Podcasts about Psychiatry

When intrusive thoughts feel like a war zone, the goal isn't to defeat every thought—it's to establish a ceasefire. Just as peace agreements are more likely to hold when neutral third parties monitor them, our mental peace is more sustainable when therapists, friends, journals, or mindfulness practices help us observe thoughts without escalating them.Key Takeaways: Intrusive thoughts can feel like repeated violations of an internal ceasefire.A neutral third party helps monitor, interpret, and de-escalate mental conflict.Therapists, trusted friends, journaling, and meditation can serve as peacekeepers.The goal is not to eliminate thoughts, but to prevent them from triggering emotional retaliation.Healing comes from creating distance between the thought and the response.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

If you enjoy this episode, we're sure you will enjoy more content like this on The Occult Rejects.  In fact, we have curated playlists on occult topics like grimoires, esoteric concepts and phenomena, occult history, analyzing true crime and cults with an occult lens, Para politics, and occultism in music. Whether you enjoy consuming your content visually or via audio, we've got you covered - and it will always be provided free of charge.  So, if you enjoy what we do and want to support our work of providing accessible, free content on various platforms, please consider making a donation to the links provided below.  Thank you and enjoy the episode!Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsBibliographyCore Eye Anatomy, Retina, Optic Nerve, and Visual PathwaysBelliveau, A. P., & Somani, A. N. “Pupillary Light Reflex.” StatPearls. Treasure Island, FL: StatPearls Publishing, updated 2023.Cleveland Clinic. “Optic Nerve: What It Is, Function, Anatomy & Conditions.” Cleveland Clinic, updated 2024.Gupta, M., & Ireland, A. C. “Neuroanatomy, Visual Pathway.” StatPearls. Treasure Island, FL: StatPearls Publishing, updated 2022.Kolb, H. “Simple Anatomy of the Retina.” Webvision: The Organization of the Retina and Visual System. University of Utah / NCBI Bookshelf.Purves, D., Augustine, G. J., Fitzpatrick, D., et al., eds. Neuroscience. Sunderland, MA: Sinauer Associates.Szabadi, E. “Functional Organization of the Sympathetic Pathways Controlling the Pupil: Light-Inhibited and Light-Stimulated Pathways.” Frontiers in Neurology 9, 2018.University of Texas Health Science Center at Houston. “Ocular Motor System.” Neuroscience Online.Pupillometry, Cognitive Load, Attention, and Mental EffortBeatty, Jackson. “Task-Evoked Pupillary Responses, Processing Load, and the Structure of Processing Resources.” Psychological Bulletin 91, no. 2, 1982: 276–292.Beatty, Jackson, and Brennis Lucero-Wagoner. “The Pupillary System.” In Handbook of Psychophysiology, edited by John T. Cacioppo, Louis G. Tassinary, and Gary G. Berntson. Cambridge: Cambridge University Press, 2000.Kahneman, Daniel, and Jackson Beatty. “Pupil Diameter and Load on Memory.” Science 154, no. 3756, 1966: 1583–1585.Kahneman, Daniel. Attention and Effort. Englewood Cliffs, NJ: Prentice-Hall, 1973.Laeng, Bruno, Sylvain Sirois, and Gustaf Gredebäck. “Pupillometry: A Window to the Preconscious?” Perspectives on Psychological Science 7, no. 1, 2012: 18–27.Mathôt, Sebastiaan. “Pupillometry: Psychology, Physiology, and Function.” Journal of Cognition 1, no. 1, 2018.Piquado, Tepring, David Isaacowitz, and Arthur Wingfield. “Pupillometry as a Measure of Cognitive Effort in Younger and Older Adults.” Psychophysiology 47, no. 3, 2010: 560–569.Zekveld, Adriana A., Sophia E. Kramer, and Tammo Houtgast. “The Pupil Dilation Response to Auditory Stimuli: Current State of Knowledge.” Trends in Hearing 22, 2018.Emotion, Attraction, Arousal, and the PupilBradley, Margaret M., Laura Miccoli, Miguel A. Escrig, and Peter J. Lang. “The Pupil as a Measure of Emotional Arousal and Autonomic Activation.” Psychophysiology 45, no. 4, 2008: 602–607.de Winter, Joost C. F., et al. “Replicating Five Pupillometry Studies of Eckhard Hess.” International Journal of Psychophysiology 165, 2021: 145–161.Hess, Eckhard H. “Attitude and Pupil Size.” Scientific American 212, no. 4, 1965: 46–54.Hess, Eckhard H., and James M. Polt. “Pupil Size as Related to Interest Value of Visual Stimuli.” Science 132, no. 3423, 1960: 349–350.Lang, Peter J., Margaret M. Bradley, and Bruce N. Cuthbert. International Affective Picture System (IAPS): Affective Ratings of Pictures and Instruction Manual. Gainesville: University of Florida, 2008.Pan, J., et al. “The Effects of Emotional Arousal on Pupil Size Depend on Background Luminance and Stimulus Type.” Scientific Reports 14, 2024.Locus Coeruleus, Norepinephrine, Salience, and AttentionAston-Jones, Gary, and Jonathan D. Cohen. “An Integrative Theory of Locus Coeruleus–Norepinephrine Function: Adaptive Gain and Optimal Performance.” Annual Review of Neuroscience 28, 2005: 403–450.Joshi, Siddhartha, Yin Li, Ram M. Kalwani, and Joshua I. Gold. “Relationships Between Pupil Diameter and Neuronal Activity in the Locus Coeruleus, Colliculi, and Cingulate Cortex.” Neuron 89, no. 1, 2016: 221–234.Murphy, Peter R., Ian H. Robertson, James H. Balsters, and Redmond G. O'Connell. “Pupillometry and P3 Index the Locus Coeruleus–Noradrenergic Arousal Function in Humans.” Psychophysiology 48, no. 11, 2011: 1532–1543.Sara, Susan J. “The Locus Coeruleus and Noradrenergic Modulation of Cognition.” Nature Reviews Neuroscience 10, 2009: 211–223.Uddin, Lucina Q. “Salience Processing and Insular Cortical Function and Dysfunction.” Nature Reviews Neuroscience 16, 2015: 55–61.Memory, Emotion, Initiation, and Ritual EncodingCahill, Larry, and James L. McGaugh. “Mechanisms of Emotional Arousal and Lasting Declarative Memory.” Trends in Neurosciences 21, no. 7, 1998: 294–299.McGaugh, James L. “Memory—A Century of Consolidation.” Science 287, no. 5451, 2000: 248–251.McGaugh, James L. “The Amygdala Modulates the Consolidation of Memories of Emotionally Arousing Experiences.” Annual Review of Neuroscience 27, 2004: 1–28.Seligman, Rebecca, and Laurence J. Kirmayer. “Dissociative Experience and Cultural Neuroscience: Narrative, Metaphor and Mechanism.” Culture, Medicine, and Psychiatry 32, 2008: 31–64.Seligman, Rebecca, Ryan A. Brown, and Laurence J. Kirmayer. “Theory and Method at the Intersection of Anthropology and Cultural Neuroscience.” Social Cognitive and Affective Neuroscience 5, no. 2–3, 2010: 130–139.Whitehouse, Harvey. Arguments and Icons: Divergent Modes of Religiosity. Oxford: Oxford University Press, 2000.Whitehouse, Harvey. Modes of Religiosity: A Cognitive Theory of Religious Transmission. Walnut Creek, CA: AltaMira Press, 2004.Ritual, Synchrony, Social Bonding, and Embodied MeaningHobson, Nicholas M., Juliana Schroeder, Jane L. Risen, Dimitris Xygalatas, and Michael I. Norton. “The Psychology of Rituals: An Integrative Review and Process-Based Framework.” Personality and Social Psychology Review 22, no. 3, 2018: 260–284.Jackson, Joshua Conrad, Brock Bastian, and others. “Synchrony and Physiological Arousal Increase Cohesion and Cooperation in Large Naturalistic Groups.” Scientific Reports 8, 2018.McCauley, Robert N., and E. Thomas Lawson. Bringing Ritual to Mind: Psychological Foundations of Cultural Forms. Cambridge: Cambridge University Press, 2002.Rappaport, Roy A. Ritual and Religion in the Making of Humanity. Cambridge: Cambridge University Press, 1999.Turner, Victor. The Ritual Process: Structure and Anti-Structure. Chicago: Aldine, 1969.Xygalatas, Dimitris. Ritual: How Seemingly Senseless Acts Make Life Worth Living. New York: Little, Brown Spark, 2022.Xygalatas, Dimitris, et al. “Extreme Rituals Promote Prosociality.” Psychological Science 24, no. 8, 2013: 1602–1605.Meditation, Prayer, Trance, and AbsorptionFox, Kieran C. R., Matthew L. Dixon, Savannah Nijeboer, et al. “Functional Neuroanatomy of Meditation: A Review and Meta-Analysis of 78 Functional Neuroimaging Investigations.” Neuroscience & Biobehavioral Reviews 65, 2016: 208–228.Jerath, Ravinder, John W. Crawford, Vernon A. Barnes, and Kyler Harden. “Self-Regulation of Breathing as a Primary Treatment for Anxiety.” Applied Psychophysiology and Biofeedback 40, 2015: 107–115.Lutz, Antoine, John D. Dunne, and Richard J. Davidson. “Meditation and the Neuroscience of Consciousness.” In The Cambridge Handbook of Consciousness, edited by Philip David Zelazo, Morris Moscovitch, and Evan Thompson. Cambridge: Cambridge University Press, 2007.Tellegen, Auke, and Gilbert Atkinson. “Openness to Absorbing and Self-Altering Experiences (‘Absorption'), a Trait Related to Hypnotic Susceptibility.” Journal of Abnormal Psychology 83, no. 3, 1974: 268–277.Vago, David R., and David A. Silbersweig. “Self-Awareness, Self-Regulation, and Self-Transcendence: A Framework for Understanding the Neurobiological Mechanisms of Mindfulness.” Frontiers in Human Neuroscience 6, 2012.Darkness, Sensory Deprivation, Ganzfeld, and Visual InstabilityCaputo, Giovanni B. “Strange-Face-in-the-Mirror Illusion.” Perception 39, no. 7, 2010: 1007–1008.Caputo, Giovanni B. “Visual Perception During Mirror-Gazing at One's Own Face in Patients with Depression.” The Scientific World Journal, 2014.Caputo, Giovanni B. “Strange-Face Illusions During Eye-to-Eye Gazing in Dyads.” Imagination, Cognition and Personality 38, no. 1, 2018: 51–77.Metzger, Wolfgang. “Optische Untersuchungen am Ganzfeld.” Psychologische Forschung 13, 1930: 6–29.Shenyan, O., et al. “Visual Hallucinations Induced by Ganzflicker and Ganzfeld Differ in Frequency, Complexity, and Content.” Scientific Reports 14, 2024.Wackermann, Jiří, Peter Pütz, and Carsten Allefeld. “Ganzfeld-Induced Hallucinatory Experience, Its Phenomenology and Cerebral Electrophysiology.” Cortex 44, no. 10, 2008: 1364–1378.Zuckerman, Marvin, and Nathan Cohen. “Sources of Reports of Visual and Auditory Sensations in Perceptual-Isolation Experiments.” Psychological Bulletin 61, no. 1, 19Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

**This episode is general information only and is not medical advice. If any of it applies to you, please talk it through with your own GP or psychiatrist**Have you ever walked out of a psychiatrist's office more confused than when you walked in? Not sure what just happened, whether you got a diagnosis, what you were supposed to ask, or whether the thing you were terrified of — coming across like you were just there for the stimulants — is exactly what you did. For a lot of women getting an ADHD assessment at 40, the appointment itself is the black box. Nobody tells you the order to see a GP, psychologist and psychiatrist in, what happens if your school reports are gone and your parents have died, why they start you on one medication and not another, or what a drug holiday actually is.So this week Jane sat a psychiatrist down and asked him to open the box. Dr Brendan Daugherty walks through the whole thing — the pathway, the assessment, how they choose your first medication, and the one thing that makes these appointments go better. Bring the questions you've been too embarrassed to ask.CHAPTERS00:00 — Walking out more confused than when you walked in02:36 — GP, psychologist, psychiatrist — the actual order, and when to skip a step04:38 — Have the waitlists really improved? A straight answer05:44 — The two kinds of women who book an assessment — which one are you?09:50 — 'ADHD is a bit like a shield' — and what's underneath when the medication lifts it13:19 — 'I'm scared I'll look like I'm drug seeking' — the post Jane sees every week15:26 — How a psychiatrist spots the woman who's masked her whole life and looks fine16:56 — No school reports, parents gone — how do you even get diagnosed? (evidence before 12)19:15 — The squat-rack phone call that diagnosed Jane's ADHD in real time23:23 — How they actually choose your first medication — first-line vs second-line25:28 — Long-acting or short-acting, and why it's not one-size-fits-all26:18 — Drug holidays: why they're prescribed, and why the evidence is weaker than you think29:34 — What's changing in psychiatry for women — hormones, the cycle, and menopauseWhat We CoverWhy so many women walk out of the appointment with no idea what just happened — and the questions nobody tells you to bringThe actual order to see a GP, psychologist and psychiatrist in, when you can skip a step, and when doubling up is a waste of your moneyThe two completely different reasons women book an assessment — and why knowing which one you are changes where you should bookWhat Brendan means when he says attention problems aren't always ADHD — the medical and hormonal things a rushed assessment misses'ADHD is a bit like a shield' — the conversation about what surfaces when the medication lifts it, and why Jane went back to short-actingThe post Jane sees in the Facebook group every single week — 'I'm terrified I'll look like I'm drug seeking' — and exactly how a psychiatrist actually hears thatHow a psychiatrist recognises the woman who's held it all together on the outside and is burnt out underneathWhat happens when you don't have school reports and your parents have died — how the 'evidence before 12' rule actually works in practiceHow they choose which medication to start you on, first-line versus second-line, long-acting versus short — in plain EnglishDrug holidays — why they get prescribed, why the evidence is weaker than it sounds, and what that means for your Saturday sport chaosWhat's genuinely changing for women in ADHD care — the hormonal picture, the menstrual cycle, and menopauseFree ResourcesPreparing for Diagnosis — for the mum wondering if it's ADHD and what to do next — https://adhdmums.com.au/product/preparing-for-diagnosis/Paid ResourcesPre-Diagnosis Workbook — the deeper version of 'get clear before you spend the money on an assessment' — https://adhdmums.com.au/product/prediagnosisworkbook/Related EpisodesHow to Get a Diagnosis in Australia (Part 1) — S1 EP7, with Dr Jacinta Thomson — https://adhdmums.com.au/podcast_episode/s1-ep7-how-to-get-a-diagnosis-in-australia-part-1/ADHD Medication: Stimulants vs Non-Stimulants — S2 EP40, Jane solo — https://adhdmums.com.au/podcast_episode/episode-40-adhd-medication-stimulants-vs-non-stimulants-solo-episode-with-jane-mcfadden/About the GuestDr Brendan Daugherty is a child, adolescent, adult and forensic psychiatrist and a Fellow of the Royal Australian and New Zealand College of Psychiatrists. He's the co-founder of Pandion Health, an Australian telehealth platform providing specialist-led ADHD assessment and ongoing care for adults and children.You can find Brendan here:Website: https://www.pandionhealth.com.auInstagram: @itsdrbrendan (and the clinic, @pandionhealth)LinkedIn: https://www.linkedin.com/in/brendandaugherty/

Host Michael Taft talks with neuroscientist Ruben Laukkonen about what extreme physical suffering can reveal about meditation, and why awakening may be less a grand attainment than “the grand disappointment.” They explore disenchantment, grace, synchronicity, and the possibility that faith arises naturally from our embeddedness in realities too large for us to comprehend. Ruben describes the strange authority of insight—how ideas can seem to arrive from elsewhere, why their felt intensity sometimes tracks their accuracy, and how the same process can produce compelling false revelations. They also discuss psychedelics, embodied creativity, the “mastery of mania,” and Ruben's research suggesting that meditation increases the brain's signal-to-noise ratio, with posture functioning as a kind of built-in neurofeedback system. The conversation concludes by asking whether AI has Buddha nature, whether a machine must be conscious to express wisdom and compassion, and whether artificial intelligence might become a means of scaling wisdom—or its opposite—throughout human culture.Ruben Laukkonen is a neuroscientist at the University of Oxford, where he is a senior researcher in the Department of Psychiatry, a fellow at Linacre College, director of the Flourishing Intelligence Program, and co-director of the Centre for Eudaimonia and Human Flourishing. His research seeks an empirically grounded and experientially authentic understanding of meditation, insight, consciousness, and nonduality. His current work also explores how brain dynamics and contemplative wisdom might contribute to safer and more efficient artificial intelligence. Ruben has an eclectic contemplative background, including Zen, Advaita, and Theravāda, and was authorized to teach Vipassanā in 2024.Find out more at https://rubenlaukkonen.com/You can support the creation of future episodes of this podcast by contributing through Patreon.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This episode examines a recent expert discussion on Dissociative Identity Disorder from the Psychiatry & Psychotherapy Podcast, outlining the trauma-model claims around developmental origins, media myths, and supporting neuroscience. We then turn a more critical eye to institutional biases, the limits of the studies cited, and ongoing scientific skepticism about the diagnosis itself. The goal is a clearer view of both the evidence presented and the significant gaps that remain.

Actinogen Medical Ltd managing director and CEO Dr Steven Gourlay talked with Proactive about the company's June quarter progress, including preparations for the pivotal XanaMIA Alzheimer's disease trial topline results expected in November 2026. Gourlay said the fully enrolled Phase 2b/3 trial remained on schedule, with treatment, follow-up and data-cleaning activities continuing across participating sites. He described the upcoming readout as “a potentially transformational event for the company and for the clinical science, and for patients with Alzheimer's all around the world.” An independent Data Monitoring Committee completed its third review of safety data from all 247 trial participants and recommended that the study continue without amendment. Actinogen Medical ended the quarter with $16.7 million in cash. Chief Financial Officer Will Souter said the company's current funding position was expected to support operations beyond the XanaMIA results and into mid-2027. He also highlighted potential additional funding sources, including an anticipated research and development tax rebate and the possible exercise of listed and unlisted options. Gourlay also discussed positive depression trial data published in the British Journal of Psychiatry and the company's continuing engagement with regulators, including the US Food and Drug Administration and the European Medicines Agency. Visit Proactive's YouTube channel for more company interviews and market updates. Please give the video a like, subscribe to the channel and enable notifications for future content.

This is the first of a two part summer special with Laura Mae Northrup, who was first featured in the original BFTA summer special back in 2022. In this first episode, in an excerpt from her wonderful podcast called Inside Eyes, we hear Laura describe her long and grueling battle with suicidality, which emerged as a result of childhood sexual abuse. In the second episode in two weeks, Laura and Dr. H dive deep into her personal healing journey— what worked, what didn't, and how she was able to finally put her chronic suicidality to rest. Support the showLaura Mae Northruphttps://www.lauramaenorthrup.com/Elemental Psychedelicshttps://www.elementalpsychedelics.com/Explore every episode through themes, domains, formats, and speakers. The BFTA CODEX is a listener-built and curated field guide to the podcast. https://bfta-codex.orgBFTA episode recommendations/Podcast pagehttps://www.craigheacockmd.com/podcast-page/BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/Support the show

Episode 163ALL ABOUT NONSPEAKERS: REFLECTIONS ON AUTISM SPECTRUM NEWS ISSUE WITH AMY LAURENT AND JEN LEPAPEThe discussion focused on the recent issue of Autism Spectrum News dedicated to non-speaking individuals. Topics in the issue included common misunderstandings about supporting non-speakers, including the concept of presuming competence, the role of neuromotor issues, and concerns about communication authenticity and influence. The discussion highlighted that many non-speaking individuals can learn to communicate effectively through methods like spelling and typing, though it requires time and proper support. The guests emphasized that the issue contains 40 articles, including 17 authored or co-authored by non-speakers, covering topics from mental health to legal issues to practical support strategies, demonstrating the complexity of supporting non-speaking individuals beyond simple debates about authenticity.Find out more on our websiteSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Frampton Gwynette is Professor and Chair of the Department of Psychiatry and Behavioral Medicine at LSU Health Shreveport and a board-certified child and adolescent psychiatrist. Throughout his career, he has dedicated his work to advancing autism care through clinical practice, research, education, and advocacy. Before joining LSU Health Shreveport, Dr. Gwynette served on the faculty at the Medical University of South Carolina (MUSC), where he founded innovative programs including Project Rex and the Autism News Network—initiatives designed to empower individuals with autism and amplify their voices through education, storytelling, and community engagement. In addition to his leadership in autism care, Dr. Gwynette is passionate about educating future psychiatrists and behavioral health professionals while expanding access to quality mental health services. His work continues to influence how clinicians, educators, and communities better understand and support individuals on the autism spectrum. In this episode of Asking Why, Dr. Gwynette joins Clint Davis for a thoughtful conversation about autism, the evolving landscape of mental health care, supporting families, reducing barriers to treatment, and the importance of investing in the next generation of mental health providers. To learn more about Dr. Gwynette and the Department of Psychiatry & Behavioral Medicine at LSU Health Shreveport, listeners can visit the LSU Health Shreveport website. Instagram: https://www.instagram.com/lsuhs_psychiatry/ Facebook: https://www.facebook.com/LSUHSPsychiatryandBehavioralMedicine/    Asking Why with Clint Davis Sponsors: A special thank you to the incredible sponsors of Asking Why with Clint Davis for investing in meaningful conversations that bring hope, healing, and growth to our community.   Wellness by Dr. Natalia — a physician-led integrative and concierge medical practice in Shreveport focused on longevity, regenerative medicine, aesthetics, and whole-person wellness. Learn more at www.LuraguizMD.com   Uprising Addiction Center — helping individuals and families find lasting recovery through compassionate, evidence-based addiction treatment focused on healing the whole person. Learn more at www.UprisingCenter.com   LearningRx Shreveport — empowering children and adults by strengthening cognitive skills needed to learn, focus, read, and succeed with confidence. Learn more at www.LearningRx.com/Shreveport   We're grateful for businesses and organizations that believe in strengthening people, families, and our community.  

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.This episode covers Acceptance and Commitment Therapy (ACT) with Dr. Kenneth Fung and Dr. Iline Guan.Dr. Kenneth Fung is Staff Psychiatrist at the Toronto Western Hospital, University Health Network. He is Professor and Director of Global Mental Health with the Department of Psychiatry at the University of Toronto. His research, teaching, and clinical interests include both cultural psychiatry and psychotherapy, especially ACT, Cognitive Behavioural Therapy (CBT), and mindfulness. He is the Block Co-coordinator of the Cultural Psychiatry Core Seminars for psychiatry residents, and the seminar co-lead and psychotherapy supervisor in CBT at the University Health Network.Dr. Guan is a psychiatrist who practices outpatient general psychiatry at the Centre for Addiction and Mental Health in Toronto, where she works in the Mood and Anxiety Ambulatory Services and the Northern Psychiatric Outreach Program. She also works with Inner City Health Associates in downtown Toronto. She has had training across various psychotherapy modalities, including psychodynamic therapy, CBT, DBT, IPT, MBSR/MBCT, and ACT. She is involved in resident teaching and psychotherapy supervision at the University of Toronto, and has implemented a pilot ACT group program in the Mood and Anxiety clinic at CAMH.The learning objectives for this episode are as follows:Describe the theoretical model and core processes underlying ACTIdentify the evidence base and clinical indications for using ACT across psychiatric presentationsDemonstrate core ACT techniques and how they can be integrated into clinical practiceGuest: Dr. Kenneth Fung and Dr. Iline GuanHosts: Victoria Meng (MS3), Dr. Katherine Bailey (PGY3), and Dr. Angad Singh (PGY3)Audio editing: Dr. Angad Singh (PGY3)References:1. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.0062. Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181–192. https://doi.org/10.1016/j.jcbs.2020.09.0093. Twohig, M. P., et al. (2025). Group acceptance and commitment therapy versus cognitive behavioral therapy/exposure response prevention for obsessive compulsive disorder: A block randomized controlled trial. Psychotherapy and Psychosomatics. https://pubmed.ncbi.nlm.nih.gov/39987908/For 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 at⁠⁠⁠⁠⁠⁠ psychedpodcast.org⁠⁠⁠⁠⁠⁠.

In this week's podcast - the Sensitivity of Patient Questionnaires: If you've ever asked a patient to fill out a Patient Health Questionnaire (like the PHQ-9) to assess their mental health and wondered exactly how much of a change it can actually detect, new research just published on bmj.com sets out to answer that question. We're joined by Brett Thombs, Professor in the department of Psychiatry at McGill University Also this week, Are Doctors Scared of Death? BMJ Careers Editor Abi Rimmer sits down in the studio with Richard Coker, Emeritus Professor of Public Health at LSHTM. Drawing from his early days as an HIV doctor during the onset of the AIDS epidemic, and later with infectious disease outbreaks in South East Asia. Professor Coker discusses the profound experiences of the end of his patients lives that shaped his new book, Timor Mortis: How We Live with Death. Reading list: Minimal detectable change of the Patient Health Questionnaire-9, Patient Health Questionnaire-8, and Patient Health Questionnaire-2`

In this episode, Dr Tsen Vei Lim talks to Dr Anastasia Demina, an addiction physician and researcher at the Dijon Bourgogne University Hospital and Université Bourgogne Europe, France. The interview covers Anastasia's randomised controlled triple-blind trial on the efficacy and safety of transcranial direct current stimulation in alcohol use disorder.The current available treatments for alcohol use disorder [01:11]Why transcranial direct current stimulation is needed [03:38]The process of transcranial direct current stimulation [04:51]The key findings of the study [07:31]How transcranial direct current stimulation works among current treatments for alcohol use disorder [12:21]The next steps for implementing transcranial direct current stimulation into clinical practice [16:04]About Tsen Vei Lim: Tsen Vei is an academic fellow supported by the Society for the Study of Addiction, currently based at the Department of Psychiatry at the University of Cambridge. His research integrates computational modelling, experimental psychology, and neuroimaging to understand the neuropsychological basis of addictive behaviours. He holds a PhD in Psychiatry from the University of Cambridge, UK, and a BSc in Psychology from the University of Bath, UK. About Anastasia Demina: Anastasia MD, PhD, is an addiction physician and researcher at the Dijon Bourgogne University Hospital and Université Bourgogne Europe. Her research focuses on optimising non-invasive brain stimulation to improve outcomes in individuals with substance use disorders, bridging neuroscience and clinical translation. She has led and contributed to clinical trials, systematic reviews and meta-analyses, and international collaborations in neuromodulation and addiction.Original article: Efficacy and safety of transcranial direct current stimulation in alcohol use disorder: A randomized controlled triple-blind trial https://doi.org/10.1111/add.70461The opinions expressed in this podcast reflect the views of the host and interviewees and do not necessarily represent the opinions or official positions of the SSA or Addiction journal.The SSA does not endorse or guarantee the accuracy of the information in external sources or links and accepts no responsibility or liability for any consequences arising from the use of such information.Music provided by Jack Shakespeare. Hosted on Acast. See acast.com/privacy for more information.

For decades, the world has increasingly looked to psychiatry, psychology, and medication to explain the human condition. But are mankind's deepest struggles truly the result of chemical imbalances and mental disorders, or does Scripture point to a very different diagnosis? Join Eric Hovind and Dr. Daniel Berger for an eye-opening discussion on the growing conflict between modern psychiatry and the teachings of God's Word. Together, they'll examine how secular theories have reshaped the way society views human behavior, suffering, identity, and personal responsibility, while exploring what the Bible says about the nature of man and the true source of our problems. Has modern culture misdiagnosed humanity? And if so, what is the biblical answer? Watch this Podcast on Video at: https://creationtoday.org/on-demand-classes/psychiatry-vs-scripture-the-misdiagnosis-of-man-creation-today-show-486/    Join Eric LIVE each Wednesday at 12 Noon CT for conversations with Experts. You can support this podcast by becoming a Creation Today Partner at CreationToday.org/Partner 

Gossip is a way of life in social circles, but why do we like to engage in it so much?Joining Shane and Ciara to discuss is Professor of Psychiatry at Trinity College Dublin, Brendan Kelly.

Send us Fan MailThis week on Translational Conversations, we talk with Dr. Zoe Donaldson, a prairie vole researcher, and Dr. Katherine Shear, a human researcher, about how their work has inspired and influenced each other's research on attachment bonding, love and loss, and the development of Prolonged Grief Disorder. In this episode, Dr. Donaldson and Dr. Shear discuss the role of the brain's reward system in grief, how grief differs from depression, the special bonding of prairie voles that makes them an ideal species for studying grief, and how their complementary research has inspired novel treatments for Prolonged Grief Disorder. Their discussion further explores the bidirectional process of translational research, how to consider the language we use when communicating findings from different species, and ways we can build better bonds between researchers to advance scientific progress. We thank Dr. Zoe Donaldson, the Larry Gold Professor in the Department of Molecular, Cellular, and Developmental Biology and the Department of Psychology and Neuroscience at the University of Colorado Boulder and Dr. Katherine Shear, the Marion E. Kenworthy Professor of Psychiatry at Columbia University and the founding Director of the Center for Prolonged Grief at Columbia School of Social Work, for their openness and willingness in discussing their research with us for this podcast.Translational Conversations is made possible through support from Biomedical Research Awareness Day, a program of Americans for Medical Progress and the American College of Neuropsychopharmacology.Resources & Links: Craving Love? Enduring grief activates brain's reward center by Mary-Frances O'ConnorNeurobiology and treatment advances for prolonged grief disorder by Donaldson and ShearPrairie Voles as a model of adaptive reward remodeling following loss of a bonded partner by Sadino and Donaldson Support the showFollow Lab Rat Chat on X! Facebook! Instagram!https://twitter.com/thelabratchat https://www.facebook.com/labratchat https://www.instagram.com/thelabratchat All Lab Rat Chat episodes are edited by Audionauts: https://audionauts.pro/ 

Brett Steenbarger, PhD, is a trading coach, best-selling author and Professor of Psychiatry and Behavioral Sciences at SUNY. He explains what separates elite institutional traders from retail traders, dives into the power of positive psychology and examines how current froth in the market is impacting the mental state of traders.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

Postpartum psychosis is a rare but serious mental health emergency that can occur after childbirth, causing symptoms like hallucinations, delusions, paranoia, and severe mood changes. Unlike postpartum depression, postpartum psychosis can involve a loss of touch with reality and requires immediate medical attention. The condition is at the center of the Lindsay Clancy trial, which is now underway. Dan spoke with Dr. Nicole Harrington Cirino, a psychiatrist, member of the Perinatal Psychosis Task Force at Postpartum Support International, and Professor of Psychiatry and Behavioral Sciences and Obstetrics & Gynecology at Baylor College of Medicine, who explained the condition, its symptoms, and how it is diagnosed and treated.See omnystudio.com/listener for privacy information.

In this episode, Dr. Andy Cutler is joined by Drs. Stephen Stahl and Jeffrey Strawn to discuss deprescribing practices in psychiatry. They explore why deprescribing is an essential clinical skill, how to determine whether a patient still needs a medication, dose, or combination, and how to approach tapering in a way that balances relapse prevention, withdrawal risk, and patient-centered care. The conversation also covers practical considerations for deprescribing antidepressants, antipsychotics, benzodiazepines, and sedative-hypnotics, with attention to common pitfalls and strategies for safer, more intentional medication management.  Stephen M. Stahl, MD, PhD, DSc (Hon.), is a psychiatrist, psychopharmacologist, and internationally recognized educator in clinical neuroscience and psychopharmacology. He is the author of widely used educational resources including Stahl's Essential Psychopharmacology, Stahl's Prescriber's Guide, and Stahl's Deprescriber's Guide, and his work focuses on translating complex neurobiology into practical clinical concepts for mental health clinicians.  Jeffrey R. Strawn, MD, FAACAP, is a Professor of Psychiatry, Pediatrics, and Clinical & Translational Pharmacology at the University of Cincinnati, Ohio. He is Director of the UC Anxiety Disorders Research Program and Associate Vice Chair of Research in the Department of Psychiatry & Behavioral Neuroscience at UC, and he is the author of Stahl's Deprescriber's Guide.  Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and EMA Wellness. He is a Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.  Resources  Strawn, JR, Stahl SM. Stahl's Deprescriber's Guide. Cambridge University Press; 2026. https://doi.org/10.1017/9781009642187  Fall Congress   Get $100 off NEI Fall Congress registration with code POD26. Go to https://nei.global/fall to sign up today!   Membership  As a valued NEI Podcast listener, Dr. Cutler's offering you 20% off new NEI Membership with code CUTLER20. Go to https://nei.global/member and join now!  Never miss an episode!

Dr. Hoffman continues his conversation with Dr. Will Van Derveer and Keith Kurlander, co-authors of “Psychedelic Therapy: A Revolutionary Approach to Restoring Your Mental Health and Reclaiming Your Life.” 

Psychedelic Therapy for Mental Health: Research, Safety, and the Path to FDA Approval: Dr. Will Van Derveer and Keith Kurlander, co-authors of “Psychedelic Therapy: A Revolutionary Approach to Restoring Your Mental Health and Reclaiming Your Life,” reveal the shift from recreational psychedelics to structured, research-based psychedelic-assisted therapy for conditions like PTSD, depression, and anxiety. Van Derveer describes limitations of conventional psychiatry (citing STAR*D remission rates) and his entry into MDMA-assisted PTSD research after promising results. They contrast controlled clinical protocols—screening, preparation, safe setting, trained facilitation, medical monitoring, and post-session integration—with uncontained recreational use. The discussion covers current policy momentum under Trump and RFK Jr., VA interest for veterans, and key agents: ketamine (including abuse risks and clinic-only Spravato), MDMA (phase 3 but not approved in 2024), psilocybin (phase 3, potential FDA approval), LSD (GAD trials), ibogaine (arrhythmia risk, Mexico clinics), ayahuasca, peyote, and microdosing. They also note commercialization, including Eli Lilly's acquisition of a 5-MeO-DMT nasal spray developer, and emphasize an integrative “all-of-the-above” mental health approach.

We all understand the emotional impact of grief, but its effects on the body are often overlooked. Forrest is joined by clinical psychologist and researcher Dr. Mary-Frances O'Connor to explore the physiology of grief. Dr. O'Connor explains how our brains and bodies organize themselves around the people we love, creating “maps” of their presence and relying on them for physical and emotional regulation. They discuss the health risks associated with bereavement, how to care for the healing body, ambiguous loss, the difference between grief and prolonged grief, and how we can gradually build a meaningful life around loss. About our Guest: Dr. Mary-Frances O'Connor is a Professor of Clinical Psychology and Psychiatry at the University of Arizona and Director of the Grief, Loss, and Social Stress Laboratory. She is the author of two books on grief: The Grieving Brain and The Grieving Body. Key Topics: 00:00: Intro 4:42: The map that no longer exists 12:00: Co-regulation: the attachment figure as an external pacemaker 16:35: Physiological effects of grief 24:53: Taking care of yourself after a loss 36:46: Protest, despair, and meditative practices 45:45: Prolonged grief and getting stuck in restoration 57:31: Progressive Muscle Relaxation vs mindfulness 1:03:00: Re-engaging with the world 1:15:42: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Let Rocket Money help you reach your financial goals faster. Join at https://RocketMoney.com/BEINGWELL. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. Visit Upwork.com to connect with top talent ready to help your business grow.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Hope is often mistaken for a feeling of optimism, but for many people it looks much quieter: the decision to stay alive and keep going even when nothing feels certain. In this episode, we explore how hope is less about feeling inspired and more about choosing, day after day, to remain open to the possibility that life can change. Sometimes the most meaningful act is not thriving—it's surviving.Key TakeawaysHope is not a mood; it is a decision.You do not need certainty to keep going.Survival is a meaningful achievement.Choosing “one more day” is an act of courage.Staying alive preserves the possibility of connection, healing, and purpose.Quiet hope often sounds like: “I'm not done yet.”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Warum suchen manche Menschen ständig den nächsten Kick, während andere vor allem in emotionalen Momenten Entscheidungen treffen, die sie später bereuen? In dieser Folge von Betreutes Fühlen schauen Leon und Atze auf die vielen Gesichter der Impulsivität: Sensation Seeking, emotionale Impulse und die Frage, warum manche Menschen besser innehalten können als andere. Eine Folge über die Kunst, sich manchmal treiben zu lassen – und manchmal besser nicht. Fühlt euch gut betreut Leon & Atze Instagram: https://www.instagram.com/leonwindscheid/ https://www.instagram.com/atzeschroeder_offiziell/ Mehr zu unseren Werbepartnern findet ihr hier: https://linktr.ee/betreutesfuehlen Tickets: Atze: https://www.atzeschroeder.de/#termine Leon: https://leonwindscheid.de/tour/ Quellen Berg, J. M., Latzman, R. D., Bliwise, N. G., & Lilienfeld, S. O. (2015). Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological Assessment, 27(4), 1129–1146. https://doi.org/10.1037/pas0000111 Chase, H. W., & Ghane, M. (2023). Seeking pleasure, finding trouble: Functions and dysfunctions of trait sensation seeking. Current Addiction Reports, 10(2), 140–148. https://doi.org/10.1007/s40429-023-00484-5 Fisher-Fox, L., Prestigiacomo, C. J., & Cyders, M. A. (2024). Urgency theory in the context of broader emotion theories: A conceptual review. Frontiers in Psychiatry, 15, Article 1403639. https://doi.org/10.3389/fpsyt.2024.1403639 Mallard, T. T., Tubbs, J. D., Jennings, M., Zhang, Y., Gustavson, D. E., Grotzinger, A. D., … Sanchez-Roige, S. (2026). Characterizing the pleiotropic architecture of impulsivity and its links to psychopathology and neurodevelopment. American Journal of Psychiatry, 183(1), 31–47. https://doi.org/10.1176/appi.ajp.20240382 Maples-Keller, J. L., Berke, D. S., Few, L. R., & Miller, J. D. (2016). A review of sensation seeking and its empirical correlates: Dark, bright, and neutral hues. https://doi.org/10.1037/14854-008 McCabe, C. J., Louie, K. A., & King, K. M. (2015). Premeditation moderates the relation between sensation seeking and risky substance use among young adults. Psychology of Addictive Behaviors, 29(3), 753–761. https://doi.org/10.1037/adb0000075 Psychology Today. (2000, November). Are you a risk taker? https://www.psychologytoday.com/us/articles/200011/are-you-a-risk-taker Reuters. (2026, July 1). Two people unfurl peace banner from New York's Empire State Building spire. https://www.reuters.com/world/two-people-unfurl-peace-banner-new-yorks-empire-state-building-spire-2026-07-01 Sperry, S. H., Lynam, D. R., Walsh, M. A., Horton, L. E., & Kwapil, T. R. (2016). Examining the multidimensional structure of impulsivity in daily life. Personality and Individual Differences, 94, 153–158. https://doi.org/10.1016/j.paid.2016.01.018 The Guardian. (2024, July 16). Skywalkers: A Love Story review. https://www.theguardian.com/film/article/2024/jul/16/skywalkers-a-love-story-review Verma, A. K., & Chivukula, U. (2023). The effect of affect, sensation seeking, and premeditation on risky decision-making: Conditional process analysis. PLOS ONE, 18(2), e0281324. https://doi.org/10.1371/journal.pone.0281324 Wormington, B., Imms, P., & Derks, E. M. (2026). To lump or not to lump: Evidence for impulsivity as a multidimensional construct. American Journal of Psychiatry, 183(1), 4–6. https://doi.org/10.1176/appi.ajp.20240382 Wüllhorst, V., Lützkendorf, J., & Endrass, T. (2024). Validation of the German long and short versions of the UPPS-P Impulsive Behavior Scale. Journal of Clinical Psychology, 80(10), 2099–2116. https://doi.org/10.1002/jclp.23724 Reaktion: Julia Ditzer Produktion: Murmel Productions

Mit 34 ließ ich meinen Testosteronwert messen – mein damals 69-jähriger Vater gleich mit. Sein Ergebnis: dreimal so hoch wie meins. Ich: 16 Jahre Krafttraining, 17 Marathons. Er: Rentner ohne Leistungssport. Acht Wochen später hatte sich mein Wert fast versechsfacht – ohne Medikamente, ohne Wundermittel. Der Hebel, den ich jahrelang ignoriert hatte: Schlaf. Gemerkt habe ich davon lange nichts – mein „Passt schon“ war ein mieser Ratgeber.In der neuen Folge erfährst Du die ganze Geschichte. Ungeschönt, und inklusive der Einordnung, warum mein Fall kein Naturgesetz ist. Du bekommst außerdem sechs Fragen an die Hand, mit denen Du Deinen Schlaf innerhalb von 14 Tagen verbesserst, ohne dass Du Geräte oder sonstigen Hokuspokus anschaffen musst.____________*WERBUNG: Infos zum Werbepartner dieser Folge und allen weiteren Werbepartnern findest Du hier.____________ERWÄHNT IN DIESER FOLGE (Werbung)

Dr. Davoudian is a board-certified Health psychologist with expertise in reproductive mental health. She provides psychotherapy to patients who are pregnant, postpartum or seeking fertility treatment. Dr. Davoudian also offers psychological consultations for individuals utilizing third-party reproduction as well as assessments of gamete donors and gestational surrogates. Her research interests include psychological aspects of third party reproduction and has served as a principal investigator on a study examining posttraumatic stress among fertility patients. Glorisel González Viera, MD, is double board-certified in Psychiatry and Sleep Medicine by the American Board of Psychiatry and Neurology. She is an Assistant Professor at Baylor College of Medicine in the Departments of Obstetrics & Gynecology and Psychiatry & Behavioral Sciences, where she practices as a Reproductive Psychiatrist at The Women's Place at Texas Children's Hospital Pavilion for Women. Originally from Puerto Rico, she completed her Psychiatry residency at Ponce Health Sciences University, serving as Chief Resident, followed by fellowships in Sleep Medicine at the VA Caribbean Healthcare System and Women's Mental Health at Baylor College of Medicine. Her clinical and research interests center on the intersection of sleep and women's mental health across the reproductive lifespan, with a particular focus on perimenopause and menopause. She also conducts research in reproductive loss and atypical forms of grief. Dr. González Viera is passionate about advancing evidence-based care, educating healthcare professionals, and improving access to specialized mental health care for women.   CONNECT WITH DVORA ENTIN: Website: https://www.dvoraentin.com/ Instagram: https://www.instagram.com/dvoraentin YouTube: https://www.youtube.com/@misconceptionspodcast  

4 million copies sold, taught in classrooms, quoted by every therapist in America — and it might all be wrong

If you enjoy this episode, we're sure you will enjoy more content like this on The Occult Rejects.  In fact, we have curated playlists on occult topics like grimoires, esoteric concepts and phenomena, occult history, analyzing true crime and cults with an occult lens, Para politics, and occultism in music. Whether you enjoy consuming your content visually or via audio, we've got you covered - and it will always be provided free of charge.  So, if you enjoy what we do and want to support our work of providing accessible, free content on various platforms, please consider making a donation to the links provided below.  Thank you and enjoy the episode!Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsCore Sleep Paralysis ScienceSharpless, Brian A., and Jacques P. Barber. “Lifetime Prevalence Rates of Sleep Paralysis: A Systematic Review.” Sleep Medicine Reviews 15, no. 5 (2011): 311–315.Sharpless, Brian A. “A Clinician's Guide to Recurrent Isolated Sleep Paralysis.” Neuropsychiatric Disease and Treatment 12 (2016): 1761–1767.Cheyne, J. Allan, Steve D. Rueffer, and Ian R. Newby-Clark. “Hypnagogic and Hypnopompic Hallucinations during Sleep Paralysis: Neurological and Cultural Construction of the Night-Mare.” Consciousness and Cognition 8, no. 3 (1999): 319–337.Cheyne, J. Allan. “Sleep Paralysis and the Structure of Waking-Nightmare Hallucinations.” Dreaming 13, no. 3 (2003): 163–179.Cheyne, J. Allan. “Situational Factors Affecting Sleep Paralysis and Associated Hallucinations: Position and Timing Effects.” Journal of Sleep Research 11, no. 2 (2002): 169–177.Solomonova, Elizaveta. “Sleep Paralysis: Phenomenology, Neurophysiology and Treatment.” In The Oxford Handbook of Spontaneous Thought: Mind-Wandering, Creativity, and Dreaming, edited by Kieran C. R. Fox and Kalina Christoff. Oxford University Press, 2018.Baland Jalal / Panic-Hallucination / TreatmentJalal, Baland. “How to Make the Ghosts in My Bedroom Disappear? Focused-Attention Meditation Combined with Muscle Relaxation (MR Therapy): A Direct Treatment Intervention for Sleep Paralysis.” Frontiers in Psychology 7 (2016): 28. doi:10.3389/fpsyg.2016.00028.Jalal, Baland, and V. S. Ramachandran. “Sleep Paralysis and ‘The Bedroom Intruder': The Role of the Right Superior Parietal, Phantom Pain and Body Image Projection.” Medical Hypotheses 83, no. 6 (2014): 755–757.Jalal, Baland. “The Neuropharmacology of Sleep Paralysis Hallucinations: Serotonin 2A Activation and a Novel Therapeutic Drug.” Psychopharmacology 235, no. 11 (2018): 3083–3091.Jalal, Baland, Lucia Moruzzi, Andrea Zangrandi, Matteo Filardi, Claudio Franceschini, Fabio Pizza, et al. “Meditation-Relaxation (MR Therapy) for Sleep Paralysis: A Pilot Study in Patients with Narcolepsy.” Frontiers in Neurology 11 (2020): 922. doi:10.3389/fneur.2020.00922.Folklore, Myth, and the Old HagHufford, David J. The Terror That Comes in the Night: An Experience-Centered Study of Supernatural Assault Traditions. Philadelphia: University of Pennsylvania Press, 1982.Hufford, David J. “Sleep Paralysis as Spiritual Experience.” Transcultural Psychiatry 42, no. 1 (2005): 11–45.Adler, Shelley R. Sleep Paralysis: Night-mares, Nocebos, and the Mind-Body Connection. New Brunswick: Rutgers University Press, 2011.Davies, Owen. “The Nightmare Experience, Sleep Paralysis, and Witchcraft Accusations.” Folklore 114, no. 2 (2003): 181–203.Bond, John. An Essay on the Incubus, or Nightmare. London: Printed for D. Wilson and T. Durham, 1753.Golzari, Samad E. J., et al. “Sleep Paralysis in Medieval Persia — The Hidayat of Akhawayni (?–983 AD).” Neuropsychiatric Disease and Treatment 8 (2012): 229–234.Cross-Cultural Sleep ParalysisHinton, Devon E., Vuth Pich, Dara Chhean, and Mark H. Pollack. “‘The Ghost Pushes You Down': Sleep Paralysis-Type Panic Attacks in a Khmer Refugee Population.” Transcultural Psychiatry 42, no. 1 (2005): 46–77.Hinton, Devon E., Vuth Pich, Dara Chhean, Mark H. Pollack, and Richard J. McNally. “Sleep Paralysis among Cambodian Refugees: Association with PTSD Diagnosis and Severity.” Depression and Anxiety 22, no. 2 (2005): 47–51.Jalal, Baland, and Devon E. Hinton. “Rates and Characteristics of Sleep Paralysis in the General Population of Denmark and Egypt.” Culture, Medicine, and Psychiatry 37, no. 3 (2013): 534–548.Jalal, Baland, Joseph Simons-Rudolph, Bamo Jalal, and Devon E. Hinton. “Explanations of Sleep Paralysis among Egyptian College Students and the General Population in Egypt and Denmark.” Transcultural Psychiatry 51, no. 2 (2014): 158–175.Jalal, Baland, Andrea Romanelli, and Devon E. Hinton. “Cultural Explanations of Sleep Paralysis in Italy: The Pandafeche Attack and Associated Supernatural Beliefs.” Culture, Medicine, and Psychiatry 39, no. 4 (2015): 651–664.Olunu, Esther, Ruth Kimo, Esther Olufunmbi Onigbinde, Mary-Amadeus Uduak Akpanobong, and Inyene Ezekiel Enang. “Sleep Paralysis, a Medical Condition with a Diverse Cultural Interpretation.” International Journal of Applied and Basic Medical Research 8, no. 3 (2018): 137–142.Sensed Presence / Body Map / Shadow Person NeuroscienceArzy, Shahar, Margitta Seeck, Stephanie Ortigue, Laurent Spinelli, and Olaf Blanke. “Induction of an Illusory Shadow Person.” Nature 443 (2006): 287.Blanke, Olaf, Stephanie Ortigue, Theodor Landis, and Margitta Seeck. “Stimulating Illusory Own-Body Perceptions.” Nature 419 (2002): 269–270.Blanke, Olaf, Theodor Landis, Laurent Spinelli, and Margitta Seeck. “Out-of-Body Experience and Autoscopy of Neurological Origin.” Brain 127, no. 2 (2004): 243–258.Ionta, Silvio, Lukas Heydrich, Bigna Lenggenhager, Michael Mouthon, Eleonora Fornari, Dominique Chapuis, Roger Gassert, and Olaf Blanke. “Multisensory Mechanisms in Temporo-Parietal Cortex Support Self-Location and First-Person Perspective.” Neuron 70, no. 2 (2011): 363–374.Blanke, Olaf, Polona Pozeg, Masayuki Hara, Lukas Heydrich, Andrea Serino, Akio Yamamoto, Toshiro Higuchi, et al. “Neurological and Robot-Controlled Induction of an Apparition.” Current Biology 24, no. 22 (2014): 2681–2686.Alien Abduction / Modern Mythic MaskMcNally, Richard J., and Susan A. Clancy. “Sleep Paralysis, Sexual Abuse, and Space Alien Abduction.” Transcultural Psychiatry 42, no. 1 (2005): 113–122.Clancy, Susan A. Abducted: How People Come to Believe They Were Kidnapped by Aliens. Cambridge, MA: Harvard University Press, 2005.Blackmore, Susan. “Abduction by Aliens or Sleep Paralysis?” Skeptical Inquirer 22, no. 3 (1998): 23–28.Clinical Sleep / Narcolepsy / REM BackgroundAmerican Academy of Sleep Medicine. International Classification of Sleep Disorders. 3rd ed., text revision. Darien, IL: American Academy of Sleep Medicine, 2023.Scammell, Thomas E. “Narcolepsy.” New England Journal of Medicine 373, no. 27 (2015): 2654–2662.Saper, Clifford B., Patrick M. Fuller, Nigel P. Pedersen, Jun Lu, and Thomas E. Scammell. “Sleep State Switching.” Neuron 68, no. 6 (2010): 1023–1042.Brooks, Patricia L., and John H. Peever. “Identification of the Transmitter and Receptor Mechanisms Responsible for REM Sleep Paralysis.” Journal of Neuroscience 32, no. 29 (2012): 9785–9795.Avidan, Alon Y., and Phyllis C. Zee, eds. Handbook of Sleep Medicine. Philadelphia: Lippincott Williams & Wilkins, 2011.Visual / Art HistoryFuseli, Henry. The Nightmare. 1781. Oil on canvas. Detroit Institute of Arts.Myrone, Martin. Gothic Nightmares: Fuseli, Blake and the Romantic Imagination. London: Tate Publishing, 2006.Powell, Nicolas. Fuseli: The Nightmare. London: Allen Lane, 1973.Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

About this episode:   Selective serotonin reuptake inhibitors, or SSRIs, are the most widely used class of antidepressants. While these medications have undoubtedly saved lives, they have also gained scrutiny for having significant side effects and being difficult to taper off of. In this episode: Two psychiatrists talk about the existing recommendations for deprescribing and why SSRIs remain a critical treatment tool despite pressure from federal health officials to wean Americans off of them. Guest:  Dr. Paul Nestadt is an associate professor of Mental Health who studies the epidemiology of suicide and serves as the primary supervising psychiatrist for the Johns Hopkins Hospital Anxiety Disorders Clinic. Dr. Jimmy Potash, MPH, is the director of Psychiatry and Behavioral Sciences and psychiatrist-in-chief at Johns Hopkins Medicine. Host:  Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content:  Kennedy Starts a Push to Help Americans Quit Antidepressants—The New York Times Prescriptions for Antidepressants Increasing among Individuals with no Psychiatric Diagnosis—Johns Hopkins Bloomberg School of Public Health Tapering of SSRI treatment to mitigate withdrawal symptoms—Lancet Psychiatry Changes in antidepressant use by young people and suicidal behavior after FDA warnings and media coverage: quasi-experimental study—BMJ Cognitive Behavior Therapy for Generalized Anxiety Disorder Among Older Adults in Primary Care—JAMA Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

Many people know the term “bipolar disorder,” but few understand what mania actually looks like, how depression presents, or why recognizing the warning signs can be so difficult. In this episode, host Gabe Howard sits down with ADAA (Anxiety and Depression Association of America) Member expert Bruce M. Cohen, MD, PhD. Dr. Cohen is a psychiatrist, Harvard Medical School professor, and former president and psychiatrist-in-chief of McLean Hospital. Together, they break down the realities of bipolar disorder, including the differences between bipolar I, bipolar II, and cyclothymia. Listeners will learn: how some risk-taking behaviors could be warning signs how distinguishing bipolar from personality traits requires careful evaluation how caregivers need support and self-care to be effective They also tackle an important question: When is someone simply energetic, dramatic, or outgoing — and when could those traits point to a mental health condition? Using real-world examples and decades of clinical experience, Dr. Cohen explains how mental health professionals distinguish personality from illness. If you've ever wondered what bipolar disorder really looks like — or how to help someone who may be struggling — this episode is for you. We would like to thank McLean Hospital for providing educational support for this episode. “I've been doing this for 50 years and I've focused on psychotic disorders and bipolar disorders. [. . .] Most of them lead good lives and they're successful.” ~Bruce M. Cohen, MD, PhD Our guest, Bruce M. Cohen, MD, PhD, is the Robertson-Steele Professor of Psychiatry at Harvard Medical School and President/Psychiatrist-in-Chief Emeritus at McLean Hospital. Currently, as Director of the Program for Neuropsychiatric Research at McLean/Mass General Brigham, he leads a consortium using cell culture, genomic, pharmacologic, brain imaging, and clinical studies to increase understanding and develop new treatments for psychiatric disorders. This work is particularly focused on identifying inherent factors that might be modulated to reduce the risk of illness. Convergent evidence from these studies highlights key factors underlying risk for illness, prominently including abnormalities of energy production and brain cell growth and maturation. These abnormalities affect brain development, brain remodeling during adolescence, and brain repair with age. In addition, his work has documented evidence-based dimensional approaches for diagnosing psychiatric disorders that describe each person seeking treatment more accurately and thoroughly than standard diagnostic models. Collaborating investigators work at McLean, the Broad Institute of Harvard and MIT, and international sites. Following undergraduate studies at the Massachusetts Institute of Technology and graduate (molecular genetic) and medical studies at Case Western Reserve University, Dr. Cohen completed his residency training at McLean. He was co-founder of a Clinical Research Center, founding Director of McLean's Brain Imaging Center, and director of McLean's Residency Training Program, and a Vice President at McLean, before becoming President and Psychiatrist-in-Chief of the hospital. Under his leadership, McLean, which was struggling financially, established over 30 new programs, became financially stable and grew to treat more patients, perform more research, and teach more trainees than at any time in its distinguished history. He has taught locally, at McLean, Harvard Medical School, and the Massachusetts Institute of Technology, as well as lecturing nationally and worldwide to academic and lay audiences. He has directed continuously funded translational research projects and centers for 48 years.  Dr. Cohen has over 400 publications and 5 awarded patents.  He authored one popular book for lay audiences and has chapters in 19 textbooks. He has consulted to industry and clinical centers. He has been featured in national publications as one of the best doctors in America, been named Psychiatrist of the Year twice by the National Alliance on Mental Illness of Massachusetts, and has won awards for research, teaching, and clinical care. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.

We spend an exhausting amount of energy trying to outrun our own difficult thoughts and feelings.For this episode, Jill Stoddard brings back ACT therapist, trainer, and author of The Acceptance and Commitment Therapy Skills Workbook, Matt Boone for a refreshingly grounded look at Acceptance and Commitment Therapy. Matt shares how his own path through chronic pain led him to ACT, breaking down why trying to "fix" uncomfortable inner experiences usually backfires.You'll hear about why we procrastinate, how to unhook from spiral-inducing thoughts, and how to get unstuck when uncertainty feels overwhelming. Plus, Matt shares how ACT helps therapists dodge burnout. Join us for this practical guide to making peace with the noise in your head so you can finally move toward what actually matters.Listen to POTC ad-free for just $5 a month by becoming a Mega Supporter on Patreon! Or, support the podcast with a one-time donation at Buy Me A Coffee!Listen and Learn: How ACT moves away from trying to "fix" or eliminate difficult emotions, teaching people to live alongside their pain so they can focus energy on what truly matters Matt's personal journey from chronic pain patient to ACT therapist, exploring how real-life experiences shaped their approach to therapy and led to designing experiential ACT training courses How Acceptance and Commitment Therapy (ACT) shifts the focus from managing symptom scores to creating meaningful, real-world behavior changes through experiential, values-based action Why "we hurt where we care," how procrastination and avoidance function to give us short-term relief, and how reconnecting with your deeper "why" can help you step through discomfort toward a full life How to define values as actionable, ongoing ways of being rather than fixed feelings, and discover practical tools Aligning small everyday actions with your values to allow you to act with intention, kindness, and self-acceptance, even in hard moments Major clinical hurdles and creative, practical exercises to act in alignment with your values anyway How mindfulness allows you to step back and observe unhelpful thoughts without getting tangled up in them or taking them as "capital-T truth Why arguing with your mind often backfires, how to shift focus from thought content to thought impact, and why taking a "leap of faith" empowers you to take meaningful action aligned with your values Resources: The Acceptance and Commitment Therapy Skills Workbook https://www.matthewsboone.com/acceptance-commitment-therapy-skills-workbook Matt's Website https://www.matthewsboone.com/ Connect with Matt on Social Mediahttps://www.facebook.com/matthew.boone.794/about https://www.linkedin.com/in/matthewsboone https://www.praxiscet.com About Matt Boone: Matt Boone is a social worker, psychotherapist, and author who specializes in translating mental health concepts for the general public. His books include The Acceptance and Commitment Therapy Skills Workbook, co-authored with Jennifer Gregg, and Stop Avoiding Stuff: 25 Microskills to Face Your Fears and Do It Anyway, co-authored with Jennifer Gregg and Lisa Coyne.He is the Associate Director at the Student Wellness Program (SWP) of the University of Arkansas for Medical Sciences (UAMS) and Instructor in the Department of Psychiatry. As the Clinical Director of Mental Health Coaching at Lyra Health, he oversaw the clinical development of Lyra's mental health coaching program and offered workshops and webinars on mental health topics to workers in the tech industry. Lyra partners with eBay, Lyft, Uber, Servicenow and others to provide evidence-based care to their employees.At Cornell University, he oversaw the development of Let's Talk, an outreach program that has since been replicated at nearly 100 other colleges and universities. He lives and works in Little Rock, Arkansas with his wife, guitars, and cats, Giorgia (a sassy Tortie) and Finley (a gentle giant orange kitty with a superhuman -- or superkitten-- capacity for empathy).Related Episodes:77. Acceptance and Commitment Therapy with Jill Stoddard106. Therapy from “The Heart of ACT” with Robyn Walser116. Building a Meaningful, Values-based Life with Jenna LeJeune121. Be Mighty: An Episode for Stressed Out, Worried Women with Jill Stoddard128. ACT for Food Restriction and Anorexia with Rhonda Merwin190. ACT for Suicide Prevention with Sean Barnes195. ACT Daily with Diana Hill and Debbie Sorensen226. ACT for Perfectionism with Jennifer Kemp279. ACT for Healing Black Racial Trauma with Jennifer Shepard Payne301. Seven Daily ACT Practices for Living Fully with Diana Hill and Debbie Sorensen313. ACT-Informed Exposure for Anxiety with Brian Pilecki and Brian Thompson338. ACT for Burnout with Debbie!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

For most scientists, the mind is little more than a machine. With the rise of AI, some now claim that computers may themselves become conscious. For acclaimed neuroscientist, psychiatrist, and philosopher Iain McGilchrist, this is a profound mistake. The attempt to explain the mind in purely mechanistic terms reflects the flawed assumptions of materialism and reductionism – both symptoms of a civilisation dangerously dominated by left-hemisphere thinking. To understand mind and matter, he argues, we need to restore the right hemisphere to its rightful primacy and move beyond materialism.Iain McGilchrist is a distinguished British neuroscientist, psychiatrist and philosopher. A former Fellow of All Souls College, Oxford, Iain McGilchrist also worked as a consulting psychiatrist, and is known for his influential work on the relationship between the structure of our brains, human cultures and our understanding of the world.Oliver Adelson is Philosophy Desk Lead at the Institute of Art and Ideas. He is also Head of Speaker Booking for the IAI's HowTheLightGetsIn Festival.Don't hesitate to email us at podcast@iai.tv with your thoughts or questions on the episode!To witness such talks live buy tickets for our upcoming festival: https://howthelightgetsin.org/festivals/And visit our website for many more articles, videos, and podcasts like this one: https://iai.tv/You can find everything we referenced here: https://linktr.ee/philosophyforourtimesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Original air date: July 25, 2024Dr. Joyce Maguire Pavao, Ed.D., LCSW, LMFT, was the Founder and CEO of Center for Family Connections, Inc. (CFFC, 1995-2012) in Cambridge and New York, Founder and Director of Riverside After Adoption Consulting and Training (AACT, 2012 to 2015), PACT (Pre/Post Adoption Consulting and Training, 1982-present), and Pavao Consulting and Coaching. Dr. Pavao has done extensive training, both nationally and internationally. She is a lecturer in Psychiatry at Harvard Medical School, and she has consulted to various public and private child welfare agencies, adoption agencies, schools, and community groups, as well as probate and family court judges, lawyers, and clergy. Additionally, she has worked closely with individuals and families touched by adoption, foster care, and other complex blended family constructions.Recommended Resources: "Twice Born" by Betty Jean Lifton "The Adoption Triangle" byArthur D. Sorosky, M.D. Annette Baron, M.S.W. Reuben Pannor, M.S.W. "Lethal Secrets" by Annette Baran and Reuben Pannor "The Family of Adoption" by Dr. Joyce Maguire Pavao

Why Your Stroke May Not Be Causing Your Brain Fatigue For a long time after my brain surgery, I assumed my body worked like this: the stroke happened in my head, so whatever went wrong afterward would also happen in my head. Fatigue, brain fog, slow thinking all of it filed under “neurological,” all of it explained by the injury I already knew about. That assumption turned out to be wrong, and the way I found out was almost accidental. About eighteen months after my brain surgery, I had thyroid surgery to remove a nodule so large it had pushed my windpipe and esophagus six centimeters out of place. I had no idea it was there. No lump I could see, no difficulty swallowing or breathing that I’d noticed. It was found only because I had a chest X-ray to rule out an infection, and a doctor spotted something that had nothing to do with why I’d walked in. What followed was a slow, confusing recovery from that second surgery, and a wave of fatigue I automatically blamed on my brain, because that was the injury I already understood. It took time to realize the fatigue might be coming from somewhere else entirely: my thyroid. Hormones and Stroke Recovery: The Connection Nobody Talks About I brought this experience to Dr. Robert Hedaya, a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, to understand what actually happened, and to ask a bigger question: how many other stroke survivors are dealing with fatigue, brain fog, or mood changes that they’ve written off as “just the stroke,” when the real driver is a hormonal system that’s quietly stopped working properly? Hormones and stroke recovery turn out to be far more entangled than most of us are told. As Dr. Hedaya put it plainly: the brain is a hormonal organ. Thyroid hormone, cortisol, testosterone, estrogen every one of them acts directly on brain tissue, and every one of them can be knocked off balance by the stress of a major medical event. Why “Normal” Thyroid Bloodwork Can Still Mean Something’s Wrong One of the most important things Dr. Hedaya explained is that a “normal” TSH result doesn’t rule out a thyroid problem, especially after a stroke. TSH is a signal sent from the pituitary gland, and if a stroke has affected the brain’s signaling pathways, the pituitary itself may not respond the way it should. A survivor can have genuinely low thyroid hormone while their TSH sits comfortably inside the standard reference range, because the system responsible for raising that number in response to a deficiency isn’t functioning correctly. He also raised a striking data point: population studies suggest the average TSH in a healthy population is closer to 1.4, yet most labs still use an upper reference limit of 4.5, a range wide enough, statistically, to miss a real problem. His advice for survivors going into a GP appointment: ask specifically for TSH, free T4, free T3, and reverse T3, not just the standard single-marker test, and come prepared with symptoms written down if a doctor pushes back. A Nodule That Grew in Silence The brain is a hormonal organ. It’s an immune organ. It’s a neurological organ… there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. -Dr. Robert Hedaya My own nodule is a case study in exactly this kind of silent progression. Dr. Hedaya explained that because it grew inward rather than outward, it never created the visible lump most people associate with a thyroid problem, and because it didn’t press on my vocal cords or laryngeal nerve, I never developed the hoarseness that might have flagged it sooner. My body adapted gradually, and the fatigue that eventually surfaced was easy to misattribute to the injury I already knew I had. Cortisol, Stress, and the Difference Between Pain and Suffering Beyond the thyroid, Dr. Hedaya walked through the role of cortisol, the body’s primary stress hormone, and why survivors often struggle to answer a deceptively simple question: “Are you stressed?” His distinction between pain and suffering is worth sitting with: pain is often unavoidable, but suffering is shaped by the story we tell ourselves about a situation, and a stroke can compromise the very brain systems that regulate that stress response in the first place. Testosterone, Estrogen, and the Brain’s Need for Hormones to Rewire The conversation closed on sex hormones, testosterone and estrogen, relevant to both men and women, and their role in neuroplasticity. Dr. Hedaya drew a direct comparison to adolescence: the teenage brain rewires itself while hormone levels are surging, and the same principle applies after a stroke. A brain trying to rebuild pathways needs adequate hormonal support to do that work. Without it, recovery can stall in ways that have nothing to do with effort or physiotherapy. What You Can Do About It If any of this sounds familiar fatigue that doesn’t track cleanly with other recovery milestones, or symptoms a doctor has waved off as “just stress,” Dr. Hedaya’s PNIE (psycho-neuro-immuno-endocrinology) questionnaire is a useful starting point. PNIE Questionnaire download: https://drive.google.com/file/d/1S7kC5uMFgBfS-gWcUOIHp0kOjGnrzZK5/view?usp=sharing If thyroid function specifically is what you’re navigating, the earlier conversation with Dr. Elena Zinkov, “Stroke Fatigue and Thyroid,” goes deeper into that piece (https://recoveryafterstroke.com/stroke-fatigue-and-thyroid/). And for more from Dr. Hedaya, the first conversation on photobiomodulation and stroke recovery is a good companion listen (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). Getting your body back after a stroke is rarely just about the brain. My book, The Unexpected Way That A Stroke Became The Best Thing That Happened, goes further into the mindset shifts that came out of my own recovery (recoveryafterstroke.com/book). And if this podcast has helped you, you can support its continuation at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns (Interview) A baseball-sized thyroid nodule hid in plain sight after Bill’s stroke. Dr. Hedaya explains the hormone testing every survivor should ask for. Support The Recovery After Stroke Podcast Bill’s Book: The Unexpected Way That a Stroke Became Thethe Best Thing That Happened Highlights: 01:45 Hormones and Stroke Recovery 02:11 Understanding Thyroid Function and Its Impact 17:07 Navigating Thyroid Health with Healthcare Providers 27:09 The Role of Stress and Cortisol 39:09 Nutrition’s Impact on Brain Recovery Transcript: Hormones and Stroke Recovery Bill Gasiamis (00:00) And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. that was the first sign that there was something wrong with my thyroid Bill Gasiamis (00:19) Welcome back to Recovery After Stroke. I’m Bill Garciamas, and today I’m joined again by Dr. Robert Hedeya, clinical professor of psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, whose highland approach to brain health first brought him onto the show for our conversation on episode 404, where we discussed, amongst other things, photobiomodulation, a type of transcript. cranial laser therapy helping some stroke survivors recover lost function. He’s back today for a conversation I wanted to have for a while, the hormonal side of stroke recovery. We’re going to talk about thyroid function, cortisol, and stress physiology, and sex hormones like testosterone and estrogen, and why every one of these systems can directly affect how well and how fast your brain recovers. I’ll also share my own story of a thyroid nodule that grew undetected, which was discovered after my brain surgery completely by accident. if this conversation resonates with you, my book, The Unexpected Way That a Stroke Became Thethe Best Thing That Happened goes deeper into the mindset shifts that shaped my own recovery. You can find it at recoveryafterstroke.com/book. And if you’d like to help keep this podcast going, you can support it financially at patreon.com/recoveryafterstroke. Bill Gasiamis (01:46) Robert Hedaya, welcome back to the podcast. Dr Hedaya (01:49) Thank you for having me, Bill. Understanding Thyroid Function and Its Impact Bill Gasiamis (01:51) thank you for being here. The last conversation we had was very well received. And it’s always difficult in a one hour interview to ask all the questions that we could possibly ask about the brain and stroke recovery and all the things that people go through. And… I’ve got a lot of other questions that are related to the brain and the link between other parts of the body and the brain, because we have this sense. Well, I did at least when I was first diagnosed that whatever happens in my head is kind of isolated, that it just impacts my head. But there seemed to be some other impacts and cascading effects. that were occurring, uh, that I didn’t know were linked to the brain injury, Dr Hedaya (02:45) Yeah. Bill Gasiamis (02:46) maybe indirectly, but they were perhaps. But one thing specifically that happened to me about, uh, 18 months after my brain surgery was I had thyroid surgery to remove a nodule on my thyroid. And when I was going through the recovery after that, surgery, I noticed that I had fatigue and I thought it was neurological fatigue related to my brain surgery. But it took a long time to develop an understanding that perhaps that batch of fatigue was related to my thyroid. And then that got me thinking all sorts of things. know, if the thyroid also causes the same neurological fatigue that brain injury causes, what people might be missing this in their healing from a brain injury, they might have a compromised thyroid and not know about it. So the first question is, what is a thyroid? What does it do? And why does it cause neurological fatigue? Dr Hedaya (03:54) Okay. So thyroid gland sits in the neck, right? There’s two lobes, there’s one on the right, one on the left, a little kind of island in the middle called the isthmus, and and it controls many functions, metabolism overall, energy overall, just broadly speaking. now it affects the immune system. It’s affects the nervous system. It affects the gastrointestinal system, it affects the muscles, it affects the heart, right? It affects the skin, it affects the nails, it affects the hair. You know, and I could go on and on and on. Okay? Bill Gasiamis (04:34) Wow. Dr Hedaya (04:35) Now the interesting thing about this is that this be a little technical, but the thyroid puts out a hormone called T4 or thyroxine, and this is a little molecule with four iodines in it on it, and that Gives you about 20% of the activity of your thyroid hormones in your body. But then that T4 goes all over the body to different tissues, and each tissue can has its own system to change that T4 into T3 by removing an iodine. T3 has 80% of the thyroid activity. So that means each tissue in the body can control how much thyroid it. It’s using and needs, right? And and has available to it. Okay. So that means the brain, the heart, the liver, the lungs, every tissue has its own enzyme that allows it to kind of modulate how much thyroid, right? Now, so why does that cause neurological fatigue? Well, thyroid in the brain affects neurotransmitters like adrenaline in the brain, which is called nor norepinephrine, noradrenaline. in order for that to work. The T3 has to be in the right amount for the receptors for the noradrenaline to be structurally correct so they can transmit the signal. It’s necessary for production of energy in all the brain cells. It helps the immune system in the brain. It carries molecules from here to there in the brain. it affects serotonin transmission in the brain, so mood regulation, anxiety, obsessiveness, depression. You know, those are just some of the functions of the brain, but it affects every cell in the bane in the brain. So you’re gonna, if your thyroid is off, most likely you’re gonna have some kind of brain problems, particularly, you know, when your thyroid is off, the tissues in your body that are most compromised or most stressed, that’s probably where it’s gonna show up, right? And in the case of stroke, that’s where it’ll show up. Bill Gasiamis (06:44) So it’s possible then, is it possible to overlook it? Is it very obvious that your thyroid is out of, well, is dysregulated or is not working properly? Dr Hedaya (06:56) Well, in general it’s easy to detect. And if you want, I’ll tell you how. So Bill Gasiamis (07:04) Yeah. Tell me how. Dr Hedaya (07:07) so there’s some blood tests that are simple and then s some symptoms. so for most people this holds. When your thyroid is low, you know, you’re gonna be cold easily, you’re gonna have dry skin, brittle nails, hair will fall out. Muscles will be weak, thinking will be slow, movement will be slow, getting up from a chair will be more difficult, going upstairs will be more difficult, your heart rate will slow down, you’ll be constipated. Those are the most common symptoms. If your thyroid is overactive, then you could be have palpitations, oily skin, acne, oily hair. Diarrhea, you know, kind of the opposite. The thing that’s a little confusing with the thyroid is sometimes overactive thyroid can show up and look like it’s underactive symptomatically, or vice versa. So you really need the labs. And the labs are TSH, which is thyroid stimulating hormone, and that’s tells you what the brain is doing. And then free T4. That’s the amount of T4 that’s kind of floating around free, not bound to protein, so it can actually do its job. The way I think of it is like, you know, a lot of the thyroid home is sitting on a bus. It’s not free, it’s bound to protein. Can’t do its job. But the stuff the thyroid this that’s out of the bus or not on a protein, that can do its job. That’s the free T four. And then the free T three, right, which carries eighty percent of thyroid activity. And then the last one is a reverse T3 because sometimes if your tissues in your body are making too much thyroid or getting too much thyroid, they’ll actually, instead of taking the iodine off the T4 molecule on the right side, they’ll take it off on the left side, or vice versa. So they make a fake T3 that doesn’t work. And this way they short circuited okay, you got all this T3. Well, let’s make it into a fake, fake T3 so it can’t do anything. So reverse T3 is also very important. And then you want to measure body temperature. Usually it’ll be low. And then, you know, a physical exam. Those are the ways to do it. If you wanted to go even deeper, you could do some genetic testing. There are genes that will tell you whether you’re converting the T4 to T3 in the brain. Adequately, or maybe you’re more likely to be slow in that regard. So you can have normal numbers in your blood, but your brain might be hypothyroid, right? And there are actually a lot Bill Gasiamis (10:05) Uh-huh. Dr Hedaya (10:05) of studies showing that hypermetabolic, like high doses of free T3, actually reverse treatment-resistant depression because it’s it’s thought that there’s a local in-brain. hypo-low thyroidism. You can have low thyroidism in your heart, in your muscles, but not in the other tissues, you know, because I told you every tissue can control how much it’s making. So if you have a genetic vulnerability, then you you might more be in general be more likely vulnerable to depression or to ADD or to anxiety, things like that. Bill Gasiamis (10:42) Wow. Are you blowing me away? I didn’t expect to hear any of the things that you just said. X. Um, some of the things that you described, the, uh, some of the symptoms that you described, had those intermittently in and out all the time, other than a thyroid nodule, which is what I had, which was obvious on a scan. Dr Hedaya (11:05) Yeah. Bill Gasiamis (11:06) What other things caused the thyroid to not function? correctly. So is there lifestyle factors that interfere with the thyroid gland and therefore, you know, then have the cascading effect and take off, take all those other things or some of those other things offline. Dr Hedaya (11:28) So there a number of causes, right? So first of all, let’s take someone who has had a stroke or chronic illness, right? So you’re under stress and that affects your stress hormones, your adrenal glands, cortisol, etc. Well, if your adrenals kind of poop out, then maybe your body says, Well, I can’t handle all this thyroid, even though the amount is normal, it’s like too much. I can’t handle it, so it’ll make less thyroids. Now you develop a hypothyroidism. You could develop it just because all the chemicals in the environment, the ha the hormone interrupting chemicals, there are hundreds of those. you could develop it ’cause of nutritional deficiencies like tyrosine is necessary to make thyroid hormone, copper, you know, things like that. I can’t tell you offhand which which nutritional factors, but people can look that up, what nutritional factors are important. To make thyroid hormone. and then infections like, for example, Lyme disease causes Hashimoto’s thyroiditis, which is an autoimmune where your immune system’s actually attacking your thyroid. COVID vaccination, like the Pfizer and the Moderna vaccine, if you are genetically vulnerable, can also cause your immune system to attack your thyroid. So there are many, many causes, plus there are inherited genetic vulnerabilities and it It’s not always low thyroid, sometimes it’s high thyroid, hyperthyroidism, like Graves’ disease, right? You can have antibodies Bill Gasiamis (13:01) Mm-hmm. Dr Hedaya (13:02) that are actually stimulating thyroid activity as well. Bill Gasiamis (13:06) Wow. The environmental toxins. we talking about all day, every day household use kind of environmental toxins? I imagine the external of the house, they’re kind of out of our control, right? We’ll talk about like, you know, like pollution or things that are associated to things that are caused that we don’t necessarily control, but internally inside the house or what we expose ourselves to that we can control. what would some of those environmental toxins Dr Hedaya (13:38) Well Bill Gasiamis (13:39) be? Dr Hedaya (13:40) so for example, you know, in your produce, you know, there are pesticides, or in the man made materials in your car or the man made materials in your home. Let’s say you bought a new home and you have, you know, some kind of synthetic floors or furniture with synthetic materials or materials that are natural that are treated with chemicals for various reasons. Those things all can be not everyone is, but many of them are called homes. hormone interruptors because they actually can change the way your hormones function. You know? So we’re the truth is we’re bathed in these chemicals. They’re everywhere. And very hard to escape them. The best thing you can do is kind of try to detox them using a healthy diet, a lot of crucifer vegetables and lots of vegetables, above ground vegetables that are grown in healthy soil. Without pesticides, organic preferably, right? and then there are supplements you can take, such as metagenics makes something called UltraClear Plus, which helps support the liver, and its detox functions. You know, some people are more vulnerable than others, but you know, these thyroid nodules you like you have, they’re very, very common now. Very common. And that’s you know. In large measure, I think these hormone interrupters that are interfering with how the the thyroid follicles in the thyroid gland are operating. Bill Gasiamis (15:13) Is it possible to have thyroid nodules and not know about it? I, I Dr Hedaya (15:18) Yeah. Bill Gasiamis (15:19) say that because I had nodules that were the size of a baseball, apparently in my throat that were growing inwards, that didn’t make a lump outside of my throat, which Dr Hedaya (15:33) Yeah. Bill Gasiamis (15:34) I was not aware of. And the way they found it was they did a chest X-ray after brain surgery because I wasn’t recovering well. to check my chest to see if there’s an infection. And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. Dr Hedaya (15:52) Wow. Bill Gasiamis (15:53) I’m not sure what that is in inches. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. But that was the first sign that there was something wrong with my thyroid before that. there was no sign of it. I ask that because either I’m totally oblivious or it is possible to have thyroid nodules and not know it. Dr Hedaya (16:23) Well, most people don’t know it. Now yours is so massive, but I think it’s kind of what you said is how it grew. If it grew towards your vocal cords or your laryngeal nerve or something, you would have had some pretty bad hoarseness or something like that. But it grew I guess backwards so it didn’t interfere that much. And I guess your s your body adapted gradually over time. You know, yes, it’s very possible for sure. Very common. Bill Gasiamis (16:49) And how would somebody interact with a general practitioner, for example, now to go through the process of understanding, A, their thyroid health and whether or not they have any nodules. Navigating Thyroid Health with Healthcare Providers Dr Hedaya (17:02) I mean in other words, given what we’ve talked about, how should they approach their doctor basically? Bill Gasiamis (17:07) Yeah. Dr Hedaya (17:08) I guess I would say go to AI, get a list of the symptoms of low thyroid or high thyroid or all of them, check them off. So then when you go to the doctor you have a list, check your temperature, check your pulse, although the doctor will should check that. And then you could say, look, I have these symptoms, or maybe you don’t have any. But if you do, you have these symptoms, and clearly thyroid hormone levels can affect the brain. And I’d like a TSH, a free T4, a free T3, and a reverse T3. That’s it. And if they Bill Gasiamis (17:45) Okay, perfect. Dr Hedaya (17:46) say, no, no, we don’t need to do that, you know, a lot of times what they do, they’ll just do a TSH. Or they won’t do the reverse T3. They don’t, unfortunately, look at the thyroid gland in a dynamic way. They say, the TSH is fine. If your thyroid was low, your TSH would go high. We don’t need to do the rest. But that’s not true. That’s not true at all. Because especially if you had a stroke, your pituitary function may be compromised. Your TSH may be fine or low and your low thyroid. As matter of fact, in the last interview, the case that I talked about, who referred me to you, she actually had a low TSH, but she had a very low, I think it was a free T4. Or free T3 or both, whatever it was, but she had too little thyroid hormone, and her pituitary couldn’t respond because of the stroke. Bill Gasiamis (18:37) understood. So that’s a great list of Dr Hedaya (18:37) So so be you have to be dogmatic and you say to the doctor, look Even put into even put into AI and say, look, if the doctor comes back to me and argues against these tests, what should I say? You gotta be prepared because the doctor will steamroll you. You know, that they only allow this, they only allow that, I’ll only do the free T4. Well, that doesn’t tell you how much has been converted to T3, free T3, and it doesn’t tell you, even if the free T3 is normal, that doesn’t mean you’re not overproducing thyroid and and dis you know, and neutralizing it with the reverse T three. So, you know I mean I I mean I think it’s s so important that a thorough look is is really important. If you have the symptoms, you know. Bill Gasiamis (19:22) I agree with you. That list of to-dos, I’m gonna put that on the show notes. People can go and get that list if they don’t wanna go into AI themselves or they haven’t got the time or whatever. They can just download it from there. And then they’ll be able to take that and begin a conversation with their general practitioner. What’s interesting is that I’m in Australia, you’re in the United States. My general practitioner is pushed back when a… when a patient will turn up and say, I have these tests? They’ll say, well, no, you don’t have any condition that is obvious that you need these tests. So it’s not covered. So you don’t need to do it. So my next suggestion to them is no problem. Order the tests and I’ll pay for them. Now it’s not ideal, but if you’re not going to do them for me and I need to know, cause it’s my health, I’m going to pay for them. So just tell me how much it is and I’ll find a way and I’ll make it happen and I’ll pay for it. So that’s another option. Dr Hedaya (20:17) Yeah. But if you go in with your symptom list, right, and you say, Well, that’s not true, because these are the symptoms, you know, that I have, here they are, right here. You can take a look, you know. And then the last thing I’ll say, this gets even more tricky, is the reference range, I’m sure in Australia, but certainly in the United States, the reference range basically is of the TSH, the pituitary home. Is 0.5 to 4.5, meaning you anywhere in that range and your TSH is normal. That is a bad reference range. And I know it to be a fact because I I I guess I won’t waste your time with it, but I did a study on a hundred people and with a very sensitive thyroid test called a TRH stimulation test. and I was able I hired a statistician to calculate this. And say, well, I don’t want to keep doing this test on everybody. What TSH predicts an abnormal TRH stimulation test? And he came back and said to me, Well, once the TSH is over 1.4, it starts to increase your odds of having an abnormal TRH stimulation. So I said, okay, so 1.4 TSH is my cutoff, right? That’s in my mind. I said, okay, that’s that’s my cutoff, that’s when I get suspicious. Later, several years later, a paper came out, a large, large study, called the NHANES Study, Nurses Health, and I’m not sure what it stands for. Thousands of people followed over many, many years, over decades, and they found the mean TSH in the US population is 1.4. So, right where I what right where my study found. So that means statistically, it is not. impossible to have the upper limit of the reference range being at four point five because statistically the upper limit is never more than two standard deviations. So even if your standard deviation is 1.4, which it can’t be, you you’re not going to reach 4.5, right? Unless you have a it’s called a bimodal distribution curve. If you have that, then you’d say, well, it it could be. But we don’t have that with thyroid. So that reference range is wrong. The upper limit of the reference range should be 2.5. And about half the endocrinologists in the United States believe that. And half say, no, no, no, don’t change it. So that’s another sticky point because, you know, easily people get a result and they’ll go to the doc and say, no, the reference range is 4.5. You’re normal. Then you could say, well, look, I have these symptoms, and they could do a literature search. What’s the normal reference point? What in in the N A N HANES N-H-A-N-E-S study? It’ll show you 1.4. and you could take be prepared to go to the doctor and say, Well, here’s a study that suggests that the reference range may be incorrect. and I have symptoms by the way. We don’t treat the lab, we treat the person. So could we give a trial? Just a trial, there’s no harm done, you know, trial. Let’s see let’s start at a very low dose. Let’s see how I feel. Maybe I’ll get better. I’ll come back in a month. Bill Gasiamis (23:45) Yeah, I love that. It’s really good advice, especially coming from someone who is a doctor who think is thinking on the same way as me, for example, the patient. Because that’s like a match made in heaven. And that’s so rare to be able to get that. Often, my challenge to my general practitioner was well, the reference range isn’t that average of a sick population, because it’s usually a sick population that comes to see you to get bloods. It’s It’s not the most healthiest people that come to see you to get bloods. And that’s kind of how I try to like start the conversation of convincing a general practitioner to do a test that they’re reluctant to do. And when I say they’re reluctant, I’m not in there every day. I’m not in there every week. And I’m not putting stress on the system to an extent where I’ve been over using the system. I’m not at all. in there once, twice a year, maybe, you so if I’m in once, twice a year, well, then, I’m not mucking around. Like I’ve come there to investigate something that I’m suspecting is wrong with me. It’s my body. I’m feeling something. had a bit of a look online. This is what I suspect. Don’t try and convince me out of my thinking or my instinct more better. Why don’t we just, work together to get to the bottom of it. If it is something it is, if it’s not, it’s not, and that’s okay. Not a big deal. I’m better to know. then not no, I think, you know, it’s better to be safe than sorry in my mind. Dr Hedaya (25:16) Yeah. I would I would only think only correction I would make is the reference ranges generally are made on normal populations. Now now the thing is who’s normal anymore? Number one. Number two, that’s a statistical norm that doesn’t tell you anything about your genetics. your vulnerabilities, it’s not an individualized statistic. I mean it’s it not an individualized thing. What’s your normal range? And are you out of your normal range? Nobody can answer that, right? Unless you had previous data before you were ill. And you say, well look, I’ve been running at a 1.1 for five years or 10 years and now I’m at 3.2. That’s a big change. Well, you know you’re stressed. Well yeah maybe but here are my symptoms. Always come back to your symptoms. Bill Gasiamis (26:11) Got it, got it. Dr Hedaya (26:12) No. Bill Gasiamis (26:13) You use the word stress just now and my general practitioner says, I might go in and some bloods might be out of whack or some things might be not feeling great. And he’ll say, are you stressed? And I’m like, well, I’m not stressed. like, I’m not stressed in any way that I can say is worse than normal. For example, I’m Dr Hedaya (26:35) Mm-hmm. Bill Gasiamis (26:36) just, you know, I’m attending to my clients at work. picking up the kids from school, I’m, you know, making sure the bills are paid. Like I’m just doing the normal things that I always Dr Hedaya (26:48) Right. Bill Gasiamis (26:48) do, which tend to be stressful. And somehow when we talk about stress, cortisol seems to come into the conversation. Dr Hedaya (26:57) Mm-hmm. The Role of Stress and Cortisol Bill Gasiamis (26:58) And I don’t know how to respond to a general practitioner who says to me, am I stressed? Because I’m not experiencing something extreme or dramatic. in the months before I came to see him. So can we have a conversation a little bit about stress, cortisol, what is stress, what is cortisol, are they linked? Tell me about that, give me your thoughts. Dr Hedaya (27:21) Okay. Okay, so this is a multi-layer system. Okay, it starts with your perception and your of a situation and the story you tell about you the story you tell yourself about the the situation and your need for control of a situation and as opposed to saying I’m in the flow of the universe and All right, this is you know, this is the way it is, and I’ll adapt to it. Not so easy by the way, but it’s a much healthier way because most things will not stress you. Now, pain, let’s say you stepped on a nail, you’re gonna have stress, okay? Totally stressful, etc. But there’s a a difference between pain and suffering. Most of our problem is suffering. Suffering is a result of thinking patterns. perspectives of yourself and the world and the future and blah blah blah. I could talk about that for a long time. And that is probably one of the most important places to intervene and to train yourself, etc. Now, once this thing is registered as stress, it goes through back to the hypothalamus and the pituitary where all those hormones are controlled, the hypothalamus and pituitary in the brain, now you’ve God forbid, you’ve had a stroke. Those things may be affected, therefore, those systems may not be working well. In that case, you may not be able to handle stresses that you used to handle. You may not you may not have those shock absorbers. So, how do you measure this? I think the way you measure it again are symptoms, and typically it would be low cortisol and low DHA, d DHEA, and low pregnenolone. And the symptoms would be a lot of fatigue, right? Maybe poor wound healing, muscle aches, body pains, getting sick more easily, cognitive slowing, depression, anxiety, extreme exhaustion, salt cravings, in unstable temperatures, you know, I would say yeah You know, th loss of appetite in severe cases, you know, dizziness on standing. Okay. So those are the low adrenal output things. Now how d how do you measure and again, you think you have a problem, go to an AI thing, make that list, check it off, whatever applies, and you know, work yourself up symptomatically and then ask well, okay, what what are the best tests here? What are the best test. Now the way I test it is I get morning I got a morning like eight to nine a.m fasting ACTH and cortisol. It’s gotta be in the morning around between eight and nine a.m. fasting. I also at the same time get a D, like David, H E A and a D H E A sulfate, and then I also get a pregnenolone. And if I think there’s any kind of sex hormone problem that I want to check, then I will check a free testosterone, FSH, LH, and The testosterone measures the free testosterone is very unreliable. So if it comes out low, you want to do it two more times to double check that. But the other measures are pretty reliable. And then you’ll you’ll know the other thing you can do is you could do something called a Dutch test, which is a urine test that’ll look at your cortisol through the day, or an adrenal saliva test. It’s ASI, alleval adrenal saliva index, the Dutch test. or the ASI, both good tests. and those will tell you what’s going on through the day. Like if you’re not sleeping, it could be because your cortisol high at night, you know. Wake up horrible or in pain. Could be because your cortisol is really low in the morning. Really low. You can’t even get out of bed, you know, can’t get going, right? So these are all all things that you can do to measure and then you can replace these hormones and That’s one thing to do. The other thing to do is to work on how you manage stress. There are millions of ways of doing that, right? From meditation to heart math to Bill Gasiamis (32:05) Mm-hmm. Dr Hedaya (32:06) yoga to you know, there’s just a lot a lot a lot of ways to Bill Gasiamis (32:10) Yeah, let’s go back for a moment and talk about testosterone because when I hear testosterone, I’m hearing you say to a male that I need to have testosterone in my body and at certain levels, et cetera. And sometimes it can fall out of whack and you need to get it tested. I had mine tested recently. It’s all good. But women also need testosterone. Tell me about that. Dr Hedaya (32:35) Yeah, so I was I was thinking of both male and female when I said it, Bill Gasiamis (32:38) Yeah. Dr Hedaya (32:39) because it’s it’s you know, women who are postmenopausal can have it’s much more common to have a low free testosterone loss of libido, you know. testosterone the studies which I’ve reviewed a few times, you know, there’s a debate does it affect the mind, the brain, you know. It seems to have an effect on well being, on vitality muscles, sex drive obviously, libido erectile function, brain cognitive function, some mood effects, etc. So I I think it’s important now i it it has to be managed in women as well as men. You know, in in women testosterone is a step on the way to estrogen as it is in men, right? And in the metabolism, right? So it it should certainly be assessed in everybody. Bill Gasiamis (33:39) Yeah. And estrogen, mentioned estrogen. Now, one of them in my mind, it seems to be more associated again to women, estrogen, especially. And, and then men also have estrogen, need estrogen. Dr Hedaya (33:55) Men also have estrogen. I haven’t studied it so I couldn’t tell you, but I imagine it’s doing something. it probably turns men into better leaders after they’re fifty, is my guess. Let Bill Gasiamis (34:08) more emotionally intelligent. Dr Hedaya (34:10) more emotionally intelligent, less testosterone, you know. You know, I I I Bill Gasiamis (34:15) You know what? That’s a good theory. We’ll run with that for now. I might relate to that, know, who knows. Dr Hedaya (34:22) Yeah. I I think Bill Gasiamis (34:24) Awesome, awesome, so… Dr Hedaya (34:24) Yeah, so w for for women on estrogen, it depends, you know, who are you assessing? Are you that’s a whole complex subject, you know. Is it a young woman who’s menstruating? Does she have premature ovarian failure, endometriosis, ovarian cysts, insulin resistance, they all kind of travel together, methylation problems, they travel together. is it someone who’s perimenopausal where she’s starting to lose progesterone and getting a lot of PMS? That’s pretty easy. You can replace the progesterone. Is it postmenopausal a woman who’s just kinda lost the estrogen, lost the progesterone? You know, if there’s a family history of cognitive decline or dementia or something like that, there’s great evidence that transdermal estrogen and some oral progesterone bio bioidentic, not synthetic, is great and reduces the risk for lots of disorders later in life for women. You know. So there’s a whole you know, there’s a whole way of working all that up, depending on who who you’re looking at. But very important. Now so the let me Bill Gasiamis (35:31) Yeah, I love it. Yeah. Dr Hedaya (35:34) say this. The important thing here, and this is maybe the most important thing. Someone’s had a stroke, they’re obviously tremendously stressed. You have to look at all the hormones. You can’t the brain is a hormonal organ. It’s an immune organ. It’s a neurological organ. I used to teach psycho, neuro, immuno, and the chronology at Georgetown for a number of years. Okay? And the brain and hormones, you can’t separate it. So if the brain is under stress, the hormonal axes are under stress, and there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. Okay? So you must, as part of the work of anyone who’s had stroke. You must look at the endocrine, the hormonal axis. You know, you must look at it. Why? Because if you’re trying to recover from a stroke and you don’t have adequate hormones, it’s gonna be much, much harder. Much, much harder. Right? But Bill Gasiamis (36:37) Peace. Dr Hedaya (36:38) if you have if you have the the hormones at good levels, okay, now the the brain has that. If it has its nutrients, it has that, you know, okay, now it can do something, you know. What happens, think about it this way. What happens in adolescence? The brain is being rewired, the body’s growing, brain is rew being rewired. Where are the hormones? The hormones are skyrocketing. They’re necessary for the rewiring. You had a stroke, you’re trying to rewire brain, you gotta have adequate hormones. Bill Gasiamis (37:10) I love it. This is the thing that people miss. You know, we talk about the gap in stroke recovery. Acute phase gets handled Dr Hedaya (37:19) That’s Bill Gasiamis (37:19) 99 % of the time really well. People get patched up and they get sent home in some kind of alive state, whether they are fully functional Dr Hedaya (37:27) Yeah. Bill Gasiamis (37:28) or working towards it or whether they are less functional and working towards being more functional, like some kind of stage Dr Hedaya (37:35) Mm-hmm. Bill Gasiamis (37:36) of you’re alive and you’re good enough to go home. And then there’s no information after that. So how do we assess address? How, what do we know? What do we not know that we need to know? And this is kind of what this conversation is, right? It’s like, okay, here’s Dr Hedaya (37:53) Yeah. Bill Gasiamis (37:53) a whole bunch of things we’ve just discussed. There might have been things that you heard for the first time. Don’t let that, get in the way of your curiosity and investigate the thing that pricked your ears up, whether it was a symptom that Dr. Hedaya mentioned and just do a little bit more work in understanding what that is, take that to your general practitioner and begin the conversation of taking responsibility for your recovery. And in my mind, like there’s gotta be like a foundational thing that people can do to intervene that doesn’t cost most of the time anything extra. And that helps encourage and nourish the brain in overcoming these challenges, but then has the a cascade effect of having the same positive outcome on all the other organs and hormones. And that to me is nutrition. So like, if you’re, if you would suggest to somebody how they might start thinking about their nutrition as opposed to what they might have been doing before stroke, how do you begin that conversation? And what are the two or three fundamental things that they need to consider? about nutrition. Nutrition’s Impact on Brain Recovery Dr Hedaya (39:11) Okay, so If it doesn’t grow that way, don’t eat it. I never saw a bread tree. I didn’t see an ice cream tree or a Twinkie tree. Okay. So if it doesn’t grow that way, don’t eat it. Balance your plate. Balance your plate. And actually our coach, Caroline Hade, is putting out an ebook. I don’t know, should be out at a week or two or three weeks. It’s like, I don’t know, four or five dollars or something. and that will tell you exactly how to balance your plate. and then I would say very important to have three meals and maybe, depending on your how insulin resistant you are, maybe additionally two snacks. and per day, but keep your calories you don’t want to be overweight, okay, because if you’re overweight, you know, that’s a That’s its own risk factor for brain problems, right? but you can’t lose weight in a day, you’re stressed, you’re hungry, you’re tired, you eat the carbs, you know, everybody struggles with that. But that that is one of the biggest enemies of eating eating eating these processed carbs that we all love is one of the biggest enemies of your health. One of the biggest enemies of your health for sure. Bill Gasiamis (40:35) Okay, there are some great resources that people can again look into how to eat to heal the brain. And we didn’t have to have a deep conversation about that. But I love Dr Hedaya (40:45) Mm-hmm. Bill Gasiamis (40:45) what you said about balancing the plate. And if it didn’t grow that way, don’t eat it. It’s such a simple thing. If it comes in a packet on a shelf in a supermarket with all fancy pictures Dr Hedaya (40:59) Yeah. Bill Gasiamis (41:00) and stickers and a list of ingredients, like it’s probably not nutritional. of food. It’s probably something that’s going to make inflammation worse. It’s probably something that’s going to give you the type of energy that is not helpful. It’s probably going to have a whole bunch of other things. And that’s kind of my approach to healing and recovering my brain. It’s one of the first things I did was just look at my nutrition, immediately stop smoking and drinking. mean, I know it should go without saying, but sometimes you have to have a stroke for it to actually sink in and make sense. and don’t have any alcohol at all. I’m talking about forever if you can, but I didn’t have alcohol Dr Hedaya (41:46) Yeah. Bill Gasiamis (41:47) for at least the first four or five years. And now in the next five years or so, maybe I had one glass per year, just because I was, in an event where it was, everyone was drinking and it was almost necessary to have sip or half a sip or act as if I was drinking. So with that, I think we’ll wrap up this conversation today. There’s been a lot for people to digest, go back and listen to it a second time. And a third time that we have some resources in the show notes. And Dr. Hedaya, thank you for joining me again. And I look forward to our conversation that’s coming up in a few weeks time where we’re going to talk about toxin load and neuroplasticity. Dr Hedaya (42:29) Beautiful. Thanks so much for the opportunity, Bill. I hope I hope people get something out of this and they pursue what they need to pursue. Bill Gasiamis (42:36) Well, that’s a wrap on this conversation with Dr. Robert Hedeya. If there’s one thing to take from today’s interview, it is this. The brain is a hormonal organ and recovery isn’t just about the brain healing in isolation. Thyroid, cortisol, testosterone, estrogen, all of it is connected, and all of it is worth checking if your recovery has plateaued in ways that don’t quite make sense. Dr. Hadea’s free PNIE questionnaire is linked in the show notes. Download it, work through it, and take it with you to your next GP visit. If you want to go deeper on the thyroid piece specifically, go back and listen to the earlier episode with Dr. Elena Zinkov on stroke fatigue and thyroid. And if you missed it, the first conversation with Dr. Hedeya on photobiomodulation is a great companion to this one. if this episode has helped you, share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more survivors. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened, is available at recoveryafterstroke.com/book. And if you’d like to support the show financially, you can do so at Patreon by going to patreon.com/recoveryafterstroke. Until next time, take care of yourself and don’t assume it’s just a stroke. The post Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns appeared first on Recovery After Stroke.

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Why do some men spend an afternoon talking about sports, parenting, and work, only to drive home listening to The National or James Blake and cry a little? In this episode, we explore the hidden loneliness of “good” conversations and why being around people isn't always the same as feeling seen.In this episode, we discuss:Why men can feel lonely even after spending time with friendsThe difference between proximity and true emotional intimacyWhy tears often show up in the privacy of the carHow masculine social norms keep conversations safe but shallowThe grief of almost feeling connectedSmall ways to make friendships 10% more honest and meaningfulWhy authentic connection is one of the strongest protective factors against suicide Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

“Every human being comes equipped with the capacity to flourish,” says Richard Davidson, Ph.D.  Davidson is the William James and Vilas Professor of Psychology and Psychiatry at the University of Wisconsin–Madison and the Founder and Director of the Center for Healthy Minds. He is best known for his groundbreaking work studying emotion and the brain. A friend and confidante of the Dalai Lama, he is a highly sought after expert and speaker, leading conversations on wellbeing on international stages such as the World Economic Forum, where he served on the Global Council on Mental Health.  In 2014, Davidson founded Humin (formerly Healthy Minds Innovations), a global nonprofit on a mission to make wellbeing real by translating science into action. 00:00 - What it means to flourish 05:48 - Using your mind intentionally 09:46 - Why informal practice works just as well 11:50 - A mindful walk 14:21 - The biology of loneliness 17:15 - The narrative you carry about yourself 20:38 - Mental reps & neuroplasticity 23:54 - Connecting purpose to small tasks 28:25 - The free Healthy Minds app 31:02 - How fast the brain actually changes 36:48 - Inflammation, dementia, & longevity 38:53 - Davidson's morning & evening ritual 43:13 - Setting kids up to flourish 44:43 - How a volleyball team connects Referenced in the episode:  The Healthy Minds app: https://www.humin.org/wellbeing-tools/app For more about Davidson, visit: https://www.richardjdavidson.com/  Purchase his book here: https://www.amazon.com/dp/1668066238/ref=as_li_qf_sp_asin_il_tl?tag=mind0a3-20  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

EPISODE 162TWO DADS WHO CONNECTED WITH UNIQUELY HUMAN INTERVIEW BARRY. WITH BRAD BROYLES AND NATHAN PALMER, FROM THE POLARIS CONNECTIONThis episode is a replay of The Polaris Connection, an autism parenting podcast hosted by Brad Broyles and Nathan Palmer. In this episode, they interview Barry with specific attention given to how Uniquely Human has had a positive impact in the way they see their children and support their development. Brad and Nathan are also the founders of Polaris Academy. The podcast offers advice, expert insights, and real-life stories to help families of neurodivergent children navigate special education, therapies, and daily life.Learn more on our website!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Devil's Castle: Nazi Eugenics, Euthanasia, and How Psychiatry's Troubled History Reverberates Today (Catapult, 2025) delves into the forgotten history of eugenics and links it to present-day psychiatry to explain how we as a culture continue to get mind care so wrong. In The Devil's Castle, Susanne Paola Antonetta weaves a haunting narrative that confronts the darkest chapters of psychiatric history while offering a bold vision for the future of mental health care. In 1939, the eugenics movement growing throughout the West did its worst in Nazi Germany. Through the Aktion T4 euthanasia program, five asylums and an abandoned jail were transformed into gas chambers. Tens of thousands of lives—predominantly adults with neuropsychiatric conditions—were extinguished in those structures, ultimately paving the way for the horrors of the Holocaust.  Interlacing her experiences of psychosis with the complex history of psychiatry, Antonetta sheds light on the intersections of madness and societal perceptions of mental difference. She brings to life the stories of Paul Schreber and Dorothea Buck, two historical figures who act as models for mind care and acceptance. This gripping exploration traverses the spectrum of neurodiversity, from the devastating consequences of dehumanization to the transformative potential of understanding and acceptance.  With The Devil's Castle, Antonetta not only unearths the failures of our past, but also envisions a more compassionate, enlightened approach to consciousness and mental health care. This is a story of tragedy, resilience, and hope—a rallying cry for change that dares to challenge the limits of how we define and support the human mind. Susanne Paola Antonetta is the author of The Devil's Castle: Eugenics, Nazi Euthanasia, and How Psychiatry's Troubled History Hurts Us Now. She is also the author of The Terrible Unlikelihood of Our Being Here, Make Me a Mother, Entangled Objects, Body Toxic, A Mind Apart, and four books of poetry. Her awards include a New York Times Notable Book, an American Book Award, an Amazon Best Memoir of the Year award, and others. Her essays and poems have appeared in The New York Times, Ms., The Huffington Post, The UK Independent, The Hill, Orion, Psychology Today, and The New Republic and have been featured on CNN as well as the CBC Ideas documentary series. She lives in Asheville, North Carolina. For more information about her work please visit her website here and sign up for notifications about her regular contributions to Psychology Today. Elizabeth Cronin, Psy.D., is a clinical psychologist and mindfulness meditation teacher in Massachusetts. You can follow her on Instagram, Insight Timer, YouTube (@drelizabethcronin) or visit her website. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠Post-Traumatic Stress Disorder (PTSD)⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

The Devil's Castle: Nazi Eugenics, Euthanasia, and How Psychiatry's Troubled History Reverberates Today (Catapult, 2025) delves into the forgotten history of eugenics and links it to present-day psychiatry to explain how we as a culture continue to get mind care so wrong. In The Devil's Castle, Susanne Paola Antonetta weaves a haunting narrative that confronts the darkest chapters of psychiatric history while offering a bold vision for the future of mental health care. In 1939, the eugenics movement growing throughout the West did its worst in Nazi Germany. Through the Aktion T4 euthanasia program, five asylums and an abandoned jail were transformed into gas chambers. Tens of thousands of lives—predominantly adults with neuropsychiatric conditions—were extinguished in those structures, ultimately paving the way for the horrors of the Holocaust.  Interlacing her experiences of psychosis with the complex history of psychiatry, Antonetta sheds light on the intersections of madness and societal perceptions of mental difference. She brings to life the stories of Paul Schreber and Dorothea Buck, two historical figures who act as models for mind care and acceptance. This gripping exploration traverses the spectrum of neurodiversity, from the devastating consequences of dehumanization to the transformative potential of understanding and acceptance.  With The Devil's Castle, Antonetta not only unearths the failures of our past, but also envisions a more compassionate, enlightened approach to consciousness and mental health care. This is a story of tragedy, resilience, and hope—a rallying cry for change that dares to challenge the limits of how we define and support the human mind. Susanne Paola Antonetta is the author of The Devil's Castle: Eugenics, Nazi Euthanasia, and How Psychiatry's Troubled History Hurts Us Now. She is also the author of The Terrible Unlikelihood of Our Being Here, Make Me a Mother, Entangled Objects, Body Toxic, A Mind Apart, and four books of poetry. Her awards include a New York Times Notable Book, an American Book Award, an Amazon Best Memoir of the Year award, and others. Her essays and poems have appeared in The New York Times, Ms., The Huffington Post, The UK Independent, The Hill, Orion, Psychology Today, and The New Republic and have been featured on CNN as well as the CBC Ideas documentary series. She lives in Asheville, North Carolina. For more information about her work please visit her website here and sign up for notifications about her regular contributions to Psychology Today. Elizabeth Cronin, Psy.D., is a clinical psychologist and mindfulness meditation teacher in Massachusetts. You can follow her on Instagram, Insight Timer, YouTube (@drelizabethcronin) or visit her website. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/german-studies

Get personalized root-cause care with Empower Functional Health.Learn more at empowerfunctionalhealth.com_____What if chronic stress is the real reason chronically ill patients fail to heal, no matter what protocol they follow? Dr. Stephen Sideroff has spent decades researching exactly what happens to the nervous system under prolonged stress, and what he's found challenges how most practitioners think about root-cause healing. In this episode, he reveals what conventional medicine gets wrong about stress, why some people are wired to stay stuck, and what it actually takes to get the body back into a state where healing is even possible. Watch the full interview to find out.Dr. Stephen Sideroff is a clinical psychologist, resilience researcher, and assistant professor in the Department of Psychiatry and Behavioral Sciences at UCLA. He is the founder of the UCLA Stress Strategies program and author of The Path: Mastering the Nine Pillars of Resilience and Success, a comprehensive framework built on decades of clinical research into stress, neurofeedback, and what separates people who heal from people who stay stuck.We discuss the following: Nervous system BalanceThe four horsemen of stressRecognizing signs of poor stress managementWhy recovery after stress matters Resilience, trauma, and childhood wiringHow to start managing stress Breaking the negative mindset cycleRethinking therapy and ruminationWhy change is so hardGetting chronically ill patients unstuckProtecting your energy from social mediaJudy's reflection and the Wholeness Method_____EPISODE RESOURCESWholeness Method WebsiteDr. Stephen Sideroff's WebsiteDr. Stephen Sideroff's YouTubeQuantum Leadership PodcastThe Path: Mastering the Nine Pillars of Resilience and Success Book_____WEEKLY NEWSLETTER

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠Anaclitic Depression ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

*Content Warning:  neglect, rejection, friendship betrayal, betrayal, and infidelity.Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources   SWW Sticker Shop!: https://brokencyclemedia.com/sticker-shop SWW S26 Theme Song & Artwork: The S26 cover art is by the Amazing Sara Stewart instagram.com/okaynotgreat/  Follow Something Was Wrong: Website: somethingwaswrong.com  IG: instagram.com/somethingwaswrongpodcast TikTok: tiktok.com/@somethingwaswrongpodcast  Follow Tiffany Reese: Website: tiffanyreese.me  IG: instagram.com/lookieboo Follow Dr. Marisa G. Franco: Website - https://www.drmarisagfranco.com/ Instagram - https://www.instagram.com/drmarisagfranco Platonic, How The Science of Attachment Can Help You Make - and Keep - Friends - https://drmarisagfranco.com/platonic-the-book/ Worth, The New Science of Self-Esteem and Secure Attachment: https://drmarisagfranco.com/worth-the-book/ *Sources:  Almaatouq, Abdullah, et al. "Are You Your Friends' Friend? Poor Perception of Friendship Ties Limits the Ability to Promote Behavioral Change." PLOS ONE, vol. 11, no. 3, 2016, article e0151588, https://doi.org/10.1371/journal.pone.0151588 Center for the Study of Traumatic Stress. When Losses of Loved Ones Are Not Acknowledged: Understanding Disenfranchised Grief. Department of Psychiatry, Uniformed Services University, n.d., https://www.cstsonline.org/assets/media/documents/CSTS_FS_When_Losses_of_Loved_Ones_Are_Not_Acknowledged_Understanding_Disenfranchised_Grief.pdf Dodson, William W., et al. "Rejection sensitivity dysphoria in attention-deficit/hyperactivity disorder: A case series." Neurology 7 (2024): 23-30.  Franco, Marisa G. Platonic: How the Science of Attachment Can Help You Make—and Keep—Friends. Penguin Random House, 6 Sept. 2022 https://www.penguinrandomhouse.com/books/676695/platonic-by-marisa-g-franco-phd/ Franco, Marisa G. Worth: The New Science of Self-Esteem and Secure Attachment. G.P. Putnam's Sons, 15 Sept. 2026, Penguin Random House,https://www.penguinrandomhouse.com/books/784327/worth-by-marisa-g-franco-phd/ Gobin, Robyn L., and Jennifer J. Freyd. "The impact of betrayal trauma on the tendency to trust." Psychological Trauma: Theory, Research, Practice, and Policy 6.5 (2014): 505. https://psycnet.apa.org/record/2013-24397-001 Guy-Evans, Olivia. “Self-Verification Theory.” Simply Psychology, 11 May 2026, https://www.simplypsychology.org/self-verification-theory.html Here & Now Newsroom. “Research Shows We Replace Half Our Friends Every 7 Years. Here's How to Make New Ones.” NPR Illinois, 23 June 2025, https://www.nprillinois.org/2025-06-23/research-shows-we-replace-half-our-friends-every-7-years-heres-how-to-make-new-ones Hillman, James. "Betrayal." Loose Ends: Primary Papers in Archetypal Psychology, Spring Publications, 1975, pp. 63–79. Jarrett, Christian. "The Liking Gap: We Usually Think People Like Us Less Than They Actually Do." Research Digest, British Psychological Society, 13 Sept. 2018, https://www.bps.org.uk/research-digest/liking-gap Kenny, Serafina. "Having Friends Is as Important as Diet and Exercise for Living Longer, a Longevity Expert Says." Business Insider, 22 Sept. 2023, https://www.businessinsider.com/longevity-antiaging-friendship-social-interaction-relationships-2023-9 Nader, Karim. “Reconsolidation and the Dynamic Nature of Memory.” Cold Spring Harbor perspectives in biology vol. 7,10 a021782. 9 Sep. 2015, doi:10.1101/cshperspect.a021782, https://pubmed.ncbi.nlm.nih.gov/26354895/ Nussbaum, Ben. "FRIENDSHIP FLATTENS HILLS: It's time to put connections at the center of wellbeing, says relationship expert Marisa Franco." Spirituality & Health Magazine, vol. 25, no. 5, Sept.-Oct. 2022, pp. 46+. Gale Academic OneFile link.gale.com/apps/doc/A763799199/AONE?u=anon~858b38f4&sid=googleScholar&xid=6b08179d One Another. Directed by Amber Love, produced by Andrea Raby, Joycie Films, 2026. World premiere, SXSW Film & TV Festival, Austin, TX, 12 Mar. 2026. https://schedule.sxsw.com/2026/films/2249924 Romm, Cari. "Half of Your Friends Probably Don't Think of You as a Friend." The Cut, 9 May 2016, https://www.thecut.com/2016/05/half-of-your-friends-probably-dont-think-of-you-as-a-friend.html Thompson, Sophia, Kaitlyn Deaner, and Marisa G. Franco. "How to Help Clients Make Friends." Journal of Health Service Psychology 49.2 (2023): 77-85 https://link.springer.com/article/10.1007/s42843-023-00085-w Wallace, Anna Kodé. "Why Friendship Betrayal Feels Impossible to Get Over." The Cut, 22 Apr. 2026, https://www.thecut.com/article/friendship-betrayal-explained-psychology-summer-house.html

We thought we would discuss critical thinking and how it applies to today's propaganda-laden world. And we did. But the conversation quickly turned into a luminous, expansive exchange of knowledge, opinions, and faith, especially between Dr. Fox and Dr. Breggin. Dr. Fox has an open and warm demeanor that radiates care and affection when he greeted us. Dr. Andrew Fox is an Anglican priest who now lives with his wife in the heart of Texas, where he has settled after immigrating from the United Kingdom. He became an American citizen and shared with us about how happy he is to be here in the United States. We exchanged stories about the unexpected and delightful joy with which recent World Cup tourists coming to America for the first time shared their experiences on social media. Europeans discovered how beautiful, engaging, friendly, welcoming, fun, and (the food!) delicious America is. Then they shared all of that on social media, red-pilling their friends and families and helping Americans feel proud again after these terrible post-COVID years. After the show, I enjoyed reading Dr. Fox's blog on this topic, “The World Cup: America's Greatest Untapped Form of Diplomacy.” Dr. Fox introduced his forthcoming book: Truth in the Age of Applause: How Stupidity Is Ruining the American Dream. We discussed critical thinking and how it and civil dialogue are essential for challenging harmful ideologies while maintaining respect for authority—particularly said Dr. Fox– in scriptural contexts. The conversation explored the differences between Old and New Testament perspectives on Jews as the Chosen people, with Dr. Fox commenting that while the Old Testament focused on a specific tribe's witness to one God, the New Testament emphasizes an egalitarian approach where all people are children of God. We discussed how modern concepts of relativism [the philosophical belief that nothing is objectively true or universally applicable] have been misused to undermine truth, particularly in debates about biological reality and gender identity, with Dr. Fox noting that reality doesn't change regardless of opinions. I discovered after the interview that Dr. Fox has spoken the truth very actively rather than seeking applause. Dr. Fox had served eight years as Austin City Fire Chaplain when, in 2021, he wrote a blog arguing that men should not compete in women's sports due to biological differences between the two sexes. According to the Christian Post: Months later, Fox was dismissed when officials decided that his efforts to apologize to unnamed offended parties were not sufficient, as he refused to recant his views on LGBT issues. In August 2022, Fox filed a lawsuit in the U.S. District Court for the Western District of Texas, alleging that AFD officials “retaliated against him for exercising his First Amendment rights, violated his First Amendment right to free speech and free exercise of religion, and violated the Texas Constitution.” On March 3, 2026, the city of Austin reached a $78,000 settlement with former Austin City Fire Chaplain Andrew Fox, according to the Alliance Defending Freedom. Dr. Fox does not seek applause. He seeks truth. We are sure his book will be as engaging as our hour visit with Dr. Andrew Fox!       ______   Learn more about Dr. Peter Breggin's work: https://breggin.com/   See more from Dr. Breggin's long history of being a reformer in psychiatry: https://breggin.com/Psychiatry-as-an-Instrument-of-Social-and-Political-Control   Psychiatric Drug Withdrawal, the how-to manual @ https://breggin.com/a-guide-for-prescribers-therapists-patients-and-their-families/   Get a copy of Dr. Breggin's latest book: WHO ARE THE “THEY” - THESE GLOBAL PREDATORS? WHAT ARE THEIR MOTIVES AND THEIR PLANS FOR US? HOW CAN WE DEFEND AGAINST THEM? Covid-19 and the Global Predators: We are the Prey Get a copy: https://www.wearetheprey.com/   “No other book so comprehensively covers the details of COVID-19 criminal conduct as well as its origins in a network of global predators seeking wealth and power at the expense of human freedom and prosperity, under cover of false public health policies.”   ~ Robert F Kennedy, Jr President Trump's Director of the U.S. Department of Health and Human Services (HHS), the largest health agency in the worl

Most of what people know about Dissociative Identity Disorder (DID) comes from movies and short videos, and those media portrayals often have little to do with what DID is actually like. To get the real picture, today Forrest is joined by Dr. Milissa Kaufman and Dr. Lauren Lebois, experts in dissociative disorders and trauma research. Dr. Kaufman had DID herself, went through treatment, and made a full recovery.  They explore the spectrum of dissociation, from everyday experiences to clinical presentations like DID, before talking about how DID develops as a childhood adaptation to trauma, the problem with the term “multiple personality disorder,” and what the brain science tells us. Milissa describes her own “inside people,” the shame and secrecy associated with DID, and the slow shift from "that wasn't me" to "that was me all along." They then cover what treatment looks like, what to actually look for in a therapist, and what recovery means. About our Guests: Dr. Milissa Kaufman is a trauma psychiatrist at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School. Dr. Lauren Labois is a cognitive neuroscientist and Assistant Professor of Psychiatry at Harvard Medical School. They are co-directors of the Dissociative Disorders and Trauma Research program at McLean Hospital. Check out the Trauma Continuum at Hill Center: https://traumacontinuum.org/ Key Topics: 0:00: Intro and Dr. Kaufman's personal experience with DID 6:51: The spectrum of dissociation: Depersonalization, Derealization, and Dissociative Identity Disorder 17:12: Dr. Kaufman's experience of DID 22:58: The paradoxes and shame involved with DID 36:46: History of skepticism around DID, and the role of modern neuroscience 43:09: Treatment for DID and trauma-informed treatment 1:00:43: What healing and recovery looks like 1:10:48: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Take our audience survey: https://rickhanson.com/survey/ Sponsors Go to Zocdoc.com/BEINGWELL to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens after you finish the thing that gave your life structure and meaning? Whether it's writing a book, raising kids, winning a championship, or completing a major goal, the end of one chapter often leaves us feeling empty. In this episode, I explore why that emptiness isn't a sign that something is wrong, but a signal that you're ready to be challenged by life in a new way.In this episode, I discuss:Why achievement often leads to a surprising sense of emptinessThe difference between rest, recovery, and restlessnessThe psychology of the “arrival fallacy”Why the brain thrives on pursuit more than possessionHow purpose gives shape to our discomfortWhy misery is trying to recreate the pastHow to become “unhappy in a whole new way”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Get the 200+ Page Optimal Living Daily Workbook (PDF) — Free. Want to turn today's episode into an actionable plan? Join the Optimal Living Weekly newsletter and I'll send you our 200-page digital workbook immediately. It's packed with the best takeaways from the show, formatted for easy reading and implementation at home. Get your free PDF workbook here: ⁠⁠https://oldpodcast.eo.page/join⁠ Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4082: Elana Miller reflects on a series of compassionate encounters during one of the most frightening nights of her life, revealing how strangers' simple acts of kindness left a lasting impact. Through these deeply personal stories, she invites us to recognize that beneath fear and hardship, love and human connection shape our everyday lives far more than we often realize. Read along with the original article(s) here: https://zenpsychiatry.com/our-world-is-ruled-by-love/ Quotes to ponder: "Even when there is hate, it's not because there is a lack of love, but rather because there are obstacles to love being fully expressed." "So share love. Be kind. Receive kindness. We're all in this together." "Sometimes we forget that we are all interconnected, that my joy is your joy, and that my pain is your pain." Learn more about your ad choices. Visit megaphone.fm/adchoices

In this Huberman Lab Essentials episode, I explain the biology and psychology of obsessive-compulsive disorder (OCD) and describe the neural circuitry behind repetitive "thought-action loops," including why compulsive actions actually strengthen the underlying obsessions rather than relieve them. I discuss the most effective treatments for OCD, including exposure-based cognitive behavioral therapy and SSRIs, and explain what the research shows about how these compare when used alone versus together. Finally, I describe a specific clinical protocol in which patients are guided into states of anxiety while learning to suppress compulsive responses, retraining the brain to break the OCD cycle. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman Rorra: https://rorra.com/huberman Timestamps (00:00:00) Obsessive-Compulsive Disorder (OCD) (00:00:11) OCD Prevalence & Impact, Obsessions & Compulsions (00:01:54) Categories: Checking, Repetition & Order; Contamination & Disgust (00:04:30) Anxiety, Fear (00:05:20) Sponsor: AG1 (00:06:40) Genetic Component of OCD (00:08:45) Neural Circuitry, Cortex, Striatum, Thalamus (00:10:16) Cortico-Striatal-Thalamic Loop; Imaging Studies, SSRIs (00:14:30) Sponsor: Eight Sleep (00:16:00) Diagnosis, Yale-Brown Obsessive Compulsive Scale (Y-BOCS) (00:18:00) Y-BOCS Categories, Identifying the Core Fear (00:19:30) Tool: Cognitive Behavioral Therapy (CBT) & Exposure Therapy (00:21:39) Anxiety Tolerance, Interrupting the Compulsion (00:23:23) Dr. Helen Blair Simpson, Ritual Prevention, Exposure Sessions (00:25:18) CBT vs Placebo vs SSRIs (00:26:30) Sponsor: Rorra (00:28:07) SSRIs & Serotonin System; Psychiatry & Causality (00:29:13) Cannabis, CBD & OCD; Transcranial Magnetic Stimulation (TMS) (00:31:48) Mindfulness Meditation, Holistic Treatments, NIH (00:33:40) Nutraceuticals, Inositol; Recap & Conclusion Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. John Flo, Board Certified Psychiatrist The post Christianity and Psychiatry, Part 3 – Dr. John Flo, 7/8/26 (1892) first appeared on Issues, Etc..