical Psychologist, Fellow in Thanatology (death, dying, and bereavement), and the Founder of Bridgepoint Psychology Center in Chicago, IL. She specializes in providing support for individuals and families as they navigate cancer and other terminal diagnoses, end-of-life and hospice, and grief and loss. She is passionate about providing supervision to trainees and early career professionals. Her clinical research has been in the areas of continuing bonds with a deceased parent, ways to prepare children for parental death and funeral rituals, and achieving a good death at end-of-life. Dr. Jenna Schmitt is completing her Postdoctoral Fellowship at Bridgepoint Psychology Center in Chicago, IL. She earned her doctorate in Clinical Psychology at the Hawaii School of Professional Psychology at Chaminade University of Honolulu. She specializes in supporting clients with complex trauma and grief and loss. She is pursuing certification in Thanatology and Ego State Therapy. Her clinical research has been focused on the healing process of sex trafficking survivors. Check out their work: https://www.bridgepointpsychology.com/ Instagram: @soul_things_podcast

We're on break, creating all new episodes for season 3. In the meantime, here's one of our favorite episodes from the past year. See you soon.   PROLONGED GRIEF DISORDER! It's everywhere - social media, The New York Times, The Washington Post… it's the hot new medical condition everyone's talking about. But why is everyone so mad about it?    This week on the show, an overview of this hotly contested “new” human disorder, and what it means for the average person, for healthcare providers, and honestly - for the whole world. This is one medical diagnosis that affects everyone.    Want your questions answered on the show? Submit your questions at megandevine.co   In this episode we cover:  Why anyone should care what the APA thinks about grief The actual diagnostic criteria for prolonged grief disorder (translated from psych-jargon into the way real people speak) Access to care + funding for research: two of the main reasons people think this diagnosis could be helpful (and why it isn't)  The real world impact of the DSM: doubling down on shame and misunderstanding Why launching new rules about how long it's ok to grieve is more than a bit problematic while we're still in the middle of a mass death and mass disabling event (aka the pandemic) One surprise reason this diagnosis *could* be seen as a good thing Click here for the episode webpage Notable quotes:  “Grief makes you less productive, and what we value above all else is productivity.” - Megan Devine   Questions to Carry with you:  Read up on the unfolding public conversation about prolonged grief disorder - how do *you* feel about it? Let us know! Visit megandevine.co Additional resources For an interview with both Megan and the author of the NYT article, Ellen Barry, on WGBH TV Boston, click here.    To read Megan's more detailed response to the NYT article, including tweet-by-tweet takedowns of most of the major “pro disorder” points, check out the original Twitter thread, and the extended thread. Versions of these threads are also on the blog.    Want to read even more about our culture's deep avoidance of human emotion, and all the ways that messes with day to day life? Maybe more important, want to know what's actually normal inside grief? Check out Megan's best-selling book, It's OK that You're Not OK, and follow @refugeingrief on IG/FB/TW  We recommend you check out the Perfectly Normal campaign, serving up just the validation you need when you're feeling like the only person in the world doing that “weird” thing you do.    Therapist, clinician, or other healthcare provider? Be sure to check out upcoming trainings that address PGD and re-humanizing grief. Follow Megan Devine on LinkedIn, too.  Other articles on prolonged grief disorder include Medicalizing Grief May Threaten Our Ability to Mourn Get in touch: Thanks for listening to this week's episode of Here After with Megan Devine. Tune in, subscribe, leave a review, send in your questions, and share the show with everyone you know. Together, we can make things better, even when they can't be made right.    To submit your questions visit megandevine.co   For more information, including clinical training and consulting, visit us at www.Megandevine.co   For grief support & education, follow us at @refugeingrief on Instagram, Facebook, Twitter, and TikTok   Check out Megan's best-selling books - It's OK That You're Not OK and How to Carry What Can't Be Fixed.   Want to talk with Megan directly? Join our patreon community for live monthly Q&A sessions. All the info at this link.See omnystudio.com/listener for privacy information.

Grief is not a disorder, we were built to grieve. However, if at a certain point, it is persistently interfering with the quality of your life, you might be experiencing prolonged grief disorder.   Hear what prolonged grief disorder entails so you can understand if this describes your experience and identify the support you need.   Get full show notes and more information here: https://www.coachingwithkrista.com/197

On this week's episode I'm talking about prolonged grief disorder. When it comes to grieving we all have different paths to follow and many people find ways to cope and move through their loss, over time their symptoms of grief begin to decrease enough to allow them to keep moving forward with their life. However, someone who might be struggling with prolonged grief disorder may feel stuck in their emotional pain so much so that it interferes with their daily life, there's a constant yearning and longing for the person who has died and they have no idea how they will ever get their life back together. Many people and can't figure out what's going on with them and don't realize they have it. --- Send in a voice message: https://anchor.fm/diane81/message

This week, I'm talking all things Prolonged Grief Disorder.Now this is a topic of conversation that was extremely hot this summer and still is. It made some of the communities blood boil, whilst leaving some thinking about it more.Prolonged Grief Disorder by definition can "occur after a person close to you has died within at least 6 months (12 months for children and teens). You may feel a deep longing for the person who died and become fixated on thoughts of them. This can make it hard to function at home, work, and other important settings."The questions that many are asking are, isn't this just grief? Can we put a timescale on a loss? Must we pathologize EVERYTHING? Who gets to make these rules and why?!Therefore, I sat down with fellow griever and friend "Laura" (That's an alias name to you!) who is also training to be a psychologist. We unpacked many questions and thoughts from The Grief Gang community to try and share a balanced case on the pros and cons of Prolonged Grief Disorder being added to the DSM-5. What does this disorder coming to light actually mean for the grieving community.Perhaps this episode might challenge you? You may even recognise yourself and be curious to speak to a professional about a diagnosis. Regardless, I hope you enjoy it and it leaves you something to think about!Big love,Amber xFollow and be part of The Grief Gang community:Instagram: https://www.instagram.com/thegriefgangpodcast/?hl=enTwitter: https://twitter.com/thegriefgang?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5EauthorFacebook: https://www.facebook.com/TheGriefGangYoutube: https://www.youtube.com/channel/UCCpe5pGmjvqPFteN4L7T_ZATikTok: https://www.tiktok.com/@thegriefgangWebsite: https://www.thegriefgang.com/Support this show http://supporter.acast.com/the-grief-gang. Hosted on Acast. See acast.com/privacy for more information.

Dr. Shear returns to the show for a deep dive into the evidenced-based therapy she and her colleagues developed. Given the enormous losses from the pandemic and the DSM 5-TR Committee's recent decision to add Prolonged Grief as an identifiable disorder, our interview of her is certainly timely. Hosts: Eyrn, Toshia, Al Guest: M. Katherine Shear, MD, Yasmine Dakhama, MS4

Episode 32. Kathryn in CaliforniaIn this episode, I will be talking with Kathryn in California. Kathryn lost her mom, Dianne Wise, on December 29, 2020 in Toronto, Canada. Kathryn talks about saying goodbye over a video screen and how important it was for her to get back to Canada to see her family and grieve with them. What touched me most in this episode is the grief Kathryn has for her mom not visiting her in the summer of 2020. They weighed the risks at the time not knowing her mom would pass away. Kathryn also talks about how Zoom, even now, brings her memories of losing her mom remotely.McLain's Magazine For context on this interview and the ever-changing pandemic, we recorded this episode on May 25, 2022.If you've lost a loved one to COVID and would like to share your story on the show, please send me an email.  My email address is forthosewelostpodcast@gmail.com. Or go to the website forthosewelostpodcast.com and click on contact button and you can reach me that way as well. This show won't ever have a paid members area or episodes you have to pay to listen to, but there are expenses with hosting a podcast. If you would like to help, please support the show. All episodes are written and produced by me and all music is used under the protection of fair use. Our social media accounts can be found:TwitterInstagram FacebookUntil next time!---Long Road Ahead by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100588Artist: http://incompetech.com/Support the show

Understanding grief and coping with a loss can be very difficult. On this show, Karolyn talks with two experts about grieving with a specific focus on the new diagnosis of prolonged grief disorder. Practical advice to help people cope with a loss is provided. Her experts are both professors at the University of Colorado College of Nursing. Five To Thrive Live is broadcast live Tuesdays at 7PM ET.Five To Thrive Live Radio Show is broadcast on W4CS Radio – The Cancer Support Network (www.w4cs.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com).Five To Thrive Live Podcast is also available on Talk 4 Podcasting (www.talk4podcasting.com), iHeartRadio, Amazon Music, Pandora, Spotify, Audible, and over 100 other podcast outlets.

Holly Prigerson recalls the moments in which she started investigating prolonged grief disorder.  She recalls being “a social scientist [Holly] in room full of psychiatrists,” who recognized a diagnostic gap in people experiencing profound and potentially harmful grief far after the death of a loved one.  This led her on a remarkable journey.  Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death.  Prolonged grief is associated with increased risk of suicide and other negative health outcomes.  This accumulation of data over her career led ultimately to the inclusion of Prolonged Grief Disoder first in the ICD, then in the DSM-V.   And yet, despite mountains of evidence, Holly has taken a tremendous amount of heat for this work.  “Everyone has experienced grief, which makes everyone the expert.”  Today we offer Holly a chance to answer her critics, including assertions that: Grief is love; how can love be wrong? Pathologizing grief leads to overmedicalization of a natural condition  Prolonged grief disorder is a tool made for the pharmaceutical industry  Prolonged grief disorder does not account for cultural variation in mourning practices Along the way we talk about other related studies Holly has conducted, including a validation of DABDA - Elizabeth Kubler Ross's famous stages of grief. And a song choice from the great lyricist Tom Waits. Enjoy! -@AlexSmithMD

In this episode, Kristen talks with Dr. Sonya Lott, a Prolonged Grief Disorder Specialist and CEO of CEMPSYCH, LLC, about 5 myths about grief, how grief and loss affect your well-being, and how to cope with it.  https://drsonyalott.com/ https://prolongedgrief.columbia.edu/ This information is being provided to you for educational and informational purposes only. It is being provided to you to educate you about ideas on stress management and as a self-help tool for your own use. It is not psychotherapy/counseling in any form. This information is to be used at your own risk based on your own judgment.  For my full Disclaimer please go to www.kristendboice.com. For counseling services near Indianapolis, IN, visit www.pathwaystohealingcounseling.com. Pathways to Healing Counseling's vision is to provide warm, caring, compassionate, and life-changing counseling services and educational programs to individuals, couples, and families in order to create learning, healing, and growth.    

Prolonged Grief Disorder has recently been formally added to the DSM-5-TR. But are mental health professionals pathologizing a normal part of the human experience? We invited psychiatrist, researcher, and Director of the Center for Prolonged Grief at Columbia University School of Social Work, Dr. Katherine Shear, to discuss the differences between grief as a disorder and grief as a normal reaction. Besides being at the forefront of the movement to include prolonged grief as a disorder, she has also developed a therapy to help those suffering from overwhelming, extended grieving. Hosts: Eyrn, Toshia, Joshua, Alan Guest: Katherine Shear, MD

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Is grief pathological? Prolonged Grief Disorder and supporting others through Death Anniversaries.

In March 2022, the DSM, or Diagnostic Statistical Manual of Mental Disorders was updated to include revisions to 70 labels, including Prolonged Grief Disorder. I review the criteria for such a disorder, revealing that among the 8 distinguishing symptoms are a list of extremely understandable and relatable feelings that people experience when dealing with bereavement and loss of a loved one, especially that of a child or spouse. But the psychiatric institution has declared that if it takes you over a year for these feelings to persist, you are pathologically mentally ill. As mental health professionals join alongside the grievers to protest this new insertion into the heinous DSM bible, as a society we need to rethink what meaning we give pain and have the courage to rise above the politics of big pharma.#biomedicalmodel #westernpsychiatry #bigpharmaharms #mentalhealth #psychiatryisnotscience #abolishpsychiatry #healthsovereignty #materialismDon't forget to subscribe to the Not As Crazy As You Think YouTube channel @SicilianoJenAnd please visit my website at: www.jengaitasiciliano.comConnect: Instagram: @ jengaitaLinkedIn: @ jensicilianoTwitter: @ jsiciliano

Psychologist Dorothy Holinger, author of 'The Anatomy of Grief', talks to Liz about her early experience of loss and how it shaped her life as a psychologist. They discuss Prolonged Grief Disorder, how grief affects the body, the heart, the brain, how some people make meaning from their loss and experience psychological growth, while others do not. A rich discussion relevant to everyone. https://dorothypholinger.com #grief #griefinthebody #thephysiologyofgrief #cardiomyopathy #takotsubocardiomyopathy #dorothyholinger #prolongedgriefdisorder #theanatomyofgrief

Everyone grieves differently, but some can become completely debilitated by their sorrow for years. The American Psychiatric Association recently recognized this type of grief as a diagnosis called Prolonged Grief Disorder. One doctor behind the decision talks about how this will help people find a way out of that cycle of grieving.   Learn more at: https://radiohealthjournal.org/prolonged-grief-disorder/

Brenda E. Cortez is a living kidney donor to another mom, which is what inspired her to write her first children's book. She is the creator of Howl the Owl© (plush owl and book series) and his special message of Help Others With Love. Brenda's experiences have sparked her passion to make a difference in the world through her books, including her latest non-fiction book, "Voices-19", and now the stories she helps others bring to life. Today's guests, Brenda Cortez and Gina Sirico, give a voice to those we lost to Covid-19. Their legacies will live on forever by their stories that are told. In this beautiful book, 19 grieving families celebrate their loved ones' lives by sharing their stories. Voices-19:Their Legacies Live On was written to celebrate the lives of those lost to COVID-19. Those lost to this virus are not just a number or a statistic. They are our mothers and fathers, our sisters and brothers,our aunts and uncles, our grandparents, cousins, friends and even our children. It's time to humanize the numbers that you see on the news daily. Covid is real. Ask anyone of these families left behind to grieve. These beautiful souls made a difference to the world and impacted many lives, perhaps even your life. Everyone in the world has been affected by the pandemic but for almost 1 million families in the USA alone, their lives will never be the same, and no one will ever be back to “normal”. Together we can be the empathy and compassion for those families left behind experiencing PTSD and Prolonged Grief Disorder. So many were unable to say goodbye or to be with their loved ones as they took their last breath, due to Covid restrictions, while others had no funeral services or were able to witness their loved one's burial. This grief is like no other. It is my hope that this episode educates, inspires and changes your perspective to understand those that were lost to Covid-19, were not just a number, they were human beings, who have made a difference, touched our lives and are still loved and missed today. Please say their names with me! Please join us today to hear stories of bravery, hope and inspiration. To learn more about these families or to contact one or all of them, please contact Brenda E. Cortez at: https://www.bcbooksllc.com/voices19 or howltheowl3@gmail.com Please remember to SUBSCRIBE today and tell your friends about this inspiring conversation. ALL episodes can easily be found on all podcast platforms. If you have a “Starting Over” story you'd like to share or if you are feeling stuck, lost faith in yourself, and having difficulty seeing the joy through challenges, lets chat: Mary A Markham

Brenda E. Cortez is a living kidney donor to another mom, which is what inspired her to write her first children's book. She is the creator of Howl the Owl© (plush owl and book series) and his special message of Help Others With Love. Brenda's experiences have sparked her passion to make a difference in the world through her books, including her latest non-fiction book, "Voices-19", and now the stories she helps others bring to life. Today's guests, Brenda Cortez and Gina Sirico, give a voice to those we lost to Covid-19. Their legacies will live on forever by their stories that are told. In this beautiful book, 19 grieving families celebrate their loved ones' lives by sharing their stories. Voices-19:Their Legacies Live On was written to celebrate the lives of those lost to COVID-19. Those lost to this virus are not just a number or a statistic. They are our mothers and fathers, our sisters and brothers,our aunts and uncles, our grandparents, cousins, friends and even our children. It's time to humanize the numbers that you see on the news daily. Covid is real. Ask anyone of these families left behind to grieve. These beautiful souls made a difference to the world and impacted many lives, perhaps even your life. Everyone in the world has been affected by the pandemic but for almost 1 million families in the USA alone, their lives will never be the same, and no one will ever be back to “normal”. Together we can be the empathy and compassion for those families left behind experiencing PTSD and Prolonged Grief Disorder. So many were unable to say goodbye or to be with their loved ones as they took their last breath, due to Covid restrictions, while others had no funeral services or were able to witness their loved one's burial. This grief is like no other. It is my hope that this episode educates, inspires and changes your perspective to understand those that were lost to Covid-19, were not just a number, they were human beings, who have made a difference, touched our lives and are still loved and missed today. Please say their names with me! Please join us today to hear stories of bravery, hope and inspiration. To learn more about these families or to contact one or all of them, please contact Brenda E. Cortez at: https://www.bcbooksllc.com/voices19 or howltheowl3@gmail.com Please remember to SUBSCRIBE today and tell your friends about this inspiring conversation. ALL episodes can easily be found on all podcast platforms. If you have a “Starting Over” story you'd like to share or if you are feeling stuck, lost faith in yourself, and having difficulty seeing the joy through challenges, lets chat: Mary A Markham

Grief is deeply painful but it's something the majority of us …eventually … find ways to live with. But research is starting to emerge on how the pandemic may have changed the way we grieve - making the experience more intense, more debilitating.  As places like Australia and the US move on from the harshest restrictions of the last two years… is how we grieve returning to baseline? Or is it still too early to know? On All in the Mind this week, how the COVID pandemic has changed the nature of grief. 

Join host Ned Buskirk in conversation with best-selling author, psychotherapist, & grief advocate Megan Devine, while they talk about how it's okay that it's not okay, the complicated case of Prolonged Grief Disorder, & how the work of other people's grief might impact us & what's required to keep doing it.Connect to Megan's work & being in the world HERE: https://refugeingrief.com/ And HERE: https://www.megandevine.co/ ”How Do You Help a Grieving Friend?”: https://youtu.be/l2zLCCRT-nE Produced by Nick JainaSoundscaping by Nick Jaina”YG2D Podcast Theme Song” Produced by Scott Ferreter & eO w/vocals by Jordan Edelheit, Morgan Bolender, Chelsea Coleman & Ned BuskirkTHIS PODCAST IS MADE POSSIBLEWITH SUPPORT FROM…THE ERNEST BECKER FOUNDATION - https://ernestbecker.org/ & LISTENERS LIKE YOU.Become a podcast patron now at https://www.patreon.com/YG2D.

Liz Gleeson, a psychotherapist who specialises in the field of loss, explains.‘Everybody's grief is debilitating in the early days – for some the volume does not go down' See acast.com/privacy for privacy and opt-out information.

Grief is a normal human response to loss. However, Prolonged Grief Disorder was recently added to the Diagnostic and Statistical Manual of Mental Disorders (DSM). This attempts to establish an “acceptable” duration to mourn the loss of a loved one. The consequences of this could be profound. We need to openly share and normalize our experiences with grief.  On today's podcast we discuss prolonged grief disorder. Center for Integrated Behavioral Health - https://www.centerforibh.com/Roger K. McFillin, Psy.D., ABPP - https://twitter.com/DrMcFillin_PsyD?s=20Radically Genuine Podcast email - RadGenPodcast@gmail.comIf you are in a crisis or think you have an emergency, call your doctor or 911. If you're considering suicide, call 1-800-273-TALK to speak with a skilled trained counselor.Additional Resources:Understanding Prolonged Grief Disorder9:25 - Prolonged Grief Disorder-13 (PG-13)37:00 - Growing around grief 44:00 - Naltrexone clinical trial 

Tim gives his therapy update and is figuring out what things are boosting his mood. This episode goes over the new addition to the DSM-5 book, 'prolonged grief disorder', as well as Georgia's new legislation about mental health which was signed by Governor Brian Kemp. Tim also gives Tim's Tip of the Day, & how KC & the Sunshine Band kick ass. If you want to submit a question, comment or just have something you want to say. Go to 20TIMinutes.com and click 'Contact Tim' or Text Tim at 781-523-9333 If you or someone you know are feeling suicidal, please use these numbers 1-800-273-8255 - National Suicide Prevention Lifeline Text HOME to 741741 - Crisis Text Line Donate to the non-profit Plymouth County Suicide Prevention Coalition on PayPal! Intro by Brad Williams of Once Upon in WastelandListen Here! Purchase Merch:Phx Print Co Collab20TIMinutes Gear Follow Tim on YouTube - Instagram - Twitter - Facebook Download the FREE 20TIMinutes App Support 20TIMinutes on BuyMeACoffee.com DISCLAIMER: This podcast is for entertainment purposes only & informs all listeners of the podcast, that the views, thoughts, and opinions expressed in the each episode belong solely to the host of 20TIMinutes, Tim McCarthy, and not necessarily to the podcast hosts employer, organization, committee or other group or individual. Tim is NOT a mental health professional. Tim only speaks about his own personal struggles and what works for him. If you're in need of help mentally or physically, please contact your primary care provider, a mental health professional or in case of an emergency, dial 911.See omnystudio.com/listener for privacy information.

This episode discusses changes between the DSM-5 and the DSM-5-TR (text revision) -- including the introduction of a new disorder (Prolonged Grief Disorder)-- and various disorder name changes 

Several of you reached out after a diagnosis called Prolonged Grief Disorder was recently added to the DSM, so I got in touch with my friend, licensed clinical social worker, and peer support group facilitator at Death is Hilarious, Katie Zicarelli, to answer your questions and discuss her thoughts on the topic as a mental health professional and a widow. Find more of Katie's content on TikTok and Instagram @goodgriefbitesThis episode first appeared on TikTok Live. You can watch future episodes of Death is Hilarious live by following us on Instagram @thatdeathpod or by following me on TikTok @tawnyplatis, You can watch the video recording of this episode and enjoy other bonus content by visiting Patreon.com/DeathisHilarious Death is Hilarious, is the podcast that talks about using humor and jokes to cope with grief. I'm Tawny Platis, your host and founder of the nonprofit Death is Hilarious Grief Relief Foundation- an organization that aims to provide daily virtual grief peer support groups, mentorships, content, and resources for grieving people who respond to a humerous, realistic, and death positive approach, all at no cost. Learn more about how you can access our services, or support our mission by volunteering or donating at deathishilarious.com

Prolonged Grief Disorder is now recognised as a psychiatric illness in its Diagnostic and Statistical Manual of Mental Disorders.

When I read that grief has been classified as Prolonged Grief Disorder, I had mixed feelings. I'm happy to see that more people can have access to treatment, but why does everything need a label? Grief will forever be a part of my life, it's not a linear timeline, and what is “normal” grief anyway? In this episode, I'll ponder if grief should be a disorder in the first place, or if doctors have it all wrong.   Key Takeaways:  [3:28] Being criticized for getting over grief “slowly” and being told to stop being sad [5:25] Holding myself to a standard that's too high and what triggers me [7:07] A parallel existence, the grief besides the joy  [8:21] You don't move on from being a parent [11:07] Grief being classified as Prolonged Grief Disorder and how it's insulting [15:23] Grief can't be classified in a neat little timeline [18:07] How a child is categorized as special needs in different states  [20:02] Why do we have to label everything? [22:24] How grief being classified as a disorder means people can get help they need [24:53] There is no “normal” grief and it's a lifelong problem  [28:17] Grief is a long, long process and where I'm at in the process [31:45] Being told to move on and peoples expectations  [33:21] It took me 2 and a half years for Molly's death to sink in [35:36] Doctor's thoughts on how to treat grief as a disorder  [37:39] What's next for me and should grief be labeled as a disorder?   Resources from this episode: The Body Keeps the Score The Body Keeps the Score Workbook Mitchell's Journey Prolonged Grief Disorder by the NYT Prolonged Grief Disorder by the Washington Post   Connect with Barb: Website Facebook  Instagram YouTube

PROLONGED GRIEF DISORDER! It's everywhere - social media, The New York Times, The Washington Post… it's the hot new medical condition everyone's talking about. But why is everyone so mad about it?  This week on the show, an overview of this hotly contested “new” human disorder, and what it means for the average person, for healthcare providers, and honestly - for the whole world. This is one medical diagnosis that affects everyone.  Want your questions answered on the show? To submit your questions by voicemail, call us at (323) 643-3768 or visit megandevine.co In this episode we cover:  Why anyone should care what the APA thinks about grief The actual diagnostic criteria for prolonged grief disorder (translated from psych-jargon into the way real people speak) Access to care + funding for research: two of the main reasons people think this diagnosis could be helpful (and why it isn't)  The real world impact of the DSM: doubling down on shame and misunderstanding Why launching new rules about how long it's ok to grieve is more than a bit problematic while we're still in the middle of a mass death and mass disabling event (aka the pandemic) One surprise reason this diagnosis *could* be seen as a good thing Click here for the episode webpage Notable quotes:  “Grief makes you less productive, and what we value above all else is productivity.” - Megan Devine Questions to Carry with you:  Read up on the unfolding public conversation about prolonged grief disorder - how do *you* feel about it? Let us know! Call us at (323) 643-3768 or visit megandevine.co Additional resources For an interview with both Megan and the author of the NYT article, Ellen Barry, on WGBH TV Boston, click here.  To read Megan's more detailed response to the NYT article, including tweet-by-tweet takedowns of most of the major “pro disorder” points, check out the original Twitter thread, and the extended thread. Versions of these threads are also on the blog.  Want to read even more about our culture's deep avoidance of human emotion, and all the ways that messes with day to day life? Maybe more important, want to know what's actually normal inside grief? Check out Megan's best-selling book, It's OK that You're Not OK, and follow @refugeingrief on IG/FB/TW  We recommend you check out the Perfectly Normal campaign, serving up just the validation you need when you're feeling like the only person in the world doing that “weird” thing you do.  Therapist, clinician, or other healthcare provider? Be sure to check out upcoming trainings that address PGD and re-humanizing grief. Follow Megan Devine on LinkedIn, too.  Other articles on prolonged grief disorder include Medicalizing Grief May Threaten Our Ability to Mourn Get in touch: Thanks for listening to this week's episode of Here After with Megan Devine. Tune in, subscribe, leave a review, send in your questions, and share the show with everyone you know. Together, we can make things better, even when they can't be made right.  To submit your questions by voicemail, call us at (323) 643-3768 or visit megandevine.co For more information, including clinical training and consulting, visit us at www.Megandevine.co For grief support & education, follow us at @refugeingrief on IG, FB, & TW Check out Megan's best-selling books - It's Okay That You're Not Okay and How to Carry What Can't Be Fixed   Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

We know that grief never really goes away, we learn to live with it and accommodate it in our lives. For some people, about 5-10%, their grief can remain very intense and cause major disruption in their lives for a prolonged period of time; years and even decades. It is normal for grief to endure for years, but when it is debilitating and people find it impossible to readjust to the world after a loss, perhaps it is what has become known as Prolonged Grief Disorder. Here, Andy talks about how grief affected her in a debilitating way for two decades, after her husband Tom died. #prolongedgriefdisorder #drkathyshear #complicatedgrief #stuckgrief #longgrief #grief #bereavement From the author My name is Andrea Gilats, and I'm the author of After Effects: A Memoir of Complicated Grief, a compelling new book published by the University of Minnesota Press. In a sentence, here is my story. After my husband died of cancer at the age of 52, I was effectively paralyzed by grief for ten long years, and I continued to live with unresolved grief for ten years after that. Dr. Katherine Shear, founder and director of Columbia University's Center for Prolonged Grief, has endorsed After Effects, saying that “Andrea Gilats has given us a beautifully written story of the heartbreaking problem of complicated grief…. Her detailed, honest account of almost two decades of intense suffering after the loss of her beloved life partner will help others understand that there is no shame in grieving in this way—that grief is a form of love.” I hope you'll find After Effects helpful in your practice. If you work with grief support groups, or if you would like to gather with colleagues for a book discussion, I would love to virtually visit your group to read from and talk about After Effects. The attached PDF has general information about After Effects, including reviews, articles, and interviews with me. You can also find more information about After Effects, including a beautiful reading group guide, on my website, www.andreagilats.com. To learn more about scheduling a virtual visit, and for information about a special discount if you and your group members order After Effects directly from the University of Minnesota Press, just reply to this email. It will be a pleasure to connect with you!

What's New in the DSM-5-TR? Curt and Katie interview Dr. Michael B. First, MD, editor and co-chair of the American Psychiatric Associations' DSM-5 Text revision, coming out March 2022. We explore: What are the differences between a full update and a text revision? What changes have been made (and how were these changes decided)? What new diagnoses can we expect? Can clinicians continue to use the older DSM-5? How can clinicians advocate for changes in future versions of the DSM? All of this and more in the episode. Interview with Dr. Michael B. First, MD Michael B. First, M.D, is a Professor of Clinical Psychiatry at Columbia University, a Research Psychiatrist in the Division of Behavioral Health Sciences and Policy Research, Diagnosis and Assessment Unit at the New York State Psychiatric Institute, and maintains a schematherapy and psychopharmacology practice in Manhattan. Dr. First is a nationally and internationally recognized expert on psychiatric diagnosis and assessment issues and has conducted expert forensic psychiatric evaluations in both civil and criminal matters, including the 2006 trail of the 9/11 terrorist Zacarias Moussaoui. Dr. First is the Editor and Co-chair of the American Psychiatric Associations' DSM-5 text revision, Editorial and Coding Consultant for the DSM-5, and the chief technical and editorial consultant on the World Health Organization's ICD-11 revision project. Dr. First was the Editor of the DSM-IV-TR, and the Editor of Text and Criteria for DSM-IV and the American Psychiatric Associations' Handbook on Psychiatric Measures. He has co-authored and co-edited a number of books, including the fourth edition of the two-volume psychiatry textbook, A Research Agenda for DSM-V, the DSM-5 Handbook for Differential Diagnosis, the Structured Clinical Interview for DSM-F (SCID-5) and Learning DSM-5 by Case Example. He has trained thousands of clinicians and researchers in diagnostic assessment and differential diagnosis. In this podcast episode we talk about latest updates for the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5-TR. With the upcoming release of the new DSM-5-TR, Curt and Katie reached out to Dr. First, the editor and co-chair of the American Psychiatric Association's DSM-5-TR, to find out what's new and how the DSM committee works. “During the development of [DSM-5-]TR, George Floyd happened, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So, we actually created a committee that went through the entire DSM.” – Dr. Michael First What changes have been made in the new DSM-5-TR? Text revisions occur to avoid letting the text become stale while supporting ongoing updates. New disorders, specifically Prolonged Grief Disorder, have been added. New codes, modeled off symptom codes, created for documenting suicidality and non-suicidal self-injury with another diagnosis. New categories of Unspecified Mood Disorder. New Criteria set for Autism Spectrum Disorder which is more conservative. How are cultural differences addressed in the DSM-5-TR? Starting with DSM-IV, there has been a special committee created for culture and culture related issues Hypothetically, the criteria sets should apply to everyone, but in the text, there is a section on Culture Related Features which is more specific. The impact of the George Floyd protests inspired the creation of a new committee to look for systemic racism, lack of nuances, and prevalence issues within the DSM. There are conflicting opinions if “transness” should be included in the DSM and if it's even a mental disorder. As the DSM is a diagnostic tool to code for insurance, the DSM takes the stance that the Gender Dysphoria diagnosis stay included so individuals can have access to medical intervention and treatment. The Steering Committee for new diagnosis is small, but there is diversity. Before a diagnosis is approved, it is posted for 45 days on the DSM website for all, including people with lived experience, to comment and advocate for diversity What is the Process for Accepting New Diagnose? The steering committee accepts proposals through the DSM portal for new diagnosis Some diagnoses are qualified based on the United States' continued use of ICD-10, whereas the ICD-11 is more progressive. With Complex Post Traumatic Stress Disorder, some of the criteria from the ICD have been incorporated into the DSM diagnosis of PTSD Proposals are floated around often, but they often don't have enough empirical research yet. Proposals need to show a pool of patients who don't fit other diagnoses, a gap in treatment, and a difference from other possible similar diagnoses. New diagnoses will be approved on a continuum, making the electronic DSM-V-TR the most up to date resource. The committee is more conservative in adding a new diagnosis to the DSM because it is hard to remove a diagnosis once it is included. “I'd say the biggest [change] is Prolonged Grief Disorder… Now for a number of years, the concept of Prolonged Grief Disorder was really a hole in the diagnostic system… patients were out there that… were suffering, so they had some kind of mental disorder… That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big hole in the system that allows people to come into your office and not have any place for them.” – Dr. Michael First Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: SuperBill Interested in making it easier for your clients to use their out-of-network-benefits for therapy? SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting started is simple - clients complete a quick, HIPAA-compliant sign-up process, and you send their superbills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. Superbill eliminates that hassle, and clients just pay a low monthly fee for the service. If your practice doesn't accept insurance, SuperBill can help your clients get reimbursed. SuperBill is free for therapists, and your clients can use the code SUPERBILL22 to get a free month of SuperBill. Also, you can earn $100 for every therapist you refer to SuperBill. After your clients complete the one-time, HIPAA-compliant onboarding process, you can just send their superbills to claims@thesuperbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement. By helping your clients get reimbursed without the stress of dealing with insurance companies, SuperBill can increase your new client acquisition rate by over 25%. The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Purchase the DSM-5-TR   Learn about the DSM Learn about the Changes for the DSM-5-TR Dr. Michael First's Email Dr. Michael First's Website Dr. Michael First on Wikipedia Provide Feedback on the DSM Submit Proposals for Changes to DSM-5 Relevant Episodes of MTSG Podcast: What the Grief Just Happened? Antiracist Practices in the Room with Dr. Allen Lipscomb Trans Resilience and Gender Euphoria Death, Dying, and Grief with Jill Johnson-Young, LCSW On the APA Guidelines for Boys and Men What to Know When Providing Therapy to Elite Athletes Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated):   Curt and Katie  00:00 This episode of the Modern Therapist Survival Guide is brought to you by SuperBill. interested in making it easier for your clients to use their out of network benefits for therapy. SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting Started as simple. Clients complete a quick HIPAA compliant signup process and you send their SuperBills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. SuperBill eliminates that hassle and clients just pay a low monthly fee for the service. Stay tuned for details on SuperBill therapist referral program and a special discount code for your clients to get a free month of service.   Announcer  00:42 You're listening to the Modern Therapist Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  00:58 Welcome back modern therapists. This is the Modern Therapist Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about all the things that we do. And we have a pretty big milestone coming up in our profession here where the DSM-5 is transforming into the DSM-5-TR. And we are joined today by one of the very instrumental people behind the updates to this Dr. Michael First. He's professor of psychiatry at Columbia University and editor and co-chair of the DSM-5 talking to us about some of the exciting updates that are happening and a little bit of the process behind it. So thank you very much for joining us here today Dr. First.   Dr. Michael First  01:44 Really, it's a pleasure to be here.   Katie Vernoy  01:46 We're so excited to have you and to have this conversation, we had reached out to our audience for some questions. So we'll try to get to some of those. But our first question that we ask all of our guests is, who are you and what are you putting out into the world?   Dr. Michael First  02:00 Okay, so um, I have a position at Columbia University. I also work at the New York state psychiatric institute. I also have a private practice in New York City, and also a forensic practice. That's pretty pretty busy. And I've my main thing to my life has been DSM, I actually got involved all the way back first at the VA that year, DSM-3 came out in 1986, because I did my residency at Columbia, where Robert Spitzer, who is the king, or whatever, he said, he created the DSM, he put it on the map, so I got to work with him. And I've been working with him and also with the person who did DSM for Alan Francis. And so I've been had my finger in some way, shape, or form every DSM. Oh, and I also work on the ICD 11, who has their own classification. And they're just recently updated theirs as well. So I asked to work on that project.   Katie Vernoy  02:54 Wow, that's awesome.   Curt Widhalm  02:56 So some of us have been practicing a while, my grad school we were on the DSM-4-TR. So I got to see through the transition of DSM-5, but can you maybe provide a little bit of context for what's the goal of a text revision as opposed to a full update and looking at, you know, just kind of jumping into the next number here.   Dr. Michael First  03:18 Let me give you a background of how the text, the 4-TR came about, there was those 3-TR, for example, was the first TR. So it's all started way back in 1980, with DSM-3, which was the first version that had diagnostic criteria. When they were working on it, they had this idea that it was just something that psychiatrist would be interested in. When they publish it, it became this huge hit, you know, it's sold millions of copies really transformed the field, people found that very, very useful. And so, seven years later, they did the DSM-3 are now why that wasn't called DSM-4 simply because the DSM are actually linked to the ICD. And ICD 10 was supposed to be coming out in 1992 or so. Here we were in 1987 today, so we're actually this is an in between DSM-3, DSM 4- revision, so that's why it was called the three R, then DSM-4 comes out in 1994. And then after DSM-4 came out, there was a lot of pushback in the field about APA grinding out a new DSM, every seven years, everybody had to learn it. So things really put the brakes on the DSM. So APA made a decision that we're not going to seven years from now, I'll do with the DSM-5 we're gonna wait and see. What the downside of doing that is the text which is 90 something percent of the book is actually text not just the criteria detects is a really good resource for mental health professionals about diagnosis and prevalence doesn't know anything but treatment, but it's kind of like a super textbook in the sense that it's got the top people in the world working on it. They've kept waiting, waiting, waiting DSM-5, which was clearly going to be at least 10 years if not more away. It ended up being closer to 20 years, the text would have gotten very stale. So that was the motivation to do the DSM-4-TR. Or when they did the 4-TR, or they made the decision, so people wouldn't be bent out of shape about yet another DSM only to revise the text, the diagnostic criteria will go into be unchanged, it turned out there for very, very small changes, because a couple of errors has been found in the DSM 4 like, for example, Tourette's, tic disorders had requirement that the, in order to call somebody diagnose somebody with Tourette's, it had to cause clinically significant impairment and distress. That's a standard DSM phrase. So you're trying to differentiate things that aren't problems, from things that are problems, the neurologist got all bent out of shape about that ticks a tick whether or not it causes impairment, it's still a tick. So we, for example, we deleted that, that criteria, but it's very small stuff like that. So that's why the TR really was just a text revision. So DSM-5 didn't come out until 2013. So with DSM-5 came out, it was a complete redo of all the criteria and the text. And then moving forward, what happened was, is the DSM-5-TR, now, now DSM-5-TR is actually different than the 4-TR, because it is this time, the criteria have changed, they've been changing the criteria. And the way that was accomplished was the fact that we now have APA as a process in place to allow changes to be made on an ongoing basis. That was one of the reasons why the DSM-4 criteria were changed was every time they do a revision, it's a huge expensive, you know, hundreds of people involved process and it because you really want to every time there's a change, you want to make sure that changes, it's been well researched, you consider the pros and cons. So it's a big process. So they realized that moving forward, they APA realized that now that we're not stuck using just books, they could actually have changes made in the DSM on an ongoing basis. And that's what happened since DSM-5 came out. In 2013, there's been a number of changes in the criteria set. So the criteria sets in there five to about 70 of them have some changes, most of them are very, very minor, you're correcting tiny errors, but there's some that are significant. So one of the differences, of course, is that when 4-TR are came out, you could say I want to buy that still say that about five here, but you can say I care about the criteria that he diagnoses, I don't really need to see the text. That's not true. This time, the actual definitions have changed. There's a new disorder in the DSM-5-TR.   Katie Vernoy  07:39 What are the big important changes that we should know about in DSM-5-TR?   Dr. Michael First  07:40 So we've added a disorder it's Prolonged Grief Disorder. So it's much more clinically relevant. The DSM-5-TR, really than the 4-TR was I'd say the biggest is Prolonged Grief Disorder. So you know, when you whenever a new disorders, DSM, that's big news, I've been going through many, many DSM, the press always gets what's the new disorder. So this is a this disorder was has been researched. Now for a number of years, let me the concept of Prolonged Grief Disorder is really a hole in the diagnostic system. So there are individuals who after losing a loved one, normally, you basically adjust at some point, it's always painful maybe to think about the loved one, but you move on with your life. And in that that's a very important part of the grieving process. There are individuals where they're unable to do that they're basically stuck in a grief reaction, month after month. So after a year has elapsed in the person's grieving and preoccupied with grieving, then you could meet the criteria for Prolonged Grief Disorder. So it's can be given until at least a year has elapsed. And these are individuals or a number of individuals who have that problem. And it was really unrecognized, wasn't in the system at all. Now in DSM-5 came out, and there's a pending research appendix in the back. So when DSM-5 was was in preparation, we already knew about this condition, and there was some controversy about how best to define it. So they actually put something in the research appendix called persistent, complex bereavement disorder in the back that is the precursor to what's now called Prolonged Grief Disorder. So it's been around but, So now, after this, we finally got to the point, we felt that the research was clear enough, the case was compelling enough that it would do more harm than good to put it in there. And it went through all the processes within the APA for approval, and it was approved and added to the online version, and now that's going it's in the hardcopy version as well. That's by far the biggest change. Probably the next biggest change has to do with suicide. Now suicide. If you look at the DSM now, suicide is basically a criterion in major depressive episodes, criterion number nine, that's like the biggest suicide of course, as a therapist, what are the most important things that we have to deal with very, very important but the DSM has a little sidelight so to speak. So we felt it was very important for therapists and clinicians and researchers to have a way to indicate the presence of suicidal behavior, independent of depression. Suicidal behavior can occur in a wide variety of mental disorders including no mental disorder at all. So we wanted to have a way to indicate that. So it turns out that there's a mechanism within the ICD 10, which is the coding system. You everybody know that when you write down the diagnostic code, you get paid. That's your that's how the DSM code, that's the code from the International Classification of Diseases, which is a government controlled system, we realize that there are these things called symptom codes in the ICD 10, which are not disorders, but they allow you to list a particular symptom, that is of particular importance. So we actually went and requested from the NCHS, the National Center for Health Statistics to have a new code created for suicidal behavior, current and history of suicidal behavior, and also current non suicidal self injury and history of non suicidal self injury. So there's four separate codes that are now in the book that will allow you, it's optional, obviously, to list those along with the diagnosis. So if you have somebody with Major Depressive Disorder, who's suicidal, you would list both major depressive disorder as a diagnosis. And we also list this special code. In addition, that's so that's a really nice addition. The rest are not quite... so one of them is there's a category that's been added actually restored, called unspecified mood disorder. And what's that? Why is that a big deal? It turns out that, you know, when you first see somebody who has a mixture of mood symptoms, you have to right, you're one of the things about getting paid is you need every time you see the patient or his client, you need to write down a diagnosis.   Katie Vernoy  08:32 Yep!   Dr. Michael First  08:32 What the person look like during that meeting. So let's say you have your first meeting with a client, and they have this, you know, mix of irritability and agitation and a little sad, what would you call that? And you say, Well, you know, I'm going to have to look into maybe I'll check their history more speak to some other previous treaters, we got to write something down. So what the DSM does in general, when you see someone and you don't know what the diagnosis is yet, either because it doesn't fit into any of the diagnoses, or because you simply don't have enough information. That's where these unspecified codes come from. So they typically do you see somebody who is psychotic, and either you don't have enough time to figure out what diagnosis it is, or there simply doesn't fit in the type of psychosis doesn't fit into any diagnosis, you would write down Psychotic Disorder, unspecified. So for mood, there is Bipolar Disorder, unspecified, and Depressive Disorder unspecified. The question is that person who is agitated and irritable, what is it? What would you call that? And there's some implication, if you wrote down Bipolar Disorder, unspecified, then in their record their medical record, the rest of their life will be something that says Bipolar disorder, when in fact, this may simply morph into a case of Major Depressive Disorder, because irritability and agitation is commonly seen in depression. So the real what we had to do, we introduced a new unspecified category that allows you to be neutral about whether it's bipolar or depression. So that's why it's called Unspecified Mood Disorder, which you can use that you're saying no, I don't know what it is. And I'm not I know it's a mood problem, because the symptom is a mood symptom. But I'm not going to commit myself to say whether it's either depressive or bipolar. So it's a new parking place, so to speak, to put your client before you figure out what's going on in a way that's going to be less stigmatized. And that's great. And if it's a couple of corrections to problems in the criteria, that's one of the ones is Autism Spectrum Disorder. So Autism Spectrum, so if you were called in, when we went from DSM-4 to five, that was a new category that was created that used to be autism, autistic disorder, and Asperger's disorder, there are several different and pdds are different types of autism disorders. For DSM-5, they decided to consider the entire thing a spectrum of conditions. So it's now Autism Spectrum Disorder. And it comes with three levels of severity. So Autism Spectrum Disorder is defined, there are two clusters of symptoms. There's the social interaction, social engagement, awkward social reading, social cue, cues, piece of autism, and then there's this preoccupation with unusual interests or repeating words. So there's two separate dimensions of autism, the autism spectrum, so the criteria set was reformulated. And we had to come up with a new algorithm. Now, the challenge here is Autism Spectrum Disorder is really had a huge amount of interest for the past 10, 15 years because of what appears to be this explosion in cases of Autism Spectrum Disorder. And part of that has been argued that people are recognizing it more, and that's why there's more cases, but part of it is over recognizing anyway, that's the kind of little weird and awkward Oh, they're on the spectrum, that's become a common phrase in the English language. Now, if you watch movies and TV start hearing, Oh, that guy's on the spectrum. So it's become incorporated into language. But it also shows that it's been overused and over diagnosed. So when you.. the diagnostic criteria sets, the prevalence often depends upon how you construct the criteria set. So when you have a criteria set, for example, the test five out of 10, if you were to make the requirement three out of 10, the prevalence would go up a lot. If you were to go up to eight out of 10, you would shrink the prevalence. So those kinds of criteria that give you a number out of a larger number has a big effect on prevalence. So when they reformulated the autism criteria set, they wanted to make sure that the the new criteria set was conservative. So that so the way it works is there are three items for the social impairment piece of it, and four of the interest restricted interests problem, the restricted interest is two out of four, the social one was supposed to be three out of three. But if you look at the criteria itself, it just says, including the following wasn't clear if you had to have all the following or any of the following, or whatever it was intended to be all the following because they were very worried about not inflating the rates of Autism Spectrum Disorder. So the new version now has very clearly all of the following. So that I think is good. I don't know how many people were making that error, but certainly was there to be made. And you opened up to different interpretation. I think those are some of the bigger ones. There's lots of small number of small tinkering around. But I think those are probably the most one of the greatest political interest.   Curt Widhalm  16:47 We received a lot of listener feedback and some specific questions as far as some diagnostics that may not be appearing and specifically, some things like Complex PTSD, Developmental Trauma Disorder, Orthorexia, can you explain to our audience a little bit here, as far as what your process is for inclusion, or further research into maybe an inclusion of these in the future? These are things that are being discussed with the APA, and kind of how the decision is made, as far as what do we include? What we kind of continue to  just monitor and see what's out there.   Dr. Michael First  17:21 So that's another a change in process when the DSM-5 was done over, however, eight years, they had all these committees, and they would would look what's out there in the literature, and people would write in suggestions. So there's a whole process during the DSM-5 to make lots of major major changes, those committees don't exist anymore. Instead, there's a steering committee. And what the steering committee does is we entertain proposals for new new disorder. So the Prolonged Grief Disorder, even though it was in the appendix, somebody had to come and propose that it be added to DSM-5. But when you put together the proposal, that is, on the DSM portal, there's a whole complicated... we they give an indication of what kind of empirical information is required you and submit your evidence of validity, reliability will make your cost benefit analysis is the harm versus the advantages is balanced in the right direction. So yeah, there's some hurt hurdles to go through to get one of these things in there. And the website lays out what those hurdles are. So now, the system is more reacting to what people suggest rather than coming up with diagnoses on our own. So he says, a little bit of a change. So that's now the process. All the changes you've just mentioned so far were suggested, and then ultimately approved, but let's cover some of the ones you met. So right now, there's really no unless somebody were to write in and say I want Complex PTSD in there. We're not going to be considered unless somebody actually outside the system proposes it and makes it formal proposals. Now, complex PTSD is interesting, because the ICD 11 I mentioned in the beginning that I worked on the ICD 11. On past Complex PTSD, they both PTSD and complex PTSD, in ICD 11. So they made the decision to include that condition. Now, the DSM, turns out that the DSM version of PTSD if you compare it to the ICD, PTSD and complex PTSD, they're elements in the complex PTSD, much of that has been incorporated to the criteria set for PTSD. So it's kind of a little blurry with what's and what's not emphasized, is it typically when Complex PTSD was first proposed, it was a type of PTSD that happened in response to chronic early traumatic experiences often ongoing. That was the original concept, but it turns out, this is from the ICD 11. If you look at the ICD 11 definition, even though they say that's often the kind of trauma that causes Complex PTSD, that's not required. That defines Complex PTSD, at least in the ICD. It's like PTSD, plus some chronic changes in the person to soon have a chronic sense of disconnection, chronic inability to social impairments, they basically been changed, the trauma is so extensive, it's almost like change them as a person. So you have more typical symptoms of PTSD like re experiencing, and avoiding things plus these more fundamental differences in the person. Now, some of those complex PTSD symptoms are now in the PTSD criteria set. So that's what I meant by saying that we sort of took some of the complex and added it to the regular one. So that so here's an example where there are a number of examples where the ICD 11 and the DSM-5 differ. And that's one of them, you know, DSM-5 decided to have a single PTSD category that was a little bit more broad, where ICD 11 decided that they wanted to have two. Some of the other proposals, some I've heard some other proposals, but a lot of these proposals that have been floating around, haven't really reached the stage of enough empirical research, really, to be able to be seriously considered for the DSM, they're potentially good ideas, but none of them have been offered as actual proposals, with proposed evidence to be able to be evaluated, but any of those somebody, and if you're any people listening, want to make such a proposal, you go to the way which you could do that. There's a website, which is easy, www.DSM5.org, if you go to that website, that's the DSM website. On the front page, you'll see there's a it tells you how you can make a proposal and what you need to do to fill out the application.   Katie Vernoy  21:44 It seems like what you're describing is a process to really allow a feedback loop to the steering committee. And you also described the the DSM as being because it's electronic, being a little bit more dynamic in being able to pick these things up.You know, what is the likelihood that one of these diagnoses assuming they've got the empirical research attached with my ended up in the next DSM like like is that?   Dr. Michael First  22:10 Well, to say that there is no next DSM for the time being, it could go in if somebody were to write a proposal today, for Complex PTSD and arguing that the current PTSD isn't covering a very important group of patients that there's a these are the kinds of things you would kind of argument you could make for something like that would include things like the fact that I that diagnosis does exist is hurting people because people are not recognizing it. More so the reason it's hurting them, the treatment for complex PTSD would be different than regular PTSD. That's another part of the compelling case. Another part of the argument is that you need to show that it's somehow distinct from regular PTSD and distinct from other conditions, like adjustment disorder, or, or, you know, this new Prolonged Grief Disorder. So those are the kinds of things you would need to do to make a convincing case, and then you would submit it. And if it goes through the whole process, and was approved, it would now go into the DSM. The hardcopy version, of course, you know, it's not if you buy it, it's not in your version you bought, but the electronic version, it will go into there. So we're in a funny transition now where you have the hardcopy version and the electronic version living side by side. And therefore, if you buy the hardcopy version, you're not, you know, it's it's easy to see the ongoing changes, but APA considers what's approved and in the electronic version to be the official DSM. And the hardcopy, like, the one that's going on sale now is a snapshot of where the electronic version looks like, you know, it looks like now. So everything that's in electronic version is now in hardcopy version. But as things happen, if somebody were to get complex PTSD in there, and it gets in there before the next hardcopy version comes out, then you'll have the situation where it's only on the electronic version, and not in the hardcopy version, but it's it's on the electronic version, you could use it, you know, it doesn't have to be in the hardcopy version to be legitimate diagnosis to make when one of your clients   Katie Vernoy  24:03 That's decided then, I'm not buying a new copy, then I'm just gonna get the electronic version.   Curt Widhalm  24:11 So when you're looking at the research that's submitted, what kind of thresholds are you looking at here? It sounds like part of this is not only the criteria that's maybe showing up in people's offices, but also some of the ways that things are being treated as some of the factors that you look at in how things are included, how things are rolled out, you're kind of kept under some of the existing diagnostics that are there, but what are you really looking for in the research that people are proposing?   Dr. Michael First  24:43 Well, this does not that no one thing I mean, I personally, I'm a clinical utility persons so to me, the most compelling thing is making a case that is going to help people and not hurt them. I mean that person, but that's not sufficient. I mean, you can make a proposal that that's the case but if because there's two things. One is this, say this is a good category to put in there. And then it's how to define it. That's a big problem and lots of concepts are out there. But what would be the criteria set, for example, for Complex PTSD that actually is a distinct group, and wouldn't by accident, include people who don't have complex PTSD? So it's a technical thing is the case for complex PTSD is, like, let's look at what happened with Prolonged Grief Disorder. There's a perfect, so that's already happened. How did that get in there? Well, patients were out there that people were noticing that didn't fit in any of the DSM categories. And they clearly were suffering. So they had some kind of mental disorder. They didn't have as I people say, Oh, well, they have Major Depression. That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big home system that allows people to come into your office and not have any place for them. So that's the first piece of it, then another compelling thing about comp, Prolonged Grief Disorder is is that psychotherapy that has specifically been developed, it's a variation when a CBT for treating Prolonged Grief Disorder that's been successful. So that's another compelling reason not only are you calling it something, but you have something to offer your clients by saying, Well, this is the recommended treatment. So that's the kind of argument you know, the DSM, it's very the spin, especially since DSM-4 detector, in fact it was a paper that came out before DSM-4 came out called holding the line on diagnostic proliferation, it was very easy, used to be very easy, it sounds like a good idea, we go into the DSM, a couple of problems is that once a category gets into the DSM, it's very, very, very hard to get it out. There's been very few diagnoses which have been deleted, because always some constituency says you will ruin my practice if you get rid of this diagnosis. So that's why knowing that it's easy to get in easier to get in than to get pulled out, you really want to make sure that things that are in the DSM won't need to be pulled out because you've too hastily added. I think there's been kind of a much more conservative view about putting categories in the DSM nowadays than there were back in 20, 30 years ago.   Katie Vernoy  27:13 We also got some some questions and we've had some conversations actually recently about diagnostic criteria that potentially needs to be adapted to fit a more diverse population or an understanding of the diversity in our population. I'm just curious, how culture, other demographic differences, all that all the things, how those things have been addressed in the the text revision, but also kind of the the concept around how you're making sure that the criteria, the descriptions all of the pieces really align with a very diverse population that we that we live in?   Dr. Michael First  27:50 That's a great question. In fact, there's been major efforts, since DSM-4, there was a special committee starting with DSM-4 for culture, culture related issues, how disorders present differently in different cultures. Now, the criteria sets are hypothetically supposed to be vanilla, that apply across all cultures, the way you deal with cultural variations in the text is one section called Culture Related Features. If you look at the content of that text, it's very specific than in this population and may look like this. So it's trying to show how that variability is taken into account. But it's an opportunity to let me tell you about a very important thing that we did with the TR that was basically, it's very interesting was they taking your during the development, During the development of TR, George Floyd happen, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So we actually created a committee that went through the entire DSM, looking for, um, not necessarily races as the most extreme case, but things that were not quite nuanced enough, like very often, you know, like, the big one of the big problems, of course, it's like what is race anyway? But that is because you're, you're an African American, are you really different than other people? If you are different, like very often in the DSM, the prevalence section will say this, if we break it down by ethnic group will say of depression in blacks is this and in Latinos Is this the question is why is it different? Is it because of biological reasons among these groups is out twice as if it is a different life experiences? It's lots of huge amount of data that the the disadvantage social settings for some of these groups, is the reason why they're different, not something essential about being Black or Latino. So that was one of the things when they went through the whole book, they're looking to avoid giving a message that something about the race itself is what's causing it to happen. So the way they dealt with it, is that they have a statement that says it's this in blacks and it's not and an extra sentence that says, this difference is likely due to differential exposure to racism or things like that. So it was a very, very thoughtful way of trying to make it clear and de emphasize it also get rid of stigmatizing statements, that to the whole, the whole book went through that thing, and that was really triggered by the awareness that was that was not originally part of the original plan of the TR it was the fact that that happened during the process. A new committee was been doing the process. I'm glad that we had enough time was early enough in the process, that we're able to get it in the DSM-5, I was a little dubious. But we they worked really, really hard that committee to be able to go through the all areas of the text revision to make sure it it worked for across culture, and also not not taking the certain minorities, stigmatized,   Katie Vernoy  30:54 Were any of the diagnoses assessed in that way and determining whether those diagnoses were appropriate across all the different demographic considerations. So one that comes to mind specifically, we recently had a discussion on Trans mental health and Gender Dysphoria is one that that kind of is a requirement to be able to kind of move forward with some of the things for transition. And it was interesting, the conversation was like, Well, I'm not dysphoric it's it's socially, you know, kind of everyone around me is dysphoric about my gender, I'm not and I have to kind of go through this process of saying that I'm dysphoric in order to get the letter that I need for the hormones or whatever, were there, or are there plans to look at kind of the impact of diagnoses or how diagnoses are put together and the impact on folks that are in in typically marginalized populations?   Dr. Michael First  31:44 Well, culturally, I think Trans is a special case, I could get to that whole issue of should trans even be in the DSM. I mean, lots of people in the Trans community don't consider it a mental disorder. So let's get general, we do consider that like Conduct Disorder is a good example, about a lot of the items and Conduct Disorder in minority populations living in high crime area, it's normal, it's like adaptive to do some of the items in the Conduct Disorder criteria sets. And we don't want to give people who are trying to adapt to their typical environment a diagnosis simply because in a different population, it advantage suburban population, it would be evidence of pathology, so you get into text for Conduct Disorder has things in there and the criteria sets get adjusted to drop items that might be overly influenced by culture and not apply to other cultures. And now Trans is a different story. So...   Katie Vernoy  32:38 Okay   Dr. Michael First  32:38 Let me get into that. So the name is also changed DSM-5, it's now called Gender Dysphoria. It used to be Gender Identity Disorder, that's what it was, is up to DSM-5, so they actually changed it from Gender Identity Disorder to Gender Dysphoria to make it less stigmatizing it was felt that saying, there was something wrong with your identity, there's a disorder and your identity was much more stigmatizing than saying that you're upset or it's creating a dysphoria. The fact that the term used in the ICD for this condition is Gender Incongruence, which is very well descriptive term, it's the sense that your assigned gender and your experience gender are incongruent. So the recent the problem, is it. So the individual they say, Well, I'm not dysphoric. I agree, you could say that they shouldn't get any mental disorder. But there's a big problem. How do you get qualified for treatment? Unfortunately, we live in a country, there's lots of things that are very harmful, like, you know, marital strife, child abuse, you can't get paid if you put a code for marital relationship problem on your billing form and submit it, nobody's gonna cover it because the insurance companies and the government have made a decision, unwise in my perspective, that's not my call, to not inlcude, not cover things that are not really ensuring the way they look at us insurance is for medical conditions. That's the basic concept, we're not going to, for example, if you want to get plastic surgery to make yourself look better, and make you feel better, their government says we're not going to cover that because that's sort of a cosmetic thing, even though it makes you feel better. You're not treating a disorder, to have a nose job, for example. There's a whole bunch of things that the government doesn't want to cover, unfortunately, basically, in the ICD, everything is outside of the disorder section, you won't get covered for. Now Gender Dysphoria is in the mental disorder of section, actually, therefore, you could qualify for treatment. If they were to remove it from the DSM entirely, then you would never be able to, insurance companies would not, not to say the insurance companies are happy about covering it, but they would really have a weapon to say well, if it's on the DSM, we have no obligation to cover so what what happened in the ICD 11 which I saw just came out they had the same problem, but they had a different solution. The ICD 11 is all of medicine not just mental disorders. So they had the option of moving Gender Incongruence out of the mental disorder section and moving it somewhere else so that it could still get paid for. And where did they move it, they created a new chapter called Conditions of Sexual Health or something like that. And therefore they were able to put it there. And now it's a condition that could get paid for. The United States, which is still using ICD 11. United States still using ICD 10. So there's no place in ICD 10 to move it. So that's why we're kind of frozen in the situation of it continuing to be in the DSM in that spot, for very utilitarian reasons. I mean, I'll give you another example, somebody who actually heard this case, person had sexual reassignment surgery, and broke took it off as a tax deduction under the health thing. They were challenged by the IRS, they said, Oh, no sex reassignment surgery is a cosmetic procedure, you can't take a deduction for that's their attitude.   Katie Vernoy  35:59 Wow   Dr. Michael First  36:01 It's  very tricky, because again, they don't want to cover things. So it's a balance, yes, it's stigmatizing. But on balance, is it better to deal with the stigma, by virtue of the placement in the DSM, or not have the services covered anymore, we're kind of stuck, there's some talk about moving maybe to a different spot in the DSM to try to help with that. But the code, still, the code, and the code is still mental disorder code. So until the ICD code actually changes, it's going to, it's gonna be a mental disorder, we don't have any control over that. That's the government.   Katie Vernoy  36:35 Sounds really complex.   Curt Widhalm  36:37 So if I can kind of synthesize down some of the important points that I'm hearing here is, in this process, you've taken some of the criticisms from the field of the DSM and made it more inclusive. As far as feedback opportunities for professionals. It's not, you know, committees hidden away in dark rooms, you know, twirling their mustaches, or running their fingers and just, you know, being the arbiters of mental health diagnostics. But one of the major things that I want to emphasize that you've brought up here a couple of times, is that there's a lot of parts of the DSM that are not just the diagnostic lists, that people should read from time to time. And I think that outside of maybe some of the psychopathology classes that grad students have to go through, we sometimes forget that and that a lot of the information that we do break up in our conversations that the text parts, this is the major emphasis of the text revision here is go and read these parts. And it probably answers a lot of the questions and criticisms that we have from the field. And now, more so than ever, it's had an opportunity for a lot more people to at least make suggestions and that feedback has been looked at.   Dr. Michael First  37:51 I can't agree with you more they criteria pretty bare bones. So yeah, on their own, they lots of could discuss argue about what what generally means that's what the text is there for. The text allows you to explain what they are, how do you assess it? As I said, the text is like 99% of the words in the DSM and the criteria, maybe 1% or less. So the text is extremely important. That's why we did the text revision. The difference to the from the last one is we did just leave it to the text, we also have the criteria. But you're absolutely right. Many of these things we dealt with, like this whole thing about systemic racism, if you look at the criteria set, there's nothing in the criteria in the TR, that would indicate that we did anything having to do with our sense sensitivity to race. That's all in the text.   Katie Vernoy  38:35 So to that point, I wanted to check in on a couple of things, because it seems like there's an opportunity for anyone anywhere who's able to do some research make the case they can submit to the committee. But I'm curious about who's at the table who's who's on the steering committee? And are you including folks that is there a diverse population of folks, there are other people with lived experience that are giving feedback, like how are you making sure that there's enough folks at the table to make sure that you continue this process of assessing how you're not managing just not even just culture, but also the lived experience of being autistic or, or other areas of neurodiversity? That there are folks who have psychotic symptoms that are weighing in on some of these things? And what the presentations, those things? I mean, it just it seems like there's, there's such a huge opportunity to have a lot of perspectives. How are you navigating that internally with a steering committee?   Dr. Michael First  39:33 Well, the steering committee is very small, then it goes to a committee are experts, there are women on the steering committee, and there are people who are African American, but it's still Well, obviously, just because there's one African American and a couple of women, it doesn't mean all perspectives are covered. We realize you're not simply a bunch of white guys making the decisions here. Got it tomorrow to the to where but you're making it where do we get those other perspectives? Well, the way we try to deal with that is before when something gets like, lets this go to Prolonged Grief Disorder is a good example. That category was controversial because there are a number of people who felt that you're calling people who are having normal grief, you're calling them having a disorder. And there's a lot of pushback against that category. So what we did is when before somebody gets into the final DSM and approved, it gets posted on the DSM-5 website for 45 days, it's open for comment and we get lots of comments. And that's really the opportunity for people with lived experience to say, you know, you, you clearly didn't take into account this aspect that I live with this, if you didn't get it to committee would read all of that. If they make a good case, then they could change it. Absolutely. So that's the way I mean, being on this tiny group of people who make the decisions. Unfortunately, the limit to how diverse we can make this, there's not that many people, but there are many layers. I mean, even within the American Psychiatric Association, it's got to be approved by this thing called the APA Assembly, which is sort of like Congress, so to speak, with lots of diversity built into that. And then so the so many different levels of approval, that's where some of the diversity comes in. It could it could be make it more, maybe, but that's what we're able to do.   Katie Vernoy  41:15 Well it seems like there's also an opportunity to reach out to diagnostic communities when when a new diagnosis is being presented to make sure that you're getting some of that feedback, it seems like there's there's mechanisms in place, my hope is that there's also efforts to connect with folks with lived experience or those elements so that people can really be ready to take on that 45 day period.   Dr. Michael First  41:37 Right? That's actually quite how do we, We do our best to publicize it. Yeah, but you're right, it'd be great. In fact, we've done that before, I think that this particular case, with Prolonged Grief, I think there are organizations, you know, patient groups, we could go to them and say, you know, like, we made a change in the psychotic section, or clearly, individuals have lots of experience. NAMI and, those kinds of groups. So there have not been any changes, you know, recently that would affect that. But that would be obviously something we would want to do is to go perfect sure that they're aware that the change is there and give them an opportunity to give their feedback.   Curt Widhalm  42:14 Where can people find out more about you and your work?   Dr. Michael First  42:17 I have a website at Columbia, at Columbia, every faculty member gets a website, I happen to have a Wikipedia page. So you could look at that. My email, I don't keep my email addresses secret. That's one thing. I mean, it was very interested in me working with this, if I have to contact an expert to get their email address could be incredibly difficult. You take them in and you type an email. It's nowhere you have to. I don't know why people are so afraid to have their email address public. But I mine has been public. It's been public the entire time I've been in the field. And I'm happy for people to let me know what they think.   Curt Widhalm  42:54 And we'll drop Dr. First's email in our show notes. You can check that out over at mtsgpodcast.com. And we'll include links to a couple of other episodes where we've had some relevant guests in the past talking about things like Prolonged Grief Disorder and some of the other things that we've done and follow us on our social media. Until next time, I'm Curt Widhalm with Katie Vernoy, and Dr. Michael First.   Katie Vernoy  43:21 Thanks again to our sponsor SuperBill.   Curt Widhalm  43:23 If your practice doesn't accept insurance super bill can help your clients get reimbursed. SuperBill is free for therapists and your clients can use the code SuperBill22. That's Super Bill two two to get a free month of SuperBill. Also you can earn $100 For every therapist you refer to super bill. After your clients complete the one time HIPAA compliant onboarding process, you can just send their super bills to claims@the superbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement by helping your clients get reimbursed without the stress of dealing with insurance companies SuperBill can increase your new client acquisition rate by over 25%.   Katie Vernoy  44:06 The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started.   Announcer  44:18 Thank you for listening to the Modern Therapist Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

Today's episode is part of our clinicians' series, where we take you behind the therapist's door to give you an insight into what happens within the therapeutic relationship. In this episode, Dr. Graham Taylor speaks with Dr. Kathy Shear about the process of treatment for those suffering from Prolonged Grief. Kathy engages deeply in research and teaching writing and recently her research contributed to the inclusion of prolonged grief in the forthcoming DSM-V TR to be released in March 2022. In her work, Kathy developed and tested prolonged grief disorder therapy, short-term strength-based intervention that helped foster adaptation to loss. Together they discuss the 16-week treatment, and the healing milestones patients experience during their journey to carry and relate to the one that we've lost in a very meaningful way.   For more information about the Center for Prolonged Grief, please visit: https://prolongedgrief.columbia.edu For more information about training, please visit: https://prolongedgrief.columbia.edu/professionals/training/ And for more information about resources on Prolonged Grief, please visit: https://prolongedgrief.columbia.edu/professionals/resources-pro/  

We learn how grief can turn into prolonged grief disorder and how the pandemic could be causing an uptick of this problem. Then, learn about a study on how trauma in kids can change the brain. We tell you about a book that covers the rise of the Black Lives Matter movement. And Bubbler Talk explains the story behind the floor mosaics at Mitchell Airport.

Prolonged Grief DisorderOur world has experienced an immense amount of grief, sadness, and overall chaos over the last few years. It is not uncommon that some people need help to work through all of it.Prolonged grief disorder is defined as a syndrome consisting of a distinct set of symptoms following the death of a loved one. Dr. Jelena Kecmanovic is here to guide us through the world of PGD.Key Takeaways from Dr. Fedrick's 1-on-1 with Jelena:• Hear about Dr. K's background• Learn what prolonged grief disorder is• Find out some prominent characteristics of prolonged grief disorder• Hear if there has been a rise in cases of PGD since the beginning of the pandemic• Learn why it's so important to recognize the symptoms of prolonged grief disorder as opposed to normal griefAll of this and more, on this episode of Calm, Cool and Connected.For more information on Dr. Elizabeth Fedrick, visit her website https:// www.evolvecounselingaz.com/dr-elizabeth-fedrick.Connect with Dr, Fedrick on Instagram: https://www.instagram.com/drelizabethfedrick/Have a question you'd like answered on the show? Leave us a voicemail here: https://www.speakpipe.com/CalmCoolConnectedFor more great Calm, Cool and Connected content, don't forget to subscribe to the podcast on Apple Podcasts, Google Podcasts, Overcast, Spotify, and all the popular podcasting platforms. (RSS)  https://3cstvshow.buzzsprout.comAlready subscribed? Please take a moment to rate and review the podcast so that we can reach as many people that need the help as we can: https://3cstvshow.buzzsprout.com DISCLAIMER: THE CONSULTATIONS OR INTERACTIONS OFFERED ARE NOT MENTAL HEALTH THERAPY. THE CONSULTATION IS FOR EDUCATIONAL PURPOSES ONLY AND NOT STRUCTURED IN A WAY TO PROVIDE MENTAL HEALTH COUNSELING/PSYCHOTHERAPY/THERAPY/ DIAGNOSING OF ANY KIND. YOU UNDERSTAND THAT CALM COOL AND CONNECTED IS NOT PROVIDING INFORMATION AS YOUR TREATING MENTAL HEALTH COUNSELOR, PHYSICIAN, ATTORNEY, LEGAL COUNSEL, EMPLOYER, MEDICAL PROFESSIONAL. We offer no guarantees or promise of results from event nor assume liability for any information provided. 

At some point in all our lives, we will experience loss. The most difficult loss is the loss of someone close to us. With this loss, the landscape of our life changes and the process of experiencing and working through our grief begins. In this episode, Dr. Graham Taylor speaks with Dr. Kathy Shear, professor of psychiatry at the Columbia School of Social Work and founder and director of the Center for Complicated Grief. She shares with us the grief process, how to recognize complicated grief, and her recent research contribution and inclusion of this condition, now called Prolonged Grief Disorder, into the forthcoming DSM-V. There is life to be lived after this loss and if we can grieve in productive and growth-oriented ways, we can find a path that can allow us to continue to grow and have joy in our lives while continuing to carry and relate to the one we've lost in a very meaningful way.   For more information about the Center for Complicated Grief, please visit: https://complicatedgrief.columbia.edu For more information about training, please visit: https://complicatedgrief.columbia.edu/professionals/training/ And for more information about resources on Complicated Grief, please visit: https://complicatedgrief.columbia.edu/professionals/resources-pro/

When we're unable to cope with grief symptoms for over a long period of time they may lead to grief disorder. And just like acute stress the symptoms of grief do go away with time however if you experience certain symptoms on more days than not in a span of 12months for adults and 6 months in children, then you're experiencing complicated grief which is also know as Persistent complex bereavement disorder although bereavement only applies to death of a loved one, we want to generalize PCBD to any kind of loss that happens in one's life. --- Send in a voice message: https://anchor.fm/martha-apendi/message

If you only listen to one episode, make it this one. It is my absolute honor to interview my guest Dr. Katherine Shear. She is the expert on studying and treating complicated grief which is now known as Prolonged Grief Disorder. In this in depth and intimate interview, she not only asks about my own grief regarding loss of my father, but she tells us the how and why we experience grief the way we do. please check out the website http://complicatedgrief.columbia.edu for more resources. 

When a loved one dies, the world can become chaos. Everything has changed. The way you drive a car, the way food tastes, the way you even talk to people can feel different and wrong and weird. It feels like you are - for lack of a better term - going crazy. How far apart are grief and mental illness? The DSM (Diagnostic and Statistical Manual), the standard reference for mental illness, says that if you're still messed up from grief six months after the death of your person, you have something called Prolonged Grief Disorder.For Megan Devine, an author and psychotherapist who specializes in grief, the sudden loss of her partner Matt meant being at the grocery store and temporarily forgetting how money worked. But she says that's not a problem. That's a truthful response to a horrifying event. That's just being horrified.Megan rejects the idea that being upset for as long as you need to be is a problem. She advocates recognizing the personal truth and reality of what's going on inside yourself. Megan's website Refuge in Grief - https://refugeingrief.com/Our previous episode with Stephanie Wittels Wachs, which gets referenced a lot - https://maximumfun.org/episodes/depresh-mode/stephanie-wittels-wachs-and-the-pain-and-frustration-of-watching-addiction-happen/Get your copy of Megan's books, How to Carry What Can't be Fixed: A Journal for Grief and It's OK That You're Not OK here or wherever books are sold. Follow Megan on Twitter @refugeingrief and on Instagram @refugeingrief.Thank you to all our listeners who support the show as monthly members of Maximum Fun. Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Help is available right away.The National Suicide Prevention Lifeline: 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlinesThe Depresh Mode newsletter is available twice a week. Subscribe for free and stay up to date on the show and mental health issues. https://johnmoe.substack.com/John's acclaimed memoir, The Hilarious World of Depression, is available here. https://read.macmillan.com/lp/the-hilarious-world-of-depression/Find the show on Twitter @depreshpod and Instagram @depreshpod.John is on Twitter @johnmoe.

In this episode, author of Persevering for Peace, Jamie Sokoloff shares her journey through her grief after the tragic loss of her father. She talks about how she made it  through the dark days that followed and the moment that she decided to start living again.  Jamie Sokoloff is the author of Persevering for Peace, an animal and nature lover, vegan, optimist and founder of Rick's Run Canada.  Follow Jamie on InstagramFollow Ricks Run on InstagramSign up for Rick's Run hereFind Jamie's book here

A couple of weeks ago, I stumbled across a posting on Grief in social media, and there was quite an uproar in the comment below it. Someone had posted links indicating that “grief was in the DSM V as a pathology.” As with many mental health issues and conditions, there are often misinterpretations, misunderstandings, and/or stigma, behind the actual pathology. Our goal tonight is to chase down this assertion, and find out the facts about the matter, and bring those facts to our listeners. Tonight, we will discuss: • The basic function or purpose of both the DSM V and ICD 11 diagnostic reference books. • The history, purpose, and facts, of how Grief became listed as a pathology. • Reviewing criteria so that our listeners can know when Grieving has become a mental health issue that wants professional help.   We'll start off the evening with some topic-relevant Classic Rock played by Dr. Mathis, followed by Classic Rock trivia in "The Rock & Roll Shrink Recalls," followed by our topic discussion.