POPULARITY
Categories
With recent reports on the latest financial status from Arizona State University athletics, the PHNX Sun Devils podcast dives into if Bobby Hurley has had a proper amount of resources in order to become a top team in their conference? How much of a factor does money play in their rebuild? The guys also check in on spring football, giving their biggest takeaways. Join Erik Ruby and Ralph Amsden as the guys break it all down on the PHNX Sun Devils show! An ALLCITY Network Production SUBSCRIBE to our YouTube: https://bit.ly/phnx_youtube ALL THINGS PHNX: http://linktr.ee/phnxsports PHNX Events: Get your tickets to Suns Takeovers, Coyotes & Suns Watch Parties at BetMGM, and MORE here: https://gophnx.com/events/ Arizona Lottery: Visit http://www.AZAdventure.com for more information on how you can take an adventure with the Arizona Lottery and for a chance to win $1 million in cash and Arizona travel prizes! Desert Financial Credit Union: Open a free checking account online with Desert Financial Credit Union and get $200 - plus your choice of three Arizona State University VISA® Debit Cards https://www.desertfinancial.com/ASU Empire: Schedule a free in-home estimate with Empire Today! Receive a $350 OFF discount when you use the promo code PHNX. Restrictions apply. See https://empiretoday.com/phnx for details. Gametime: Download the Gametime app, create an account, and use code PHNX for $20 off your first purchase. Circle K: Join Inner Circle for free by downloading the Circle K app today! Head to https://www.circlek.com/store-locator to find Circle Ks near you! OGeez!: OGeez! is not your average cannabis-infused gummy. Head over to https://www.ogeezbrands.com to find where you can purchase. Must be 21+. Enjoy responsibly. Four Peaks: Follow on social @fourpeaksbrew & @fourpeakspub! Must be 21+. Enjoy responsibly. BetMGM: Download the BetMGM app and sign-up using bonus code PHNX! (betmgm.com/phnx). Sign up for BetMGM, use bonus code PHNX! Place your first BetMGM Sportsbook wager through BetMGM Sportsbook mobile app for at least $10. You will receive $1500 in bonus bets if the bet loses! "Bonus bets expire in 7 days. 1 new customer offer only. Gambling problem? Call 1-800-GAMBLER (Available in the US). Call 877-8-HOPENY (467369) (NY). Call 1-800-327-5050 (Massachusetts,). 21+ only. Please gamble responsibly. Call 1-800-NEXT-STEP (AZ). 1-800-BETS-OFF (Iowa), 1-800-981-0023 (Puerto Rico). First bet offer for new customers only. Subject to eligibility requirements. Bonus bets are non-withdrawable. In partnership with Kansas Crossing Casino and Hotel. See betmgm.com for terms. US promotional offers not available in New York, Nevada, North Carolina, Ontario, or Puerto Rico. When you shop through links in the description, we may earn affiliate commissions. Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Learn more about your ad choices. Visit podcastchoices.com/adchoices
The Rich Zeoli Show- Hour 4: 6:05pm- On Thursday, a seated juror in former President Donald Trump's Manhattan “hush money” case was dismissed from the trial after she told the judge that aspects of her identity were made public—impacting her anonymity and preventing her from being objective. While speaking with Wolf Blitzer on CNN, former federal prosecutor Ankush Khardori expressed concern about the anonymity and safety of the jurors serving on the Trump trial. Khardori explained: “Now, this is not the fault of the media…Responsibility to guard all of the very specific information that we're learning [about the jury] resides with the D.A.'s office and with the judge. I'm a little surprised that we are learning all of this because I do not think this jury is going to remain anonymous, necessarily, if they keep this up.” 6:10pm- While speaking to the press before boarding Air Force One on Wednesday, President Joe Biden seemingly suggested that his uncle was eaten by cannibals in New Guinea…wait. what? On Thursday Karine Jean Pierre clarified the President's remarks, confirming that Biden's uncle was not eaten by cannibals. 6:15pm- Prince Harry is now officially an American citizen! So, who hates the royals more: Rich or Prince Harry? 6:30pm- A newly released campaign ad claims that President Joe Biden is as “sharp as a knife.” 6:40pm- Joe Lancaster of Reason writes: “A bipartisan group of lawmakers is once again trying to keep the government from performing an end run around the Fourth Amendment by buying people's personal data. This week, President Joe Biden indicated that he opposed the bill. H.R. 4639, known as the Fourth Amendment Is Not For Sale Act, ‘expands prohibited disclosures of stored electronic communications' to include purchases of data by law enforcement and intelligence agencies.” You can read the full article here: https://reason.com/2024/04/17/biden-opposes-bill-that-would-keep-cops-and-feds-from-buying-your-data/
Today – Reporter Michael Booth talks with fellow Sun reporter John Ingold about the latest in health and climate news.See omnystudio.com/listener for privacy information.
Properly managed patient identity queues are the foundation of an effective master person index that minimizes issues and facilitates streamlined care coordination.Conversely, unresolved identity queue backlogs can have costly implications for patient care, safety, and revenue integrity. It's a growing problem with a time-consuming, resource-intensive resolution that few HIM departments have the capacity to handle.During the next live broadcast of the popular and long-running Talk Ten Tuesday, the Internet broadcast produced by ICD10monitor, Rachel Podczervinski will report on what's behind the seemingly sudden surge in identity errors and actions hospitals and health systems can take to reduce the volume and streamline patient identity queue management.The live broadcast will also feature these other recognizable segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.• News Desk: James Kennedy, MD, will substitute for Timothy Powell to anchor the Talk Ten Tuesdays News Desk.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news happening at the intersection of medical record auditing and the social determinants of health (SDoH).• Point of View: Angela Comfort, guest cohost during this live broadcast, will report on a subject that has caught her attention.
Today we have another Q and A episode for you and we are going to be covering the following topics: How to choose the right milk for your nutritional needs Whether or not it is nutirtionally better to choose whole wheat pasta vs. regular options The dangers of storing rice impoperly Microplastics and our health Tune into the show to hear more. Remember if you want to have your question answered in a future Q and A episode you can submit your questions here along with a donation of any amount: Submit here Check out the new podcast website Take advantage of Legion Athletics BOGO sale Use code "Chavez" at checkout for 20% off or your first order or 2X rewards points after that.
Eric Gall was this week's guest on Success Profiles Radio. He is the founder of Edison Business Advisors and has over 25 years in the Mergers & Acquisitions space. He helps people buy and sell businesses, value their businesses, and prepare for an exit. We discussed reasons why people sell their businesses, what is needed in order to properly prepare for the sale, how to value your business correctly, and what sellers actually want in the sale (cash vs terms). In addition, we talked about the biggest mistakes people make when selling their businesses and the importance of not co-mingling business and personal accounts. Finally, we discussed the process of buying a business, how to get funding, and his favorite case studies of successful clients. You can listen and subscribe to the show on Apple podcasts/iTunes. You can also listen at Success Profiles Radio | Live Internet Talk Radio | Best Shows Podcasts (toginet.com)
If you have a hard time digesting protein, then this episode is for you! I am going over signs to look for if you're wondering if you aren't digesting OR absorbing protein properly. I'll talk about reasons and causes this might be happening, plus ways you can overcome it. As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app. Sponsored By: Nuzest Go to nuzest-usa.com/bethanyspantry Equip Foods Code DIGEST gets you 20% off at Equipfoods.com/digest LMNT Get 8 FREE packs drinklmnt.com/DIGEST Check Out Bethany: Bethany's Instagram: @lilsipper Bethany's Website My Digestive Support Protein Powder Gut Reset Book Get my Newsletters (Friday Finds)
Who doesn't love a little r/MaliciousCompliance... Original Posts Manager insists I do my job properly. Happy to comply, Sir Your never had your car Update: You never had your car; the revenge Bad boyfriend takes the walk of ultimate shame Learn more about Evergreen Podcasts and Wessler Media. Sponsor Get the all-you-can-watch movie subscription pass. Click here to learn more about Regal Unlimited! Visit TheRRShow.com Check out our Subreddit Follow us on socials: TikTok Instagram YouTube Learn more about your ad choices. Visit megaphone.fm/adchoices
David Locke joined DJ & PK to talk about the Utah Jazz as they wrap up the regular season and look to the offseason.
Navigating the intricate landscape of mental health can often feel like deciphering a complex puzzle, especially when differentiating between conditions ADHD vs.anxiety. This challenge is further compounded by the similarities in symptoms and the potential for misdiagnosis. However, understanding the nuances and interconnections between these conditions can empower individuals to seek appropriate treatment and improve their quality of life. ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental condition characterized by symptoms of inattention, hyperactivity, and impulsivity. While commonly diagnosed in childhood, ADHD persists into adulthood for many individuals, affecting various aspects of their daily lives, from academic performance to personal relationships. On the other hand, anxiety disorders encompass a range of conditions marked by excessive fear, worry, and physical symptoms such as heart palpitations and dizziness. The intersection of ADHD and anxiety is a topic of significant interest within the mental health community. Individuals with ADHD often experience anxiety, partly due to the challenges and frustrations stemming from ADHD symptoms. Similarly, the constant struggle with focus and organization can exacerbate feelings of anxiety, creating a cyclical relationship between the two conditions. A critical aspect of differentiating ADHD from anxiety involves examining the onset and progression of symptoms. ADHD is present from an early age, with symptoms often becoming noticeable during childhood. In contrast, anxiety can develop at any point in life, triggered by stressors or traumatic events. Therefore, a thorough evaluation of an individual's history is vital in distinguishing between the two. Moreover, the manifestation of symptoms can offer clues. For example, while both ADHD and anxiety can lead to concentration difficulties, the underlying reasons differ. In ADHD, the inability to focus is often due to intrinsic attention regulation issues. In anxiety, however, the concentration problems may arise from excessive worry or fear that consumes cognitive resources. Understanding the unique and overlapping aspects of ADHD and anxiety is crucial for effective treatment. For ADHD, interventions typically include medication, such as stimulants, alongside behavioral strategies to enhance executive functioning skills. Anxiety disorders, meanwhile, may be treated with a combination of psychotherapy, such as cognitive-behavioral therapy (CBT), and, in some cases, medication to manage symptoms. The integration of treatment modalities is paramount, particularly for individuals experiencing both ADHD and anxiety. Addressing the ADHD symptoms can often alleviate anxiety by improving self-esteem and coping mechanisms. Similarly, managing anxiety can reduce the overall stress load, making ADHD symptoms more manageable. In conclusion, ADHD and anxiety represent two distinct yet interrelated conditions within the spectrum of mental health. The complexity of their relationship underscores the importance of personalized, comprehensive treatment plans. By fostering a deeper understanding of these conditions, individuals can navigate the path to wellness with greater clarity and confidence. This journey, though challenging, is a testament to the resilience and strength inherent in the human spirit, as we seek to understand and overcome the obstacles that lie within our minds. TRANSCRIPT Kimberley: Welcome, everybody. We are talking about ADHD vs anxiety, how to tell the difference, kind of get you in the know of what is what. Today, we have Dr. Ryan Sultan. He is an Assistant Professor of Clinical Psychiatry at Columbia University. He knows all the things about ADHD and cannabis use, does a lot of research in this area, and I want to get the tea on all things ADHD and anxiety so that we can work it out. So many of you listening have either been misdiagnosed or totally feel like they don't really understand the difference. And so, let's talk about it. Welcome, Dr. Sultan. ADHD vs. ANXIETY Ryan: Thank you. I really like doing these things. I think it's fun. I think psychiatrists, which is what I am, I think one of the ways that we really fail, and medical doctors in general don't do well at this, which is like, let's spend some time educating the public. And before my current position, I did epidemiology and public health. And so, I learned a lot about that, and I was like, “You know how you can help people? We have a crisis here. Let's just teach people things about how to find resources and what they can do on their own.” And so, I really enjoy these opportunities. WHAT IS ADHD vs. WHAT IS ANXIETY? I was thinking about your question, and I was thinking how we might want to talk about this idea of ADHD versus anxiety, which is a common thing. People come in, and they see me very commonly wanting an evaluation, and they think they have ADHD. And I understand why they think they have ADHD, but their main thing is basically reporting a concentration or focus issue, which is a not specific symptom. Just like if I'm moody today, that doesn't mean I have a mood disorder. If I'm anxious today, it doesn't mean I have an anxiety disorder. I might even feel depressed today; it doesn't mean I have a depression disorder. I could even have a psychotic symptom in your voice, and it does not mean that I have a psychotic disorder. It's more complicated than that. I think one of the things that the DSM that we love here in the United States—but it's the best thing we have; it's like capitalism and democracy; it's like the best things that we have; we don't have better solutions yet—is that it describes these things in a way that uses plain language to try to standardize it. But it's confusing to the general public and I think it's also confusing to clinicians when you're trying to learn some of these conditions. WHEN IS ADHD vs. ANXIETY DIAGNOSED? And certainly, one of the things that have happened in my field that people used to talk a lot about is the idea that, is pediatric, meaning kid diagnosis of ADHD, which often in my area here in the United States will be done by pediatrician, are they adequately able to do that? Because poor pediatricians have to know a lot. And ADHD, psychiatric disorders are complicated. Mental health conditions are super complicated. They're so complicated that there are seven different types of degree programs that end up helping you with them. PsyD, PhD, MD, clinical social worker, mental health counselor, and then there's nurse practitioner. So, like super complicated counseling. So, how do we think about this? The first thing I try to remind everyone is, if you're not sure what's going on with you, please filter your self-diagnosis. You can think about it, that's great. Write your notes down, da-da-da, but I would avoid acting purely on that. You really want to do your best to get some help from the outside. And I know that mental health treatment is not accessible to everyone. This is an enormous problem that existed before the pandemic and still exists now. I say that because I say that all the time, and I wish I had a solution for you. But if you have access to someone that you think can help you tease this throughout, you want to do that. SYMPTOMS OF ADHD vs. ANXIETY But what I would like us to do, instead of listing criteria, which you can all Google on WebMD, let's think about them in a larger context. So, mental health symptoms fall into these very broad categories. And so, some of them are anxiety, which OCD used to be under, but it's now in its own area. Another one, would be mood. You can have moods that are really high, moods that are really low. Another one you could take ADHD, you could lump it in neurodevelopmental, which would mix it with autism and learning disorders. You could lump it with attention, but the problem with that is it would also get lumped with dementia, which are processes that overlap, but they're occurring at different ends of the spectrum. So, let's think about ADHD and why someone might have ADHD or why you might think someone has ADHD, because this should be easier for people to tease out, I think. ADHD is not a condition that appears in adulthood. That's like hands down. Adult ADHD is people that had ADHD and still have ADHD as adults. And most people with ADHD will go on to still have at least an attenuated version, meaning their symptoms are a little less severe, maybe, but over 60% will still meet criteria. It's not a disorder of children. Up until the ‘90s, we thought it was a disorder of kids only. So, you turned 18, and magically, you couldn't have ADHD anymore, which didn't make any sense anyway. So, to really get a good ADHD diagnosis, you got to go backwards. If you're not currently an eight-year-old, you have to think a little bit about or talk to your family, or look at your school records. And ideally, that's what you want to do, is you want to see, is there evidence that you have, things that look like ADHD then? So, you were having trouble maintaining your attention for periods of time. Your attention was scattered in different ways. Things that are mentally challenging that require you to force yourself to do it, that particularly if you don't like them, this was really hard for you. You were disorganized. People thought that things went in one year and out the other. Now this exists on a spectrum. And depending on the difficulty of your scholastic experience and how far you pushed yourself in school, these symptoms could show up at different times. For example, it's not uncommon for people to show up in college or in graduate school. Less so now, but historically, people were getting diagnosed as late as that, because now they have to write a dissertation. For those of you guys who don't know, a dissertation is being asked to write a book, okay? You're being asked to write a book. And what did you do? You went to college. Okay, you went to college, and then you had some master's classes, and then you get assigned an advisor, and you just get told to figure out what your project is. It is completely unstructured. It is completely self-sufficient. It is absurd. I'm talking about a real academic classic PhD. That is going to bring it. If somebody has ADHD, that's going to bring it out because of the executive functioning involved in that, the organization, the planning. I got to make an outline, I got to meet with my mentor regularly, I got to check in with them, I got to revise it, I got to plan a study or a literature review. There's so many steps involved. So, that would be something that some people doesn't come up with then. Other kids, as an eight-year-old boy that I'm treating right now, who has a wonderful family that is super supportive, and they have created this beautiful environment for him that accommodates him so much that he has not needed any medication despite the fact that there's lots of evidence that he is struggling and now starting to feel bad about himself, and he has self-esteem issues because he just doesn't understand why he has to try so hard and why he can't maintain his attention in this scenario, which is challenging for him. So, ADHD kids and adults, you want to think of them as their brains as being three to five years behind everyone else in their development, okay? And they are catching up, but they're more immature, and they're immature in certain ways. And so, this kid's ability to maintain his attention, manage his own behaviors, stay organized, it's like mom is sitting with this kid doing his homework with him continuously, and if she stops at all, he can't hold it together on his own. So, when we think about that with him, like, okay, well, that's maybe when it's showing up with him. That's when it's starting to have a struggle with him. But let's relate it to anxiety. One problem would be, do you have ADHD or do you have anxiety? Well, there's another problem. Another problem is having ADHD is a major risk factor for developing an anxiety disorder, okay? So now I'm the eight-year-old boy, and this eight-year-old boy does not have the financial resources to get this evaluation, or the parents that are knowledgeable enough to know that, it might even have been years ago where there was less knowledge about this. And he's just struggling all the time, and he feels bad about himself, and he's constantly getting into trouble because he is losing things because he can't keep track of things because he's overwhelmed. And now he feels bad about himself. Okay. He has anxiety associated with that. So now we're building this anxiety. So he might even get mood symptoms, and now we have a risk for depression. So, this is just one of the reasons why these things are like these tangled messes. You ever like have a bunch of cords that you have one of the dealies, you keep throwing them in a box, and now you're like, “What do I do? Do I just throw the cords out or entangle them?” It's a very tangled mess. Of course, it takes time to sort through it. The reason I started with ADHD is that it has a clear trajectory of it when it happens. And in general, it's a general rule, symptomatology, meaning like how severe it is and the number of symptoms you have and how impairing it is. They're going to be decreasing as you get older. At least until main adulthood, there's new evidence that shows there might be a higher risk for dementia in that population. But let's put geriatric aside. There's a different developmental trajectory. Whereas anxiety, oh God, I wish I could simplify anxiety that much. Anxiety can happen in different ways. So, let's start with the easy thing. Why would you confuse them in this current moment? If I am always worried about things, if I'm always ruminating about things, I'm thinking about it over and over again, I'm trying to figure out where I should live or what I should do about this, and I just keep thinking about it over and over again, and I'm in like a cycle. Like, pop-pa-pa pop-pa pop-pa-pa-pa. And then you're asking me to do other things. I promise you, I will have difficulty concentrating. I promise you, I can't concentrate because it's like you're using your computer and how many windows do you have open? How many things are you running? I mean, it doesn't happen as much anymore, but I think most of us, I meant to remember times where you're like, “Oh, my computer is not able to handle this anymore.” You're using up some of your mind, and you can call that being present. So, when people talk about mindfulness and improving attention, one of the things that they're probably improving is this: they're trying to get the person to stop running that 15, 20% program all the time. And it's like your brain got upgraded because you can now devote yourself to the task in front of you. And the anxiety is not slowing you down or intruding upon you, either as an intrusive thought in an OCD way or just a sort of intrusive worry that's probably hampering your ability to do something concentration-intensive. And then if you have anxiety problems and you're not sleeping right, well, now your memory is impaired because of that. So, there's this cycle that ends up happening over and over again. IS HYPERACTIVITY ANXIETY OR ADHD? Kimberley: Yeah, I think a lot of people as well that I've talked to clients and listeners, also with anxiety, there's this general physiological irritability. Like a little jitteriness, can't sit in their chair, which I think is another maybe way that misdiagnosis can -- it's like, “Oh, they're hyperactive. They're struggling to sit in their chair. That might be what's going on for them.” Is that similar to what you're saying? Ryan: Yeah. So, really good example, and this one we can do a little simpler. I mean, the statement I'm going to say is not 100% true, but it's mostly true. If you are an adult, like over 25 for sure, and you are physically jittery, it is very unlikely that that is ADHD. Because ADHD, the whole mechanism as we understand it, or one of the mechanisms causing the thing we call ADHD, which of course is like a made-up thing that we're using to classify it, is that your prefrontal cortex is not done developing. So, it needs to get myelinated, which is essentially like -- think about it like upgrading from dial up to some great, not even a cable modem. You're going right to Verizon Fios. Like amazing, okay. It's much faster, and it's growing. And that's the part of you that makes you most human. That's the most sophisticated part of your brain. It's not the part that helps you breathe or some sort of physiological thing, which, by the way, is causing some of those anxiety symptoms. They're ramped up in a sympathetic nervous system way, fight or fight way. It's the part that's actually slowing you down. That's like, “Whoa, whoa, whoa, whoa, whoa, calm down, calm down, calm down.” This is why, and everyone's is not as developed. So, we're all developing this thing through 25, at least ADHD is through 28. Car insurance goes down to 25 because your driving gets better, because your judgment gets better, because you can plan better, because you are less risk-taking. So, your insurance has now gone down. So, the insurance company knows this about us. And our FMRI scans, you scan people's brains, it supports that change. These correlate to some extent with symptomology, not enough to be a diagnosis to answer the person's question that they're going to have that. I wish it was. It's not a diagnosis. We haven't been able to figure out how to do that yet. So, by the time you're 25, that's developed. And the symptoms that go away first with ADHD are usually hyperactivity, because that's the inability to manage all the impulses of your body, not in an anxious, stressed-out way, but in an excited way. You think of the happy, well-supported, running around ADHD kid is kind of silly and fun. It's a totally different mood experience than the anxiety experience. Anxiety experience is unpleasant for the most part. Unless your anxiety is targeting you to hyper-focus to get something done, which is bumping up some of your dopamine, which is again the opposite experience of probably having ADHD, it's a hyper-focus experience, certainly, the deficit part of ADHD, you're going to be feeling a different physiological, the irritability you talked about 100%. You're irritable because you are trying so hard to manage this awful feeling you have in your body. You physically feel so uncomfortable. It is intolerable. I have this poor, anxious young man that has to do a very socially awkward thing today. Actually, not that socially awkward. He created the situation, which is one of the ways we're working on it with him in treatment. And I'm letting him go through and do this as an exposure because it'll be fine. And he's literally interacting with another one of our staff members. But he finds these things intolerable. He talks about it like we are lighting him on fire. So, he's trying to hold it together, or whatever your physiological experience is. It may not have been as dramatic as I described. You're irritable when people are asking things of you because you don't have much left. You're not in some carefree mood where you're like, “Whatever, I'm super easygoing. I don't care.” No, you're not feeling easygoing right now. You're very, very stressed out. Stress and anxiety are very linked. Just like sadness and depression are very linked, and like loneliness and depression are linked, but they're not the same thing. Stress and anxiety are very, very linked, and they're similar feelings, and they're often occurring at the same time and interacting with each other. ADD vs. ADHD Kimberley: Right. One question really quick. Just to be clear, what about ADD vs. ADHD? Ryan: We love to change diagnostic criteria. People sit around. There's a committee, there's a whole bunch of studies. And we're always trying to epidemiologically and characterologically differentiate what these different conditions are. That's what the field is trying to do as an academic whole. And so, there's disagreements about what should be where. So, the OCD thing moving is one of them. The ADD thing, it's like a nomenclature thing. So, the diagnosis got described that the new current version of the diagnosis is attention deficit hyperactivity disorder, and then you have three specifiers, okay? So, that's the condition you have. And then you can have combined, which is hyperactive and inattentive. Just inattentive, just hyperactive. And impulsive is built in there. So, it's really not that interesting. People love to be like, “No, no, I have ADD. No, I don't have the hyperactive.” And I'm like, “I know, but from a billing point of view, the insurance company will not accept that code anymore. It doesn't exist.” DOES ADHD OR ANXIETY IMPACT CONCENTRATION? Kimberley: Yeah. So, just so that I know I have this right, and you can please correct me, is if you have this more neurological, like you said, condition of ADHD, you'll have that first, and then you'll get maybe some anxiety and some depression as a result of that condition. Whereas for those folks, if their primary was anxiety, it wouldn't be so much that anxiety would cause the ADHD. It would be more the symptoms of concentration are a symptom of the anxiety. Is that what you're saying? Ryan: Yes, and every permutation that you can imagine based on what you just said is also an option. Like almost every permutation. Like how are they interacting with each other? How are they making each other worse? How are they confusing each other? Because you can have anxiety disorders in elementary school. I mean, that is when most anxiety disorders, the first win, like the wave of them going up is then. And you think about all the anxiety you have. I got a friend of mine who's got infants. And it's fun to see like as they're developing, when they go through normal anxiety, that that is a thing that they're going to pass. And then there's other things where, at some point, we're like, actually, now we're saying this is developmentally inappropriate, which means, nope, we were supposed to have graduated from this and it's still around. And so, one of the earlier ways that psychiatric conditions were conceptualized, and it's still a useful way to conceptualize them, is the normal behavior version of it versus the non-normal behavior version of it. And again, I hate non-normal, I don't want to pathologize people, but non-normal being like, this is causing problems for you. And if you think about it from an evolutionary point of view, all of these conditions have pretty clear evolutionary bases of how they would be beneficial. Anxiety is going to save your ass, okay? Properly applied anxiety, it'll save your tribe. You want someone who's anxious, who's going to be like, “We do not have enough from this winter.” An ADHD person was like, “It'll be fine. I'm just going to go find something else.” And you're like, “No.” And then when that winter's really bad and you save that little bit of extra food, that 30% that the anxious person pushed for, maybe you didn't eat all 30% of it, but you know what, it probably benefited you and it might've actually made the whole tribe survive or more people survive or better health condition. So, it's approving everyone's outcomes. The ADHD individual, you get them excited about something—gone. They're going to destroy it. They're going to find all the berries. They're going to find all the new places. They're going to find all the new deer. They're going to run around and explore. It's great. Great, great, great. Depression is like hibernation. And if you look at hibernation in a mammal, like what happens, there's a lot of overlaps. Lower energy, maybe you store up some food for the winter. It's related to the seasons. You're in California, right? This is not a problem you have, but for those of us in New York, where we have seasonality, seasonal depression is a thing. It's very much a thing. It's very noticeable, and it's packed on top of these conditions everyone else is having. But the idea is that the hibernation or the pullback is like something happens to you that upsets you, which is the psychosocial event that's kicking you in the face that might set off your depression. That's why people always say, “Oh, depressions just don't come out of nowhere. This biochemical thing isn't true.” What they're saying is something has to happen to start to kick off the depression, but that's not enough. It's that you then can't recover from it. And so, a normal version of it is that you get knocked out and you spend a week or two, you think about it. Rumination is a part of depression for many people. You reevaluate, and you say, “You know, I got kicked in the face when I did that. That was not a good plan for me. I need a new plan. I either need to do something different or I need to tackle that problem differently.” And so, that would be the adaptive version of a depressive experience. Whereas the non-adaptive version is like, you get stuck in that and you can't get out. Kimberley: Or you avoid. Ryan: The avoiding doing anything about it, and then that makes it worse. So, you started withdrawing. I mean, that's the worst thing you can do. This is a message to everyone out there. The worst thing that you can do is withdraw from society for any period of time. Look, I'm not saying you can't have a mental health day, but systematic withdrawal, which most of us don't even realize is happening, is going to make you worse because the best treatment for every mental health condition is community. It is really. All of them. All of them, including schizophrenia. I used to work in Atlanta. I did my residency. There'd be these poor guys that have a psychotic disorder. They hear voices. The kinds of people that, here in New York City, are homeless, they're not homeless there. Everyone just knows that Johnny's just a little weird and his mom lives down the street. And if we find Johnny just in the trash can or doing something strange, or just roving, we know he's fine, and someone just takes him back to his mom's house and checks on him. Because there's a community that takes care of him, even though he's actually quite ill from our point of view. But when you put him in an environment where that community is not as strong, like a city, it does worse, which is why mental health conditions are much higher rates in urban areas. Probably why psychiatry and mental health in general is such a central thing in New York City. TREATMENT FOR ADHD vs. ANXIETY Kimberley: Yeah. Okay, let's talk quickly about treatment for ADHD. We're here always talking about the treatment for anxiety, but what would the research and what's evidence-based for ADHD if someone were to get that clinical diagnosis? Ryan: So, you want to think about ADHD as a thing that we're going to try to frame for that person as much as how is it an asset, because it historically has made people feel bad about themselves. And so, there are positive aspects to it, like the hyper focus and excitability, and interest in things. And so, trying to channel into that and then thinking about what their deficits are. So, they're functional deficits. If you're talking adult population, functional deficits are going to be usually around executive functioning and organization planning. Imagine if you're like a parent of small children and you have untreated ADHD, you're going to be in crazy fight-or-flight mode all the time because there's so many things to keep track of. You have to keep track of your wife and their life. Kimberley: I see these moms. My heart goes out to them. Ryan: And they're probably anxious. And the anxiety is probably protecting them a little bit. Because what is the anxiety doing? You think about things over and over and over again, and you double check them. You know what that's not a bad idea for? Someone who's not detail-oriented, who's an ADHD person, who forgets things, and he gets disorganized. So, there's this thing where you're like, “Okay, there may actually be a balance going on. Can we make the balance a little bit better?” So, how do you organize yourself? MEDICATIONS FOR ADHD Right now, there's a stimulant shortage. Stimulants are the most effective medication for reducing ADHD symptoms. They are the most effective biological intervention we have to reduce the impact of probably any psychiatric condition, period. They are incredibly effective, like 80, 90% resolution of symptoms, which is great. I mean, that's great. That's great news. But you also want to be integrating some lifestyle changes and skills alongside of that. So, how do you organize yourself better? I mean, that's like a whole talk, but like lists, prioritizing lists, taking tasks, breaking them down into smaller and smaller pieces. Where do you start? What's the first step? Chipping away. You know what? If you only go one mile a day for 30 days, you go 30 miles. That's still really far. I know you would have gone 30 miles that day, especially if you have ADHD, but you're still getting somewhere. And so, that kind of prioritization is really, really important. And so, you can create that on your own. There are CBT-based resources and things to try to help with that. There are ADHD coaches that try to help with that. It's consistency and commitment around that. So, how do you structure your life for yourself? That poor PhD candidate really needs to structure their life because there is no structure to their life. The other things we want to think about with that, I mean, really good sleep, physical exercise. People with ADHD, we see on FMRI scans when you scan someone's brain, there's less density of dopamine receptors, less dopamine activity. You want to get that dopamine up. That's what the medications are doing, is predominantly raising the dopamine. So, physical activity, aerobic exercise, in particular, is going to do that. Get that in every day, and look, it's good for you. It's good for you. There is no better treatment for every condition in the world other than exercise, particularly aerobic. It basically is good for everything. If you just had surgery, we still want you to get out and walk around. Really quickly, that actually improves your outcome as fast as possible. So, those are the things I like people to start with if they can do that, depending on the severity of what's going on, the impact, what other things have already been tried. Stimulant medications or non-stimulant medications like Wellbutrin, Strattera, Clonidine are also pretty effective. Methylphenidate products, which is what Ritalin is. Adderall products mixed in amphetamine salts, Vyvanse, these are very effective medications for it. There's a massive shortage of these medications that people are constantly talking about, and is really problematic and does not appear to have an endpoint because the DEA doesn't seem ready to raise the amount that they allow to be made because they are still recovering from the opioid crisis, which is ongoing. And so, they're worried about that. Really, they want to be very thoughtful about this. These medications have a very low-risk potential for misuse. In fact, people with ADHD, they appear to reduce the risk of developing a substance use disorder. It's the most common thing that people worry about. So, treatment actually reduces that. That said, the worst -- I mean, I don't want to say the worst thing. I mean, people hate me. The really not great way to get psychiatric treatment is to show up to someone once and then intermittently meet with them where they write a prescription for a medication for you that's supposed to help you, and stimulant medications are included on that. So, that's probably why I didn't lead with that, even though there's actually more science to support them, is that by themselves, it's really going to limit how much help you're going to get. Kimberley: Can you share why? Ryan: Because you need to understand your condition, because you need to spend time with your clinician learning about your condition and understanding how it's affecting your life, and understanding how the medication is actually meant to be a tool. It should be like wearing glasses. It doesn't do the work for you. It doesn't solve all your problems, but it's easier to read when you put your glasses on than without it. It supports you. You still need to figure out how to get these things done. It lowers the activation energy associated with it. But you also want to monitor it. You can't take these medications 24 hours a day and just be ready to go and work, which is things that people have tried. It doesn't work because you need to sleep, because you will die. They've tried this. We know that you will literally die, like not sleeping. And in the interim, you are damaging yourself significantly. So, taking it and timing it in an appropriate way, still getting sufficient sleep, prioritizing other things—they are like a piece of a puzzle, and they are a really powerful piece. But you really don't want that to be the only thing driving your decision-making, or that be what the interaction is really about. And by the way, the same thing is true for all psychiatric medications. Kimberley: I was going to say that's what we know about OCD and anxiety disorders too. Medication alone is not going to cut you across the line. Ryan: And for most people, therapy alone is also not going to cut the line. You have to have a mild case for therapy alone to be okay. And I can trouble for that statement. But the other thing is lifestyle. What lifestyle changes can I make? And those together, all three, are going to mean that you get better faster, you get more better than you would have, you're more likely to stay better. And they start to interact with each other in a good way, where you get this synergistic effect of ripples of good things happening to you and personal growth. You look back, and you're like, “Geez, I'm on version 3.0 of me. I didn't know that there was a new, refined personal growth version of me that could actually function much better. I didn't actually believe that.” DOES ADHD IMPACT SELF-ESTEEM? Kimberley: Well, especially you talked about this impact to self-esteem too. So, if you're getting the correct treatment and now you're improving, as you go, you're like, “Okay, I'm actually smart,” or “I'm actually competent,” or “I'm actually creative. I had no idea.” Ryan: Yes. “I'm not stupid.” Lots of people with ADHD think they're stupid. Kimberley: Yeah. So, that's really cool. One question I have that's just in my mind is, does -- Ryan: And that should be part of your treatment, is the working through. That was essentially a complex trauma. It's the complex trauma of having this condition that may not have been treated that made you think that you were an idiot because you were being shoved into a situation that you did not know how to deal with because your ADHD evolved to be an advantage for you as a hunter-gatherer for the hundreds of thousands of years that we had that, and that modern world is not very compliant for. It doesn't experience you as fitting into it well. And then you feel bad about yourself. ADHD IN MALES vs. FEMALES Kimberley: Right. You're the class clown, or you're the class fool, or the dumb girl, or whatever. Now, my last question, just for my sake of curiosity, is: does ADHD look different between genders? Ryan: This is an area of significant research. So, historically, the party line has been that ADHD is significantly more common in boys and girls. And the epidemiology, the numbers, the prevalence have always supported that. Like 3 to 1, 2 to 1, like a much more, much more common. Refining of that idea has come up with a couple of thoughts. One, for whatever reason, I don't know how much of this is genetic. I have no idea how much of this is environmental, sociological. All other things being equal, after a certain young age, girls just always seem to be ahead of boys in their development. I mean, talk to any parent that's had a lot of kids, and they'll tell you that they're like, “I don't know why the girls are always maturing faster.” So, that's a bias that is going to always make at any given point. The boys look worse because their brains are not developed. So, they're going to be -- remember that immature younger thing? They're going to be immature and younger. And so at any given marker is that. The other thing that's come up is that the hyperactivity seems to be something we see a lot more in males than in females. That's another thing. And versus inattentiveness, which you see in both and is usually the predominant symptom. And the kid who gets noticed is the little boy who's like -- I mean, not that you could do this in today's world, but has scissors and is about to cut a kid's cord. I'm trying to make a silly imagery. That kid's getting a phone call. No one didn't notice that. The whole class called that. Whereas like daydreaming, I'm not really listening—this is a more passive experience of ADHD. And they're not disrupting the room. Forget about the gender thing. Just that presentation is also less noticed. So, I think the answer is the symptomology presentation is a little different. It tends to be predominantly hyperactive. Are the rates different? Yes, they're probably not as wide of a difference as we think they are, because we're probably missing a good number of girls. Are we missing enough girls to make it 50/50? I don't know. That would be a lot of -- it's a big gap. It's not close. It's a pretty big gap. Maybe we're certainly missing some. And then the other aspect of it is particularly post-puberty. Even before puberty, there's hormonal changes going on. And these hormones, particularly testosterone, which is present in everyone, we think about it as a male thing, but it's really just like a balance thing. You have significant amounts of both. It affects a number of things, and attention is one of them. So, there's so many complexing factors to it. That's why I said, it's something we're still trying to sort out. One of the things that's really interesting that goes back to the hormone thing is that if you talk to young women— so postmenstrual, they've gone through puberty—they will tell you over and over again that their symptomology, just like we have mood symptoms tend to be worse during that time period of when you're ovulating, the ADHD symptoms will be worse as well. And so, there's increasing evidence that if you're on ADHD medication and you have ADHD, which again, we're making lots of presumptions here, go get that confirmed, guys. But if you're on that time period just leading up to ovulation a little bit after, you may actually need a higher dose of your medication to get the same effect. That there's something about the way progesterone and whatever is changing that it affects functionally your attention and your experience of your symptomatology. Kimberley: Interesting. Yeah, thank you for sharing that. Is there anything you feel like we've missed or a point you really want to make for the folks who are listening who are trying to really untangle, like you said, that imagery of untangle, anxiety, ADHD, all of the depression, self-esteem? Ryan: This is like a sidebar that's related. So, one of my other areas of interest is cannabis. And here in New York, we've had a lot going on with cannabis. And there's a lot of science going on around, can cannabis be used to treat things, particularly psychiatric disorders? And I know that a lot of people are interested in that. One of the things that I've been really trying to caution people around with it is that the original thing that I was probably taught in the ‘90s about cannabis, marijuana being like this incredibly unsafe thing, is not true. But the narrative that it's totally fine and benign is also not true. And that it is probably going to be effective in reducing anxiety acutely, and it will probably be effective in maybe even improving your mood. And some people with ADHD even think it improves their attention by calming their mind. I am very cautious about people starting to use that as part of their treatment plan. And I can tell you why. Kimberley: Because you did say there's an increase in substance use. Ryan: The problem is that it's not rolled out in a way that reflects an appropriate medical treatment. So, if you do it recreationally, obviously, it's basically like alcohol. You just get what you want, and you decide what you want. If you do it medically, depending on the state, as a general rule, you just get a medical card and then you decide what you're going to do, which just seems crazy to me. I mean, you don't do that. You don't send people home with an unlimited amount of something that is mind-altering and tell them to use as much as they need. And the potencies, the strength of it has gotten stronger and stronger. And so, I really caution people around this because when you use it regularly, what ends up happening is you get this downregulation, particularly daily use. You get this downregulation of your receptors, your cannabinoid receptors. We all have cannabinoid receptors. And you have fewer and fewer of them. And because you have so much cannabinoid in your system because you're getting high that your body says, “I don't need these receptors.” So then when you don't get high, those cannabinoid receptors that modulate serotonin, dopamine—so functionally, your attention, your mood, your anxiety level—there's none of them left because they've been getting bound like crazy to this super strong thing. And you're making almost none yourself, so you're going to feel awful. You're going to feel awful. And it's not dosed in any kind of appropriate way. We're not giving people guidance on this. So, I really caution people when they're utilizing this, which the reality is that a lot of people are, that they be thoughtful about that and thoughtful about the frequency that they're using and the amounts that they're using, and if they're at a point where they're really trying to self-medicate themselves, because that can really get out of control for people. They can get really out of control. And I think it's unfortunate that we don't have a better system to help people with that. That is more like the evaluation of an FDA-approved medication or something like that has a system through it. So, I just wanted to add that because I know this is something that a lot of people are thinking about. And I think it can be hard to get really good science information on since there's a big movement around making this change. When we're doing a big movement around pushing for a change, we don't want to talk about the reasons that the change might be a little problematic, and therefore slow the change down. So, we forget about that. And I think for the general public, it's important to remember that. Kimberley: Yeah, I'm so grateful that you did bring that up. Thank you. Where can our listeners learn more about you or be in touch with you? Ryan: So, if they want to learn more about my practice, my clinical practice, integrativepsych -- no, integrative-psych.org. We changed. We wrote .nyc. There we go. And then if you want to learn about my science and my lab and our research, which we also love, if you just go to Sultan (my last name) lab.org, it redirects to my Columbia page, and then you can see all about that and send some positive vibes to my poor research assistants that work so hard. Kimberley: Wonderful. I'm so grateful for you to be here. Really, I am. And just so happy that you're here. So much more knowledgeable about something that I am not. And so, I'm so grateful that you're here to bring some clarity to this conversation, and hopefully for people to really now go and get a correct assessment to define what's going on for them. Ryan: Yeah, I hope everyone is able to digest all this. I said a lot. And can hopefully make better decisions for themselves for that. Thank you so much. Kimberley: Thank you.
Breathing properly has real benefits...including giving us more energy while we're walking. During today's ten-minute walk, Dave talks about the three things experts recommend we do for proper breathing. Check out Walking is Fitness on YouTube Download your free 90 Day Fitness Chain Tracker Learn more about your ad choices. Visit megaphone.fm/adchoices
In this podcast transcript, Rob and Michael delve into the pivotal topic of defining requirements in software development. They emphasize the significance of clear and detailed requirements, underscoring the potential pitfalls of vague or incomplete requirements. Throughout the conversation, they provide insights, anecdotes, and practical strategies for navigating the complexities of requirement gathering and management. Let's dive into the key points discussed by Rob and Michael. Defining Requirements The Importance of Clear Communication Rob and Michael stress the importance of clear communication in understanding and defining project requirements. They highlight the dangers of assumptions and ambiguity, advocating for a thorough exploration of the client's needs and expectations. Drawing from their experience, they emphasize the need for developers to engage in detailed discussions with clients to ensure alignment on project goals and outcomes. Understanding the End Goal A key topic we discuss is the necessity of understanding a project's end goal before delving into its requirements. Rob and Michael illustrate the importance of clarifying objectives and envisioning the desired outcome using the tree swing example. This requires us to ask probing questions and seek clarity on client expectations. By doing so, developers can ensure that the final product meets the intended purpose. Agile Approach to Requirement Management The conversation touches upon the agile approach to requirement management, emphasizing the iterative and adaptable nature of the process. Rob and Michael advocate for regular review and refinement of project requirements, especially in dynamic environments where priorities and circumstances may change over time. They underscore the value of maintaining a flexible backlog and continuously reassessing the relevance and feasibility of pending tasks. Test-Driven Development and Quality Assurance The discussion expands to encompass the role of test-driven development (TDD) and quality assurance (QA) in requirement validation. Rob and Michael highlight the importance of thinking critically about user interactions and anticipated outcomes when refining project requirements. They advocate for a proactive approach to testing and validation, leveraging QA principles to uncover potential issues and ensure the robustness of the final product. In conclusion, Rob and Michael emphasize the ongoing nature of requirement management and the importance of continuous improvement. They encourage developers to adopt a proactive mindset, actively engaging with clients and stakeholders to refine project requirements iteratively. By prioritizing clear communication, understanding the end goal, and embracing agile practices, developers can navigate the challenges of requirement gathering and deliver successful outcomes for their clients. Final Thoughts on Defining Requirements As Rob and Michael wrap up their discussion, they invite listeners to engage with their podcast and provide feedback or topic suggestions at info@develpreneur.com. They reiterate their commitment to delivering valuable insights and practical advice for developers, underscoring the collaborative nature of their community. With a focus on continuous learning and improvement, they invite listeners to join them on their journey of building better developers. By incorporating these key points and insights, developers can enhance their approach to requirement management and contribute to the success of their projects. Whether adopting agile methodologies, leveraging TDD principles, or prioritizing clear communication, a proactive and iterative approach to requirement definition is essential for delivering high-quality software solutions. Additional Resources for Defining Requirements Setting Realistic Expectations In Development Creating Your Product Requirements Changing Requirements – Welcome Them For Competitive Advantage Behind the Scenes Podcast Video
In a surprising move, Rowdy Tellez did something in defense of David Bednar after the Pirates' 5-3 loss to the Detroit Tigers on Tuesday.
Go to https://rb.gy/upd3es and use coupon code KNOWTHYSELF to save 15%. Rosicrucian Spiritual Teacher Dr. Robert Gilbert is back on Know Thyself this week for a deeper discussion into structuring the subtle body, awakening higher knowledge, and avoiding spiritual pitfalls. He and André discuss how to cultivate true sincerity on the spiritual path: a resonance that is essential for proper development and missing in many teachings. Robert shares his story of awakening and how he followed the messages that led him to his true destiny. He reveals how to cultivate a stronger inner vision to be able to have deeper clarity into your unique path and master self observation. He also dives deep into merging wisdom from different spiritual traditions, decoding the mysteries of sacred geometry, and the strong significance of the number 12. André's Book Recommendations: https://www.knowthyself.one/books ___________ Timecodes: 0:00 Intro 2:29 How to Properly use Spiritual Knowledge 13:27 Spiritual Sincerity & True Resonance on the Path 22:30 Robert's Story: From Military to Spiritual Teacher 38:46 Spiritual Experiences That Shifted His Perspective 44:00 Cultivating Conscious Vision: Backward Review Exercise 56:13 Decoding Messages in Our Dreams 1:01:26 Tools for Mastering Self Observation 1:10:07 Merging Wisdom From Different Spiritual Traditions 1:19:51 Harnessing the Potential of Sacred Geometry 1:31:26 What Cymatics Reveals About Us 1:35:16 Opening our Perception to Different Realities 1:40:23 Applying this Knowledge for Structuring Subtle Body 1:47:28 Significance of the Number 12 2:02:50 Reality of Birthing the New Golden Age 2:09:37 Conclusion ___________ Robert J. Gilbert Ph.D. is a former U.S. Marine Corps instructor in NuclearBiological-Chemical Defense, with over 30 years of research into both mainstream and holistic health methods. He holds a Ph.D. in International Studies, and contributed to the first academic textbook on Transformational Politics. Dr. Gilbert has extensively studied French methods of Vibrational Radiesthesia from the early 1900's, sponsoring the translation of many rare texts into English for the first time. Dr. Gilbert was also the first non-Egyptian to be granted Instructor status in the Egyptian system of BioGeometry®, founded by Dr. Ibrahim Karim of Cairo. Dr. Gilbert is currently the Director of the Vesica Institute for Holistic Studies in Asheville, North Carolina. He teaches both live and online courses, the latest of which is the Online series entitled Vibrational Testing and Healing. The Vesica Institute: https://www.vesica.org Instagram: https://www.instagram.com/vesicainstitute/ ___________ Looking to Start a Podcast? Podcasting Course: https://www.podcastpurpose.com/ Know Thyself Instagram: https://www.instagram.com/knowthyself/ Website: https://www.knowthyself.one Clips Channel: https://www.youtube.com/channel/UCJ4wglCWTJeWQC0exBalgKg Listen to all episodes on Audio: Spotify: https://open.spotify.com/show/4FSiemtvZrWesGtO2MqTZ4?si=d389c8dee8fa4026 Apple: https://podcasts.apple.com/us/podcast/know-thyself/id1633725927 André Duqum Instagram: https://www.instagram.com/andreduqum/ Meraki Media https://merakimedia.com https://www.instagram.com/merakimedia/
Listen to today's podcast... Have You Ever Had A Dog Bite You? I was only two. In my mind, I vaguely remember being in our living room with my mom while she was crying and talking on the phone to the hospital. I remember being in the emergency room. And before all of this, I have a fleeting memory of being out at the barn and our dog. Somehow, our dog thought that I was going to steal his food, though I had been out there numerous times. On this particular occasion, he snapped at me and bit me, just missing my eye. Even the calmest, most loving dog can get snappy when sat on, stepped on or when they feel fear for themselves or their family. My experience could have left me scarred in many more ways than just the one that I carry on my face. Today, I am a dog lover. I don't fear them, but I do have a very healthy respect for them. Take One Action Today To Build Your #Resiliency! Here are today's Tips For Protecting Yourself And Celebrating Dog Bite Prevention Week: The Canadian Safety Council estimates that in 70% of dog bite cases the victim knew the dog. Parents need to teach their children how to interact safely with Fido. NEVER disturb a dog who is sleeping, eating, or caring for puppies. NEVER pet a dog, even your own, without letting him see and sniff you first. Dogs that haven't been properly socialized, receive little attention or handling, or are left tied up for long periods of time frequently turn into biters. Be a responsible pet owner. Properly train and socialize your dog, and teach it submissive behaviors like giving up food without growling. Cynophobia is an irrational fear of dogs. If you find that your fear of dogs is excessive and you can't easily avoid them, seek out the help of a professional counselor, psychologist or psychiatrist. For more information on coping with mental health issues, sign up for one of my on-line courses at worksmartlivesmart.com under the resources and courses tab. #mentalhealth #hr
Bill Hanifin and Aaron Dauphinee from the Loyalty Academy are back with another episode of the "Wiser Loyalty" podcast series. They continue exploring Key Success Factors in Loyalty Marketing (course #112) from the Loyalty Academy™ curriculum. In this week's episode, Bill and Aaron, lean into the importance of understanding that all customers shouldn't be treated the same and the success that can come in doing this through the utilization of program tiers (in various forms).In the Wiser Loyalty series, Bill and Aaron draw a theme each month based on the courses required to earn the Certified Loyalty Marketing Professional™ (CLMP™) designation and this is now the third month of this global loyalty education series.Show Notes:1) Aaron Dauphinee2) Bill Hanifin3) The Wise Marketer
(4/8/24) - For another year, agencies have likely escaped budget cuts due to sequestration. CISA is preparing to host its biggest biannual cybersecurity exercise called, “Cyber Storm.” And service members are reportedly not getting enough sleep each night to properly do their jobs. Learn more about your ad choices. Visit megaphone.fm/adchoices
As spring approaches, Turner's Service Co. in Manassas, VA, unveils its Spring HVAC Maintenance Initiative. This program, essential for summer readiness, provides extensive services to boost system efficiency, reliability, and comfort for both homes and businesses. Turner's Service Co. City: Manassas Address: 11482 Robertson Dr Website: https://turnersserviceco.com Phone: +1 703 361 0816 Email: info@turnersserviceco.com
In Episode 110 of the XrmToolCast, Daryl and Scott talk to Ulrikke Akerbæk, a fellow BizApps MVP and Cohost of the Power Platform BOOST Podcast about her experiences working with Power Pages. Some of the highlights: Encountering with one of the listeners at the Canadian Power Platform Summit Ulrikke's learning journey of Power Pages A tip from Daryl about setting all privileges of a table in the classic security role editor Learning tips and tricks through experience Power Pages is the most pro-code part of the platform Properly prompting Power Pages Co-pilot Power Pages Co-pilot failures Managing CSS - SASS Using VS Code for the Web Identify oneself as a low-code or pro developer European Power Platform Conference Ulrikke's Info: LinkedIn: https://www.linkedin.com/in/ulrikke X-Twitter: https://twitter.com/UlrikkeAkerbk Blog: https://ulrikke.akerbak.com Links: European Power Platform Conference: https://www.sharepointeurope.com/european-power-platform-conference Got questions? Have your own tool you'd like to share? Have a suggestion for a future episode, or like a shout-out? Contact Daryl and Scott at cast@xrmtoolbox.com. Follow us on LinkedIn and @XrmToolCast for updates on future episodes. Do you want to see us too? Subscribe to our YouTube channel to view the last episodes. Don't forget to rate and leave a review for this show at Podchaser. Your hosts: Daryl LaBar: https://www.linkedin.com/in/daryllabar | @ddlabar Scott Durow: https://www.linkedin.com/in/scottdurow | @ScottDurow Editor: Linn Zaw Win: https://www.linkedin.com/in/linnzawwin | @LinnZawWin Music: https://www.purple-planet.com
A new MP3 sermon from Pastor Nick Holden is now available on SermonAudio with the following details: Title: Properly Placing Subtitle: Psalms Speaker: Nick Holden Broadcaster: Pastor Nick Holden Event: Sunday - PM Date: 4/5/2024 Bible: Psalm 12; Psalm 16 Length: 41 min.
After a war of words in The Crossover, we get to the bottom of the proper way to pronounce the “How I Met Your Mother” star's name. And preview a Friday show!
PREVIEW: #OCEANIA: Conversation with colleague Cleo Paskal of FDD re the succes of bipartidsanship in Congress to properly fund the Compact of Free Assosication's three sovereign island states in the Central Pacific, Pelau, Micronesia, Marshall Islands, in order to hold off China influence operations from establishing baseing to interrupt the ability of the US to deploy and resupply the Philippines and Taiwan in the event of war. More detail later. 1837 Oceania
Are you stuck in a cycle of yo-yo dieting? Are you ready for an approach that will fuel your body and make you feel your best? In this episode, I am joined by double-certified nutrition coach Dani Marenburg to explore macronutrients and their phases. Dani specializes in optimizing macronutrients and lifestyle habits and is passionate about helping other women reach their ultimate body transformation goals, all while enjoying a life well lived through following a macro-focused diet. Dani was a past yo-yo dieter, cardio junkie who transformed her body and entire life by ditching past diet culture mentalities and learning how to eat for her body.We're chatting all things protein and answering the question of how much of it you should be having. We also dive into rebuilding your metabolism if you've been chronically undereating for years and are unable to lose weight. Plus, we'll explore calorie counting versus the macro approach and its four phases. Tune in to discover how tracking macronutrients might just be the key to breaking free from restrictive eating and fostering a nourishing relationship with food.Head to the Show Notes: https://health-uncovered.captivate.fm/episode19To request a consultation with Dr. Mercedes head to https://health-uncovered.captivate.fm/uppercervicalsdLet's be Instagram friends: @drmercedescookFollow Upper Cervical Chiropractic San Diego on Instagram: @uppercervicalsandiegoPS. Are you loving the podcast? I'd appreciate it if you could leave a rating and review for my show! This helps me support other healthcare providers who want to think outside of the box to get their patients answers and for those struggling on their health journey so they can move forward on their healing journey more confident than ever. And make sure you hit 'FOLLOW' so you don't miss out on any new episodes when they drop every Thursday. Happy listening!
Are you properly preparing for first-time meetings? Failing to do so can lead to missed opportunities and lost sales. But don't worry—in this episode of "The Sales Evangelist Podcast," host Donald Kelly will share valuable tips on effectively preparing prospects and ensuring a smoother, more productive interaction. Click play to hear what one of the industry's top sales leaders says about this essential step in the sales process. The Importance of Preparing Prospects Donald emphasizes the significance of prepping prospects before meeting with them. In a world with automated scheduling tools, it's essential to go the extra mile to personalize and optimize the prospect's meeting experience. The Strategy Donald suggests a simple yet powerful strategy to prepare prospects effectively. He recommends sending a quick video introduction to the prospect, providing a warm welcome, and addressing potential questions or concerns they might have. Additionally, including specific details about the upcoming meeting and offering personal contact information can further enhance the prospect's preparedness and engagement. Enhancing Engagement and Courtesy By implementing this strategy, sales professionals can significantly enhance engagement and courtesy from prospects. Providing personal contact information encourages prospects to connect and communicate, establishing a more respectful and engaged relationship from the outset. Overcoming Concerns Donald addresses common concerns associated with this strategy, such as the fear of potential cancellations. He explains that having prospects inform you of a cancellation is more beneficial, demonstrating their courtesy and genuine interest, rather than dealing with unexplained no-shows. Recommended Tools Donald recommends executing this strategy using video platforms like Loom, Vidyard, or BombBomb. Even for those uncomfortable with video, he encourages leveraging these tools to convey the preparatory message effectively. Ultimately, sales professionals gain a competitive edge by effectively preparing prospects and increasing their chances of closing deals. Join Donald Kelly as he continues to empower sales professionals to thrive and succeed in their endeavors. "I want you to thrive, succeed, and raise your level of thinking." Donald Kelly. Resources The Sales Evangelist Sales Mastermind LinkedIn Sales Navigator Donald C. Kelly on LinkedIn Sponsorship Offers This episode is brought to you in part by Hubspot. With HubSpot sales hubs, your data tools and teams join a single platform to close deals and turn prospects into pipelines. Try it for yourself at hubspot.com/sales. 2. This episode is brought to you in part by LinkedIn. Are you tired of prospective clients not responding to your emails? Sign up for a free 60-day trial of LinkedIn Sales Navigator at linkedin.com/tse. 3. This episode is brought to you in part by the TSE Sales Foundation. Improve your connection on LinkedIn and land three or five appointments with our LinkedIn prospecting course. Go to the salesevangelist.com/linkedin. Credits As one of our podcast listeners, we value your opinion and always want to improve the quality of our show. Complete our two-minute survey here: thesalesevangelist.com/survey. We'd love for you to join us for our next episodes by tuning in on Apple Podcast, Google Podcast, Stitcher, or Spotify. Audio provided by Free SFX, Soundstripe, and Bensound. Other songs used in the episodes are as follows: The Organ Grinder written by Bradley Jay Hill, performed by Bright Seed, and Produced by Brightseed and Hill.
I've just about finished my winter pruning. Blueberries, crabapples, apples and other fruit trees are done. Now it's time to start on my hydrangeas. Pruning hydrangeas can be confusing to home gardeners because when you prune varies depending on the type of hydrangea you're growing. That's the first step. Try to remember, or look into your garden notes, the name of your hydrangea. Don't worry if you can't find it, though. Another method to determine what hydrangea you have is when it blooms. If your hydrangea blooms in late spring or early summer, it's most likely a Hydrangea macrophylla or big leaf, often blue, hydrangea, an oakleaf hydrangea or a climbing hydrangea. These bloom from flower buds set last summer and fall. The time to prune them is after flowering this summer. If you prune too late in summer or fall you can remove flower buds for next year. Generally, these types of hydrangeas don't need lots of pruning. Prune to deadhead and remove dead, diseased and broken branches and crossing branches. If you have a repeat blooming blue or pink big leaf hydrangea, such as the 'Endless Summer' types, prune those after the first flush of flowers. If your hydrangeas bloom in mid summer to fall, you probably have Hydrangea arborescens or Hydrangea paniculata. The arborescens and panicle hydrangeas have big white, often turning to burgundy color, blooms that can last into winter. These hydrangeas bloom on new growth from this spring, so to stimulate more new growth, prune now. You can prune these hydrangeas to a basic skeleton structure of main branches and they still will flower.See omnystudio.com/listener for privacy information.
Why don't we have the same health concerns when cooking other meats? Professor of food safety Steve Flint explains all.
QR codes can be very useful, but you need to think about how your are using them. Episode 601: QR codes can be very useful, but you need to think about how your are using them. There is a right way and a wrong way to use them. We discuss how to use a QR […]
Are you finding it difficult to truly understand your photography clients and keep them engaged? Asking the right questions is key to discovering what matters most to them and making an emotional connection. Small acts of empathy like active listening and focusing on their goals, rather than just the technical aspects of the shoot, can build strong rapport. This prevents clients from losing interest down the line and helps land more bookings. By tailoring questions to learn about each individual client's unique needs and interests, you can get them excited about capturing their special moments. Join the Difference Maker Revolution at www.TheDifferenceMakerRevolution.com and get started with our FREE training. The Difference Maker Revolution is the podcast that will help you grow your photography business by teaching you how to improve your marketing to get better leads, increase conversations with your ideal clients and generate more profit for your photo-based business, whether that is through eliminating the seasonality of your sessions or filling up the calendar of your studio. This show is brought to you by the industry experts Ronan Ryle - Board of Directors of the PPA, Professional Photographers Of America; Photography-marketing funnel specialist Jonathan Ryle; 7-figure entrepreneur, including a successful 3rd generation photography business, Bradley Bulmer; published author and successful children's studio owner in Tampa Jeanine McLeod; and serial portrait studio owner and photography educator Steve Saporito. Tune in to this show for real-world experience, outside perspective, industry knowledge and mentorship that is usually only accessible to members of BSA's Photography Marketing Accelerator and listen to the business growth tactics that generate highly targeted leads and bookings for your photography brand. Through this fun, educational, inspirational, innovative and high-energy show, The Difference Maker Revolution aims to share the mission of Creating A Healthier Society Through Photography.
EPISODE DESCRIPTION In this episode Co-Hosts Steve Tinnelly and Ramona Acosta speak to Isaac Camacho and Sean Andersen on the Rising Costs of Construction KEY POINTS Construction and labor costs Mandatory minimum wage Systemic inflation Building code changes SB 326 due by the end of the year Why HOAs need to raise assessments Properly maintaining assets, deferred maintenance and underfunded reserves Rising insurance costs in relation to liability claims ABOUT OUR GUESTS Isaac Camacho has over 10 years' experience in business development and has taken clients from positions of none-to-low brand recognition to exceeding sales goals and expectations and solid brand reputation in target markets. Isaac has strong interpersonal skills and is not only able to produce record-breaking sales himself but is also able to build and train successful sales teams that can sustain a level of desired sales revenues. Isaac is currently a sales/marketing expert with the state's fastest growing termite and pest control company, Accurate Termite & Pest Control. Read more Sean started working at Association Reserves in 1999. He opened the regional office in Orange County in 2003. Sean has completed over 3,000 Reserve Studies for properties ranging from small community associations to large master planned communities. He earned the Community Association Institute's (CAI) Reserve Specialist (RS) designation and has the distinction of being RS #68. Sean is an active member of the CAI Orange County chapter. Sean has also been an instructor on the subject of Reserves for training courses offered by CAI. Read more
The Government is being urged to "step up to the mark" and properly fund road maintenance in Clare. It comes as almost 180 applications for road improvements across two different schemes in Clare are awaiting funding due to a major "backlog" within Clare County Council's Roads, Environment and Water Services Department. The backlog has been attributed to the schemes being "oversubscribed", delays in the announcement of the Government funding allocation and incelement weather preventing works from taking place. Sixmilebridge Independent Councillor PJ Ryan however has been telling Clare FM's Seán Lyons the delay is unacceptable and only a major funding boost from central government will rectify the issue.
Guests - Caroline Lewis-Jones and Rebecca RowleyHosted By - Courtney Ortiz and Lesley MealorIn Episode 180 of Making The Impact - A Dance Competition Podcast, we are joined by certified health coach and dance educator Caroline Lewis-Jones and registered dietician Rebecca Rowley to discuss some ideas for fueling our dancers during competition weekends, as well as during the week!Topics Include: How to stay healthy and fueled on a budget Easy ways to add important nutrients to your weekly meal plan How the foods you put into your body directly relate to the output at the studioHelp support our podcast. Join Making The Impact's Platinum Premium Subscription today! Your membership includes:Monthly Q&A episodes released to members-onlyPriority to have your questions answered each month on the live Q&A.Ad-free listening for all of Season 4 & 5. No sponsored ads!20% off all IDA MerchandiseExclusive bonus content released throughout the yearDiscounted IDA Online CritiqueGroup Zoom check-ins 3x per season with Courtney Ortiz!Your support helps us produce future episodes of Making The Impact for years to come!Making The Impact's Platinum Premium - Sign up now for only $5/month!Follow your Hosts & Guests!Courtney Ortiz - @courtney.ortizLesley Mealor - @miss.lesley.danceCaroline Lewis-Jones - @clinelewisjonesRebecca Rowley - @dancer.nutritionistThis episode is sponsored by:Francisco Gella Dance Works - Season 5 Premier Sponsor!Educational and developmental programs, intensives, and seminars designed to empower students, parents, educators, and artists.Register now for an upcoming intensive, workshop or seminar! Apolla Performance The benefit of a shoe + the comfort of a sock. Try Apolla Shocks and use code IMPACT10 for 10% off at checkout!Check out IDA Affiliated Competition Gems Dance Competition!View their 2023 tour dates and register now at www.dancegems.comJoin our FREE Facebook Group and connect with us! Making The Impact - A Dance Competition Podcast Community Leave us a review on Apple Podcasts! We would love to hear from you! Join our Newsletter for weekly episode releases straight to your inbox! Follow Impact Dance Adjudicators on social media @impactdanceadjudicators and for a list of IDA Affiliated dance competitions, visit our website at www.impactdanceadjudicators.comJoin your hosts Courtney Ortiz & Lesley Mealor at the Capezio Flagship Store in the heart of New York City for a LIVE podcast recording of Making the Impact! PLUS - a bonus master class with Courtney, lunch at Capezio, swag bag freebies, dance wear discounts & more! Saturday, March 30th, 2024 - RSVP and register for class now! Support the show
Raw materials are the substances or components used in the production of goods. Properly managing their raw material inventory allows manufacturers to ensure a smooth production flow, control costs, and respond promptly to customer demand. You can learn more about it from this episode or read about it on our blog More information about MRPeasy software at our website mrpeasy.com
On tonight's episode… News story(s) Elvis has left the building Newbie Nuggets Wendy shares how many fingers she is holding up Fabricating Frenzy: Favorite EJS vendors And in Must have STUFF for your Jeep! Properly sized GMRS antenna #jeeptalkshow #jeep #jeeplife #jtschicchat
March has been full of some good, some bad and some— WHAT IN THE SERENITY BY JAN IS HAPPENING?! So, of course, our host Terri Doty is ready to talk about all that and everything in between. Thanks... Read More
On this week's Deprogrammed, hosts Harrison Pitt of the European Conservative magazine and freelance journalist Evan Riggs are joined by Tom Jones, creator of the Potemkin Village Idiot Substack and Tory councilor. --------------- SUBSCRIBE: If you are enjoying the show, please subscribe to our channel on YouTube (click the Subscribe Button underneath the video and then Click on the Bell icon next to it to make sure you Receive All Notifications) AUDIO: If you prefer Audio you can subscribe on iTunes or Soundcloud. Soundcloud: https://soundcloud.com/user-923838732 itunes: https://itunes.apple.com/gb/podcast/s... SUPPORT/DONATE: PAYPAL/ CARD PAYMENTS - ONE TIME & MONTHLY: You can donate in a variety of ways via our website: http://www.newcultureforum.org.uk/#do... It is set up to accept one time and monthly donations. JOIN US ON SOCIAL MEDIA: Web: http://www.newcultureforum.org.uk F: https://www.facebook.com/NCultureForum/ Y: http://www.youtube.com/c/NewCultureForum T: http://www.twitter.com/NewCultureForum (@NewCultureForum)
Hour 1 – The Drive opened the show discussing the missed call at the end of the KU game, and how kit could've been corrected with smart replay usage.
Rancho Mesa's Alyssa Burley and Account Executive of the Tree Care Group Rory Anderson discuss properly classifying equipment and vehicle maintenance operations, in the tree care industry, to avoid insurance audit nightmares. Show Notes: Subscribe to Rancho Mesa's Newsletter. Director/Host: Alyssa Burley Guest: Rory Anderson Producer/Editor: Megan Lockhart Music: "Home" by JHS Pedals, “News Room News” by Spence © Copyright 2024. Rancho Mesa Insurance Services, Inc. All rights reserved.
We are joined by Audrianna Lewis, a Maximus call center worker and we discuss exactly why despite working for the federal government, she still cannot afford her health insurance due to her current wages and the actions being taken to fix it.Become a supporter of this podcast: https://www.spreaker.com/podcast/facepalm-america--5189985/support.
An inquiry found millions of women were not properly told of the rising state pension age
Two months on from the 2023 Africa Cup of Nations we have our first international window since the big tournament. We take a look at the state of 9 national teams and how they've attacked the post-Afcon period
After leaving the wilderness, Jesus began his ministry of theological and social healing in earnest. While many welcomed his message and the community work he was doing, some of the most religious people bristled. Jesus taught and practiced a boundary-breaking love, and breaking boundaries almost always makes us uncomfortable. However, the spiritual path of Jesus invites us to hold a creative tension between law and freedom. Join us this Sunday as we explore how to unburden the parts of ourselves that seemingly love rules more than people. www.TheLoftLA.org
In the current age, our professional lives dominate our waking hours. Leaders are often the first to arrive and the last to leave. Family, hobbies, and friends often take a backseat to the job. We're told we only have one life, and the clock is ticking. Yet when work consumes our days, we often wonder, “Is this all there is?” Jesus tells us that no, there's more. A lot more. If we embrace his promise of eternal life, the focus shifts and priorities change. The possibility of endless adventure reframes our world view. Join Horizon for BREAKTHROUGH and explore what's in store.
The right tools for the task are just as important in the garden as they are in the shop. Learn our must-haves and favorites. Plus, pruning whorled hydrangeas and Supertunias. Featured plant: 'Aphrodite' sweetshrub.
We speak to Tony Furst from Armstrong Fluid Technology about proper VFD grounding and a phenomenon known as "Fluting". www.cintas.com/HVACKnowItAll Save 8% on your purchase https://www.trutechtools.com/ with promo code knowitall Check out the HVAC Know It All app app.hvacknowitall.com https://www.hvacknowitall.com/pages/about Visit HVAC Know It All on social media Facebook https://www.facebook.com/hvacknowitall/ Instagram https://www.instagram.com/hvacknowitall1/
How hard is hard enough when it comes to training intensity? Do you struggle with knowing how hard to push yourself in your workouts? Are you afraid you're doing too much, or, not enough? In today's podcast I discuss the proper intensity you should use in strength-based training!
In this episode of Quah (Q & A), Sal, Adam & Justin coach four Pump Heads via Zoom. Mind Pump Fit Tip: The path of progress is NOT linear. DO NOT get stuck in the ‘shame' spiral. (2:12) NASM is the leader for personal trainers. (13:38) Such a flirt. (20:05) Little boy problems. (23:25) Social media is a cesspool. (25:05) Do women need an alpha male? (27:32) The most brilliant or dumb guy ever? (40:16) Mind Pump Recommends, Dune: Part Two. (43:11) Rule of thumb. (47:36) Butcher Box now has potatoes! (50:16) Shout out to Max Lugavere's documentary, Little Empty Boxes. (56:56) #ListenerLive question #1 - Since powerlifting is very prescriptive on percentages, should I stay within the calculated percentages for the entire program or is it advisable to push to higher percentages? (57:56) #ListenerLive question #2 - When going to failure on the weeks we do failure training, does that mean that I quite literally cannot do another rep? (1:06:28) #ListenerLive question #3 - How do you sustainably get into a calorie-counting mindset from eating intuitively? (1:11:00) #ListenerLive question #4 - Being a career firefighter with a 24/48 schedule, how do I optimize muscle growth after this cut phase without the safety of a spotter? (1:23:25) Related Links/Products Mentioned Ask a question to Mind Pump, live! Email: live@mindpumpmedia.com Visit NASM for access to their premier all-in-one membership program, NASM One for Mind Pump listeners. Visit Butcher Box for this month's exclusive Mind Pump offer! ** New users will receive their choice of 2 lbs. of Ground Beef, 3 lbs. of Chicken Thighs, or 1 lb. of premium Steak Tips for a Year! + Use the code MINDPUMP and get $20 off your first box! ** March Promotion: MAPS Anabolic | MAPS Anabolic Advanced 50% off! ** Code MARCH50 at checkout ** Jen Cohen viral post Did Super Bowl streaker win $374,000 for disrupting Super Bowl LV? Plus details on viral incident at Allegiant Stadium in Las Vegas Dune: Part Two (2024) - IMDb Little Empty Boxes For a limited time only, Mind Pump listeners get a free LMNT Sample Pack with any purchase: Visit DrinkLMNT.com/MindPump MAPS Powerlift | Mind Pump #2015: How To Apply Advanced Training Techniques To Build More Muscle Mind Pump #1487: The Best Way For First Responders To Stay In Shape Mind Pump #2287: Bodybuilding 101- How To Bulk And Cut Mind Pump Podcast – YouTube Mind Pump Free Resources People Mentioned Jen Cohen (@therealjencohen) Instagram Max Lugavere (@maxlugavere) Instagram
This week's show includes 3 main topics/questions. First, Joe shares a story involving a conversation he recently had at Target with a former client. Although the interaction with his former client was brief, it included a valuable reminder/lesson that Joe shares with his audience. After hearing this story you'll be able to determine if your current training program is TRULY effective/functional or if it's doing more harm than good. [You'll also get the inside scoop on Joe's new "functional strength standard" LOL.] After Joe finishes "storytime" he answers two listener questions. These topics include: 1) The most effective way to execute warm-up reps/exercises 2) Is it a big deal if football players (and athletes in general) squat above parallel? *For a full list of Show Notes w/ Timestamps visit www.IndustrialStrengthShow.com. IMPORTANT LINKS Iron Business Blueprint [March cohort] Limber 11 (Mobility routine) Joe D's IG (@defrancosgym) Team Forever Strong [*Use code: STRONG150]