Podcasts about psychiatric

Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Welcome back to The Tiberius Show! Today we talk with Justin Felde, a behavioral health care planner who works at a state psychiatric facility. Justin helps people at some of the toughest moments of their lives. He works with doctors, nurses, therapists, and families to help patients get the support and treatment they need to return to their everyday life.In this episode, Justin explains what a psychiatric hospital really is, why mental health is so important, how treatment plans work, and what it's like interviewing and supporting people with severe mental illness. He shares stories from his career, talks about safety, communication, family relationships, and the real challenges many people face with housing, money, and support.  Discussion Points• What a care planner does • What a psychiatric facility is (and what it is NOT) • How Justin interviews patients and gathers important information • Shocking moments and surprising things he has learned • How treatment plans are created • Why some patients refuse help at first • How staff stay calm in intense situations • The difference between mental illness and personality disorders • How socioeconomic issues (housing, money, jobs) affect treatment • Why wrap-around services matter • Working with families—good and challenging moments • What teens should learn about mental health in school  • Why leadership and teamwork keep everyone safe Become a supporter of this podcast: https://www.spreaker.com/podcast/the-tiberius-show--3352195/support.

The guys discuss Glore Psychiatric Museum in St. Joseph, Missouri. It's located in the former State Lunatic Asylum No. 2. The museum is widely recognized as one of the most haunted buildings in the state!!!https://www.bumpinthenight.net/glorehttps://www.hauntedrooms.com/missouri/haunted-places/glore-psychiatric-museumhttps://www.griffonnews.com/lifestyles/the-glore-psychiatric-museum-has-a-haunting-history/article_f02de365-74f6-4d48-a951-2265cbdcca7c.htmlhttps://www.kcghosts.com/glore-psychiatric-museumhttps://m.youtube.com/shorts/Zxe_W9eVMck

One Year On: Alex Gulland's Journey into Practice – Confidentiality in Counselling Case Studies In Episode 362 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week's three topics: Firstly, in ‘Ethical, Sustainable Practice', we explore working with clients who have a psychiatric diagnosis, considering how to approach this work ethically, including navigating risk, understanding medication, and maintaining person-centred care. Then in ‘Practice Matters', Rory catches up with Alex Gulland, a year after she qualified, to hear what the transition from student to practitioner has really been like – from building a client base to discovering a passion for equine-assisted therapy. And finally in ‘Student Services', Ken and Rory explore how to protect client confidentiality when writing case studies – including anonymisation techniques and data protection guidance. Sarah Henry joins to share her frontline insights into balancing academic and ethical responsibilities. Working with Clients Who Have a Psychiatric Diagnosis [starts at 03:17 mins] In this section, Rory and Ken explore working with clients who have a psychiatric diagnosis, unpacking the complexities of staying within professional competence while offering relational, therapeutic support. Key points discussed include: Understanding diagnoses like bipolar disorder or schizophrenia helps reduce fear and supports ethical, informed practice. Therapists must see the person first – not the label or diagnosis – and listen to what the client needs from therapy. Medication, risk, and involvement with community mental health teams should be explored during initial assessments. Supervision is essential when working with clients who have complex mental health needs, especially during episodes of active distress or psychosis. Counsellors should seek CPD to increase confidence and competence in this area, and avoid making assumptions about diagnosis severity. One Year On: Alex Gulland's Journey into Practice [starts at 26:53 mins] In this week's ‘Practice Matters', Rory reconnects with Alex Gulland to hear how her first year as a qualified counsellor has unfolded – from business decisions to developing her niche. Key points from this conversation include: Building a client base takes time and persistence; marketing and directory presence matter. Accreditation and professional registration offer reassurance but are not always decisive factors for clients. Combining freelance roles in training with private practice has provided income and valuable experience. Alex shares how equine-assisted therapy has become a core part of her practice, offering creative, non-verbal connection. Continued learning, especially in areas like attachment theory and shadow work, has been central to her growth. Confidentiality in Counselling Case Studies [starts at 55:18 mins] In this section, Rory and Ken provide a detailed guide on how to write case studies while protecting client identity – a key consideration in counselling education. Key points include: Use anonymisation techniques such as pseudonyms, vague job titles, and generalised locations to remove identifying details. Only include information directly relevant to the assignment question – avoid unnecessary specifics or rare events. Gain informed consent where possible, and understand awarding body and agency policies on client data use. Refer to BACP guidance, ICO anonymisation principles, and supervisor support to ensure ethical compliance. Sarah Henry emphasises how students can reflect on their motivations and ensure they write responsibly while still demonstrating learning. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Training and CPD Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course

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Forget the courthouse soundbite. Here's what matters: there's a sealed file in the Nick Reiner case that contains evidence significant enough to make Alan Jackson declare his client not guilty of murder—then immediately walk away from the case.What's in that file?Psychiatric evaluations we can't read. Medical records we can't access. Ten subpoenas targeting witnesses and documents the prosecution doesn't even know about. A confidential order signed by the judge relating to Nick's mental health. Sources confirming schizophrenia treatment—but zero details on what that treatment revealed.Jackson saw all of it. He investigated "top to bottom, back to front." And whatever he found was apparently damning enough—for the prosecution—that he felt confident making a public declaration before handing the case off.But here's the part that doesn't add up: if the insanity defense is airtight, why seal the evidence? If the psychiatric evaluations prove Nick didn't understand what he was doing, why hide them? If Jackson's so certain, why isn't he in the courtroom making the argument himself?Something doesn't fit. There's a piece of this puzzle we're not seeing—probably because someone decided we're not supposed to see it.The mainstream coverage is stuck on "will he plead insanity?" We're asking a different question: what's in the sealed file that nobody wants to talk about?#NickReiner #RobReiner #SealedEvidence #TrueCrime #HiddenKillers #CourtSecrets #InsanityDefense #WhatAreTheyHiding #PsychiatricEvaluation #TheRealStoryJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Ohio's psychiatric hospitals are primarily serving patients who face criminal charges due to a rise in long-term, court-ordered stays, according to reporting from The Marshall Project - Cleveland and KFF Health News.

Zermirah Zuriel spent time as a Highly sought after escort, not long after her mind was taken over by darkness. She found herself sectioned in Psychiatric knock down multiple times and hopeless. Christ Deliverance I. Her life is proof of Hod faithfulness!Keep Up w/ ZermirahInstagram:https://www.instagram.com/zermirahzur...YouTube:    / @zermirahzurielredeemed  Support this Platform: We Need to TalkJoin this channel to get access to perks:   / @weneed2talktv  GO DEEPER W/ COMMUNITY https://family.godsvoicetoday.comFinancially Support this Podcast:$TheAzonwusPayPal: https://www.paypal.com/donate/?hosted...Zelle: fwdprodinc@gmail.com Social media: Wordsbyezekiel Thisisglory Wenned2tlkpodcastListen to all podcast episodes:Spotify: https://open.spotify.com/show/0TKwMpq...Join Band of Brothers Men's Grouphttps://bandofbrothersintl.org/Book Us for an Event: http://www.wordsbyezekiel.com/bookeze...Merch: Wordsbyezekiel.com/shop Submit Your Story for a chance to feature - Email short video to: TheAzonwus@gmail.com

Fluent Fiction - Hebrew: A Nurse's Journey: Finding Hope in a Psychiatric Ward Find the full episode transcript, vocabulary words, and more:fluentfiction.com/he/episode/2026-01-02-08-38-20-he Story Transcript:He: היה זה בוקר חורפי חדש בשנה החדשה, והאוויר הקריר והניצנצים של השלג חדרו דרך חלונות הסורגים של מחלקה פסיכיאטרית ישנה.En: It was a winter morning in the new year, and the cool air and the sparkling snow penetrated through the barred windows of an old psychiatric ward.He: נועם, אח מסור עם לב גדול, התחיל את משמרתו הארוכה במחלקה.En: Noam (Noam), a dedicated nurse with a big heart, started his long shift in the ward.He: האורות במסדרונות היו מעומעמים, והדלתות נעולות בסודיות שקטה.En: The lights in the corridors were dim, and the doors locked with quiet secrecy.He: אבל משהו היה שונה הבוקר הזה.En: But something was different this morning.He: נועם שם לב לכך שדלפק הקבלה היה שקטה יתר על המידה.En: Noam noticed that the reception desk was unusually quiet.He: כשעבר במסדרון, הבחין בחדר של יעל, המטופלת שלו, פתוח והחדר ריק.En: As he walked down the corridor, he noticed that the room of Yael (Yael), his patient, was open and the room was empty.He: "היא איננה," אמר נועם בפליאה.En: "She's not here," said Noam in surprise.He: הבזק של דאגה עבר בו.En: A flash of worry passed through him.He: יעל, תמיד חייכה בעיניה השקטות, והמחשבה על כך שהיא נעלמה הדאיגה אותו מאוד.En: Yael, always smiling with her quiet eyes, and the thought of her disappearing worried him greatly.He: בכדי לא להכניס בהלה בקרב הצוות והמטופלים, הוא החליט לחפש אותה בעצמו.En: To avoid causing panic among the staff and patients, he decided to look for her himself.He: זמן לא היה בצדו, וכל דקה חישבה לפתח בהלה גדולה יותר.En: Time was not on his side, and every minute threatened to develop into greater panic.He: נועם החליט לבדוק תחילה אצל איתן, מטופל נוסף שראה את יעל לאחרונה.En: Noam decided to check first with Eitan (Eitan), another patient who had seen Yael last.He: "איתן", פנה נועם בחמלה, "ראית את יעל הבוקר?En: "Eitan," Noam approached with compassion, "have you seen Yael this morning?"He: "איתן נראה לרגע מהסס, אבל לבסוף לחש, "ראיתי אותה הולכת לכיוון החדר המשותף.En: Eitan seemed hesitant for a moment, but finally whispered, "I saw her going towards the common room.He: היא נראתה מהורהרת.En: She looked pensive."He: "נועם מיהר לחדר המשותף.En: Noam hurried to the common room.He: שם גילה פתק קטן ומקופל על אחד השולחנות.En: There, he found a small, folded note on one of the tables.He: "המקום השקט שלי בין הפרחים," היה כתוב בכתב יד דק.En: "My quiet place among the flowers," was written in fine handwriting.He: נועם ידע בדיוק לאן ללכת.En: Noam knew exactly where to go.He: במרפסת של המחלקה, בין הפתותים הלבנים של חורף, הוא מצא את יעל יושבת על הספסל.En: On the ward's balcony, between the white flakes of winter, he found Yael sitting on a bench.He: מולה הייתה ערוגת פרחים קטנה שצלחה את הקור ובצבצה מתוך השלג, סמל של חיים חדשים.En: In front of her was a small flower bed that had survived the cold and peeked out from the snow, a symbol of new life.He: נועם התיישב לידה בשקט.En: Noam sat down quietly next to her.He: "מצאתי אותך," הוא אמר בחיוך רגוע.En: "I found you," he said with a calm smile.He: יעל חייכה אליו חזרה, מקצת דמעות בעיניה.En: Yael smiled back at him, a few tears in her eyes.He: הם שבו יחד לחדרה, ונועם הבטיח לה שעכשיו תהיה בסדר.En: Together, they returned to her room, and Noam promised her that everything would be alright now.He: מחדש למשמרתו, נועם חש בהבנה עמוקה יותר של הכאב הפנימי של מטופליו.En: Back to his shift, Noam felt a deeper understanding of the inner pain of his patients.He: הוא ידע שהוא חייב להקשיב יותר, לחפש את האותות השקטים ולתמוך בהם בדרכים שהוא יכול.En: He knew he had to listen more, look for the quiet signs, and support them in ways he could.He: הוא הבטיח לעצמו להיות לא רק אח, אלא גם ידיד אמיתי למטופליו.En: He promised himself to be not just a nurse, but a true friend to his patients. Vocabulary Words:ward: מחלקהbarred: סורגיםpsychiatric: פסיכיאטריתshift: משמרתdim: מעומעמיםsecrecy: סודיותpensive: מהורהרתcorridor: מסדרוןreception: דלפק קבלהhesitant: מהססcompassion: חמלהfolded: מקופלhandwriting: כתב ידbalcony: מרפסתflake: פתותיםpeeked: בצבצהbench: ספסלsupport: לתמוךquietly: בשקטdisappearing: נעלמהpromise: הבטיחpanic: בהלהcompassion: חמלהcorridor: מסדרוןreception desk: דלפק קבלהnoticing: הבחנהdemure: שקטהroom: חדרsparkling: ניצנציםdedicated: מסורBecome a supporter of this podcast: https://www.spreaker.com/podcast/fluent-fiction-hebrew--5818690/support.

Fluent Fiction - Catalan: Finding Warmth: A Tale of Hope in a Psychiatric Ward Shop Find the full episode transcript, vocabulary words, and more:fluentfiction.com/ca/episode/2026-01-02-23-34-02-ca Story Transcript:Ca: El sol d'hivern entrava suaument per les finestres de l'hospital, creant un ambient tranquil al petit espai de la botiga de caritat del psiquiàtric.En: The winter sun gently entered through the windows of the hospital, creating a tranquil atmosphere in the small space of the charity shop at the psychiatric hospital.Ca: Els flocs de neu ballaven a l'exterior, cobrint els jardins amb un mantell blanc.En: The snowflakes danced outside, covering the gardens with a white blanket.Ca: Dins, Laia revisava la roba amb cura, assegurant-se que cada peça comptés amb una etiqueta clara.En: Inside, Laia carefully examined the clothes, making sure each piece had a clear label.Ca: L'Andreu i el Martí van entrar junts, fent soroll amb les botes mullades.En: Andreu and Martí entered together, making noise with their wet boots.Ca: Andreu es va aturar al llindar, la seva respiració una mica accelerada.En: Andreu stopped at the threshold, his breathing a bit accelerated.Ca: La calidesa de la botiga contrastava amb el fred de fora.En: The warmth of the shop contrasted with the cold outside.Ca: Martí, com sempre, va xocar amistosament contra el braç de l'Andreu.En: Martí, as always, playfully bumped against Andreu's arm.Ca: "Va, company, és només roba. És com casa," va dir Martí, intentant alleugerir el seu humor.En: "Come on, buddy, it's just clothes. It's like home," Martí said, trying to lighten his mood.Ca: La botiga era petita però acollidora.En: The shop was small but cozy.Ca: Tenia prestatgeries plenes de roba donada: abrics de tots colors, bufandes teixides a mà i jerseis que feien olor de lavanda.En: It had shelves full of donated clothes: coats of all colors, hand-knitted scarves, and sweaters that smelled of lavender.Ca: La Laia es va apropar amb un somriure càlid.En: Laia approached with a warm smile.Ca: "Veig que busques alguna cosa especial, Andreu", va dir.En: "I see you're looking for something special, Andreu," she said.Ca: "Busco un jersei, alguna cosa que... em faci sentir bé."En: "I'm looking for a sweater, something that... makes me feel good."Ca: La selecció, tanmateix, era limitada, i Andreu se sentia ansiós.En: The selection, however, was limited, and Andreu felt anxious.Ca: Laia el va observar atentament.En: Laia watched him closely.Ca: "No sempre és el més maco el que necessitem. Tria el que et faci sentir bé, no el que veus."En: "It's not always the nicest thing we need. Choose what makes you feel good, not what you see."Ca: Andreu va assentir, passant la mà pels fils de diverses peces.En: Andreu nodded, running his hand through the threads of various pieces.Ca: Quan la seva mà va topar amb un jersei groc i verd llampant, va parar-se.En: When his hand touched a bright yellow and green sweater, he stopped.Ca: Li recordava la platja on jugava de petit.En: It reminded him of the beach where he played as a child.Ca: Però dubtava.En: But he hesitated.Ca: Les mirades dels altres li semblaven pesades.En: The looks from others seemed heavy.Ca: El Martí va notar la seva indecisió.En: Martí noticed his indecision.Ca: "Què passa, Andreu? Aquest és el que et fa tornar a casa, oi?"En: "What's wrong, Andreu? This is the one that takes you home, right?"Ca: L'Andreu va agafar aire i va contemplar-lo.En: Andreu took a breath and contemplated it.Ca: Els nervis es barrejaven amb una mica d'esperança.En: His nerves mixed with a bit of hope.Ca: La Laia va encoratjar-lo suaument.En: Laia gently encouraged him.Ca: "Confia en tu mateix."En: "Trust yourself."Ca: Amb un últim sospir, Andreu va prendre el jersei amb fermesa.En: With one last sigh, Andreu firmly took the sweater.Ca: Se'l va posar i va sentir una onada de calidesa.En: He put it on and felt a wave of warmth.Ca: No era només el teixit; era la sensació de suport i companyia.En: It wasn't just the fabric; it was the feeling of support and companionship.Ca: Martí i Laia li van somriure, compartint l'alegria del moment.En: Martí and Laia smiled at him, sharing in the joy of the moment.Ca: Sortint de la botiga, l'Andreu va alçar els ulls al cel nevat.En: As Andreu left the shop, he looked up at the snowy sky.Ca: Ara, el jersei era més que un tros de roba.En: Now, the sweater was more than just a piece of clothing.Ca: Era un símbol d'un nou any ple d'esperança i del caliu dels amics.En: It was a symbol of a new year full of hope and the warmth of friends.Ca: Amb la neu caient suaument al seu voltant, va sentir que aquest any seria diferent, amb un nou començament al seu costat.En: With the snow falling gently around him, he felt that this year would be different, with a new beginning by his side. Vocabulary Words:the threshold: el llindartranquil: tranquilthe snowflakes: els flocs de neuto lighten: alleugerirto hesitate: dubtarthe warmth: la calidesathe label: la etiquetathe selection: la seleccióthe nerves: els nervisthe garden: els jardinsto contemplate: contemplarthe sigh: el sospirthe support: el suportthe space: el espaito bump: xocarthe knitted: teixidesto encourage: encoratjarthe wave: l'onadato enter: entrarthe shop: la botigathe anxiety: l'ansietatthe companionship: la companyiathe hope: l'esperançathe atmosphere: l'ambientthe blanket: el mantellto examine: revisarthe indecision: la indecisióthe fabric: el teixitthe sweater: el jerseithe looks: les mirades

The Breggin Hour with Dr. Peter & Ginger Breggin – Physicians can too easily deliver a prognosis after a catastrophic injury that paints a bleak future for the patient, stealing hope and throwing shade upon the human life spark to survive and ultimately thrive. Psychiatric patients, for instance, are too often told that their psychiatric diagnosis is permanent and cannot change over months and years, when...

Nick Reiner was diagnosed with schizophrenia years ago. He was in treatment. Expensive treatment. According to multiple reports, his medication was changed just weeks before his parents were stabbed to death. His defense attorney, Alan Jackson — fresh off a major acquittal in another high-profile case — is already calling this case “very complex.” Translation: the insanity defense is coming. But insanity is not a diagnosis — it's a legal standard. In California, the question is narrow and brutal: did the defendant understand what he was doing, and did he know it was wrong? In this episode, we walk through what an insanity defense actually requires, and why it's far harder to prove than many people assume. We examine how being actively in treatment can cut both ways, how medication changes factor into legal responsibility, and why post-crime behavior — hotel stays, travel, attempts to clean up evidence, calm public behavior — creates serious hurdles for the defense. We also discuss Nick's court appearance in a suicide prevention smock, the delayed arraignments, and a sealed medical order signed by the judge. What's happening behind closed doors? Competency evaluations? Psychiatric holds? Strategic positioning? Finally, we explore the most painful layer of all: when the victims and the defendant are part of the same family. How does accountability work when mental illness is real — but so is violence? This isn't about sympathy versus punishment. It's about where the law draws the line. #NickReiner #InsanityDefense #Schizophrenia #TrueCrimeAnalysis #JenniferCoffindaffer #HiddenKillers #MentalHealthAndCrime #LegalBreakdown #TrueCrime Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Nick Reiner was diagnosed with schizophrenia years ago. He was in treatment. Expensive treatment. According to multiple reports, his medication was changed just weeks before his parents were stabbed to death. His defense attorney, Alan Jackson — fresh off a major acquittal in another high-profile case — is already calling this case “very complex.” Translation: the insanity defense is coming. But insanity is not a diagnosis — it's a legal standard. In California, the question is narrow and brutal: did the defendant understand what he was doing, and did he know it was wrong? In this episode, we walk through what an insanity defense actually requires, and why it's far harder to prove than many people assume. We examine how being actively in treatment can cut both ways, how medication changes factor into legal responsibility, and why post-crime behavior — hotel stays, travel, attempts to clean up evidence, calm public behavior — creates serious hurdles for the defense. We also discuss Nick's court appearance in a suicide prevention smock, the delayed arraignments, and a sealed medical order signed by the judge. What's happening behind closed doors? Competency evaluations? Psychiatric holds? Strategic positioning? Finally, we explore the most painful layer of all: when the victims and the defendant are part of the same family. How does accountability work when mental illness is real — but so is violence? This isn't about sympathy versus punishment. It's about where the law draws the line. #NickReiner #InsanityDefense #Schizophrenia #TrueCrimeAnalysis #JenniferCoffindaffer #HiddenKillers #MentalHealthAndCrime #LegalBreakdown #TrueCrime Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Nick Reiner was diagnosed with schizophrenia years ago. He was in treatment. Expensive treatment. According to multiple reports, his medication was changed just weeks before his parents were stabbed to death. His defense attorney, Alan Jackson — fresh off a major acquittal in another high-profile case — is already calling this case “very complex.” Translation: the insanity defense is coming. But insanity is not a diagnosis — it's a legal standard. In California, the question is narrow and brutal: did the defendant understand what he was doing, and did he know it was wrong? In this episode, we walk through what an insanity defense actually requires, and why it's far harder to prove than many people assume. We examine how being actively in treatment can cut both ways, how medication changes factor into legal responsibility, and why post-crime behavior — hotel stays, travel, attempts to clean up evidence, calm public behavior — creates serious hurdles for the defense. We also discuss Nick's court appearance in a suicide prevention smock, the delayed arraignments, and a sealed medical order signed by the judge. What's happening behind closed doors? Competency evaluations? Psychiatric holds? Strategic positioning? Finally, we explore the most painful layer of all: when the victims and the defendant are part of the same family. How does accountability work when mental illness is real — but so is violence? This isn't about sympathy versus punishment. It's about where the law draws the line. #NickReiner #InsanityDefense #Schizophrenia #TrueCrimeAnalysis #JenniferCoffindaffer #HiddenKillers #MentalHealthAndCrime #LegalBreakdown #TrueCrime Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Nick Reiner was diagnosed with schizophrenia years ago. He was in treatment. Expensive treatment. According to multiple reports, his medication was changed just weeks before his parents were stabbed to death. His defense attorney, Alan Jackson — fresh off a major acquittal in another high-profile case — is already calling this case “very complex.” Translation: the insanity defense is coming. But insanity is not a diagnosis — it's a legal standard. In California, the question is narrow and brutal: did the defendant understand what he was doing, and did he know it was wrong? In this episode, we walk through what an insanity defense actually requires, and why it's far harder to prove than many people assume. We examine how being actively in treatment can cut both ways, how medication changes factor into legal responsibility, and why post-crime behavior — hotel stays, travel, attempts to clean up evidence, calm public behavior — creates serious hurdles for the defense. We also discuss Nick's court appearance in a suicide prevention smock, the delayed arraignments, and a sealed medical order signed by the judge. What's happening behind closed doors? Competency evaluations? Psychiatric holds? Strategic positioning? Finally, we explore the most painful layer of all: when the victims and the defendant are part of the same family. How does accountability work when mental illness is real — but so is violence? This isn't about sympathy versus punishment. It's about where the law draws the line. #NickReiner #InsanityDefense #Schizophrenia #TrueCrimeAnalysis #JenniferCoffindaffer #HiddenKillers #MentalHealthAndCrime #LegalBreakdown #TrueCrime Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

In our Big Questions in Psychiatry podcast series, we explore the complex and messy questions shaping psychiatry. In this podcast, we look at the role of medications in psychiatric disorders, the stigma associated with psychotropic medication and whether or not they truly are more problematic than medications used for physical illnesses. Prof Subodh Dave interviews the lead author of ‘The Maudsley Prescribing Guidelines', Prof David Taylor, to uncover whether or not medications can work ever work in psychiatric disorders. The video-based version of this podcast is available via the CPD eLearning subscription on the eLearning Hub. Disclaimer: Thank you for listening to this Royal College of Psychiatrists CPD eLearning podcast. This podcast provides information, not advice. The content in this podcast is provided for general information only and is not intended to, and does not amount to, advice that you should rely on. It is not an alternative to specific, professional advice. Although we make reasonable efforts to present accurate information in our podcasts, we make no representations, warranties or guarantees, whether expressed or implied, that the content in this podcast is accurate, complete or up to date. If you have any questions about any medical matter, you should consult your doctor or other professional healthcare provider without delay. If you think you are experiencing any medical condition, you should seek immediate attention from a doctor or professional healthcare provider. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.

Most people imagine schizophrenia beginning with dramatic hallucinations or sudden breaks from reality—but the truth is far more subtle, far more complicated, and far easier to miss. In this special featured episode from Inside Schizophrenia, host Rachel Star Withers, who lives openly with schizophrenia, joins co-host Gabe Howard to unpack the quiet red flags that often go unnoticed for months—or even years. You'll hear how early symptoms differ across children, teens, and adults, why up to 80% of people with schizophrenia don't realize they're experiencing warning signs, and how everyday stressors can mask the earliest hallucinations, delusions, and disorganized thinking. Psychiatric mental health nurse practitioner Carlos Larrauri, who also lives with schizophrenia, joins the conversation to explain what current research is uncovering about prodromal stages and early detection efforts. Listener Takeaways Why early schizophrenia symptoms are so subtle that most people overlook them Key differences in warning signs across children, teens, and adults Why families often miss early red flags—and why that's understandable What researchers are doing to identify schizophrenia sooner From shadow people to slipping grades, from forgotten appointments to unexplained sensory sensitivity, this episode pulls back the curtain on the earliest—and most misunderstood—phase of schizophrenia. Whether you're a parent, partner, friend, clinician, or simply curious, this episode offers the clarity, compassion, and insight needed to recognize when something deeper may be happening long before a crisis appears. Our guest, Carlos A. Larrauri, MSN, is co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) and has formerly served on the National Alliance on Mental Illness (NAMI) and NAMI Miami-Dade County Board of Directors. Diagnosed with schizophrenia at 23 years old, access to quality mental health care, community-based treatment, and early intervention afforded him the best opportunity for recovery. Mr. Larrauri is pursuing a law degree at the University of Michigan Law School and a concurrent master in public administration at the Harvard Kennedy School, where he was Zuckerman Fellow at Harvard's Center for Public Leadership. He's board certified as a family nurse practitioner and psychiatric mental health nurse practitioner and formerly lectured at the University of Miami and Miami Dade College. Mr. Larrauri aspires to interface advocacy and research to reduce health inequities for people living with mental illness. To learn more about Carlos and his work, visit his website or his LinkedIn. Our guest host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage, and let others like her know they're not alone and can still live an amazing life. She has written “Lil Broken Star: Understanding Schizophrenia for Kids” and a tool for schizophrenics, “To See in the Dark: Hallucination and Delusion Journal.” Learn more at RachelStarLive.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this incredibly powerful interview, I sit down with Amelia, who recovered from anorexia, severe OCD, and suicidal ideation after spending 7 years in the UK mental health system. She shares the brutal reality of inpatient treatment, being misdiagnosed, having her autonomy stripped away, and ultimately recovering completely on her own terms. Now 20 years old, she's travelling the world - something that would have been impossible in her eating disorder. This episode is essential for anyone stuck in the system, anyone told they'll never recover, and anyone who needs proof that full recovery IS possible.Key Quotes from the Episode:

Anders Sorensen is a Danish clinical psychologist with a PhD in psychiatry.  He's one of the world's leading authorities on psychiatric drug dependence and the complex science of safely discontinuing these medications. His  book "Crossing Zero: The Art and Science of Coming Off-and Staying off- Psychiatric drugs" is a seminal book on how to help people break psychiatric drug dependence and restore their inner compass and relationship to emotions. This conversation discusses emotion regulation in great depth and the lost art of how to respond to our inner world of thoughts, memories and emotions. Anders also discusses the future of mental health, his recent experience with psilocybin and how to restore sanity living in a culture in decline. Substack: https://crossingzero.substack.com/X: https://x.com/_AndersSorensenPurchase Crossing Zero on Amazon Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

This week on Health Matters, we're sharing an episode of NewYork-Presbyterian's Advances in Care, a show for listeners who want to stay at the forefront of the latest medical innovations and research. On this episode of Advances in Care, host Erin Welsh first hears from Dr. Richard Friedman, a clinical psychiatrist at NewYork-Presbyterian and Director of the Psychopharmacology Clinic at Weill Cornell Medicine. Using his background in psychopharmacology, Dr. Friedman distinguishes between psychedelics and standard antidepressants like SSRIs and SNRIs, explaining the various mechanisms in the brain that respond uniquely to psychedelic compounds. Dr. Friedman also identifies that the challenge of proving efficacy of psychedelic therapy lies in the question of how to design a clinical trial that gives patients a convincing placebo. To learn more about the challenges of trial design, Erin also speaks to Dr. David Hellerstein, a research psychiatrist at NewYork-Presbyterian and Columbia. Dr. Hellerstein contributed to a 2022 trial of synthetic psilocybin in patients with treatment resistant depression. He and his colleagues took a unique approach to dosing patients so that they could better understand the response rates of patients who use psychedelic therapy. The results of that trial underscore an emerging pattern in the field of psychiatry – that while psychedelic therapy has its risks, it's also a promising alternative treatment for countless psychiatric disorders. Dr. Hellerstein also shares more about the future of clinical research on psychedelic therapies to potentially treat a range of mental health disorders.***Dr. Richard Friedman is a professor of clinical psychiatry and is actively involved in clinical research of mood disorders. In particular, he is involved in several ongoing randomized clinical trials of both approved and investigational drugs for the treatment of major depression, chronic depression, and dysthymia.Dr. David J. Hellerstein directs the Depression Evaluation Service at Columbia University Department of Psychiatry, which conducts studies on the medication and psychotherapy treatment of conditions including major depression, chronic depression, and bipolar disorder.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org

Host Dr. Malcolm DeBaun chats with paper author Dr. Jennifer Hagen about the findings of their research: "Nine Months of Fluoxetine Aides in the Reduction of Negative Psychiatric Symptomology Following a Traumatic Musculoskeletal Injury" in the first part of the episode. In the second part, Dr. DeBaun discusses the findings with paper author Dr. Nathaniel E. Schaffer from the paper entitle: "PO vs IV Antibiotics for Fracture Related Infections: Bayesian Analysis." Live from the 2025 OTA Annual Meeting. For additional educational resources visit OTA.org

Dr. Jodi Tate is a psychiatrist from Iowa who specializes in working with adults with intellectual and developmental disabilities (IDD) and mental health challenges. Dr. Tate shares her journey into this field, emphasizing the lack of formal training for healthcare providers in treating individuals with IDD and advocating for better education through initiatives like a specialized psychiatry residency track and Project Echo—a virtual case-based learning program for direct support professionals. She highlights the importance of addressing diagnostic overshadowing, using medications judiciously, and persistent advocacy for quality care. Dr. Tate also recounts a success story involving electroconvulsive therapy for a patient with severe depression, illustrating the need for individualized, evidence-based treatment. The conversation underscores systemic gaps in healthcare for people with IDD and calls for expanding workforce training to ensure equitable, compassionate care.

Episode 336 In an unlikely turn of events, orcas and dolphins have been observed teaming up - to hunt and kill massive chinook salmon in the pacific. Given that orcas sometimes prey on dolphins, what's going on? Despite the promising signs of cooperation between these two species, there may be something less heartwarming at play. We dig into the findings and discuss other surprising ways animals cooperate with each other. From schizophrenia to bipolar disease, autism to OCD, many mental conditions are classified into different categories. But in the largest study of its kind, it's been discovered that 14 different disorders fall into just five genetic groups. The finding could explain why people are often diagnosed with multiple psychiatric conditions at once - and bring comfort to those who are. Could it also help us find better treatments? Exploding stars might be to thank for our very existence. It's thought that supernovae may spew out the heavy elements required for the creation of planets and the emergence of life. A new model shows this is possible - and may help us figure out where to look next for alien life. Could this open up a new field of cosmic ecology? Plus, news of a strange new kind of star from the James Webb Telescope. Black hole stars may explain a running mystery about odd galaxies spotted by the telescope, called little red dots.  Hosted by Rowan Hooper and Penny Sarchet, with guests Alec Luhn, Michael Le Page and Alex Wilkins. To read more about these stories, visit https://www.newscientist.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

When a man is falsely accused of attempted murder by the woman he's spent years trying to save, he's forced to confront the lifelong patterns of self-abandonment that led him there. Today's episode featured Anonymous. If you'd like to reach out to him, you can email him at griefandgracetiah@gmail.com. He is an anesthesia provider in California. His path has been shaped by loss, resilience, and the quiet work of rebuilding a life. He uses storytelling to make sense of what cannot be explained—and to find meaning in the spaces language cannot reach. Producers: Whit Missildine, Andrew Waits Content/Trigger Warnings: Childhood emotional abuse, Childhood neglect, Parental physical abuse, Family trauma, Addiction and substance abuse, Psychiatric crisis / mental health emergency, Domestic Violence Allegations, False accusations of violence, Arrest and incarceration, Threats of violence in jail, Financial exploitation, Trauma bonding / self-abandonment, Emotional manipulation, Legal trauma, PTSD and hypervigilance, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcast Website: thisisactuallyhappening.comTo Pre-Order the Limited Edition BOOK, hand-numbered and signed by Whit for shipping by December 10: https://www.thisisactuallyhappening.com/the-book Website for Andrew Waits: andrdewwaits.com Support the Show: Support The Show on Patreon: patreon.com/happening Wondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.com Intro Music: “Sleep Paralysis” - Scott VelasquezMusic Bed: Salib (SAL) - Tension Underscore 33 A ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources: National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Despite millions of us being exposed to psychiatric drugs, doctors, patients and families know very little about the harmful effects of psychiatric drugs. They know almost nothing about long-term harmful effects and even less about withdrawal effects. It's almost taboo to talk about stopping psychiatric drugs. Millions of people think they need psychiatric drugs because their feel dreadful when they try to stop them; but they don't need drugs--the need to learn to how to stop taking them. His new book, Psychiatric Drug Withdrawal, describes many of the reasons to stop taking psychiatric drugs and shows how to withdraw from them as safely as possible. Peter R. Breggin MD is a psychiatrist in private practice Ithaca, New York. Dr. Breggin is a worldwide leader in psychiatric reform who is called "The Conscience of Psychiatry." He founded the Center for the Study of Empathic Therapy, and has written more than 20 books including Talking Back to Prozac and Toxic Psychiatry. His new book is Psychiatric Drug Withdrawal: A Guide for Prescribers, Therapists, Patients and their Families.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-x-zone-radio-tv-show--1078348/support.Please note that all XZBN radio and/or television shows are Copyright © REL-MAR McConnell Meda Company, Niagara, Ontario, Canada – www.rel-mar.com. For more Episodes of this show and all shows produced, broadcasted and syndicated from REL-MAR McConell Media Company and The 'X' Zone Broadcast Network and the 'X' Zone TV Channell, visit www.xzbn.net. For programming, distribution, and syndication inquiries, email programming@xzbn.net.We are proud to announce the we have launched TWATNews.com, launched in August 2025.TWATNews.com is an independent online news platform dedicated to uncovering the truth about Donald Trump and his ongoing influence in politics, business, and society. Unlike mainstream outlets that often sanitize, soften, or ignore stories that challenge Trump and his allies, TWATNews digs deeper to deliver hard-hitting articles, investigative features, and sharp commentary that mainstream media won't touch.These are stories and articles that you will not read anywhere else.Our mission is simple: to expose corruption, lies, and authoritarian tendencies while giving voice to the perspectives and evidence that are often marginalized or buried by corporate-controlled media

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.This episode covers the psychiatric case presentation with Dr. Justin Delwo, a staff psychiatrist at Toronto Western Hospital where he works in the emergency department and urgent care settings.The learning objectives for this episode are as follows:What is the goal of a psychiatric case presentation?What are some ground rules for a case presentation?What are the key sections of a case presentation and what should you include under each? How can you tailor your case presentation to the settingGuest: Dr. Justin DelwoHosts: Dr. Matt Cho (PGY1), Dr. Daamoon Ghahari (PGY2), and Dr. Angad Singh (PGY2)Audio editing: Dr. Angad Singh (PGY2)Episode evaluation: Shelly Palchik (MS4)Time Stamps:(1:50) - Goals of a case presentation(4:49) - Ground rules for presenting(7:56) - General overview(19:44) - Identifying Data(23:16) - Chief complaint and reason for referral(25:42) - History of presenting illness(38:38) - Review of systems(42:16) - Safety(49:42) - Past psychiatric history(53:54) - Medications(55:55) - Past medical history(59:14) - Allergies(1:00:13) - Family psychiatric history(1:02:07) - Personal history(1:06:23) -  Mental status exam(1:09:45) - Impression(1:14:20) - Plan(1:18:43) - Tailoring to different settingsFor more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at psychedpodcast@gmail.com and visit our website atpsychedpodcast.org.

Sally's website: https://sallysatelmd.com Topics covered include the insanity plea, the nature-nurture debate, quackery in the mental health profession, addiction, and the application of the evolutionary lens within psychiatry. _______________________________________ If you appreciate my work and would like to support it: https://subscribestar.com/the-saad-truth https://patreon.com/GadSaad https://paypal.me/GadSaad To subscribe to my exclusive content on X, please visit my bio at https://x.com/GadSaad _______________________________________ This clip was posted on November 28, 2025 on my YouTube channel as THE SAAD TRUTH_1945: https://youtu.be/b1Avge-Txg8 _______________________________________ Please visit my website gadsaad.com, and sign up for alerts. If you appreciate my content, click on the "Support My Work" button. I count on my fans to support my efforts. You can donate via Patreon, PayPal, and/or SubscribeStar. _______________________________________ Dr. Gad Saad is a professor, evolutionary behavioral scientist, and author who pioneered the use of evolutionary psychology in marketing and consumer behavior. In addition to his scientific work, Dr. Saad is a leading public intellectual who often writes and speaks about idea pathogens that are destroying logic, science, reason, and common sense.  _______________________________________

In this powerful episode, Carter Doyle – a psychiatric mental health nurse practitioner, survivor of conversion practices, and founder of Leaf Psychiatry – joins host Avik Chakraborty to explore how shame-based religious teachings and non-affirming environments create full-body trauma, especially for LGBTQ+ individuals. Carter explains why chronic self-doubt, shutdown responses, and spiritual wounds are actually intelligent nervous-system survival strategies, and he shares practical, shame-free paths toward regulation, integration, and authentic healing. Key Takeaways: Religious and identity-based shame isn't just emotional – it's a nervous-system injury that can show up as chronic anxiety, dissociation, body disconnection, and a deep belief that “something is wrong with me.” Your symptoms are not moral failures; they're evidence your body did its best to protect you in an unsafe environment. Healing starts with tiny pockets of safety: noticing bodily sensations, building supportive relationships, and taking one curious step at a time. A simple grounding practice: Pause → Notice what you're feeling → Ask “Where do I feel this in my body?” → Allow the sensation without judgment. Medication, when needed, is not a weakness – it's pain relief that can create space for deeper therapy, lifestyle changes, acupuncture (NADA protocol), and spiritual integration. The most protective thing allies (parents, pastors, therapists) can offer is curiosity, non-judgmental presence, and safety – not fixing or conversion efforts. Conversion practices and attempts to change sexual orientation or gender identity are proven ineffective and significantly increase lifelong mental-health risks, including suicidality. True healing integrates trauma work, nervous-system regulation, lifestyle practices, and (when desired) faith – all in a human-first, shame-free way. Connect with Guest – Carter Doyle Instagram & YouTube Website & Practice: https://www.leafpsychiatry.com/  Want to be a guest on Healthy Mind, Healthy Life?DM on PM - Send me a message on PodMatchDM Me Here: https://www.podmatch.com/hostdetailpreview/avik DisclaimerThis video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third-party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer. About Healthy Mind By AvikHealthy Mind By Avik is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic, it has become a sanctuary for healing, growth, and mindful living. Hosted by Avik Chakraborty, this channel brings you powerful podcasts and grounded conversations across mental health, emotional well-being, mindfulness, holistic healing, trauma recovery, and self-empowerment. With over 4,400 episodes and 168.4K global listeners, we are committed to amplifying stories and breaking stigma worldwide.Subscribe and be part of this healing journey. ContactBrand: Healthy Mind By AvikEmail: join@healthymindbyavik.com | podcast@healthymindbyavik.comWebsite: www.healthymindbyavik.comBased in: India and USAOpen to collaborations, guest appearances, coaching, and strategic partnerships. CHECK PODCAST SHOWS & BE A GUESTPodcasts: https://www.podbean.com/podcast-network/healthymindbyavikBe a guest: https://www.healthymindbyavik.com/beaguestVideo Testimonial: https://www.healthymindbyavik.com/testimonialsCommunity: https://nas.io/healthymindNewsletter: https://healthymindbyavik.substack.com/ OUR SERVICESBusiness Podcast Management: https://ourofferings.healthymindbyavik.com/corporatepodcasting/Individual Podcast Management: https://ourofferings.healthymindbyavik.com/Podcasting/Share Your Story: https://ourofferings.healthymindbyavik.com/shareyourstory STAY CONNECTEDMedium: https://medium.com/@contentbyavikYouTube: https://www.youtube.com/@healthymindbyavikInstagram: https://www.instagram.com/healthyminds.pod/Facebook: https://www.facebook.com/podcast.healthymindLinkedIn Page: https://www.linkedin.com/company/healthymindbyavikLinkedIn: https://www.linkedin.com/in/avikchakrabortypodcaster/Twitter: https://twitter.com/podhealthclubPinterest: https://www.pinterest.com/Avikpodhealth/ SHARE YOUR REVIEWGoogle Review: https://www.podpage.com/bizblend/reviews/new/Video Testimonial: https://famewall.healthymindbyavik.com/ Because every story matters and yours could be the one that lights the way. #podmatch #healthymind #healthymindbyavik #wellness #HealthyMindByAvik #MentalHealthAwareness #ReligiousTrauma #LGBTQMentalHealth #NervousSystemHealing #TraumaRecovery #StorytellingAsMedicine #PodcastLife #MentalHealthPodcast #wellbeing #selfcare #mindfulness

A psychiatric condition is accepted under FECA only if a qualified mental health professional diagnoses an emotional condition and provides a rationalized opinion that it was directly caused or substantially aggravated by specific, substantiated incidents or conditions of federal employment — not by general job stress or properly conducted personnel actions.If you are pursuing such a claim, almost all successful claimants use an attorney or experienced representative who specializes in federal workers' compensation, because the medical and factual causation burdens are extremely high.. Medical Causation Requirements for Establishing a Psychological DSM-5 Diagnosis for a Federal Employee Work-Related Injury Under FECA, a psychological condition (e.g., PTSD, major depressive disorder, or anxiety disorder per DSM-5 criteria) qualifies as a compensable "injury" if it arises out of and in the course of employment (5 U.S.C. § 8101(5); FECA PM Part 2, Chapter 2-0200). Emotional/psychiatric claims are scrutinized closely due to their subjective nature, and OWCP applies the Lillian Cutler criteria from ECAB precedent (28 ECAB 125 (1976)) to establish eligibility. Click on the transcript for more information to source for scheduled awards. The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm.  Dr. Taylor's contact information is:https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP /  DOL claim in Tampa, Jacksonville, Pensacola Florida, Mississippi or Daphne Alabama    you can make an appointment to see Dr. Taylor, or Dr. Sullivan   at the clinic at  FWC Medical Centers. To make a consultation with Dr. Taylor  call the clinic at 813-215-4356 or go  to our website at https://fwcmedicalcenters.net/     or     https://fedcompconsultants.com/For responses email Dr. Taylor at fedcompconsultants@protonmail.comFor responses email Dr. Taylor at fedcompconsultants@protonmail.comSupport the showFEEDSPOT TOP 10 National Workers Compensation Podcast:https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_emailFor responses email Dr. Taylor at fedcompconsultants@protonmail.comSupport the showFEEDSPOT TOP 10 National Workers Compensation Podcast: https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email

In this episode of Better Edge, Edgar Woznica, MD, explores the clinical challenges of diagnosing and treating patients with four or more co-occurring psychiatric conditions, including substance use disorders. He shares strategies for distinguishing primary versus substance-induced symptoms, emphasizes the importance of collaborative care and offers guidance for teaching diagnostic clarity to trainees. The episode also highlights the value of embracing diagnostic uncertainty and measuring success through functional outcomes.Clinical impact: This conversation provides practical tools for managing diagnostic complexity and reinforces the importance of integrated, patient-centered care in high-acuity psychiatric cases.

The All Local 4pm Update for Thursday, November 20th 2025

Army veteran Angie Peacock survived Iraq in 2003, only to become a prisoner of psychiatric torture. Between VA and civilian psychiatrists, she was prescribed 18 psychiatric drugs at once, then cold-turkeyed off benzodiazepines—leaving her unable to walk for 2.5 years and suicidal for three straight years.After losing 20 years to psychiatric "treatment," Angie escaped and has since helped over 1,000 people navigate psychiatric drug withdrawal. In this explosive conversation, she exposes how both military and civilian psychiatry systematically poison patients, why asking for help destroyed her military career, and delivers a radical truth: the mental health system isn't broken—it's designed to create lifelong patients.For anyone trapped in psychiatric dependency or questioning their "treatment resistant" label, this episode proves you're not crazy. They are. Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

In this week's episode of the Full of Beans podcast, Han is joined by Dr Tomos Williams. Tom has worked in the CWP Eating Disorder Service since May 2022. He works across community and specialist inpatient settings. He is the Psychiatric lead in the regional Type 1 Diabetes and Disordered Eating Clinic, the local MEED lead, and also works with patients with complex presentations, acting as a link person for local acute trusts. He is a member of the Royal College of Psychiatry Eating Disorder Faculty Executive Committee.This week, we discuss:What T1DE is, and why “diabulimia” is an outdated termThe life-threatening risks of insulin omissionHow eating disorders and diabetes treatment often conflictWhy T1DE clinics are essential, but underfundedThe role of eating disorder and diabetes professionalsWhat joined-up, trauma-informed care looks likeThe outcomes and success of T1DE pilotsThe urgent need for political support to save these servicesTimestamps:01:30 – What is Type 1 Diabetes and Disordered Eating (T1DE)04:00 – Medical risks associated with insulin omission08:50 – Building the T1DE clinic & lack of national funding13:10 – The power of a multi-disciplinary team18:40 – Early signs of T1DE and what clinicians should look for22:10 – Impact of trauma & perfectionism in diabetes25:00 – Outcomes & HbA1c improvements29:00 – Barriers to insulin pump access33:20 – Can you recover from EDs while managing diabetes?Resources & Links:The Compassion Project (Wessex & London T1DE Pilot)Parliamentary Inquiry into T1DE (2023)Diabetes UK on T1DEWant to help save T1DE services?Write to your local MP and demand continued funding. Mention the NHS England pilot outcomes and the need for integrated care for patients with type 1 diabetes and eating disorders.Connect with Us:Subscribe to the Full of Beans Podcast hereFollow Full of Beans on Instagram hereCheck out our website here⚠️ Trigger Warning: This episode discusses lived experiences of eating disorders, restrictive behaviours, and mentions of specific foods. Please take care when listening.If you enjoyed this episode, don't forget to subscribe, rate, and share the podcast to help us spread awareness.Sending positive beans your way, Han

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "The crisis in inpatient psychiatric care." In this episode, Muhamad examines the growing dysfunction within the nation's psychiatric hospital system, where patients in crisis are too often turned away or kept too long because of policy failures, financial pressures, and insurance algorithms that override clinical judgment. Drawing from two decades on the front lines, he describes the moral tension faced by psychiatrists navigating laws that punish both over- and under-admission, and insurers that cut coverage precisely when patients begin to improve. Muhamad calls for a new social contract for crisis care grounded in fairness, transparency, and dignity, where hospitals, insurers, and clinicians are all accountable to the patients they serve. Viewers will gain a clear and compassionate understanding of how reform can make psychiatric care humane, accessible, and just. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this eye-opening conversation, Dr. Linda Bluestein sits down with psychiatrist Dr. Janet Settle to unpack the medical mystery that is mast cell activation syndrome (MCAS) and why it may be hiding in plain sight as depression, anxiety, panic attacks, or even psychosis. Together, they explore how immune system dysregulation can masquerade as psychiatric illness, and why so many patients are misdiagnosed, medicated, and misunderstood. With deep expertise in trauma-informed psychiatry, Dr. Settle explains how MCAS and other overlooked conditions could be the real cause behind persistent mental health symptoms and what it takes to finally get the right diagnosis. Takeaways: Dr. Settle explains how MCAS can present as psychiatric symptoms like panic, depression, or brain fog—long before classic allergy symptoms appear. The conversation explores how common psych meds can actually exacerbate MCAS-related symptoms in some patients, leading to confusing outcomes. Learn how past trauma and immune dysregulation may work together to create a complex feedback loop—affecting mood, cognition, and inflammation. Many patients are labeled with mental illness for years before MCAS or other immune-based conditions are considered. Dr. Settle shares why this misdiagnosis is so common. Discover how identifying MCAS and understanding its psychiatric presentations can open the door to treatments that actually work—and a life patients didn't think was possible. Find the episode transcript here. References & Resources: Find all articles mentioned in this episode at bendybodiespodcast.com. Want more Dr. Janet Settle? https://www.linkedin.com/in/janet-settle-md-b2666142/ www.janetsettle.com www.Gateway2Healing.com Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

In this eye-opening conversation, Dr. Linda Bluestein sits down with psychiatrist Dr. Janet Settle to unpack the medical mystery that is mast cell activation syndrome (MCAS) and why it may be hiding in plain sight as depression, anxiety, panic attacks, or even psychosis. Together, they explore how immune system dysregulation can masquerade as psychiatric illness, and why so many patients are misdiagnosed, medicated, and misunderstood. With deep expertise in trauma-informed psychiatry, Dr. Settle explains how MCAS and other overlooked conditions could be the real cause behind persistent mental health symptoms and what it takes to finally get the right diagnosis. Takeaways: Dr. Settle explains how MCAS can present as psychiatric symptoms like panic, depression, or brain fog—long before classic allergy symptoms appear. The conversation explores how common psych meds can actually exacerbate MCAS-related symptoms in some patients, leading to confusing outcomes. Learn how past trauma and immune dysregulation may work together to create a complex feedback loop—affecting mood, cognition, and inflammation. Many patients are labeled with mental illness for years before MCAS or other immune-based conditions are considered. Dr. Settle shares why this misdiagnosis is so common. Discover how identifying MCAS and understanding its psychiatric presentations can open the door to treatments that actually work—and a life patients didn't think was possible. Find the episode transcript here. References & Resources: Find all articles mentioned in this episode at bendybodiespodcast.com. Want more Dr. Janet Settle? https://www.linkedin.com/in/janet-settle-md-b2666142/ www.janetsettle.com www.Gateway2Healing.com Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textOvercoming Mom GuiltIt's called mom guilt, but it's the feeling you get when you feel bad for dropping your kids off at school. When you are unable to attend an after-school program, or when you believe you aren't living up to certain expectations. Not only can these feelings make us feel like we aren't being a good mom, but they can make us question ourselves, and override all of the positive. But do these feelings have a deeper meaning? If you have ever struggled with mom guilt, this podcast is for you? Join Dr. Nic Hardy and Dr. Rebecca Heron as they address many of these questions on mom guilt? ·      Is mom guilt a sign that we should be doing anything different?·      Why do we feel guilty about things that we know we have to do as a parent? ·      How do you know if our life is out of balance?·      What practical strategies should we implement for balancing your personal well-being, career and family?  ·      Much More…. Don't forget to subscribe to the Untherapeutic podcast on your favorite streaming platform and follow us on Instagram at nichardy_.  If you are looking for counseling, and would like to take that first step, schedule your first appointment online at hbhtexas.com  About Dr. Rebecca Heron Hi, I'm Dr. Rebecca & I am the proud owner of In my heart Psychology & Counseling.  I have had the privilege of working in the mental health field for over 15 years and for the last 7 years have worked in universities as a Lecturer and now as an Associate Professor a milestone that reflects years of dedication to research, teaching, and shaping the next generation of mental health professionals. The settings that I've worked in are very diverse, ranging from Children & family services, Psychiatric hospitals, Prisons, community mental health services, foster care services to private practice. It is these diverse experiences that have fostered my ability to connect with all humans no matter what they are facing and how heavy their challenges. I pride myself in my authentic, genuine, and non-judgmental nature. I truly care about my clients, and am passionate about creating a safe place for you to feel heard and understood. I genuinely LOVE my job, and feel that it is a privilege to be able to help people on their journey of life.Outside of work, I enjoy spending time with my family and connecting with friends, spending time in nature, shopping at target, and traveling. I also have two toddlers at home, that keep me on my toes! Don't Forget to Follow Dr. Rebecca online or visit her counseling website

In this episode Rachel Moon, MD, FAAP, associate editor of blogs for Pediatrics, offers a rundown of the November issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Andrea Hadley, MD, FAAP, about the role of medical psychiatric units in supporting pediatric mental health. For resources go to aap.org/podcast.  

Send us a textA biophysical rethink of life, health, and disease through the lens of the Energy Resistance Principle (ERP).Episode Summary: A reframe of biology as energy flow through resistance rather than mere molecular machinery, introducing the Energy Resistance Principle (ERP): life requires a Goldilocks balance of electron flow from food to oxygen via mitochondria; too much or too little resistance drives aging, disease, and death. Explain mitochondria as energy transformers, link ERP to insulin resistance, psychiatric disorders, and healing, and explore health as a dynamic field-like state optimized by flux modulation.About the guest: Nirosha Murugan, PhD is a biophysicist studying how physical signals pattern biology to decode and reprogram health; Martin Picard, PhD is a mitochondrial psychobiologist at Columbia University, exploring how mitochondrial energy dynamics connect to human experiences, health, and healing. They collaborate on biophotons, light emission, and multi-scale energy signaling.Discussion Points:Mitochondria transform electrons from food into versatile electricity via proton gradients.Energy Resistance Principle: transformation needs resistance; chronic high resistance causes dissipative heat, damage, aging.GDF15 cytokine signals mitochondrial stress to brain, triggering energy conservation/mobilization.Insulin resistance: adaptive defense against electron overload, reversible by fasting/exercise.Psychiatric illness: excess brain energy resistance; exercise, keto, psychedelics redistribute flux.Health: dynamic optimization of energy resistance, not absence of disease.Healing: daily recovery from micro-damage via balanced resistance.Future: energy-based diagnostics/therapies (light, TMS) over molecule-only drugs.*Not medical advice.Reference Paper: The energy resistance principleRelated Episode:M&M 70: Mitochondria, Aging, Cellular Energy, Metabolism, Gray Hair Reversal & Brain-Body Communication | Martin PicardSupport the showAffiliates: Seed Oil Scout: Find restaurants with seed oil-free options, scan food products to see what they're hiding, with this easy-to-use mobile app. KetoCitra—Ketone body BHB + electrolytes formulated for kidney health. Use code MIND20 for 20% off any subscription (cancel anytime) Lumen device to optimize your metabolism for weight loss or athletic performance. Code MIND for 10% off SiPhox Health—Affordable at-home blood testing. Key health markers, visualized & explained. Code TRIKOMES for a 20% discount. For all the ways you can support my efforts

Thinking about reducing or stopping psychiatric medication? It may not be the right approach for everyone, but for someone considering it, there's much to keep in mind.For instance, many individuals who adopt ketogenic therapy and other metabolic strategies often find themselves in need of reducing medication. But how can they do it safely and with minimal risk?In part 2 of our 2-part series on med tapering, Dr. Bret Scher and ‪@GeorgiaEdeMD‬ dive deep into how to safely and effectively taper psychiatric medications, offering guidance, caution, and hope for those exploring this path.Tapering antidepressants, antipsychotics, or mood stabilizers can be one of the most complex challenges in mental health care and it can come with serious risks. Dr. Ede breaks down what most clinicians miss about withdrawal, and why “slow and steady” isn't just advice, it's a necessity. She also explains how strategies like ketogenic therapy and other lifestyle interventions can support brain stability during the process.In this episode, you'll learn:✅ Why individuals are looking to reduce or remove medication✅ The potential risks of not safely tapering✅ The “no sudden movements” rule and the concept of hyperbolic tapering✅ Tools and resources for safer dose reductions (compounding pharmacies, taper strips, and more)✅ How to increase your chances of feeling better with no or less medication✅ The role of metabolic health, nutrition, sleep, and stress management in effective tapering✅ What to do if your doctor is hesitant or resistant to adjusting your medication✅ Why you may want to consider avoiding supplementing during a taper

Go to https://joniandfriends.org/volunteer/ to see how you can serve today! --------Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Sue Abderholden is retiring after more than two decades leading NAMI Minnesota, the state's chapter of the National Alliance for Mental Illness.As one of the state's most influential voices for mental health, she's helped raise awareness, change laws and expand access to care. MPR News guest host Catharine Richert talks with Abderholden about how far Minnesota has come — and what work still lies ahead.Guest: Sue Abderholden has served as the executive director of NAMI Minnesota, the Minnesota chapter of the National Alliance on Mental Illness, since 2001. She is also a community faculty member at the University of Minnesota's School of Social Work. And she has held leadership positions at The Arc Minnesota, the Minnesota office of U.S. Senator Paul Wellstone and PACER Center. If you or someone you know is struggling, you are not alone. Call or text 988 to get connected with trained counselors who can help. The 988 suicide and crisis lifeline is available 24/7.  2025 How Medicaid changes will affect health care in Minnesota | MPR News 2025 Trump slashes mental health agency as shutdown drags on 2025 Psychiatric hospitals turn away patients who need urgent care. The facilities face few consequences. 2025 20 years of the national suicide crisis hotline: Minnesota 988 meets you 'wherever you're at' 2025 Nonprofit Avivo building new indoor shelter of tiny homes in St. Cloud Subscribe to the MPR News with Angela Davis podcast on: Apple Podcasts, Spotify or RSS.Use the audio player above to listen to the full conversation. 

 By law, emergency rooms must ensure that individuals receive appropriate care regardless of their ability to pay when coming into the ER. But, new reporting from ProPublica shows that more than 90 psychiatric hospitals, including one in Oregon, are turning away or discharging patients too early and are breaking this law. Eli Cahan is a pediatrician and investigative journalist. He joins us to share more.   

Dr. Maria Muzik is a professor of psychiatry and OB-GYN at the University of Michigan, co-director of Zero to Thrive & Strong Roots Programs, medical director of Perinatal & Reproductive Psychiatry, medical director of MC3 Perinatal, co-director of Partnering for the Future Clinic, and more. In this episode of Rural Health Today, Dr. Muzik shares how perinatal psychiatry plays a vital role in maternal and infant health. Follow Rural Health Today on social media! https://x.com/RuralHealthPodhttps://www.youtube.com/@ruralhealthtoday7665  Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital/ https://www.twitter.com/hillsdalehosp/ https://www.linkedin.com/company/hillsdale-community-health-center/ https://www.instagram.com/hillsdalehospital/  Follow our guest! https://medicine.umich.edu/dept/psychiatry/maria-muzik-md-mschttps://www.linkedin.com/in/maria-muzik-zero-2-thrive/  Resources https://zerotothrive.org/ https://zerotothrive.org/strong-roots/perinatal-dbt/ https://mc3michigan.org/

The Brian Walshe murder case has taken a shocking turn, with the court ordering a psychiatric evaluation. In this exclusive Hidden Killers legal breakdown, Tony Brueski examines what this stunning development means for the future of the trial and the complexities of the justice system. We'll trace the compelling digital evidence, from the chilling iPad searches for dismemberment techniques to the damning Home Depot purchases that led to Walshe's arrest. This video isn't about a verdict; it's an in-depth analysis of the legal process, focusing on the critical question of competency to stand trial. We'll explain the legal standards, including the "Dusky standard," and discuss how a finding of incompetence could suspend the case indefinitely. From courtroom delays to psychological assessments at Bridgewater State Hospital, this is a front-row seat to the high-stakes legal twist in one of the year's most high-profile murder cases. Join us as we unravel the legal implications and explore the reasons behind this significant pause. Hashtags: #BrianWalshe #AnaWalshe #MurderTrial #TrueCrime #PsychEval #CompetencyToStandTrial #HiddenKillers #LegalTwist #JusticeSystem #LegalAnalysis #TrueCrimeNews #CourtroomDrama #CrimePodcast #JusticeDelayed Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

The Brian Walshe murder case has taken a shocking turn, with the court ordering a psychiatric evaluation. In this exclusive Hidden Killers legal breakdown, Tony Brueski examines what this stunning development means for the future of the trial and the complexities of the justice system. We'll trace the compelling digital evidence, from the chilling iPad searches for dismemberment techniques to the damning Home Depot purchases that led to Walshe's arrest. This video isn't about a verdict; it's an in-depth analysis of the legal process, focusing on the critical question of competency to stand trial. We'll explain the legal standards, including the "Dusky standard," and discuss how a finding of incompetence could suspend the case indefinitely. From courtroom delays to psychological assessments at Bridgewater State Hospital, this is a front-row seat to the high-stakes legal twist in one of the year's most high-profile murder cases. Join us as we unravel the legal implications and explore the reasons behind this significant pause. Hashtags: #BrianWalshe #AnaWalshe #MurderTrial #TrueCrime #PsychEval #CompetencyToStandTrial #HiddenKillers #LegalTwist #JusticeSystem #LegalAnalysis #TrueCrimeNews #CourtroomDrama #CrimePodcast #JusticeDelayed Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Psychiatric medications have become a standard of care for many mental illnesses. For some, these medications can be life-changing. For others, they may offer little relief, cause intolerable side effects, lose effectiveness over time, or even worsen symptoms.Regardless, many individuals eventually seek to reduce or discontinue psychiatric medication use—often without adequate support. Unfortunately, most clinicians receive limited training in how to guide patients through safe, personalized tapering protocols and the existing guidelines often fail to reflect real-world experiences.In part one of our new two-part series, Dr. Bret Scher and psychiatrist Dr. Georgia Ede delve into a critical yet under-discussed topic: how to taper psychiatric medications safely.In this episode, you'll learn:Why people consider tapering (side effects, loss of benefit, life changes, etc.)Why safe psychiatric medication tapering is importantHow the brain adapts to meds (homeostasis) and how that impacts taper speedWhy personalization in medication management is importantHow to tell the difference between withdrawal and a true relapseHow to prepare: education, team support, and trusted resourcesAlmost everyone will need to adjust the dose of a medication at some point, even if only to try a different medication. Some will want to try to come off psychiatric meds entirely. It's not a journey to take alone. Safe tapering is not a DIY process. We strongly encourage working with a knowledgeable healthcare provider who can help you personalize the approach, choosing the right pace, plan, and monitoring strategies to protect your health. In addition, we recommend resources below that can help.The goal isn't simply to stop a medication, it's to feel and function at your best. And the safest route is the one that's tailored to you.

Michigan State Senator Michael Webber (R-9th District) joins The Steve Gruber Show to break down the newly passed state budget, what he supports, what he doesn't, and where Michigan needs stronger fiscal responsibility. Webber also calls out the Michigan Department of Health and Human Services, after a recent state audit exposed serious failures to protect psychiatric patient rights. He explains what the audit revealed, why accountability matters, and how Lansing must fix a system that's putting vulnerable patients at risk.

Writer and filmmaker Luke Galati shares what it is like living with bipolar I disorder and staying in a psychiatric ward — an experience he says feels like being in a fish bowl. While being hospitalized meant he lost his sense of freedom and control, he never lost hope. Luke's documentary is both a personal essay and a series of conversations with health-care professionals and others who have bipolar disorder. *This episode originally aired on Feb. 11, 2025.Fill out our listener survey here. We appreciate your input!

Episode 4812: Breaking Up The Psychiatric Corruption in The US; Taking Back New Jersey