Podcasts about Reassurance

In this bonus episode of Building the Billion Dollar Business, Ray Sclafani discusses strategies for financial advisors to navigate market volatility and strengthen client relationships. He emphasizes the importance of proactive communication during uncertain times, assessing client satisfaction, and identifying at-risk clients. Sclafani also highlights the potential for growth in client acquisition during downturns and the need for strong leadership and self-care among advisors.Key TakeawaysProactive communication can strengthen client relationships.Identifying at-risk clients is crucial for retention.The top advisors grow their client base during downturns.Reassurance drives referrals and client engagement.Strategic actions can turn at-risk clients into advocates.For The At-Risk Client Assessment™ please click here.For more information click here to visit The ClientWise Blog.Find Ray and the ClientWise Team on the ClientWise website or LinkedIn | Twitter | Instagram | Facebook | YouTubeTo join one of the largest digital communities of financial advisors, visit exchange.clientwise.com.

In this riveting episode of the OCD Whisperer podcast, host Kristina Orlova sits down with Mike Parker, a licensed clinical social worker and the creator of the popular YouTube channel OCD Space.   Together, they embark on a deep dive into the world of OCD and the transformative power of Inference based cognitive-behavioral therapy (ICBT). But what happens when doubt becomes the driving force behind every thought? And how can someone trapped in the cycle of obsessional doubt ever learn to trust their own mind again?   Mike Parker pulls back the curtain on the insidious nature of "obsessional doubt," a phenomenon that leaves individuals questioning their every thought, memory, and perception. Why do those with OCD feel compelled to seek reassurance over and over, even when they know it offers only fleeting relief? And how does this relentless doubt keep them locked in a prison of their own mind?   As the conversation deepens, Kristina and Mike explore the critical differences between ICBT and exposure and response prevention (ERP). But here's the burning question: Can understanding the origin of obsessive thoughts be the key to breaking free from their grip? Mike sheds light on how inferential confusion and obsessional doubt drive OCD.   This episode is a masterclass in navigating the labyrinth of OCD treatment. Will listeners walk away with a newfound understanding of how to confront their doubts? Or will the complexities of the human mind leave them questioning everything they thought they knew? Tune in to uncover the answers—and perhaps, a path to freedom. In This Episode [00:02]  Introduction to the episode   [00:56]  Understanding ICBT   [02:00]  Obsessional doubt explained   [02:21]  Differentiating ICBT from ERP   [03:36]  The nature of obsessional doubt   [05:58]  Reassurance-seeking behavior   [09:25]  Understanding internal evidence   [11:27]  The role of self-knowledge   [13:31]  General facts vs. personal context   [14:49]  Handling real mistakes   [16:40]  Exploring early memories   [17:46]  Understanding obsessional doubt   [19:22]  Childhood influences on OCD   [20:28]  Clarifying ICBT vs. psychodynamic therapy   [21:44]  Focus of inference-based CBT   [22:41]  Cognitive distortions in OCD   [25:34]  Re-evaluating daily routines   [27:06]  Timeframe for progress in treatment   [29:22]  Complicating factors in OCD treatment   Notable Quotes [00:02:42] "Obsessional doubt is a core process identified in OCD when you're doing I-CBT. It's a thought process where someone with OCD knows something but doesn't trust themselves enough to stick with what they know, leading them to question, dismiss, and seek more information than they have." - Michael Parker   [00:18:26] "We can start to see how long the client has been telling themselves an obsessional story about themselves... It was all logged in there and then all put together, but if we go back, we can see this actually never meant you should be locked into never-ending doubt." - Michael Parker   [00:23:39]"I-CBT is primarily a cognitive therapy... The focus really is figuring out why you reject information, why you don't trust it... Let's figure out why you doubted." — Michael Parker Our Guest Mike Parker, LCSW, is a licensed clinical social worker and private practice therapist based in Pittsburgh, Pennsylvania. He specializes in treating obsessive-compulsive disorder (OCD) using cognitive-behavioral therapy (CBT) and inference-based cognitive therapy (I-CBT). As the host of the OCD Space YouTube channel, Mike is dedicated to educating individuals and mental health professionals on effective OCD treatment approaches. He is passionate about helping clients understand and overcome obsessional doubt while also training fellow therapists in evidence-based interventions. With a focus on empowering individuals to trust themselves and break free from the cycle of compulsions, Mike continues to be a leading voice in the OCD treatment community. Resources & Links   Kristina Orlova, LMFT Instagram YouTube OCD CBT Journal Tracker and Planner Website   Mike Parker Website  LinkedIn  YouTube Cognitive Therapy for OCD Disclaimer   Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

There are hidden costs of reassurance seeking, the act of trying to find certainty about your relationship. If you tend to constantly be searching for the perfect piece of advice (even from me!), you're addicted to the illusion of certainty as a means of feeling safe. Listen to this episode for things you can do instead to reignite the spark in your relationship and not dampen it through reassurance-seeking.   Email List - Stay in touch I'm going on maternity leave in January! I'll be in touch via email for a while. Please subscribe! As thanks, I'll send you my free relationship anxiety meditation to help you snap out of ruminating. Get that here.   Both Feet In - Get help at your own pace Get my signature program to help you pull your other foot out the door in your relationship, open your heart, and make a decision you feel proud of either way — all in your own time. PDFs, audio/video recordings, and support from other students. Get that here.   Patreon - Join my community Lastly, if you love my work, please consider sponsoring me on Patreon! I appreciate it so much. I offer discounts, some exclusive content, and a monthly community support call on Zoom where you can ask me anything, for $5-9/month, cancel anytime. Become a patron here.

For review:1. Hamas open to negotiate release of small number of Hostages for a truce during Eid al-Fitr holiday period. The Kan public broadcaster acknowledged that it was still unclear what Hamas will ask in return for those it releases, though it did say that the freed hostages would include American-Israeli IDF lone soldier Edan Alexander.2. Iran: US Bases not safe if Americans attack. Tehran would strike US bases in the region if Washington follows through on its warning of military consequences for Iran in the absence of a new nuclear deal, the speaker of the Iranian parliament said on Friday.3. White House Releases: Outcomes of the US-Russia & US-Ukraine Expert Discussions on the Black Sea (23-25 March 2025).4.  UK and France to Meet in Ukraine to Discuss "Reassurance Force". Ukrainian, British and French general staff representatives will hold a meeting in Ukraine within a week to discuss the potential deployment of foreign troops to the country, President Volodymyr Zelensky said on March 28.5. US Army considers "sunsetting" the afloat Army Preposition Stock (APS) - 3. If Pentagon leaders ultimately sunset the floating APS, the Army is eyeing plans to distribute the equipment sets throughout the Indo-Pacific region. APS =Sets of equipment, such as all the tanks and wheeled vehicles of an armored brigade combat team, that are strategically prepositioned in climate controlled facilities worldwide.6. US Army to deploy mature air and missile defense equipment prototypes to selected locations in Europe and Ind-Pacific.- Lower-Tier Air and Missile Defense Sensors, or LTAMDS, to Guam- Indirect Fire Protection Capability (IFPC) platoon with prototype launchers to South Korea -  Integrated Battle Command System (IBCS) capability to Europe to modernize a Patriot air defense battalion 7. US to Fire Mid-Range Capability Missile System During Upcoming Australian Exercise Talisman Sabre in mid-July 2025. 

French president Emmanuel Macron has announced that Ukraine’s European allies, led by France and the United Kingdom, will deploy what he called “reassurance forces” to police any ceasefire. How will Putin and Trump take the news? Plus: is Europe going to pilfer the US’s brightest minds, are we all guilty of “boomerasking” and why is Italy bickering over baby names? See omnystudio.com/listener for privacy information.

The UK and France have agreed to lead a "reassurance force" in Ukraine. British Prime Minister Sir Keir Starmer says Europe is mobilising on a scale "not seen for decades" to be ready for peace, following a leaders summit in Paris. They've agreed not to lift Russian sanctions as Ukraine's Volodymyr Zelenskyy calls for stronger US support. But Europe correspondent Vincent McAviney told Andrew Dickens Putin has previously said he doesn't want any NATO troops involved in Ukraine. He says that doesn't leave really any European soldiers these days, after long holdouts Sweden and Finland joined NATO after Russia's invasion. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Frustrated That Listening Isn't Bringing You Closer? How to Build a Deeper ConnectionAre you tired of listening to your spouse but not feeling any closer? In this episode of Reconciling Marriages with Coach Jack, Christian psychologist, author, and relationship coach Dr. Jack Ito shares why simply understanding your spouse isn't enough to build an emotional connection. Discover how to break out of the friend zone and create real intimacy with just a few practical changes.What You'll Learn:Why understanding alone doesn't build connection and how it can even push your spouse away.How to make your spouse feel emotionally connected rather than just heard.Practical examples of effective and ineffective responses that either build connection or create distance.How to transform reassurance and helping into genuine connection that strengthens your relationship.Want to Work With Coach Jack?If you're frustrated that your spouse still feels distant despite your best efforts, it might be time to take a different approach. My Re-Connections Coaching Package will help you learn practical strategies to reignite your relationship and move from feeling stuck to feeling close again. Visit CoachJackIto.com to get started.Key Takeaways:Simply reflecting your spouse's feelings doesn't build connection—it can create more distance.Empathy and agreement should be balanced with positive, connecting responses.Reassurance and problem-solving don't build emotional connection—focus on emotional resonance instead.Changing how you respond can dramatically improve how your spouse feels about you.Additional Resources:Listening Better: A No Conflict Way to Start Rebuilding Your Marriage - One of the first steps to rebuilding a relationship.Free downloads to help you improve communication between you and your husband or wife.How to Get Your Husband or Wife to Listen to You (article/podcast).  – Because sometime you need to be the one to talk. Why It's Important to Show Regular Appreciation to Your Spouse - Just as with agreement and empathy, expressing appreciation is another way to validate.Work one-on-one with Coach Jack to repair your relationship using small, easy steps that rebuild connection quickly. Visit CoachJackIto.com to learn more about relationship coaching.

Today, we're continuing our discussion of toxic relationships. Peyton shares her dating history (a psychopath, a loser, and a good guy). We discuss missing red flags, needing reassurance, and growing up. Reba recounts her chronicle with the Pet Detective, and Caitlin gives her voiceless commentary. Next week will be part 3 of our impromptu "Toxic People" series where we discuss toxic friendships. TW: toxic relationships, abuse, manipulation, addiction

Emotional support involves providing care and concern to someone, offering reassurance, empathy, comfort, and acceptance, which can be crucial for managing mental health issues and building strong relationships. Verbal and Nonverbal: Emotional support can be expressed through words, actions, and presence. Reassurance and Validation: Offering comfort and letting someone know they are understood and accepted. Active Listening: Paying attention to someone's feelings and experiences without interrupting or judging. Empathy: Understanding and sharing the feelings of another person. Encouragement: Motivating and supporting someone through difficult times. Creating a Safe Space: Providing a place where someone feels comfortable expressing their emotions without fear of judgment. Mental Health:Emotional support can help individuals cope with stress, anxiety, depression, and other mental health challenges. Relationship Building:Strong relationships are built on emotional support, where individuals feel valued and cared for. Social Connection:Feeling connected to others can improve overall well-being and reduce feelings of isolation. Coping with Difficult Times:Having someone to lean on during challenging situations can make a significant difference in how people cope. 

Emotional support involves providing care and concern to someone, offering reassurance, empathy, comfort, and acceptance, which can be crucial for managing mental health issues and building strong relationships. Verbal and Nonverbal: Emotional support can be expressed through words, actions, and presence. Reassurance and Validation: Offering comfort and letting someone know they are understood and accepted. Active Listening: Paying attention to someone's feelings and experiences without interrupting or judging. Empathy: Understanding and sharing the feelings of another person. Encouragement: Motivating and supporting someone through difficult times. Creating a Safe Space: Providing a place where someone feels comfortable expressing their emotions without fear of judgment. Mental Health:Emotional support can help individuals cope with stress, anxiety, depression, and other mental health challenges. Relationship Building:Strong relationships are built on emotional support, where individuals feel valued and cared for. Social Connection:Feeling connected to others can improve overall well-being and reduce feelings of isolation. Coping with Difficult Times:Having someone to lean on during challenging situations can make a significant difference in how people cope. 

Message from Joey Craft on March 23, 2025

Today, Emily Kircher-Morris welcomes Natalia Aíza, a therapist and advocate, to talk about the complexities of Obsessive-Compulsive Disorder (OCD). They debunk common myths and misconceptions, and talk about what OCD actually is. It's important to understand the OCD cycle, be able to identify the various types of OCD, and understand how it often coexists with other neurodivergent conditions like ADHD and autism. They also talk about the impact of reassurance seeking, the nuances of Just Right OCD, and the challenges of school refusal. The conversation includes insights into how parents and therapists can better support individuals with OCD, and help them on the journey towards a better life. TAKEAWAYS OCD is often misunderstood, with many believing it only relates to cleanliness. The OCD cycle involves triggers, obsessions, and compulsions that reinforce fears. Moral scrupulosity and harm OCD are common types that are often overlooked. OCD is distinct from generalized anxiety. ADHD and OCD can coexist, leading to unique challenges in diagnosis and treatment. Autism can complicate the presentation of OCD, requiring specialized understanding. Reassurance seeking can inadvertently reinforce OCD behaviors. Just Right OCD reflects a perfectionism that can manifest in various aspects of life. School refusal can be a manifestation of OCD, leading to avoidance patterns. Episode featuring Eli Lebowitz Check out our Neurodiversity University courses, including Strategies for Supporting Twice-Exceptional Students. Natalia Aíza, LPC, is a therapist, parent trainer, and advocate dedicated to increasing awareness and improving treatment for individuals with OCD. She co-founded Kairos Wellness Collective, a therapy center specializing in OCD and Anxiety Disorders, where she works to enhance competency among mental health practitioners and support individuals on their healing journey. In addition to her clinical work, Natalia provides free psychoeducation and advocacy through her Instagram platform, @letstalk.ocd, helping to destigmatize OCD and promote evidence-based treatment. She earned her BA in Literature from Harvard University and an MA in Clinical Mental Health Counseling from Palo Alto University. BACKGROUND READING Instagram Kairos Wellness Collective The Neurodiversity Podcast is on Facebook, Instagram, BlueSky, and you're invited to join our Facebook Group. For more information go to www.NeurodiversityPodcast.com

Enough: ReassuranceSee omnystudio.com/listener for privacy information.

Parenting is an emotional rollercoaster – filled with moments of joy, stress, and everything in between. But what if there was a scientific way to understand and navigate these emotions more effectively? In a compelling new podcast episode, Patrick Ney, Lead Trainer at All About Parenting, sits down with Dr. George S. Thompson to explore the fascinating world of polyvagal theory and its profound impact on child development. This conversation is a must-listen for parents, educators, and anyone looking to deepen their understanding of human connection. Dr. Thompson, co-author of Polyvagal Theory and the Developing Child (Norton, 2021) unpacks the science behind how our nervous systems shape our emotions, behaviors, and relationships from birth to adulthood. What You'll Discover in This Episode The Science Behind Connection – Dr. Thompson explains how our nervous system constantly scans for safety and threat, influencing everything from our stress levels to our ability to bond with others. Why Your Child Looks at You for Reassurance – Ever noticed your child checking your face when they're unsure? That's social referencing in action. Dr. Thompson breaks down why parental expressions and tone of voice play a crucial role in emotional regulation. Understanding the Three States of the Nervous System – Calm and connected, fight-or-flight, and shutdown – these three states dictate how we react to the world. Learn how to recognize them and respond in ways that foster security and resilience in children. The Power of Co-Regulation – As parents, our nervous systems influence our children's emotional states. Dr. Thompson shares practical ways to use this knowledge to create a more peaceful and connected home environment. Debunking Polyvagal Theory Myths – Some skeptics claim polyvagal theory lacks scientific backing. Dr. Thompson sets the record straight, drawing on decades of research and clinical application. Why This Episode Matters Many parenting theories focus on discipline, communication, or routines – but few address the biological foundation of emotional security. Polyvagal theory offers a groundbreaking perspective: that a child's ability to learn, connect, and regulate emotions depends on their sense of safety at a physiological level. This episode dives deep into how this works, offering practical tools that every parent can apply. Dr. Thompson also shares powerful real-life examples, including an in-depth discussion of a child navigating a residential care program. Through this case study, he illustrates how understanding the nervous system can transform how we support children, especially those who have experienced trauma. A Conversation You Won't Want to Miss Patrick Ney brings his own parenting experiences into the mix, making this discussion both insightful and relatable. Whether you're new to polyvagal theory or already familiar with it, this episode will leave you with a new appreciation for how our nervous systems shape our lives. If you want to better understand your child's emotions, improve your parenting approach, or simply gain a fresh perspective on human behavior, tune in now. Listen to the full episode today – your child's nervous system will thank you! 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 of the Dom Sub Devotion podcast, I answer a series of listener-submitted questions about dominant-submissive (DS) relationships. Topics include: 02:22 Starting as a New Dom 05:44 Favorite Things About Dawn 08:46 Finding a Partner Like Andrew 12:48 Switching from Leadership to Submission 16:22 Dealing with Attachment Styles 21:19 Navigating the Kink Scene 25:39 Handling Backlash 28:24 Balancing Strictness and Love as a Dom 31:49 Reassurance in a DS Relationship 37:59 Desiring a Polyamorous Lifestyle 40:29 DS Relationship After Sexual Assault 45:53 Dominant vs. Master-Slave Dynamics 48:07 Showing Off Your Submissive 51:03 Leading Without Ego 54:05 Supporting a Dom with Mental Health Issues 58:12 Conclusion and Call to Action If you have questions that you'd like me to answer in a future episode, leave them as a comment, or send us a Direct Message through Instagram https://instagram.com/_infinitedevotion Thanks for listening! ~~ Becoming a Dominant Man is Andrew's flagship course for Dominant Men. Becoming a Dominant Man leads men through a 12 step process, the 12 Steps to Dominance, to claim full ownership of their lives and their inner strength, so that they can carry a loving strength, true Dominance, into their lives and relationships. Becoming a Dominant Man is a pre-recorded course that men can work through on their own time, but also includes live weekly instruction and Q&A with Andrew at no extra cost. Learn more about Becoming a Dominant Man at https://infinitedevotion.com/becoming-a-dominant-man Rules, Rituals, and Contracts for a loving D/s Dynamic. Check out Structuring Your DS Dynamic, our course that walks you through the process of setting up your D/s dynamic for success, using the same process that Andrew uses. No more basic templates, or trying to squeeze your real life into someone else's contract. This course walks you, step by step, through deep conversations, then helps you to establish rules, rituals, tasks, and eventually a full contract, that is fully YOURS and built to evolve with you over time. Learn more at https://infinitedevotion.com/structuring-your-ds-dynamic Our newest course for submissive women is available NOW. Submissive Foundations teaches women how to embody submission from a healthy emotional inner strength, with your self respect fully intact. Click the link to learn more! https://infinitedevotion.com/submissive-foundations Social Links: Instagram: https://instagram.com/_infinitedevotion YouTube: https://instagram.com/@infinitedevotion Facebook: https://facebook.com/domsubdevotion Andrew & Dawn are full time coaches and educators, working to support individuals and couples in building healthy, loving Dom/sub relationships. Here are some of the different free and paid options of how to work with and learn from us! Subscribe: Get updates when we publish new episodes of Dom Sub Devotion and other new content at https://www.infinitedevotion.com/podcastsubscribe Website: Visit our website at https://infinitedevotion.com for all of our latest content. Coaching: You can learn more about working with us in 1-1 coaching and our various workshops, courses, and programs at https://infinitedevotion.com/store Free Resources: FREE: The 12 Steps to Dominance: A free ebook showing men how to embody a healthy, loving Dominance. Download here: https://www.infinitedevotion.com/12-steps-to-dominance FREE: Inspiring Her Submission Masterclass: A deep dive on how to inspire any woman to submit and surrender to you. Watch here: https://infinitedevotion.com/dominance-masterclass FREE: Devotional Dominance & Submission: A free ebook showing you how D/s dynamics and loving long term relationships work hand in hand. https://infinitedevotion.com/devotional-ds FREE: Get Dawn's Manifesto: The Self Respecting Submissive Woman. Click here to download it now! https://www.infinitedevotion.com/self-respecting-submissive-woman Listen to Andrew's other podcast, Conscious Dominance! Conscious Dominance is a weekly conversation between two Dominant men as we navigate the demands and growth that are required of us in living in and leading inside of 24/7 Dom/sub relationships. These are deep conversations that go straight to the true heart of a Dominant man. Find Conscious Dominance at https://conscious-dominance.captivate.fm/ or on Spotify, Apple Podcasts, or anywhere else you like to listen!

Are you ready to pull your teens and kids to start homeschooling, but don't know where to start!? This is the place. This is the first "mini" episode of five that will be released over the next week. In this episode, we discuss how to find your state homeschooling laws. This is the first episode of 5 in this mini-series. For a deeper dive into the homeschooling transition, check out Episode 1: Beginning the Journey.  After this mini-series, we will be back to the regularly scheduled Monday episodes! Homeschool Legal Defense Association Laws by State  Sign Up for the School to Homeschool Newsletter School to Homeschool YouTube Channel Private Mentoring with Janae: Schedule a Free Discovery Call Etsy Store: Shop for Homeschooling Swag *Please note that some of the links included in this article are Amazon affiliate links. CONNECT with US Join the Private Facebook Group  Connect and follow along with Janae's Journey on Instagram @janae.daniels Learn more about School to Homeschool Contact Janae: schooltohomeschool1@gmail.com

Today, Dr. Rob Whitfield and Dr. Randall Feingold dive into the topic of breast implant illness and explant surgery. Dr. Whitfield, who's a board-certified plastic surgeon, talks about how crucial it is to recognize and treat breast implant illness. He shares details about the symptoms, treatment options, and even some personal stories from women who have been affected. Dr. Feingold, who specializes in breast reconstruction, discusses using natural tissue solutions instead of implants. He also stresses how important it is to perform a total capsulectomy for patients dealing with complications. This episode offers so many key takeaways, so tune in! Connect with Dr. Feingold NYBRA Plastic Surgery (https://nybra.com/our-practice/our-team/dr-randall-feingold/) Facebook (https://www.facebook.com/randall.feingold.3) Instagram (https://www.instagram.com/drfeingoldplasticsurgery/) LinkedIn (https://www.linkedin.com/in/randall-feingold-md-0b429823/) Key Takeaways Challenges with Low BMI Patients (00:05:22) Discussion on the complexities of treating low BMI patients in breast surgery Fat Transfer Techniques (00:06:10) Advantages of fat transfer techniques over implants, especially in cosmetic cases Safety of Fat Grafting (00:14:21) Reassurance regarding the safety of fat grafting and its application in breast cancer patients FDA Acknowledgment (00:18:25) FDA's recognition of systemic symptoms related to breast implants and patient information Visualizing Complications with Implants (00:21:20) Challenges of removing older silicone implants and the risks associated with leakage Safety in Total Capsulectomy (00:28:28) Safety of total capsulectomy and the importance of skill in performing the procedure Pathologic Analysis of Capsules (00:35:38) Sending removed capsules for analysis to identify potential malignancies or infections Bacterial Colonization in Capsules (00:36:54) Prevalence of bacteria found in capsules and its potential impact on patient symptoms Capsule Removal Benefits (00:43:26) Advantages of removing capsules during explant surgery, including improved breathing and reduced anxiety Bio Dr. Feingold Randall S. Feingold, M.D. is a founding partner of NYBRA Plastic Surgery. He has been practicing on Long Island, New York since 1994. Certified by the American Board of Plastic Surgery, he specializes in aesthetic surgery of the face, breast, and body as well as state-of-the-art post-mastectomy breast reconstruction. Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Originally aired in June 2019 as our 73rd episode, we still often think back to this amazing first conversation we had with Dr. Stuart Fischbein and Midwife Blyss Young!Now, almost 6 years later, the information is just as relevant and impactful as it was then. This episode was a Q&A from our Facebook followers and touches on topics like statistics surrounding VBAC, uterine rupture, uterine abnormalities, insurance companies, breech vaginal delivery, high-risk pregnancies, and a powerful analogy about VBACs and weddings!Birthing Instincts PatreonBirthing BlyssNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, guys. This is one of our re-broadcasted episodes. This is an episode that, in my opinion, is a little gem in the podcast world of The VBAC Link. I really have loved this podcast ever since the date we recorded it. I am a huge fan of Dr. Stu Fischbein and Midwife Blyss and have been since the moment I knew that they existed. I absolutely love listening to their podcast and just all of the amazing things that they have and that they offer. So I wanted to rebroadcast this episode because it was quite down there. It was like our 73rd episode or something like that. And yeah, I love it so much. This week is OB week, and so I thought it'd be fun to kick-off the week with one of my favorite OB doctor's, Stuart Fischbein. So, a little recap of what this episode covers. We go over a lot. We asked for our community to ask questions for these guys, and we went through them. We didn't get to everything, so that was a bummer, but we did get to quite a bit. We talked about things like the chances of VBAC. We talked about the chances of uterine rupture and the signs of uterine rupture. We talked about inducing VBAC. We talked about uterine abnormalities, the desire of where you want to birth and figuring that out. And also, Blyss had a really great analogy to talk about what to do and how we're letting the medical world and insurance and things like that really contemplate where we or dictate where we are birthing. I love that analogy. You guys, seriously, so many questions. It's an episode that you'll probably want to put on repeat because it really is so great to listen to them, and they just speak so directly. I can't get enough of it. So I'm really excited for you guys to dive in today on this. However, I wanted to bring to your attention a couple of the new things that they've had since we recorded this way back when. I also wanted to point out that we will have updated notes in the show notes or updated links in the show notes so you can go check, them out. But one of the first things I wanted to mention was their Patreon. They have a Patreon these days, and I think that it just sounds dreamy. I think you should definitely go find in their Patreon their community through their Patreon. You can check it out at patreon.com, birthinginsinctspodcast.com and of course, you can find them on social media. You can find Dr. Stu at Birthing Instincts or his website at birthinginsincts.com. You can find Blyss and that is B-L-Y-S-S if you are looking for her at birthingblyss on Instagram or birthinblyss.com, and then of course, you can email them. They do take emails with questions and sometimes they even talk about it on their podcast. Their podcast is birthinginsinctspodcast.com, and then you can email them at birthinginsinctspodcast@gmail.com, so definitely check them out. Also, Dr. Stu offers some classes and workshops and things like that throughout the years on the topic of breech. You guys, I love them and really can't wait for you to listen to today's episode.Ladies, I cannot tell you how giddy and excited I have been for the last couple weeks since we knew that these guys were going to record with us. But we have some amazing, special guests today. We have Dr. Stuart Fischbein and Midwife Blyss Young, and we want to share a little bit about them before we get into the questions that all of you guys have asked on our social media platforms.Julie: Absolutely. And when Meagan says we're excited, we are really excited.Meagan: My face is hot right now because I'm so excited.Julie: I'm so excited. Meagan was texting me last night at 11:00 in all caps totally fan-girling out over here. So Dr. Stu and midwife Blyss are pretty amazing and we know that you are going to love them just as much as we do. But before we get into it, and like Meagan said, I'm just going to read their bios so you can know just how legit they really are. First, up. Dr. Stuart Fischbein, MD is a fellow of the American College of Obstetrics and Gynecology, and how much we love ACOG over here at The VBAC Link He's a published author of the book Fearless Pregnancy: Wisdom and Reassurance from a Doctor, a Midwife, and a Mom. He has peer-reviewed papers Home Birth with an Obstetrician, A Series of 135 Out-of-Hospital Births and Breech Births at Home, Outcomes of 60 Breech and 109 Cephalic Planned Home and Birth Center Births. Dr. Stu is a lecturer and advocate who now works directly with home birthing midwives. His website is www.birthinginsincts.com, and his podcast is Dr. Stu's Podcast. Seriously guys, you need to subscribe.Meagan: Go subscribe right now to their podcast.Yeah. The website for his podcast is drstuspodcast.com. He has an international following. He offers hope for women who cannot find supportive practitioners for VBAC and twin and breech deliveries. Guys, this is the home birth OB. He is located in California. So if you are in California hoping for VBAC, especially if you have any special circumstance like after multiple Cesareans, twins or breech presentation, run to him. Run. Go find him. He will help you. Go to that website. Blyss, Midwife Blyss. We really love them. If you haven't had a chance to hear their podcast guys, really go and give them a listen because this duo is on point. They are on fire, and they talk about all of the real topics in birth. So his partner on the podcast is Blyss Young, and she is an LM and CPM. She has been involved in the natural birth world since the birth of her first son in 1992, first as an advocate, and then as an educator. She is a mother of three children, and all of her pregnancies were supported by midwives, two of which were triumphant, empowering home births. In 2006, Blyss co-founded the Sanctuary Birth and Family Wellness Center. This was the culmination of all of her previous experience as a natural birth advocate, educator and environmentalist. The Sanctuary was the first of its kind, a full-spectrum center where midwives, doctors, and other holistic practitioners collaborated to provide thousands of Los Angeles families care during their prenatal and postpartum periods. Blyss closed the Sanctuary in 2015 to pursue her long-held dream of becoming a midwife and care for her clients in an intimate home birth practice similar to the way she was cared for during her pregnancies. I think that's , why Meagan and I both became doulas. Meagan: That's exactly why I'm a doula. Julie: We needed to provide that care just like we had been cared for. Anyway, going on. Currently, Blyss, AKA Birthing Blyss, supports families on their journey as a birth center educator, placenta encapsulator and a natural birth and family consultant and home birth midwife. She is also co-founder of Just Placentas, a company servicing all of Southern California and placenta encapsulation and other postpartum services. And as ,, she's a co-host on Dr. Stu's Podcast. Meagan: And she has a class. Don't you have a class that you're doing? Don't you have a class? Midwife Blyss: Yeah. Meagan: Yeah. She has a class that she's doing. I want to just fly out because I know you're not doing it online and everything. I just want to fly there just to take your class.Midwife Blyss: Yeah, it's coming online.Meagan: It is? Yay! Great. Well, I'll be one of those first registering. Oh, did you put it in there?Julie: No, there's a little bit more.Meagan: Oh, well, I'm just getting ahead.Julie: I just want to read more of Blyss over here because I love this and I think it's so important. At the heart of all Blyss's work is a deep-rooted belief in the brilliant design of our bodies, the symbiotic relationship between baby and mother, the power of the human spirit and the richness that honoring birth as the rite of passage and resurrecting lost traditions can bring to our high-tech, low-touch lives. And isn't that true love? I love that language. It is so beautiful. If I'm not mistaken, Midwife Blyss's website is birthingblyss.com.Is that right? And Blyss is spelled with a Y. So B-L-Y-S-S, birthingblyss.com, and that's where you can find her.Midwife Blyss: Just to make it more complicated, I had to put a Y in there.Julie: Hey. I love it.Meagan: That's okay.Julie: We're in Utah so we have all sorts of weird names over here.Meagan: Yep. I love it. You're unique. Awesome. Well, we will get started.Midwife Blyss: I did read through these questions, and one of the things that I wanted to say that I thought we could let people know is that of course there's a little bit more that we need to take into consideration when we have a uterus that's already had a scar.There's a small percentage of a uterine rupture that we need to be aware of, and we need to know what are the signs and symptoms that we would need to take a different course of action. But besides that, I believe that, and Dr. Stu can speak for himself because we don't always practice together. I believe that we treat VBAC just like any other mom who's laboring. So a lot of these questions could go into a category that you could ask about a woman who is having her first baby. I don't really think that we need to differentiate between those.Meagan: I love it. Midwife Blyss: But I do think that in terms of preparation, there are some special considerations for moms who have had a previous Cesarean, and probably the biggest one that I would point to is the trauma.Julie: Yes.Midwife Blyss: And giving space to and processing the trauma and really helping these moms have a provider that really believes in them, I think is one of the biggest factors to them having success. Meagan: Absolutely. Midwife Blyss: So that's one I wanted to say before you started down the question.Meagan: Absolutely. We have an online class that we provide for VBAC prep, and that's the very first section. It's mentally preparing and physically preparing because there's so much that goes into that. So I love that you started out with that.Julie: Yeah. A lot of these women who come searching for VBAC and realize that there's another way besides a repeat Cesarean are processing a lot of trauma, and a lot of them realized that their Cesarean might have been prevented had they known better, had a different provider, prepared differently, and things like that. Processing that and realizing that is heavy, and it's really important to do before getting into anything else, preparation-wise.Meagan: Yeah.Midwife Blyss: One of the best things I ever had that was a distinction that one of my VBAC moms made for me, and I passed it on as I've cared for other VBAC mom is for her, the justification, or I can't find the right word for it, but she basically said that that statement that we hear so often of, "Yeah, you have trauma from this, or you're not happy about how your birth went, but thank God your baby is healthy." And she said it felt so invalidating for her because, yes, she also was happy, of course, that her baby was safe, but at the same time, she had this experience and this trauma that wasn't being acknowledged, and she felt like it was just really being brushed away.Julie: Ah, yeah.Midwife Blyss: I think really giving women that space to be able to say, "Yes, that's valid. It's valid how you feel." And it is a really important part of the process and having a successful vaginal delivery this go around.Dr. Stu: I tend to be a lightning rod for stories. It's almost like I have my own personal ICAN meeting pretty much almost every day, one-on-one. I get contacted or just today driving. I'm in San Diego today and just driving down here, I talked to two people on the phone, both of whom Blyss really just touched on it is that they both are wanting to have VBACs with their second birth. They were seeing practitioners who are encouraging them to be induced for this reason or that reason. And they both have been told the same thing that Blyss just mentioned that if you end up with a repeat Cesarean, at least you're going to have a healthy baby. Obviously, it's very important. But the thing is, I know it's a cliche, but it's not just about the destination. It's about the journey as well. And one of the things that we're not taught in medical school and residency program is the value of the process. I mean, we're very much mechanical in the OB world, and our job is to get the baby out and head it to the pediatric department, and then we're done with it. If we can get somebody induced early, if we can decide to do a C-section sooner than we should, there's a lot of incentives to do that and to not think about the process and think about the person. There's another cliche which we talk about all the time. Blyss, and I've said it many times. It's that the baby is the candy and the mother's the wrapper. I don't know if you've heard that one, but when the baby comes out, the mother just gets basically tossed aside and her experience is really not important to the medical professionals that are taking care of her in the hospital setting, especially in today's world where you have a shift mentality and a lot of people are being taken care of by people they didn't know.You guys mentioned earlier the importance of feeling safe and feeling secure in whatever setting you're in whether that's at home or in the hospital. Because as Blyss knows, I get off on the mammalian track and you talk about mammals. They just don't labor well when they're anxious.Julie: Yep.Dr. Stu: When the doctor or the health professional is anxious and they're projecting their anxiety onto the mom and the family, then that stuff is brewing for weeks, if not months and who knows what it's actually doing inside, but it's certainly not going to lead to the likelihood of or it's going to diminish the likelihood of a successful labor.Julie: Yeah, absolutely. We talk about that. We go over that a lot. Like, birth is very instinctual and very primal, and it operates a very fundamental core level. And whenever mom feels threatened or anxious or, or anything like that, it literally can st or stop labor from progressing or even starting.Meagan: Yeah, exactly. When I was trying to VBAC with my first baby, my doctor came in and told my husband to tell me that I needed to wake up and smell the coffee because it wasn't happening for me. And that was the last, the last contraction I remember feeling was right before then and my body just shut off. I just stopped because I just didn't feel safe anymore or protected or supported. Yeah, it's very powerful which is something that we love so much about you guys, because I don't even know you. I've just listened to a million of your podcasts, and I feel so safe with you right now. I'm like, you could fly here right now and deliver my baby because so much about you guys, you provide so much comfort and support already, so I'm sure all of your clients can feel that from you.Julie: Absolutely.Dr. Stu: Yeah. I just would like to say that, know, I mean, the introduction was great. Which one of you is Julie? Which one's Meagan?Julie: I'm Julie.Meagan: And I'm Meagan.Dr. Stu: Okay, great. All right, so Julie was reading the introduction that she was talking about how if you have a breech, you have twins, if you have a VBAC, you have all these other things just come down to Southern California and care of it. But I'm not a cowboy. All right? Even though I do more things than most of my colleagues in the profession do, I also say no to people sometimes. I look at things differently. Just because someone has, say chronic hypertension, why can't they have a home birth? The labor is just the labor. I mean, if her blood pressure gets out of control, yeah, then she has to go to the hospital. But why do you need to be laboring in the hospital or induced early if everything is fine? But this isn't for everybody.We want to make that very clear. You need to find a supportive team or supportive practitioner who's willing to be able to say yes and no and give you it with what we call a true informed consent, so that you have the right to choose which way to go and to do what's reasonable. Our ethical obligation is to give you reasonable choices and then support your informed decision making. And sometimes there are things that aren't reasonable. Like for instance, an example that I use all the time is if a woman has a breech baby, but she has a placenta previa, a vaginal delivery is not an option for you. Now she could say, well, I want one and I'm not going to have a C-section.Julie: And then you have the right to refuse that.Dr. Stu: Yeah, yeah, but I mean, that's never going to happen because we have a good communication with our patients. Our communication is such that we develop a trust over the period of time. Sometimes I don't meet people until I'm actually called to their house by a midwife to come assist with a vacuum or something like that. But even then, the midwives and stuff, because I'm sort of known that people have understanding. And then when I'm sitting there, as long as the baby isn't trouble, I will explain to them, here's what's going to happen. Here's how we're going to do it. Here's what's going on. The baby's head to look like this. It not going be a problem. It'll be better in 12 hours. But I go through all this stuff and I say, I'm going to touch you now. Is that okay? I ask permission, and I do all the things that the midwives have taught me, but I never really learned in residency program. They don't teach this stuff.Julie: Yeah, yeah, yeah, absolutely. One of the things that we go over a lot to in our classes is finding a provider who has a natural tendency to treat his patients the way that you want to be treated. That way, you'll have a lot better time when you birth because you're not having to ask them to do anything that they're not comfortable with or that they're not prepared for or that they don't know how to do. And so interviewing providers and interview as many as you need to with these women. And find the provider whose natural ways of treating his clients are the ways that you want to be treated.Dr. Stu: And sometimes in a community, there's nobody.Julie: Yeah, yeah, that's true.Meagan: That's what's so hard.Dr. Stu: And if it's important to you, if it's important to you, then you have to drive on. Julie: Or stand up for yourself and fight really hard.Meagan: I have a client from Russia. She's flying here in two weeks. She's coming all the way to Salt Lake City, Utah to have her baby. We had another client from Russia.Julie: You have another Russian client?Meagan: Yeah. Julie: That's awesome. Meagan: So, yeah. It's crazy. Sometimes you have to go far, far distances, and sometimes you've got them right there. You just have to search. You just have to find them.So it's tricky.Midwife Blyss: Maybe your insurance company is not gonna pay for it.Meagan: Did you say my company's not gonna pay for it?Midwife Blyss: And maybe your insurance company.Meagan: Oh, sure. Yeah, exactly.Midwife Blyss: You can't rely on them to be the ones who support some of these decisions that are outside of the standards of care. You might have to really figure out how to get creative around that area.Meagan: Absolutely.Yeah. So in the beginning, Blyss, you talked about noticing the signs, and I know that's one of the questions that we got on our Instagram, I believe. Birthing at home for both of you guys, what signs for a VBAC mom are signs enough where you talk about different care?.Dr. Stu: I didn't really understand that. Say that again what you were saying.Meagan: Yep. Sorry. So one of the questions on our Instagram was what are the signs of uterine rupture when you're at home that you look for and would transfer care or talk about a different plan of action?Dr. Stu: Okay. Quite simply, some uterine ruptures don't have any warning that they're coming.There's nothing you can do about those. But before we get into what you can feel, just let's review the numbers real briefly so that people have a realistic viewpoint. Because I'm sure if a doctor doesn't want to do a VBAC, you'll find a reason not to do a VBAC. You'll use the scar thickness or the pregnancy interval or whatever. They'll use something to try to talk you out of it or your baby's too big or this kind of thing. We can get into that in a little bit. But when there are signs, the most common sign you would feel is that there'd be increasing pain super-cubically that doesn't go away between contractions. It's a different quality of pain or sensation. It's pain. It's really's becoming uncomfortable. You might start to have variables when you didn't have them before. So the baby's heart rate, you might see heart rate decelerations. Rarely, you might find excessive bleeding, but that's usually not a sign of I mean that's a sign of true rupture.Midwife Blyss: Loss of station.Dr. Stu: Those are things you look for, but again, if you're not augmenting someone, if someone doesn't have an epidural where they don't have sensation, if they're not on Pitocin, these things are very unlikely to happen. I was going to get to the numbers. The numbers are such that the quoted risk of uterine rupture, which is again that crappy word. It sounds like a tire blowing out of the freeway. It is about 1 in 200. But only about 5 to 16%. And even one study said 3%. But let's just even take 16% of those ruptures will result in an outcome that the baby is damaged or dead. Okay, that's about 1 in 6. So the actual risk is about 1 in 6 times 1 in 200 or 1 in 1200 up to about 1 in 4000.Julie: Yep.Dr. Stu: So those are, those are the risks. They're not the 1 in 200 or the 2%. I actually had someone tell some woman that she had a 30% chance of rupture.Julie: We've had somebody say 50%.Meagan: We have?Julie: Yeah. Jess, our 50 copy editor-- her doctor told her that if she tries to VBAC, she has a 50% chance of rupture and she will die. Yeah.Meagan: Wow.Julie: Pretty scary. Dr. Stu: And by the way, a maternal mortality from uterine rupture is extremely rare.Julie: Yeah, we were just talking about that.Dr. Stu: That doctor is wrong on so many accounts. I don't even know where to begin on that.Julie: I know.Dr. Stu: Yeah. See that's the thing where even if someone has a classical Cesarean scar, the risk of rupture isn't 50%.Julie: Yep.Dr. Stu: So I don't know where they come up with those sorts of numbers.Julie: Yeah, I think it's just their comfort level and what they're familiar with and what they know and what they understand. I think a lot of these doctors, because she had a premature Cesarean, and so that's why he was a little, well, a lot more fear-based. Her Cesarean happened, I think, around 32 weeks. We still know that you can still attempt to VBAC and still have a really good chance of having a successful one. But a lot of these providers just don't do it.Dr. Stu: Yeah. And another problem is you can't really find out what somebody's C-section rate is. I mean, you can find out your hospital C-section rate. They can vary dramatically between different physicians, so you really don't know. You'd like to think that physicians are honest. You'd like to think that they're going to tell you the truth. But if they have a high C-section rate and it's a competitive world, they're not going to. And if you're with them, you don't really have a choice anyway.Julie: So there's not transparency on the physician level.Dr. Stu: So Blyss was talking briefly about the fact that your insurance may not pay for it. Blyss, why don't you elaborate on that because you do that point so well.Midwife Blyss: Are you talking about the wedding?Dr. Stu: I love your analogy. It's a great analogy.Midwife Blyss: I'm so saddened sometimes when people talk to me about that they really want this option and especially VBACs. I just have a very special tender place in my heart for VBAC because I overcame something from my first to second birth that wasn't a Cesarean. But it felt like I had been led to mistrust my body, and then I had a triumphant second delivery. So I really understand how that feels when a woman is able to reclaim her body and have a vaginal delivery. But just in general, in terms of limiting your options based on what your insurance will pay for, we think about the delivery of our baby and or something like a wedding where it's this really special day. I see that women or families will spend thousands and thousands of dollars and put it on a credit card and figure out whatever they need to do to have this beautiful wedding. But somehow when it comes to the birth of their baby, they turn over all their power to this insurance company.And so we used to do this talk at the sanctuary and I used to say, "What if we had wedding insurance and you paid every year into this insurance for your wedding, and then when the wedding came, they selected where you went and you didn't like it and they put you in a dress that made you look terrible and the food was horrible and the music was horrible and they invited all these people you didn't want to be there?"Julie: But it's a network.Midwife Blyss: Would you really let that insurance company, because it was paid for, dictate how your wedding day was? Julie: That's a good analogy.Midwife Blyss: You just let it all go.Meagan: Yeah. That's amazing. I love that. And it's so true. It is so true.Julie: And we get that too a lot about hiring a doula. Oh, I can't hire a doula. It's too expensive. We get that a lot because people don't expect to pay out-of-pocket for their births. When you're right, it's just perceived completely differently when it should be one of the biggest days of your life. I had three VBACs at home. My first was a necessary, unnecessary Cesarean.I'm still really uncertain about that, to be honest with you. But you better believe my VBACs at home, we paid out of pocket for a midwife. Our first two times, it was put on a credit card. I had a doula, I had a birth photographer, I had a videographer. My first VBAC, I had two photographers there because it was going to be documented because it was so important to me. And we sold things on eBay. We sold our couches, and I did some babysitting just to bring in the money.Obviously, I hired doulas because it was so important to me to not only have the experience that I wanted and that I deserved, but I wanted it documented and I wanted it to be able to remember it well and look back on it fondly. We see that especially in Utah. I think we have this culture where women just don't-- I feel like it's just a national thing, but I think in Utah, we tend to be on the cheap side just culturally and women don't see the value in that. It's hard because it's hard to shift that mindset to see you are important. You are worth it. What if you could have everything you wanted and what if you knew you could be treated differently? Would you think about how to find the way to make that work financially? And I think if there's just that mindset shift, a lot of people would.Meagan: Oh, I love that.Dr. Stu: If you realize if you have to pay $10,000 out of pocket or $5,000 or whatever to at least have the opportunity, and you always have the hospital as a backup. But 2 or 3 years from now, that $5,000 isn't going to mean anything.Julie: Yeah, nothing.Meagan: But that experience is with you forever.Dr. Stu: So yeah, women may have to remember the names of their children when they're 80 years old, but they'll remember their birth.Julie: Well, with my Cesarean baby, we had some complications and out-of-pocket, I paid almost $10,000 for him and none of my home births, midwives, doula, photography and videography included cost over $7,000.Meagan: My Cesarean births in-hospital were also more expensive than my birth center births.Julie: So should get to questions.Dr. Stu: Let's get to some of the questions because you guys some really good questions.Meagan: Yes.Dr. Stu: Pick one and let's do it.Meagan: So let's do Lauren. She was on Facebook. She was our very first question, and she said that she has some uterine abnormalities like a bicornuate uterus or a separate uterus or all of those. They want to know how that impacts VBAC. She's had two previous Cesareans due to a breech presentation because of her uterine abnormality.Julie: Is that the heart-shaped uterus? Yeah.Dr. Stu: Yeah. You can have a septate uterus. You can have a unicornuate uterus. You can have a double uterus.Julie: Yeah. Two separate uteruses.Dr. Stu: Right. The biggest problem with a person with an abnormal uterine shape or an anomaly is a couple of things. One is malpresentation as this woman experienced because her two babies were breech. And two, is sometimes a retained placenta is more common than women that have a septum, that sort of thing. Also, it can cause preterm labor and growth restriction depending on the type of anomaly of the uterus. Now, say you get to term and your baby is head down, or if it's breech in my vicinity. But if it's head down, then the chance of VBAC for that person is really high. I mean, it might be a slightly greater risk of Cesarean section, but not a statistically significant risk. And then the success rate for home birth VBACs, if you look at the MANA stats or even my own stats which are not enough to make statistical significance in a couple of papers that I put out, but the MANA stats show that it's about a 93% success rate for VBACS in the midwifery model, whereas in the hospital model, it can be as low as 17% up to the 50s or 60%, but it's not very high. And that's partly because of the model by which you're cared for. So the numbers that I'm quoting and the success rates I'm quoting are again, assuming that you have a supportive practitioner in a supportive environment, every VBAC is going to have diminished chance of success in a restrictive or tense environment. But unicornuate uterus or septate uterus is not a contraindication to VBAC, and it's not an indication of breech delivery if somebody knows how to do a breech VBAC too.Julie: Right.Dr. Stu: So Lauren, that would be my answer to to your question is that no, it's not a contraindication and that if you have the right practitioner you can certainly try to labor and your risk of rupture is really not more significant than a woman who has a normal-shaped uterus.Julie: Good answer.Meagan: So I want to spin off that really quick. It's not a question, but I've had a client myself that had two C-sections, and her baby was breech at 37 weeks, and the doctor said he absolutely could not turn the baby externally because her risk of rupture was so increasingly high. So would you agree with that or would you disagree with that?D No, no, no. Even an ACOG statement on external version and breech says that a previous uterine scar is not a contraindication to attempting an external version.Meagan: Yeah.Dr. Stu: Now actually, if we obviously had more breech choices, then there'd be no reason to do an external version.The main reason that people try an external version which can sometimes be very uncomfortable, and depending on the woman and her parody and certain other factors, their success rate cannot be very good is the only reason they do it because the alternative is a Cesarean in 95% of locations in the country.Meagan: Okay, well that's good to know.Dr. Stu: But again, one of the things I would tell people to do is when they're hearing something from their position that just sort of rocks the common sense vote and doesn't sort of make sense, look into it. ACOG has a lot. I think you can just go Google some of the ACOG clinical guidelines or practice guidelines or clinical opinions or whatever they call them. You can find and you can read through, and they summarize them at the end on level A, B, and C evidence, level A being great evidence level C being what's called consensus opinion. The problem with consensus, with ACOG's guidelines is that about 2/3 of them are consensus opinion because they don't really have any data on them. When you get bunch of academics together who don't like VBAC or don't like home birth or don't like breech, of course a consensus opinion is going to be, "Well, we're not going to think those are a good idea." But much to their credit lately, they're starting to change their tune. Their most recent VBAC guideline paper said that if your hospital can do labor and delivery, your hospital can do VBAC.Julie: Yes.Dr. Stu: That's huge. There was immediately a whole fiasco that went on. So any hospital that's doing labor and delivery should be able to do a VBAC. When they say they can't or they say our insurance company won't let them, it's just a cowardly excuse because maybe it's true, but they need to fight for your right because most surgical emergencies in labor delivery have nothing to do with a previous uterine scar.Julie: Absolutely.Dr. Stu: They have to do with people distress or placental abruption or cord prolapse. And if they can handle those, they can certainly handle the one in 1200. I mean, say a hospital does 20 VBACs a year or 50 VBACs a year. You'll take them. Do the math. It'll take them 25 years to have a rupture.Meagan: Yeah. It's pretty powerful stuff.Midwife Blyss: I love when he does that.Julie: Me too. I'm a huge statistics junkie and data junkie. I love the numbers.Meagan: Yeah. She loves numbers.Julie: Yep.Meagan: I love that.Julie: Hey, and 50 VBACs a year at 2000, that would be 40 years actually, right?Dr. Stu: Oh, look at what happened. So say that again. What were the numbers you said?Julie: So 1 in 2000 ruptures are catastrophic and they do 50 VBACs a year, wouldn't that be 40 years?Dr. Stu: But I was using the 1200 number.Julie: Oh, right, right, right, right.Dr. Stu: So that would be 24 years.Julie: Yeah. Right. Anyways, me and you should sit down and just talk. One day. I would love to have lunch with you.Dr. Stu: Let's talk astrology and astronomy.Yes.Dr. Stu: Who's next?Midwife Blyss: Can I make a suggestion?There was another woman. Let's see where it is. What's the likelihood that a baby would flip? And is it reasonable to even give it a shot for a VBA2C. How do you guys say that?Meagan: VBAC after two Cesareans.Midwife Blyss: I need to know the lingo. So, I would say it's very unlikely for a baby to flip head down from a breech position in labor. It doesn't mean it's impossible.Dr. Stu: With a uterine septum, it's almost never going to happen. Bless is right on. Even trying an external version on a woman with the uterine septum when the baby's head is up in one horn and the placenta in the other horn and they're in a frank breech position, that's almost futile to do that, especially if a woman is what I call a functional primary, or even a woman who's never labored before.Julie: Right. That's true.Meagan: And then Napoleon said, what did she say? Oh, she was just talking about this. She's planning on a home birth after two Cesareans supported by a midwife and a doula. Research suggests home birth is a reasonable and safe option for low-risk women. And she wants to know in reality, what identifies low risk?Midwife Blyss: Well, I thought her question was hilarious because she says it seems like everybody's high-risk too. Old, overweight.Julie: Yeah, it does. It does, though.Dr. Stu: Well, immediately, when you label someone high-risk, you make them high-risk.Julie: Yep.Dr. Stu: Because now you've planted seeds of doubt inside their head. So I would say, how do you define high-risk? I mean, is 1 in 1200 high risk?Julie: Nope.Dr. Stu: It doesn't seem high-risk to me. But again, I mean, we do a lot of things in our life that are more dangerous than that and don't consider them high-risk. So I think the term high-risk is handed about way too much.And it's on some false or just some random numbers that they come up with. Blyss has heard this before. I mean, she knows everything I say that comes out of my mouth. The numbers like 24, 35, 42. I mean, 24 hours of ruptured membranes. Where did that come from? Yeah, or some people are saying 18 hours. I mean, there's no science on that. I mean, bacteria don't suddenly look at each other and go, "Hey Ralph, it's time to start multiplying."Julie: Ralph.Meagan: I love it.Julie: I'm gonna name my bacteria Ralph.Meagan: It's true. And I was told after 18 hours, that was my number.Dr. Stu: Yeah, again, so these numbers, there are papers that come out, but they're not repetitive. I mean, any midwife worth her salt has had women with ruptured membranes for sometimes two, three, or four days.Julie: Yep.Midwife Blyss: And as long as you're not sticking your fingers in there, and as long as their GBS might be negative or that's another issue.Meagan: I think that that's another question. That's another question. Yep.Dr. Stu: Yeah, I'll get to that right now. I mean, if some someone has a ruptured membrane with GBS, and they don't go into labor within a certain period of time, it's not unreasonable to give them the pros and cons of antibiotics and then let them make that decision. All right? We don't force people to have antibiotics. We would watch for fetal tachycardia or fever at that point, then you're already behind the eight ball. So ideally, you'd like to see someone go into labor sooner. But again, if they're still leaking, if there are no vaginal exams, the likelihood of them getting group B strep sepsis or something on the baby is still not very high. And the thing about antibiotics that I like to say is that if I was gonna give antibiotics to a woman, I think it's much better to give a woman an antibiotics at home than in the hospital. And the reason being is because at home, the baby's still going to be born into their own environment and mom's and dad's bacteria and the dog's bacteria and the siblings' bacteria where in the hospital, they're going to go to the nursery for observation like they generally do, and they're gonna be exposed to different bacteria unless they do these vaginal seeding, which isn't really catching on universally yet where you take a swab of mom's vaginal bacteria before the C-section.Midwife Blyss: It's called seeding.Dr. Stu: Right. I don't consider ruptured membrane something that again would cause me to immediately say something where you have to change your plan. You individualize your care in the midwifery model.Julie: Yep.Dr. Stu: You look at every patient. You look at their history. You look at their desires. You look at their backup situation, their transport situation, and that sort of thing. You take it all into account. Now, there are some women in pregnancy who don't want to do a GBS culture.Ignorance is bliss. The other spelling of bliss.Julie: Hi, Blyss.Dr. Stu: But the reason that at least I still encourage people to do it is because for any reason, if that baby gets transferred to the hospital during labor or after and you don't have a GBS culture on the chart, they're going to give antibiotics. They're going to treat it as GBS positive and they're also going to think you're irresponsible.And they're going to have that mentality that of oh, here's another one of those home birth crazy people, blah, blah, blah.Julie: That just happened to me in January. I had a client like that. I mean, anyways, never mind. It's not the time. Midwife Blyss: Can I say something about low-risk?Julie: Yes. Midwife Blyss: I think there are a lot of different factors that go into that question. One being what are the state laws? Because there are things that I would consider low-risk and that I feel very comfortable with, but that are against the law. And I'm not going to go to jail.Meagan: Right. We want you to still be Birthing Bless.Midwife Blyss: As, much as I believe in a woman's right to choose, I have to draw the line at what the law is. And then the second is finding a provider that-- obviously, Dr. Stu feels very comfortable with things that other providers may not necessarily feel comfortable with.Julie: Right.Midwife Blyss: And so I think it's really important, as you said in the beginning of the show, to find a provider who takes the risk that you have and feels like they can walk that path with you and be supportive. I definitely agree with what Dr. Stu was saying about informed consent. I had a client who was GBS positive, declined antibiotics and had a very long rupture. We continued to walk that journey together. I kept giving informed consent and kept giving informed consent. She had such trust and faith that it actually stretched my comfort level. We had to continually talk about where we were in this dance. But to me, that feels like what our job is, is to give them information about the pros and cons and let them decide for themselves.And I think that if you take a statistic, I'm picking an arbitrary number, and there's a 94% chance of success and a 4% chance that something could go really wrong, one family might look at that and say, "Wow, 94%, this is neat. That sounds like a pretty good statistic," and the other person says, "4% makes me really uncomfortable. I need to minimize." I think that's where you have to have the ability, given who you surround yourself with and who your provider is, to be able to say, "This is my choice," and it's being supported. So it is arbitrary in a lot of ways except for when it comes to what the law is.Julie: Yeah, that makes sense.Meagan: I love that. Yeah. Julie: Every state has their own law. Like in the south, it's illegal like in lots of places in the South, I think in Washington too, that midwives can't support home birth if you're VBAC. I mean there are lots of different legislative rules. Why am I saying legislative? Look at me, I'm trying to use fancy words to impress you guys. There are lots of different laws in different states and, and some of them are very evidence-based and some laws are broad and they leave a lot of room for practices, variation and gray areas. Some are so specific that they really limit a woman's option in that state.Dr. Stu: We can have a whole podcast on the legal decision-making process and a woman's right to autonomy of her body and the choices and who gets to decide that would be. Right now, the vaccine issue is a big issue, but also pregnancy and restricting women's choices of these things. If you want to do another one down the road, I would love to talk on that subject with you guys.Julie: Perfect.Meagan: We would love that.Julie: Yeah. I think it's your most recent episode. I mean as of the time of this recording. Mandates Kill Medicine. What is that the name?Dr. Stu: Mandates Destroy Medicine.Julie: Yeah. Mandates Destroy Medicine. Dr. Stu: It's wonderful.Julie: Yeah, I love it. I was just listening to it today again.Dr. Stu: well it does because it makes the physicians agents of the state.Julie: Yeah, it really does.Meagan: Yeah. Well. And if you give us another opportunity to do this with you, heck yeah.Julie: Yeah. You can just be a guest every month.Meagan: Yeah.Dr. Stu: So I don't think I would mind that at all, actually.Meagan: We would love it.Julie: Yeah, we would seriously love it. We'll keep in touch.Meagan: So, couple other questions I'm trying to see because we jumped through a few that were the same. I know one asks about an overactive pelvic floor, meaning too strong, not too weak. She's wondering if that is going to affect her chances of having a successful VBAC.Julie: And do you see that a lot with athletes, like people that are overtrained or that maybe are not overtrained, but who train a lot and weightlifters and things like that, where their pelvic floor is too strong? I've heard of that before.Midwife Blyss: Yep, absolutely. there's a chiropractor here in LA, Dr. Elliot Berlin, who also has his own podcast and he talks–Meagan: Isn't Elliott Berlin Heads Up?Dr. Stu: Yeah. He's the producer of Heads Up.Meagan: Yeah, I listened to your guys' special episode on that too. But yeah, he's wonderful.Midwife Blyss: Yeah. So, again, I think this is a question that just has more to do with vaginal delivery than it does necessarily about the fact that they've had a previous Cesarean. So I do believe that the athletic pelvis has really affected women's deliveries. I think that during pregnancy we can work with a pelvic floor specialist who can help us be able to realize where the tension is and how to do some exercises that might help alleviate some of that. We have a specialist here in L.A. I don't know if you guys do there that I would recommend people to. And then also, maybe backing off on some of the athletic activities that that woman is participating in during her pregnancy and doing things more like walking, swimming, yoga, stretching, belly dancing, which was originally designed for women in labor, not to seduce men. So these are all really good things to keep things fluid and soft because you want things to open and release rather than being tense.Meagan: I love that.Dr. Stu: I agree. I think sometimes it leads more to not generally so much of dilation. Again, a friend of mine, David Hayes, he's a home birth guy in South Carolina, doesn't like the idea of using stages of labor. He wants to get rid of that. I think that's an interesting thought. We have a meeting this November in Wisconsin. We're gonna have a bunch of thought-provoking things going on over there.Dr. Stu: Is it all men talking about this? Midwife Blyss: Oh, hell no.Julie: Let's get more women. Dr. Stu: No, no, no, no, no.Being organized By Cynthia Calai. Do you guys know who Cynthia is? She's been a midwife for 50 years. She's in Wisconsin. She's done hundreds of breeches. Anyway, the point being is that I think that I find that a lot of those people end up getting instrumented like vacuums, more commonly. Yeah. So Blyss is right. I mean, if there are people who are very, very tight down there. The leviators and the muscles inside are very tight which is great for life and sex and all that other stuff, but yeah, you need to learn how to be able to relax them too.Julie: Yeah.Meagan: So I know we're running short on time, but this question that came through today, I loved it. It said, "Could you guys both replicate your model of care nationwide somehow?" She said, "How do I advocate effectively for home birth access and VBAC access in a state that actively prosecutes home birth and has restrictions on midwifery practice?" She specifically said she's in Nebraska, but we hear this all over the place. VBAC is not allowed. You cannot birth at home, and people are having unassisted births.Julie: Because they can't find the support.Meagan: They can't find the support and they are too scared to go to the hospital or birth centers. And so, yeah, the question is--Julie: What can women do in their local communities to advocate for positive change and more options in birth where they are more restricted?Dr. Stu: Blyss. Midwife Blyss: I wish I had a really great answer for this. I think that the biggest thing is to continue to talk out loud. And I'm really proud of you ladies for creating this podcast and doing the work that you do. Julie: Thanks.Midwife Blyss: I always believed when we had the Sanctuary that it really is about the woman advocating for herself. And the more that hospitals and doctors are being pushed by women to say, "We need this as an option because we're not getting the work," I think is really important. I support free birth, and I think that most of the women and men who decide to do that are very well educated.Julie: Yeah, for sure.Midwife Blyss: It is actually really very surprising for midwives to see that sometimes they even have better statistics than we do. But it saddens me that there's no choice. And, a woman who doesn't totally feel comfortable with doing that is feeling forced into that decision. So I think as women, we need to support each other, encourage each other, continue to talk out loud about what it is that we want and need and make this be a very important decision that a woman makes, and it's a way of reclaiming the power. I'm not highly political. I try and stay out of those arenas. And really, one of my favorite quotes from a reverend that I have been around said, "Be for something and against nothing." I really believe that the more. Julie: I like that.Midwife Blyss: Yeah, the more that we speak positively and talk about positive change and empowering ourselves and each other, it may come slowly, but that change will continue to come.Julie: Yeah, yeah.Dr. Stu: I would only add to that that I think unfortunately, in any country, whether it's a socialist country or a capitalist country, it's economics that drives everything. If you look at countries like England or the Netherlands, you find that they have, a really integrated system with midwives and doctors collaborating, and the low-risk patients are taken care of by the midwives, and then they consult with doctors and midwives can transfer from home to hospital and continue their care in that system, the national health system. I'm not saying that's the greatest system for somebody who's growing old and has arthritis or need spinal surgery or something like that, but for obstetrics, that sort of system where you've taken out liability and you've taken out economic incentive. All right, so how do you do that in our system? It's not very easy to do because everything is economically driven. One of the things that I've always advocated for is if you want to lower the C-section rate, increase the VBAC rate. It would be really simple for insurance companies, until we have Bernie Sanders with universal health care. But while we have insurance companies, if they would just pay twice as much for a vaginal birth and half as much for a Cesarean birth, then finally, VBACS and breech deliveries would be something. Oh, maybe we should start. We should be more supportive of those things because it's all about the money. But as long as the hospital gets paid more, doctors don't really get paid more. It's expediency for the doctor. He gets it done and goes home. But the hospital, they get paid a lot more, almost twice as much for a C-section than you do for vaginal birth. What's the incentive for the chief financial officer of any hospital to say to the OB department, "We need to lower our C-section rate?" One of the things that's happening are programs that insurance, and I forgot what it's called, but where they're trying, in California, they're trying to lower the primary C-section rate. There's a term for it where it's an acronym with four initials. Blyss, do you know what I'm talking about?Midwife Blyss: No. Dr. Stu: It's an acronym about a first-time mom. We're trying to avoid those C-sections.Julie: Yeah, the primary Cesarean.Dr. Stu: It's an acronym anyway, nonetheless. So they're in the right direction. Most hospitals are in the 30% range. They'd like to lower to 27%. That's a start.One of the ways to really do that is to support VBAC, and treat VBAC as Blyss said at the very beginning of the podcast is that a VBAC is just a normal labor. When people lump VBAC in with breech in twins, it's like, why are you doing that? Breech in twins requires special skill. VBAC requires a special skill also, which is a skill of doing nothing.Julie: Yeah, it's hard.Dr. Stu: It's hard for obstetricians and labor and delivery nurses and stuff like that to do nothing. But ultimately, VBAC is just a vaginal birth and doesn't require any special skill. When a doctor says, "We don't do VBAC, what he's basically saying, or she, is that I don't do vaginal deliveries," which is stupid because VBAC is just a vaginal delivery.Julie: Yeah, that's true.Meagan: Such a powerful point right there.Julie: Guys. We loved chatting with you so much. We wish we could talk with you all day long.Meagan: I would. All day long. I just want to be a fly on your walls if I could.Julie: If you're ever in Salt Lake City again--Meagan: He just was. Did you know about this?Julie: Say hi to Adrienne, but also connect with us because we would love to meet you. All right, well guys, everyone, all of our listeners, Women of Strength, we are going to drop all the information that you need to find Midwife Blyss and Dr. Stu-- their website, their podcast, and all of that in our show notes. So yeah, now you can find our podcast. You can even listen to our podcast on our website at thevbaclink.com/podcast. You can play episodes right from there. So if you don't know-- well, if you're listening to this podcast, then you probably have a podcast player already. But you know what? My mom still doesn't know what a podcast is, so I'm just gonna have to start sending her links right to our page.Meagan: Yep, just listen to us wherever and leave us a review and head over to Dr. Stu's Podcast and leave them a review.Julie: Subscribe because you're gonna love him, but don't stop listening to him us because you love us too. Remember that.Dr. Stu: I want to thank everybody who wrote in, and I'm sorry we didn't get to answer every question. We tend to blabber on a little bit asking these important questions, and hopefully you guys will have us back on again.Meagan: We would love to have you.Julie: Absolutely.Meagan: Yep, we will.Julie: Absolutely.Meagan: YeahClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Wishing you'd handled a parenting moment differently? Feeling overwhelmed? In today's episode, Richard Reeves and Donald Robertson share reassuring advice on navigating the challenges of raising kids, from managing school stress to leading by example. With a dose of self-forgiveness, you'll become a more confident, patient parent. 

Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we're hoping to lower the level of distress around the proposed HIPAA Security Rule changes for therapy practice owners.  We discuss: What the some of the proposed changes to the Security Rule are, including penetration testing The timeframe for these changes if they are implemented, and the likelihood they actually will be implemented The rationale behind the proposed changes, and why they're necessary in our current threat landscape How following the PCT Way can minimize the changes you need to make as HIPAA regulations evolve Centering client care and safeguarding client info as a motivating factor, rather than fear Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources JD Supra article summarizing proposed HIPAA Security Rule Changes and context: New Year, New HIPAA Security Rule: OCR Adds to Health Care Entities' New Year's Resolutions HHS Fact Sheet on proposed changes: HIPAA Security Rule Notice of Proposed Rulemaking to Strengthen Cybersecurity for Electronic Protected Health Information Full text of the Notice of Proposed Rulemaking (NPRM) in the Federal Register: HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information Comments on the NPRM (Note, you can also search the public comments by keyword; ability make comments closed on 3/7/25) PCT Resources PCT's Comprehensive HIPAA Security Compliance Program (discounted) bundles: For Group Practices For Solo Practitioners PCT's HIPAA Risk Analysis & Risk Mitigation Planning service for mental health  practices -- care for your practice using our supportive, shame-free risk analysis and mitigation planning service. You'll have your Risk Analysis done within 2 hours, performed by a PCT consultant, using a tool built specifically for mental health group practice, and a mitigation checklist to help you reduce your risks. Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours -- including monthly session with therapist attorney Eric Ström, JD PhD LMHC + assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) + assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more

Understanding Osteoarthritis: Causes, Symptoms & Treatments #understandingosteoarthritisOsteoarthritis is the most common form of arthritis, yet many people don't understand what it is or how it affects the body. If you're searching for the best rheumatologist in Denver, UnabridgedMD is here for you. Click here to get in touch: http://unabridgedmd.com/ In this video, Dr. Isabelle Amigues, a dedicated rheumatologist, explains everything you need to know about osteoarthritis: its symptoms, how it differs from inflammatory arthritis, and why it causes joint pain. Learn about effective management strategies, treatment options, and reducing pain through lifestyle changes and exercises.If you're experiencing joint pain or know someone who is, watch this video to get insights from a trusted expert. Don't forget to subscribe, like, and share to stay informed on all things related to joint health and arthritis care.☑️ Timestamps00:00 - Introduction to Osteoarthritis02:53 - Understanding Joint Pain and Osteoarthritis06:04 - The Nature of Osteoarthritis09:00 - Diagnosis and Symptoms of Osteoarthritis11:52 - Prevention and Management Strategies15:10 - Reassurance and Final ThoughtsThis video is about Osteoarthritis Explained: Symptoms, Causes & Effective Management Tips. But It also covers the following topics:Osteoarthritis Risk FactorsWhat Is OsteoarthritisExercise For Osteoarthritis✅ Stay Connected With Me.

March 02, 2025

In Anxiety Reliever and Reassurance in Unsettled Times, you'll be gently guided into relaxation, easing anxious thoughts and bringing a sense of calm. Through soothing breathwork, body relaxation, and reassuring affirmations, this meditation will help you let go of stress and settle into deep, restful sleep. Let the gentle guidance and peaceful imagery create a sense of safety and ease, allowing you to drift into tranquility and wake up refreshed.GO AD-FREE!    JOIN OUR APPLE PREMIUM SUBSCRIPTION! Sleep Like a Log EXTRA and get BONUS ANXIETY-REDUCING SLEEPY EPISODES, all 100% Ad-FREE in 2 Clicks for just £4.99 per month: Click HERE to start your FREE 14 DAY TRIAL (Cancel any time)Please leave a 5-STAR REVIEWFREE EXTRAS on PATREON: (Sleep Sounds etc) for you! Click HERE   OUR WEBSITE: http://sleep-like-a-log.com  We are a Sleep and Nighttime Anxiety HUB, and we provide many types of Bedtime Anxiety Soother Sessions, Visualizations & Meditations, One-to-One Counselling Support, 'Ask the Counsellor' Service, Community and Information.. Come and sign up for your FREEBIES & Giveaways! See you over there! Clare (Chief Sloggie!)xDisclaimer / WarningDO NOT drive, operate heavy machinery, or use this video when it is not safe for you to become drowsy and/or fall asleep. All videos are for entertainment or psycho-educational purposes only. Therefore, no videos on this channel should be used as a substitute for clinical professional advice or support. Please consult your GP before listening to this recording About Us  At Sleep Like a Log, we are all about helping you reduce anxiety, so that you can rest well at bedtime. You might be anxious about your ability to sleep well (Sleep Anxiety), or find it difficult to put other anxieties aside at bedtime, so that you can rest. (Nighttime Anxiety). We offer counselling, support, community and guided sleep hypnotherapy, meditations, visualisations (and more) to help you get your nighttime rest.Produced / Written / Performed by: Clare Llewellyn-Bailey, Counselling Psychotherapist, Author and Hypnotherapist (BA Hons) MBACP MNCPS Acc. DHP Acc.Hyp

Today we look at Paul at one of his lowest moments and how Jesus speaks the truth that He is not alone, but Jesus is right there with him.

Today we look at Paul at one of his lowest moments and how Jesus speaks the truth that He is not alone, but Jesus is right there with him.

Today we look at Paul at one of his lowest moments and how Jesus speaks the truth that He is not alone, but Jesus is right there with him.

Andy Zaltzman is joined by Zoe Lyons, Ian Smith, Laura Lexx and Hugo Rifkind as they unpack Trump and Putin in talks in Saudi Arabia, the solutions to prison overcrowding, and the Welsh solution for parliamentary empty promises.Written by Andy Zaltzman.With additional material by: Simon Alcock, David Duncan, Laura Major, Christina Riggs and Peter Tellouche. Producer: Rajiv Karia Executive Producer: James Robinson Production Coordinator: Jodie Charman Sound Editor: Marc WillcoxA BBC Studios Audio Production for Radio 4 An Eco-Audio certified Production.

Cracking The Coping Code Do you wish you could quit your unhealthy coping mechanisms or bad habits?  Many of us find ourselves trapped in cycles of behavior that don't serve us well. Whether it's substance abuse, avoidance, negative self-talk, excessive screen time, emotional eating, isolation, procrastination, overworking, or aggression, porn, these coping mechanisms are familiar yet unhelpful tools we often use to self-soothe. It's crucial to remember that resorting to these habits doesn't make us bad people; it's merely our way of attempting to regulate our distressing emotions. Think of an animal licking its wounds. Initially, it promotes healing, but prolonged licking can worsen the injury. Similarly, our coping mechanisms may provide temporary relief, but they can exacerbate the underlying issues over time. Understanding the Problem: Coping mechanisms are often seen as habits to eliminate. We know they're not beneficial, yet we repeatedly return to them, seeking that fleeting sense of relief or numbness. Afterward, the real issue remains, and we wonder why our efforts to change these habits have failed. Have you ever tried to change your habits through sheer discipline, only to end up feeling guilty and ashamed? For me, discipline became synonymous with these distressing feelings. I've since redefined discipline to simply mean "showing up." It doesn't mean doing the right thing every time but being present and aware. Even addictions are coping mechanisms that are trying to meet a legitimate need(s) but in an unhealthy way. We need a healthy balance of coping mechanisms and long-term solutions. The problem comes when we trick ourselves into thinking that the coping skills are long-term solutions.  Why Trying Harder Doesn't Work: Efforts to simply "try harder" often lead us back to the very habits we're trying to escape. This approach isn't sustainable, and it can make us feel worse, driving us back to our unwanted coping mechanisms. The Unique Solution: The transformation begins with an "aha!" moment: realizing that coping mechanisms are attempts to recalibrate our mind, body, and soul. When we resort to coping, it's a signal that we're out of alignment with our true, authentic selves. Rather than viewing these mechanisms as enemies, we can approach them with compassion and curiosity. Without them, we might cause more harm to our well-being. Here's a process to help you address and transform your coping mechanisms: 1. Identify- Name the Habit & Recognize Its Purpose Instead of just labeling your coping mechanism as “bad,” recognize that it serves a purpose.  It's trying to meet a need. The first step is to identify the behavior and understand what it's helping you cope with. Action Step: Write down the top 1-2 coping mechanisms you want to change. Then, answer these questions: Where does your brain want you to go when you feel distressing emotions (what coping mechanism do you want to run to?) When do I usually engage in this habit? (Time of day, location, situation) What triggers it? (Stress, boredom, loneliness, anger, fatigue, etc.) What relief does it provide in the moment? (Escape, comfort, numbness, energy boost, etc.) Key Insight: Your coping mechanism isn't random. It's trying to solve a problem. 2. Reflect- Get Curious About the “Why” Our coping habits often mask deeper distressing emotions, unmet needs, and potentially neglected wounds. Before you can change a behavior, you need to understand what's really driving it. Action Step: Journal about these two questions: What thoughts or emotions usually come up before I engage in this habit? What am I actually needing in this moment? (Connection, rest, validation, control, security, self-compassion, etc.) Example: If you scroll on your phone late at night, is it because you're avoiding stress, craving connection, or struggling with loneliness? The more you understand, the easier it becomes to make lasting change. 3. Pause & Reframe- Shift from Judgment to Curiosity Before automatically engaging in your usual coping mechanism, pause and ask yourself: What emotion am I feeling right now? What do I actually need? (Attention? Rest? A break? Reassurance?) Action Step: Keep a Curiosity Log for 30 days. Each time you catch yourself engaging in your coping mechanism, write down: What happened before you did it (the trigger). What you were feeling. How you felt afterward. Key Insight: This will reveal patterns and help you see whether your habit is actually serving you or just postponing deeper healing or change that needs to occur.  4. Replace- Choose a Healthier & More Authentic Alternative Now that you understand what needs your coping habit is trying to meet and you have a kinder and more curious perspective on coping mechanisms, you can evaluate and make sure that your coping mechanisms are more authentic to the person you want to be.  Action Step: Create a “Healthy Coping Menu” with 3-5 alternative strategies that align with your values. If you cope through avoidance (procrastination, excessive screen time, etc.): Alternative: Set a 10-minute timer and just start. Action reduces anxiety. Alternative: Break tasks into micro-steps and reward progress. If you cope through emotional eating: Alternative: Pause, take three deep breaths, and check if you're physically hungry or emotionally overwhelmed. Alternative: Call a friend, journal, or go for a short walk before making a food choice. If you cope through isolation: Alternative: Set a small social goal (send a text, call one person, or plan a meetup). Alternative: Engage in an activity that fosters connection, like a hobby or volunteering. If you cope through aggression (outbursts, self-criticism, irritability): Alternative: Use a physical outlet (exercise, deep breathing, walking). Alternative: Write down your thoughts before reacting and ask, “What's the deeper emotion here?” Key Insight: The key isn't just stopping a habit. It's finding a better, healthier way to meet the same underlying need. 5. Thrive- Shift from Coping to Thriving Coping skills help you manage stress in the moment, but they aren't long-term solutions. If you find yourself repeatedly relying on coping, it's a sign something deeper needs to change. The real goal isn't just to cope better. It's to create a life where you don't have to cope as much in the first place. Action Step: Identify, Adjust, and Grow Identify the Root Cause – What's Driving Your Unhealthy Coping? Make a list of the stressors in your life that you find yourself coping with. Be specific; understanding the real problem is the first step toward meaningful change. Make Small but Meaningful Adjustments – What's One Realistic Change? Instead of just managing stress with coping, adjust the conditions that are creating stress in the first place. Maintain Healthy Coping While Implementing Change – Support Yourself Through the Process Instead of simply eliminating an unhealthy coping mechanism, replace it with a coping mechanism that aligns with the person you want to become. Then, allow yourself to use that healthy coping strategy as needed while actively working toward a long-term solution that addresses the need to cope to begin with.  Recap:  We have explored the pervasive nature of unhealthy coping mechanisms and how they often become entrenched habits that offer only temporary relief from underlying issues. These mechanisms, which include substance abuse, avoidance, negative self-talk, and more, are not signs of personal failure but rather attempts to self-soothe and regulate emotions.  The key to transformation lies in shifting our perspective. Instead of viewing these habits as enemies to be eradicated through sheer willpower and discipline, we should approach them with compassion and curiosity. Recognizing that these mechanisms signal a disconnect from our authentic selves allows us to address the root causes of our distress. Remember: Coping is a tool, not a solution. Instead of just managing stress, change the conditions that create it. Long-term change comes from small, intentional shifts in how you live, work, and relate to others. You don't just want to “cope better,” but you want to build a life where you don't have to cope so much in the first place. By approaching your coping mechanisms with curiosity and compassion, you'll begin to uncover the real issues and embark on a journey toward healthier habits and emotional alignment.  

A Reassurance of Our Position in Christ.

What do you wish I asked this guest? What was your "quotable moment" from this episode? Leah passionately discusses the intersection of being queer, trans, and a witch, emphasizing the importance of joy as a form of resistance in challenging times. They share personal insights on community support, empowerment through witchcraft, and the celebration of trans identities. • Leah introduces their identity as a queer trans witch • The importance of recognizing privilege within identities • Reassurance that trans individuals are not alone in their struggles • Trans joy as a significant act of resistance against oppression • Advocating for happiness amidst societal challenges • Building sustainable activism rooted in love and community • The empowering role of witchcraft in personal and collective identity • Witchcraft as a means of self-discovery and freedom • Encouragement to explore spirituality through witchcraft • Celebrating the connections and resilience within the trans communitySupport the showSupport the show and get tons of bonus content, videos, monthly spell boxes, and more at CrepuscularConjuration.com!Or become a paying subscriber on Buzzsprout: https://www.buzzsprout.com/1777532/supportWant to see if you're a good fit for the show? (Hint: if you're a witch, you probably are!) email me at youraveragewitchpodcast at gmail.comFollow YAW at:instagram.com/youraveragewitchpodcastfacebook.com/youraveragewitchpodcastReview the show on Apple podcastspodcasts.apple.com/us/podcast/your-average-witch-podcast/id1567845483

Do you need to know what others think before you go ahead and make your decision? Listen in today to find out why we do this!JOIN MY EMAIL CLUB HEREBook a space in my Zoom Diary to discuss 1:1 coaching hereBuy the best-selling book Drink Less; Live Better here or order from anywhere you usually buy your books.Subscribe to my 5 day Drink Less Experiment hereGet my Habit Tracker hereDid you know I've HIDDEN a podcast episode? It's your secret weapon at 5pm if you are feeling cravings for alcohol. You can download it hereYou can work with me 1:1 over 90 days to change your relationship with alcohol?All details HEREBTW - If you didn't already know, I'm Sarah - Drink Less; Live Better founder, best-selling author, expert speaker, life coach and, as you already know, podcast host!We don't have to hit rock bottom, we're allowed to want something different and we can CHOOSE to improve our lives from this point onwards. I work in the magic space where doubt, hope and action meet... oh.... and PS I believe in you!Let's get connected; on Facebookon instaCheck out Drink Less; Live Better for blog posts and moreSubscribe to this podcast so you don't miss an episode - also please do leave a like or review and share the love! Thank youFound the podcast useful? I'd love to have a coffee with you - you can buy it here THANK YOU!

Deuteronomy 34:1–6

In this episode I talk all I could think of in the category of "Things Moms miss out on."My Course:https://www.themellowmama.org/teacher-trainingMellow Moments:https://www.themellowmama.org/productsInstagram:@themellowmamaYouTube:https://www.youtube.com/watch?v=_f3dhVUINH4&feature=youtu.be

"Talking to Kids About Cancer

Pastor Candice Wassell Faith Lutheran Church O'Fallon IL Check out our Website: https://www.faithofallon.org/ If you would like to support the ministry of Faith Lutheran Church: https://www.faithofallon.org/giving

Not every ghost story has to be terrifying—sometimes, they're just confusing and downright strange. In this tale, a family discovers that not all spirits are angry or malevolent. After moving a relative's box of old family papers into the attic, the user and their brother Adam begin experiencing strange dreams that feel like more than just sleep. These dreams seem to pull them into the house, with an angry presence warning that the family's things would be ruined. It's a story about a family, a box in the attic, and spirits that sometimes just need a little reassurance. If you have a real ghost story or supernatural event to report, please write into our show or call 1-855-853-4802! If you like the show, please help keep us on the air and support the show by becoming a Premium Subscriber.  Subscribe here: http://www.ghostpodcast.com/?page_id=118 or at or at http://www.patreon.com/realghoststories Watch more at: http://www.realghoststoriesonline.com/ Follow Tony: Instagram: HTTP://www.instagram.com/tonybrueski TikToc: https://www.tiktok.com/@tonybrueski Facebook: https://www.facebook.com/tony.brueski 

In this episode, we dive into the importance of names and their meanings. The speaker, Daniel Collins asks if people like or know the meaning of their names, leading to a fascinating discussion about names in the Bible. He explains how names often reflect character and destiny. Using examples like Onesimus, Paul, Jacob, and Abraham, the speaker shows how names related to their lives. The discussion connects to a Bible study about forgiveness and transformation through Jesus Christ, illustrated by Paul's letter to Philemon about Onesimus. This episode explores how God can use even difficult situations for good, showing that forgiveness and understanding can lead to greater unity and purpose. 00:00 Introduction: Do You Like Your Name? 00:38 Exploring the Meanings of Names 03:06 Biblical Names and Their Significance 06:15 Names You Wouldn't Give Your Children 07:37 Paul's Appeal for Onesimus 10:45 The Transformation of Onesimus 13:52 The Importance of Names in Scripture 17:05 Paul's Request to Philemon 24:33 Divine Purpose Behind Events 26:59 Joseph's Reassurance to His Brothers 27:28 The Famine and Joseph's Role in Egypt 30:50 Joseph's Family Moves to Egypt 32:02 Joseph's Brothers Seek Forgiveness 37:55 Paul's Message to Philemon 46:39 The Importance of Forgiveness

Dr. Taylor Arnold, pediatric dietitian and the mind behind Growing Intuitive Eaters, joins Get to Know OCD to share her personal journey of overcoming OCD and breaking the cycle of disordered eating. From her struggles with emetophobia (fear of vomiting) to raising three children while managing contamination OCD, Dr. Arnold opens up about the challenges of parenting with OCD and how it shaped her approach to pediatric nutrition.In this episode, she reveals her strategies for turning food battles into playful connections, growing intuitive eating in kids, and navigating the intersection of mental health and parenting.Ready to treat OCD in OCD? Visit https://learn.nocd.com/podcast to connect with a specialized therapist and make 2025 the year of change.0:00 Intro4:03 Taylor's own OCD journey9:57 What is ARFID?14:28 How ARFID can manifest17:16 How Taylor juggled life and OCD20:26 Reassurance-seeking makes OCD worse22:56 How Taylor's emetophobia affected her parenting26:08 How OCD has influenced Taylor's work life30:26 How Taylor will manage OCD going forward34:02 Tips for raising kids to be intuitive eaters38:33 When the OCD brain takes over42:41 The importance of investing in yourself45:34 OutroFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

Hey my loves! Happy New Year and welcome to series 3 of the Recover to Flourish podcast.In this episode, we're exploring the common behaviour of seeking permission to eat and other reassurance-seeking habits that often show up in eating disorder recovery. As an eating disorder coach, I know how challenging it can feel to trust yourself and your body when you've spent so much time relying on external validation. I'll share my personal experiences and offer practical tips to help you break free from these behaviours, so you can learn to trust your own hunger and fullness cues. Whether you're navigating this in your own recovery or supporting someone else, I hope this episode provides you with the tools and encouragement to embrace food freedom. SOCIALS:Instagram: @flourishwithciandra @recovertoflourish_podTikTok: @flourishwithciandraWebsite: https://flourishwithciandra.com/Contact: info@flourishwithciandra.com

Another Paternity Leave Installment is here, and this one could ruin your childhood. As mentioned over the past few weeks, this is content that's been behind the Patreon paywall for a while. Patreon payments are frozen for the time being. New Munchies can't join as paying members until that's unpaused, but you can join as a free member and at least be kept abreast of pod news...When The Wonder Years ended almost 30 years ago, no one could have imagined the incredibly dark turn that Kevin Arnold's life would take. Yes, Mr. Arnold's death, Paul's going to Harvard, and Winnie to a long and successful career on the Hallmark Channel were all disturbing outcomes, but this is much worse. This SVU shows little Kevin Arnold beating, raping, and then re-victimizing women across the Upper West Side. This obviously provides tons of fodder for the Munch mill as we dig into a really great episode of television. We talk Jeopardy! prep, our favorite lawyer lover plot twists, and Josh takes us on a particularly unexpected trip through the shenanigans of the Warwick R.I. city council. Enjoy!Music:Divorcio Suave - “Munchy Business”Thanks to our gracious Munchies on Patreon: Jeremy S, Jaclyn O, Amy Z, Nikki B, Diana R, Tony B, Zak B, Barry W, Drew D, Nicky R, Stuart, Jacqi B, Natalie T, Robyn S, Christine L, Amy A, Sean M, Jay S, Briley O, Asteria K, Suzanne B, Tim Y, Douglas P, John P, John W, Elia S, Rebecca B, Kevin, Lily, Lucy, Sarah L, Melsa A, Alyssa C, Johnathon M, Tiffany C, Brian B, Kate K, Alison M, Whitney C, Alex, and Kaytlyn B - y'all are the best!Be a Munchie, too! Support us on Patreon: patreon.com/munchmybensonBe sure to check out our other podcast diving into long unseen films of our guests' youth: Unkind Rewind at our website or on YouTube, Apple Podcasts, or wherever you listen to podcastsFollow us on: BlueSky, Twitter, Facebook, Instagram, Threads, and Reddit (Adam's Twitter/BlueSky and Josh's Twitter/BlueSky/Letterboxd/Substack)Join our Discord: Munch Casts ServerCheck out Munch Merch: Munch Merch at ZazzleCheck out our guest appearances:Both of us on: FMWL Pod (1st Time & 2nd Time), Storytellers from Ratchet Book Club, Chick-Lit at the Movies talking about The Thin Man, and last but not least on the seminal L&O podcast …These Are Their Stories (Adam and Josh).Josh debating the Greatest Detectives in TV History on The Great Pop Culture Debate Podcast and talking SVU/OC on Jacked Up Review Show.Visit Our Website: Munch My BensonEmail the podcast: munchmybenson@gmail.comThe Next New Episode Once We're Back from Adam's Paternity Leave Will Be: Season 16, Episode 14 "Intimidation Game"Become a supporter of this podcast: https://www.spreaker.com/podcast/munch-my-benson-a-law-order-svu-podcast--5685940/support.

We've all had that person in our lives who constantly needs reassurance. Whether it's your partner asking, “Do you really love me?” for the tenth time this week, your mom needing praise every time she tries something new, or a coworker who looks to you for approval on every decision, these interactions can leave you feeling exhausted, frustrated, and even resentful. But why are some people like this? And, more importantly, what can you do to manage these relationships while staying compassionate and maintaining your boundaries? In today's episode, I'll answer all your questions and give you my five-step process for what you can do to create more balanced and healthy relationships. ____________________________Full blog and show notes: https://abbymedcalf.com/what-to-do-when-they-need-constant-reassurance-and-validation Learn how to create and hold healthy, loving boundaries. Buy my newest book on Amazon, Boundaries Made Easy: Your Roadmap to Connection, Ease and Joy https://abbymedcalf.com/boundaries Want to feel happier and more connected in your relationship? Buy my #1 bestselling book on Amazon, Be Happily Married: Even If Your Partner Won't Do a Thing: https://abbymedcalf.com/book____________________________ Looking for past episodes of the Relationships Made Easy Podcast? Head over to https://abbymedcalf.com/podcast and https://abbymedcalf.com/podcast-the-archives where you'll find past episodes. Subscribe today to get my love letter to you! This biweekly reminder will keep you on the path to creating connected, happy relationships (especially the one with yourself!). https://abbymedcalf.com For more quick tips, subscribe to my YouTube channel: https://abbymedcalf.com/youtube Ready to dig deeper? Take one of my online courses (some are FREE!) or grab a workbook: https://abbymedcalf.com/shop A great idea to stay motivated and keep your head in a positive direction is to buy some of my fabulous, inspirational merchandise. Get yourself a t-shirt, mug, tote bag or notebook with that daily reminder that you've got this! https://abbymedcalf.com/shop Say hello on social:Facebook: https://www.facebook.com/abbymedcalfInstagram: https://www.instagram.com/abbymedcalfthrivingLinkedIn: https://linkedin.com/in/abbymedcalfthrivingYouTube: https://abbymedcalf.com/youtube Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.

In this podcast Walt Zerbe, Sr. Director of Technology and Standards at CEDIA and host of the CEDIA podcast talks with Andy Bull, Director of Design at Lighting Audio Video Projects, David Warfel, Founding Designer from Light Can Help You, and Gordon Petrie, Co-Founder of Eclipse Lighting Design about lighting trends, tips, new products, and a host of other things.  Be sure to check out, "Let's Talk About Design part 1", and, "Lighting and the Physiology of the Body." Other links: The Oddballs Lighting Competition Lightswitch work at the Morton Arboretum   Timestamps by PodSqueezeIntroduction to the Podcast (00:00:00)   The hosts introduce themselves and the podcast, setting the stage for the discussion on lighting design. Healthy Lighting Discussion (00:02:07)   The conversation shifts to healthy lighting, emphasizing its growing importance and relevance in lighting design. LED Lighting Limitations (00:03:17)   Andy Bull discusses the limitations of LED lighting, particularly the lack of infrared light essential for health. Hybrid Lighting Solutions (00:04:47)   The speakers explore the concept of hybrid lighting solutions that combine different lighting technologies for better health. Ethical Considerations in Lighting Design (00:05:21)   Gordon Petrie raises ethical issues regarding the promotion of certain lighting technologies that may be restricted or illegal. Natural Light vs. Artificial Light (00:06:32)   The group discusses the benefits of natural light and the challenges of replicating its effects with artificial lighting. Ongoing Research in Light and Health (00:07:18)   David Waffle highlights the importance of ongoing research into the relationship between light and human health. Challenges in Home Lighting Implementation (00:08:19)   The speakers acknowledge the difficulties in implementing optimal lighting solutions in residential settings. Future of Lighting Technology (00:09:00)   The conversation touches on the potential for new lighting products and technologies to emerge in the market. Current Trends in Lighting (00:10:21)   The group discusses what's currently trending in the lighting industry, including innovations and applications. Focus on Digital Lighting Solutions (00:11:14)   David Waffle shares his interest in low voltage and digitally controlled lighting, emphasizing its future potential. The importance of quality light (00:12:13)   Discussion on the growing focus on light quality, glare, and color rendering in design. Merging acoustics and lighting (00:13:17)   Exploration of integrating acoustic materials with lighting to improve sound quality in various environments. Acoustic solutions in design (00:15:58)   Insights on using acoustic panels in lighting for better sound control in restaurants and homes. Challenges with new lighting technologies (00:17:33)   Concerns about the reliability and support of new lighting products from emerging companies. Evolving lighting technology (00:21:33)   Discussion on the rapid advancement of lighting technology and its implications for long-term use. Flexibility in wiring systems (00:22:43)   The importance of universal wiring for future-proofing lighting installations against technological changes. Backward compatibility in lighting (00:23:30)   Reassurance about modern lighting systems working with older technologies for seamless integration. Risks of Smart Lighting (00:24:14)   Discusses the challenges and risks of purchasing smart lighting products, particularly regarding app dependency. Wired vs. Wireless (00:25:28)   Emphasizes the importance of wired communication for permanently installed lighting systems over wireless options. Digital Wiring Advantages (00:26:28)   Explains the benefits of digital wiring technology, including reduced copper usage and improved efficiency. DALI Implementation (00:27:50)   Describes the use of DALI technology for efficient lighting control in residential projects. Electrician Training Challenges (00:28:58)   Discusses the difficulties electricians face when adapting to new wiring methods and systems. Preconditioning Drivers (00:29:50)   Shares a strategy for preconditioning drivers to ensure lighting systems work seamlessly upon installation. Control and Reliability (00:32:07)   Highlights the necessity for high reliability in lighting systems to meet user expectations. Emergency Lighting Solutions (00:34:02)   Explores the growing trend of installing emergency lighting systems for backup during power outages. Emergency Lighting Discussion (00:35:40)   Debate on the necessity of emergency lighting in modern settings, considering personal flashlight availability. Hotel Project Experience (00:36:25)   A recount of a hotel project in Africa where emergency lighting was deemed unnecessary by the client. Tools of the Trade Introduction (00:38:09)   Transition into discussing essential tools and techniques used in lighting design. Key Takeaways from the Expo Session (00:39:01)   Insights on social media influences and tools shared during a lighting design expo class. Lighting Design Software Usage (00:39:46)   Discussion on the use of software like DIALux for creating realistic lighting designs and client presentations. Flicker Meter Introduction (00:41:33)   Introduction of the flicker meter as a tool to assess light quality and demonstrate differences to clients. Reflectance Values in Lighting Design (00:43:41)   Importance of understanding paint and fabric reflectance values in achieving effective lighting in various spaces. Challenges with Dark Surfaces (00:44:13)   Discussion on the difficulties of lighting spaces with dark surfaces and the need for adequate light calculations.  Adjustments in Residential Lighting (00:46:53)   Challenges faced in residential lighting design due to unknown furniture and color choices impacting lighting effectiveness. Challenges in Lighting Design (00:46:54)   Discussion on unexpected lighting effects caused by materials, as seen in an art gallery example. Reflectance Values in Lighting (00:47:59)   Importance of calculating reflectance values of materials for effective lighting design in various environments. Gobos in Residential Lighting (00:50:59)   Use of gobos for textured lighting, primarily in outdoor settings rather than residential interiors. Innovations in Projector Technology (00:52:24)   Advancements in small projectors that create intricate lighting effects for artistic displays. Textured Lighting Techniques (00:53:14)   Exploration of unique lighting methods, including laser-cut patterns and ripple effects for ambiance. The Importance of Lighting Integration (00:55:14)   Emphasis on the necessity of incorporating lighting design into projects for enhanced aesthetic appeal. Selling Lighting Solutions (00:56:18)   Strategies for effectively presenting lighting options to clients without needing a physical showroom. Here are the extracted timestamps and their respective titles from the podcast episode segment: Discussion on Lighting Design Challenges (00:58:12)   The speakers discuss the challenges of integrating lighting design with existing skills and experiences. The Role of Showrooms in Lighting Design (01:00:05)   The importance and impact of showrooms versus virtual showrooms in training and showcasing lighting designs. Unique Approaches to Lighting Design (01:00:51)   Discussion on the bespoke nature of lighting design tailored to individual spaces and client preferences. Upcoming Talks at ISC (01:02:13)   Overview of upcoming classes and discussions related to lighting at the ISC event in Amsterdam. Panel Discussion on Lighting Turf Wars (01:03:49)   Anticipation of a panel discussion addressing the financial aspects and roles in lighting design work. Closing Remarks and Future Topics (01:04:03)   The host thanks guests and hints at future discussions on healthy lighting and its implications.    

As many Bible students know, the book of Psalms is a collection of songs. It's a spiritual songbook, primarily written by David. He was called the sweet psalmist of Israel. They're rich in captivating imagery and candid confessions to the Lord. They offer great comfort and reassurance. And Pastor Greg Laurie is currently presenting a new series in Psalms here on A NEW BEGINNING. Today, we'll draw some fresh hope from words we've read many times before. Listen on harvest.org --- Learn more and subscribe to Harvest updates at harvest.org A New Beginning is the daily half-hour program hosted by Greg Laurie, pastor of Harvest Christian Fellowship in Southern California. For over 30 years, Pastor Greg and Harvest Ministries have endeavored to know God and make Him known through media and large-scale evangelism. This podcast is supported by the generosity of our Harvest Partners.Support the show: https://harvest.org/supportSee omnystudio.com/listener for privacy information.

As many Bible students know, the book of Psalms is a collection of songs. It's a spiritual songbook, primarily written by David. He was called the sweet psalmist of Israel. They're rich in captivating imagery and candid confessions to the Lord. They offer great comfort and reassurance. And Pastor Greg Laurie is currently presenting a new series in Psalms here on A NEW BEGINNING. Today, we'll draw some fresh hope from words we've read many times before. Listen on harvest.org --- Learn more and subscribe to Harvest updates at harvest.org A New Beginning is the daily half-hour program hosted by Greg Laurie, pastor of Harvest Christian Fellowship in Southern California. For over 30 years, Pastor Greg and Harvest Ministries have endeavored to know God and make Him known through media and large-scale evangelism. This podcast is supported by the generosity of our Harvest Partners.Support the show: https://harvest.org/supportSee omnystudio.com/listener for privacy information.

So you asked for the reassurance. You got it. And... you're still spiraling. WTF, right?

What are the areas where you're asking and begging God to reassure you? Like Gideon, we constantly need confidence in what the Lord has set out for us. But, following in Gideon's footsteps, we ought to gain this reassurance through intentional prayer and communion with God. Join Pastor Shannon Butler in Judges 6:36-7:25 to dive into the story of Gideon's army overcoming the Midianites and to examine God's great reassurance.Support the show

Welcome back to The Twelfth House Podcast, where we explore the intersection of intuition, creativity, and conscious entrepreneurship.Michelle opens up about the ups and downs of balancing a creative passion alongside a steady day job, sharing the benefits of adopting a “portfolio career” mindset, where creative projects and traditional work can coexist harmoniously.Michelle's tips cover everything from setting milestones and working in public to exploring unconventional 'paradoxical moves' like changing industries or adjusting your project's intensity. With a mix of heartfelt advice and real-life tips, she encourages you to see creativity as a lifelong journey that grows and flows with whatever life brings.Episode Highlights:* Solving Real Problems: Michelle emphasizes how successful businesses focus on solving real problems, often taking inspiration from the needs she sees in her own community.* Embracing a Portfolio Career: It's possible to balance a day job with creative work. Michelle encourages a career that includes both stability and passion projects.* Reassessing and Adjusting: Learn how to find the right pace for your project, match it with your personal needs, and build accountability to stay focused.* Building Accountability: Michelle recommends working in public, setting clear milestones, collaborating with others, and seeking grants to support your creative goals.* "Paradoxical Moves": Michelle encourages unconventional strategies, such as exploring different industries or adjusting the intensity of your work, to keep your journey going.* Creativity as a Lifelong Pursuit: Adjusting the intensity of a project isn't a sign of failure; it's simply part of long-term growth. Michelle encourages listeners to view their creative pursuits as lasting passions to be cherished.* Reassurance and Reflection: The episode ends with encouragement to reassess and pivot when needed, offering a reminder that no one faces these challenges alone.