Podcasts about self disclosure

The award-winning Compliance into the Weeds is the only weekly podcast that takes a deep dive into a compliance-related topic, literally going into the weeds to explore a subject more fully. Are you looking for some hard-hitting insights on compliance? Look no further than Compliance into the Weeds! In this Compliance into the Weeds episode, Tom Fox and Matt Kelly take a deep dive into the declination recently given by the DOJ to the Universities Space Research Association (USRA). In this episode, Tom and Matt dive deeply into a recent decline issued by the Department of Justice (DOJ) to the University Space Research Association (USRA). The discussion focuses on the organization's exemplary behavior in self-disclosure and cooperation during an investigation into an employee's misconduct. This misconduct included unauthorized export of software to Beijing University. The hosts highlight the case as a textbook example of effective compliance practices, self-reporting, and cooperation with regulators. They also explore the DOJ's guidelines on self-disclosure and the importance of internal controls in high-risk areas. Key highlights: Case Overview: USRA Declination DOJ Press Release Insights Details of the Misconduct USRA's Response and Cooperation Resources: DOJ Press Release on Universities Space Research Association Declination Tom Instagram Facebook YouTube Twitter LinkedIn Compliance into the Weeds was recently honored as one of a Top 25 Regulatory Compliance Podcast and a Top 10 Business Law Podcast, and a Top 12 Risk Management Podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices

How much do we really talk about sex in our relationships — and when should we? In this episode, Sahir and Olivia sit down with relationships researcher Katie Knowles to unpack the psychology of sex disclosure, why most people in relationships hover around a "3.5 out of 5," and how attachment styles can shape what we share (and what we don't). We go on to discuss some surprisingly relatable results from Katie's current research and where the future of intimacy and relationships is headed.Katie Knowles recently published a research paper reviewing all the present literature around sexual self disclosures. https://www.researchgate.net/publication/388959085_Meta-Analyzing_People's_Self-Disclosure_of_Sexual_Information_to_Romantic_PartnersSupport the showSupport us and reach out!https://smoothbrainsociety.comhttps://www.patreon.com/SmoothBrainSocietyInstagram: @thesmoothbrainsocietyTikTok: @thesmoothbrainsocietyTwitter/X: @SmoothBrainSocFacebook: @thesmoothbrainsocietyMerch and all other links: Linktreeemail: thesmoothbrainsociety@gmail.com

Vira e mexe você ouve a expressão "macho alfa", se referindo a um comportamento dominador por parte de seres do sexo masculino. Mas como isso funciona? Vale para humanos? Qual a relação disso com o mundo Incel? Segunda e última de duas partes.Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (60min 32s)*Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*APOIO: INSIDERIlustríssima ouvinte, ilustríssimo ouvinte do Naruhodo, chegou março e, com ele, o mês do consumidor!Ou seja, é o mês de aproveitar a ótima relação custo-benefício das peças INSIDER. Em outras palavras, é a grande chance de unir praticidade, conforto e economia!Você já sabe que eu uso INSIDER há anos, tanto para o trabalho quanto para o lazer. Por isso, eu não perco dinheiro comprando peças de baixa qualidade que duram pouco. Eu não perco tempo passando roupa. E eu fico confortável o dia todo.Então, que tal experimentar INSIDER você também? Neste mês, o cupom NARUHODO mais os descontos do site podem chegar a até 35% de desconto. É isso mesmo: 35% de desconto!Para aproveitar, o jeito mais fácil é usar o endereço https://bit.ly/naruhodo-marco-2025 ou clicar no link da descrição deste episódio: o cupom será aplicado automaticamente no carrinho.INSIDER: inteligência em cada escolha.#InsiderStore*REFERÊNCIASDifferent: Gender Through the Eyes of a Primatologisthttps://www.google.com.br/books/edition/Different_Gender_Through_the_Eyes_of_a_P/IUM3EAAAQBAJ?hl=en&gbpv=0How people think about being alone shapes their experience of lonelinesshttps://www.nature.com/articles/s41467-025-56764-3#:~:text=We%20find%20replicable%20evidence%20across,against%20this%20rise%20in%20loneliness.Why loneliness requires a multidimensional approach: a critical narrative reviewhttps://www.nature.com/articles/s44220-024-00382-3?fromPaywallRec=falsePositive attitudes and negative expectations in lonely individualshttps://www.nature.com/articles/s41598-020-75712-3?fromPaywallRec=falseLoneliness trajectories over three decades are associated with conspiracist worldviews in midlifehttps://www.nature.com/articles/s41467-024-47113-x?fromPaywallRec=falseThe evolution of universal cooperationhttps://www.science.org/doi/full/10.1126/sciadv.add8289An Exploration of the Involuntary Celibate (Incel) Subculture Onlinehttps://journals.sagepub.com/doi/full/10.1177/0886260520959625?casa_token=YANlsc8smdAAAAAA%3AHQwzXWh1okR9cATbUYhUwPpdHhvgtbqyjBZJ5wOxt-usai_c6jDuEXUA0zcAcqnFwksH0BonD0ld“I Think Most of Society Hates Us”: A Qualitative Thematic Analysis of Interviews with Incelshttps://link.springer.com/article/10.1007/s11199-021-01250-5Mainstreaming the Manosphere's Misogyny Through Affective Homosocial Currencies: Exploring How Teen Boys Navigate the Andrew Tate Effecthttps://journals.sagepub.com/doi/full/10.1177/20563051241228811Vitamin S: Why Is Social Contact, Even With Strangers, So Important to Well-Being?https://journals.sagepub.com/doi/full/10.1177/09637214211002538The Black Pill: New Technology and the Male Supremacy of Involuntarily Celibate Menhttps://journals.sagepub.com/doi/full/10.1177/1097184X211017954Perceptions of social rigidity predict loneliness across the Japanese populationhttps://www.nature.com/articles/s41598-022-20561-5?fromPaywallRec=falseStacys, Beckys, and Chads: the construction of femininity and hegemonic masculinity within incel rhetorichttps://www.taylorfrancis.com/chapters/edit/10.4324/9781003329657-7/stacys-beckys-chads-construction-femininity-hegemonic-masculinity-within-incel-rhetoric-lauren-menzieSluts and soyboys: MGTOW and the production of misogynistic online harassmenthttps://journals.sagepub.com/doi/10.1177/1461444819887141Is the Alpha Wolf Idea a Myth?https://www.scientificamerican.com/article/is-the-alpha-wolf-idea-a-myth/Prestige and dominance as assessed by friends, strangers, and the selfhttps://www.sciencedirect.com/science/article/abs/pii/S0191886921003408Dominance versus Prestige Hierarchies: How Social Hierarchy Base Shapes Conspicuous Consumptionhttps://academic.oup.com/jcr/article-abstract/50/5/887/7109815?redirectedFrom=fulltext&login=falseTwo Ways to Stay at the Top: Prestige and Dominance Are Both Viable Strategies for Gaining and Maintaining Social Rank Over Timehttps://journals.sagepub.com/doi/10.1177/01461672211042319Tinder blue, mental flu? Exploring the associations between Tinder use and well-beinghttps://www.tandfonline.com/doi/full/10.1080/1369118X.2020.1764606The myth of the alpha male: A new look at dominance-related beliefs and behaviors among adolescent males and femaleshttps://www.researchgate.net/publication/247779752_The_myth_of_the_alpha_male_A_new_look_at_dominance-related_beliefs_and_behaviors_among_adolescent_males_and_femalesO que é se sentir sozinho? | Nerdologiahttps://www.youtube.com/watch?v=w_jYmlSFzGEElaborate Mating Strategies of Male Ruffs | Wild Scandinavia | BBC Earthhttps://www.youtube.com/watch?v=diFo07uEZ2c&ab_channel=BBCEarthGender Trickery | Male Ruff Birds Unique Mating Behaviorhttps://www.youtube.com/shorts/rHyQRlx5QR0Ministério da Educação divulga panorama das mulheres na educação básicahttps://agenciagov.ebc.com.br/noticias/202403/saiba-mais-sobre-o-panorama-das-mulheres-na-educacao-basica#:~:text=Professoras%20e%20diretoras%20%E2%80%93%20Em%202023,%2C9%20milh%C3%A3o)%20eram%20mulheres.JORNAL DE CASA #108 - A FARSA DOS REDPILL E HOMENS SIGMA (Feat. Altay de Souza e Caio Neves)https://www.youtube.com/watch?v=XMkT-SUt1gE&ab_channel=VictorCamejoPsychological consequences of relational mobilityhttps://www.sciencedirect.com/science/article/pii/S2352250X19301095?casa_token=h8kC3wdAaZMAAAAA:nD_fOFSb2odC3XV_AsEsjKBzw5HY6aO6bcalOnfn7gSiNHozDJWdras6xo3Db_eYKGsS9FzMowRelational mobility: A socioecological approach to personal relationships.https://psycnet.apa.org/record/2011-21701-007Relational Mobility Explains Between- and Within-Culture Differences in Self-Disclosure to Close Friendshttps://journals.sagepub.com/doi/full/10.1177/0956797610382786?casa_token=w88Txbw0_ZgAAAAA%3AhhE7Q-XC_PXEaD_pjOtKuiDP-1hRlO3sG6pqTJptvYhzXFMPai_rO4nZm6FuUketH3b955s08RaoAdaptations in surprising placeshttps://www.science.org/doi/10.1126/science.adv1194LIfe Chad:https://books.google.com.br/books?id=iUgEAAAAMBAJ&pg=PA23&redir_esc=y#v=onepage&q&f=falseKilroy was herehttps://www.worldwidewords.org/qa/qa-kil1.htmDigesting the Red Pill: Masculinity and Neoliberalism in the Manospherehttps://journals.sagepub.com/doi/10.1177/1097184X18816118Naruhodo #338 - Por que fofocamos?https://www.youtube.com/watch?v=ij9ocesTc50Naruhodo #436 - A violência faz parte da "natureza humana"?https://www.youtube.com/watch?v=AnjRI8sfTJQNaruhodo #378 - Por que avisos de perigo não são seguidos?https://www.youtube.com/watch?v=lKabJ3lQOHUNaruhodo #403 - Por que temos fetiches sexuais?https://www.youtube.com/watch?v=C-ET1nIP6WMNaruhodo #399 - Assistir à pornografia vicia?https://www.youtube.com/watch?v=vByA0QVSOb8Naruhodo #370 - Homens que acham seu pênis pequeno gostam mais de carros esportivos?https://www.youtube.com/watch?v=1BXyvGQ0HCcNaruhodo #369 - É mais difícil fazer amigos quando envelhecemos?https://www.youtube.com/watch?v=e7yl-9-T6xcNaruhodo #261 - O que a solidão pode causar nas pessoas?https://www.youtube.com/watch?v=02dPRPGcqVsNaruhodo #220- Existe causa para a depressão? - Parte 1 de 2https://www.b9.com.br/shows/naruhodo/naruhodo-220-existe-causa-para-a-depressao-parte-1-de-2/Naruhodo #221- Existe causa para a depressão? - Parte 2 de 2https://www.b9.com.br/shows/naruhodo/naruhodo-221-existe-causa-para-a-depressao-parte-2-de-2/Naruhodo #238 - O distancionamento social impacta a nossa saúde mental? - Parte 1 de 2https://www.youtube.com/watch?v=SHKiDA21UvcNaruhodo #239 - O distancionamento social impacta a nossa saúde mental? - Parte 2 de 2https://www.youtube.com/watch?v=1Ya1lx7sueQNaruhodo #150 - O que é o "No Fap September"?https://www.youtube.com/watch?v=8yWTngyTq1gNaruhodo #360 - O que é e como lidar com o bullying?https://www.youtube.com/watch?v=vyTcYk6f-bANaruhodo #248 - Meninos são de exatas e meninas são de biológicas e humanas? - Parte 1 de 2https://www.youtube.com/watch?v=a1ORkfYYwm0Naruhodo #249 - Meninos são de exatas e meninas são de biológicas e humanas? - Parte 2 de 2https://www.youtube.com/watch?v=DWD2_hcQ760Naruhodo #178 - O que é ser normal?https://www.youtube.com/watch?v=UY-AEqU59xYNaruhodo #436 - A violência faz parte da "natureza humana"?https://www.youtube.com/watch?v=AnjRI8sfTJQ*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

Vira e mexe você ouve a expressão "macho alfa", se referindo a um comportamento dominador por parte de seres do sexo masculino. Mas como isso funciona? Vale para humanos? Qual a relação disso com o mundo Incel? Primeira de duas partes.Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (55min 37s)*Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*APOIO: INSIDERIlustríssima ouvinte, ilustríssimo ouvinte do Naruhodo, chegou março e, com ele, o mês do consumidor!Ou seja, é o mês de aproveitar a ótima relação custo-benefício das peças INSIDER. Em outras palavras, é a grande chance de unir praticidade, conforto e economia!Você já sabe que eu uso INSIDER há anos, tanto para o trabalho quanto para o lazer. Por isso, eu não perco dinheiro comprando peças de baixa qualidade que duram pouco. Eu não perco tempo passando roupa. E eu fico confortável o dia todo.Então, que tal experimentar INSIDER você também? Neste mês, o cupom NARUHODO mais os descontos do site podem chegar a até 35% de desconto. É isso mesmo: 35% de desconto!Para aproveitar, o jeito mais fácil é usar o endereço https://bit.ly/naruhodo-marco-2025 ou clicar no link da descrição deste episódio: o cupom será aplicado automaticamente no carrinho.INSIDER: inteligência em cada escolha.#InsiderStore*REFERÊNCIASDifferent: Gender Through the Eyes of a Primatologisthttps://www.google.com.br/books/edition/Different_Gender_Through_the_Eyes_of_a_P/IUM3EAAAQBAJ?hl=en&gbpv=0How people think about being alone shapes their experience of lonelinesshttps://www.nature.com/articles/s41467-025-56764-3#:~:text=We%20find%20replicable%20evidence%20across,against%20this%20rise%20in%20loneliness.Why loneliness requires a multidimensional approach: a critical narrative reviewhttps://www.nature.com/articles/s44220-024-00382-3?fromPaywallRec=falsePositive attitudes and negative expectations in lonely individualshttps://www.nature.com/articles/s41598-020-75712-3?fromPaywallRec=falseLoneliness trajectories over three decades are associated with conspiracist worldviews in midlifehttps://www.nature.com/articles/s41467-024-47113-x?fromPaywallRec=falseThe evolution of universal cooperationhttps://www.science.org/doi/full/10.1126/sciadv.add8289An Exploration of the Involuntary Celibate (Incel) Subculture Onlinehttps://journals.sagepub.com/doi/full/10.1177/0886260520959625?casa_token=YANlsc8smdAAAAAA%3AHQwzXWh1okR9cATbUYhUwPpdHhvgtbqyjBZJ5wOxt-usai_c6jDuEXUA0zcAcqnFwksH0BonD0ld“I Think Most of Society Hates Us”: A Qualitative Thematic Analysis of Interviews with Incelshttps://link.springer.com/article/10.1007/s11199-021-01250-5Mainstreaming the Manosphere's Misogyny Through Affective Homosocial Currencies: Exploring How Teen Boys Navigate the Andrew Tate Effecthttps://journals.sagepub.com/doi/full/10.1177/20563051241228811Vitamin S: Why Is Social Contact, Even With Strangers, So Important to Well-Being?https://journals.sagepub.com/doi/full/10.1177/09637214211002538The Black Pill: New Technology and the Male Supremacy of Involuntarily Celibate Menhttps://journals.sagepub.com/doi/full/10.1177/1097184X211017954Perceptions of social rigidity predict loneliness across the Japanese populationhttps://www.nature.com/articles/s41598-022-20561-5?fromPaywallRec=falseStacys, Beckys, and Chads: the construction of femininity and hegemonic masculinity within incel rhetorichttps://www.taylorfrancis.com/chapters/edit/10.4324/9781003329657-7/stacys-beckys-chads-construction-femininity-hegemonic-masculinity-within-incel-rhetoric-lauren-menzieSluts and soyboys: MGTOW and the production of misogynistic online harassmenthttps://journals.sagepub.com/doi/10.1177/1461444819887141Is the Alpha Wolf Idea a Myth?https://www.scientificamerican.com/article/is-the-alpha-wolf-idea-a-myth/Prestige and dominance as assessed by friends, strangers, and the selfhttps://www.sciencedirect.com/science/article/abs/pii/S0191886921003408Dominance versus Prestige Hierarchies: How Social Hierarchy Base Shapes Conspicuous Consumptionhttps://academic.oup.com/jcr/article-abstract/50/5/887/7109815?redirectedFrom=fulltext&login=falseTwo Ways to Stay at the Top: Prestige and Dominance Are Both Viable Strategies for Gaining and Maintaining Social Rank Over Timehttps://journals.sagepub.com/doi/10.1177/01461672211042319Tinder blue, mental flu? Exploring the associations between Tinder use and well-beinghttps://www.tandfonline.com/doi/full/10.1080/1369118X.2020.1764606The myth of the alpha male: A new look at dominance-related beliefs and behaviors among adolescent males and femaleshttps://www.researchgate.net/publication/247779752_The_myth_of_the_alpha_male_A_new_look_at_dominance-related_beliefs_and_behaviors_among_adolescent_males_and_femalesO que é se sentir sozinho? | Nerdologiahttps://www.youtube.com/watch?v=w_jYmlSFzGEElaborate Mating Strategies of Male Ruffs | Wild Scandinavia | BBC Earthhttps://www.youtube.com/watch?v=diFo07uEZ2c&ab_channel=BBCEarthGender Trickery | Male Ruff Birds Unique Mating Behaviorhttps://www.youtube.com/shorts/rHyQRlx5QR0Ministério da Educação divulga panorama das mulheres na educação básicahttps://agenciagov.ebc.com.br/noticias/202403/saiba-mais-sobre-o-panorama-das-mulheres-na-educacao-basica#:~:text=Professoras%20e%20diretoras%20%E2%80%93%20Em%202023,%2C9%20milh%C3%A3o)%20eram%20mulheres.JORNAL DE CASA #108 - A FARSA DOS REDPILL E HOMENS SIGMA (Feat. Altay de Souza e Caio Neves)https://www.youtube.com/watch?v=XMkT-SUt1gE&ab_channel=VictorCamejoPsychological consequences of relational mobilityhttps://www.sciencedirect.com/science/article/pii/S2352250X19301095?casa_token=h8kC3wdAaZMAAAAA:nD_fOFSb2odC3XV_AsEsjKBzw5HY6aO6bcalOnfn7gSiNHozDJWdras6xo3Db_eYKGsS9FzMowRelational mobility: A socioecological approach to personal relationships.https://psycnet.apa.org/record/2011-21701-007Relational Mobility Explains Between- and Within-Culture Differences in Self-Disclosure to Close Friendshttps://journals.sagepub.com/doi/full/10.1177/0956797610382786?casa_token=w88Txbw0_ZgAAAAA%3AhhE7Q-XC_PXEaD_pjOtKuiDP-1hRlO3sG6pqTJptvYhzXFMPai_rO4nZm6FuUketH3b955s08RaoAdaptations in surprising placeshttps://www.science.org/doi/10.1126/science.adv1194LIfe Chad:https://books.google.com.br/books?id=iUgEAAAAMBAJ&pg=PA23&redir_esc=y#v=onepage&q&f=falseKilroy was herehttps://www.worldwidewords.org/qa/qa-kil1.htmDigesting the Red Pill: Masculinity and Neoliberalism in the Manospherehttps://journals.sagepub.com/doi/10.1177/1097184X18816118Naruhodo #338 - Por que fofocamos?https://www.youtube.com/watch?v=ij9ocesTc50Naruhodo #436 - A violência faz parte da "natureza humana"?https://www.youtube.com/watch?v=AnjRI8sfTJQNaruhodo #378 - Por que avisos de perigo não são seguidos?https://www.youtube.com/watch?v=lKabJ3lQOHUNaruhodo #403 - Por que temos fetiches sexuais?https://www.youtube.com/watch?v=C-ET1nIP6WMNaruhodo #399 - Assistir à pornografia vicia?https://www.youtube.com/watch?v=vByA0QVSOb8Naruhodo #370 - Homens que acham seu pênis pequeno gostam mais de carros esportivos?https://www.youtube.com/watch?v=1BXyvGQ0HCcNaruhodo #369 - É mais difícil fazer amigos quando envelhecemos?https://www.youtube.com/watch?v=e7yl-9-T6xcNaruhodo #261 - O que a solidão pode causar nas pessoas?https://www.youtube.com/watch?v=02dPRPGcqVsNaruhodo #220- Existe causa para a depressão? - Parte 1 de 2https://www.b9.com.br/shows/naruhodo/naruhodo-220-existe-causa-para-a-depressao-parte-1-de-2/Naruhodo #221- Existe causa para a depressão? - Parte 2 de 2https://www.b9.com.br/shows/naruhodo/naruhodo-221-existe-causa-para-a-depressao-parte-2-de-2/Naruhodo #238 - O distancionamento social impacta a nossa saúde mental? - Parte 1 de 2https://www.youtube.com/watch?v=SHKiDA21UvcNaruhodo #239 - O distancionamento social impacta a nossa saúde mental? - Parte 2 de 2https://www.youtube.com/watch?v=1Ya1lx7sueQNaruhodo #150 - O que é o "No Fap September"?https://www.youtube.com/watch?v=8yWTngyTq1gNaruhodo #360 - O que é e como lidar com o bullying?https://www.youtube.com/watch?v=vyTcYk6f-bANaruhodo #248 - Meninos são de exatas e meninas são de biológicas e humanas? - Parte 1 de 2https://www.youtube.com/watch?v=a1ORkfYYwm0Naruhodo #249 - Meninos são de exatas e meninas são de biológicas e humanas? - Parte 2 de 2https://www.youtube.com/watch?v=DWD2_hcQ760Naruhodo #178 - O que é ser normal?https://www.youtube.com/watch?v=UY-AEqU59xYNaruhodo #436 - A violência faz parte da "natureza humana"?https://www.youtube.com/watch?v=AnjRI8sfTJQ*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo

Jacob Towery, MD   Michael Luo, MD   Finding Humans Less Scary The 3rd Annual Triumphant Return of the Incredibly Popular and Awesomely Effective Social Anxiety Marathon Two Full Days of Unbelievable-- and Incredibly Cheap-- Help for You!  Featuring Two Super-Shrinks--Drs. Jacob Towery and Michal Luo March 29-30 2025, Palo Alto, California (In-Person Only, No Zoom)  9:30 AM - 5:30 PM Saturday and Sunday Today we interview two eminent and fantastic psychiatrists, Dr. Jacob Towery and Dr. Michael Luo, who describe their upcoming and mind-blowing two-day social anxiety weekend marathon, This intensive experience is dedicated to addressing and drastically reducing feelings of social anxiety. What's that? Social anxiety simply refers to the intense discomfort that so many people struggle with in social situations and interaction's with strangers. This will NOT just be some kind o head trip or motivational talk, but rather a fabulous experiential journey into a new and more confident you! Do you want freedom from your fears? Do you want a new life and a radical shift in your views of other human beings. Do you want great love, more friendships and deeper and more genuine connections? Then this is for you! JUST say YES! How much does it cost, you ask? It cost a great deal in terms of courage and the decision to change your life--but it's ridiculously cheap in terms of $.:All we ask is your $20 donation to one of the charities listed on the website. The location will be secret until you register, but it will be in Palo Alto, California. Seating, as in previous years, will be strictly limited, so ACT FAST to reserve your spot! How does it work? Well, you'll learn and practice many of the popular and powerful TEAM-CBT methods, in real world settings, such as Shame-Attacking Exercises, Smile and Hello Practice, Talk Show Host, Rejection Training, Flirtation Practice, Self-Disclosure, the Survey Technique, and much, much more. Thank you for listening today! Jacob, Michael, Rhonda, and David

Nobody always has everything together. Not even licensed professional counselors. Linda and Rachel discuss the appropriate use of self-disclosure during therapy sessions and how they hope it helps encourage trust and authenticity.

Ever feel like you're carrying a secret that's too heavy to share? In this powerful episode of The Addicted Mind Plus, hosts Duane and Eric Osterlind explore why sharing our authentic stories is crucial for lasting recovery. They dive into how keeping parts of ourselves hidden can actually deepen our isolation, while taking careful steps to share with trusted others can create profound healing. Drawing from the wisdom of pioneering psychotherapist Carl Rogers, they discuss how genuine connection and unconditional acceptance can transform recovery from a lonely journey into a shared path of growth. The hosts offer practical strategies for breaking down the walls of shame and secrecy, while emphasizing the importance of choosing safe people and spaces for self-disclosure. Whether you're in recovery or supporting someone who is, this episode provides valuable insights into building the authentic connections that make lasting change possible. Download: Self-Disclosure in Recovery Worksheet Click Here to Join the TAM + Community. Get the support you need. Our Deep Dive is now in the community, where we discuss this episode in deep  Key Topics: Understanding the relationship between isolation and addiction The role of unconditional positive regard in healing How to identify safe people for self-disclosure Practical steps for sharing your story The importance of starting small with vulnerability Using journaling to explore sharing readiness Creating a self-disclosure plan Timestamps [00:01:04] Introduction to self-disclosure and authentic connection [00:02:00] The impact of keeping secrets in recovery  [00:04:08] Carl Rogers' insights on understanding and acceptance [00:08:35] Practical steps for building vulnerability  [00:11:55] Understanding your comfort level with sharing  [00:13:21] Journaling prompts for self-reflection  [00:14:30] The power of community in recovery Follow and Review: We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: If you live in California and are looking for counseling or therapy please check out Novus Mindful Life Counseling and Recovery Center NovusMindfulLife.com We want to hear from you. Leave us a message or ask us a question: https://www.speakpipe.com/addictedmind Disclaimer Learn more about your ad choices. Visit megaphone.fm/adchoices

Host Gregg N. Sofer welcomes Husch Blackwell partner Catherine Hanaway to the podcast to discuss the recent sentencing of Nishad Singh, a former key lieutenant of Sam Bankman-Fried, the cryptocurrency mogul responsible for one of the largest frauds in American business history. Bankman-Fried was recently sentenced to 25 years in prison, but Nishad Singh received no prison time due to his cooperation with government investigators in developing their case against Bankman-Fried. Gregg and Catherine use the Singh case as a jumping-off point to explore some of the most difficult and consequential issues in white collar defense: how and when to self-disclose potentially illegal conduct to the government and how and when to cooperate with government prosecutors.Gregg N. Sofer BiographyFull BiographyGregg counsels businesses and individuals in connection with a range of criminal, civil and regulatory matters, including government investigations, internal investigations, litigation, export control, sanctions, and regulatory compliance. Prior to entering private practice, Gregg served as the United States Attorney for the Western District of Texas—one of the largest and busiest United States Attorney's Offices in the country—where he supervised more than 300 employees handling a diverse caseload, including matters involving complex white-collar crime, government contract fraud, national security, cyber-crimes, public corruption, money laundering, export violations, trade secrets, tax, large-scale drug and human trafficking, immigration, child exploitation and violent crime.Catherine Hanaway BiographyFull BiographyCatherine is a St. Louis-based partner with Husch Blackwell's White Collar, Internal Investigations & Compliance team and a former chair of the firm. She has successfully handled high-profile, bet-the-company, complex matters in federal court and before regulatory agencies and represents leading global and closely-held companies—as well as their officers and owners—in civil and criminal investigations and in business litigation.Before leading Husch Blackwell as its first female chair, Catherine served as the chief federal law enforcement officer for the Eastern District of Missouri and as the only woman Speaker of the Missouri House of Representatives. As U.S. Attorney, she supervised more than 4,000 criminal, affirmative, and defensive civil cases and personally tried cases to jury verdicts. She also supervised and assisted in the development of cutting-edge theories of criminal prosecution.© 2024 Husch Blackwell LLP. All rights reserved. This information is intended only to provide general information in summary form on legal and business topics of the day. The contents hereof do not constitute legal advice and should not be relied on as such. Specific legal advice should be sought in particular matters.

Send us a textPolitics and therapy: two things that seem separate but really aren't. In this episode, we talk about why therapy is never neutral, how therapists' political views affect their work, and why advocating for change is just part of the gig.Therapy isn't a bubble, and politics can't be left outside the door. Join us as we unpack the role of politics in mental health work, the ethics of self-disclosure, and the pressures therapists face in politically charged times. From fees to systemic advocacy, we explore how therapeutic neutrality is outdated and why therapists need to embrace their political awareness for better client care.Whether you're a therapist or a client, we've got some real talk and tips on navigating the messiness of politics in therapy.Intro to Politics in Therapy (00:00 - 07:43)•Therapy is inherently political, and neutrality may be outdated•Two-thirds of therapists report discussing politics with clients•Why self-awareness is crucial for therapists when addressing political issuesTherapist Neutrality vs. Self-Disclosure (07:43 - 17:00)•The impact of political discussions on the therapeutic alliance•How political alignment (or misalignment) can affect therapy outcomes•Importance of emotional self-regulation when discussing political views with clientsTherapy as a Political Act (17:00 - 28:11)•How decisions like fees, accessibility, and client demographics are political•Addressing systemic issues in therapy and the ethical mandate for advocacy•The privilege of political neutrality and its effects on marginalized clientsPersonal Plans and Ethics for Election Season (28:11 - 35:54)•How to manage political stress during election season as a therapist•Ideas for creating support groups for therapists around political events•Engaging clients with games or activities during politically charged timesPlease share your voice with us! We would love to hear from you! Record a voice message here. Send us a comment here.Apply to be a guest on this podcast here. Would you like to share your work with the Conscious Mental Health Community ? We offer both paid and free sponsorship opportunities. To apply click here.

In Today's episode, we are thrilled to welcome Dr. Ross Ellenhorn…  Dr. Ross Ellenhorn has spent his career creating treatment modalities that help people achieve meaningful changes in their lives outside of institutional models, and treatment formed by diagnostic assumptions. Cardea is the latest step along that lifelong journey, a model that resists the current […]

Self-DisclosureSee omnystudio.com/listener for privacy information.

63 - You can't handle my truthThis episode, hosted by Lara Varpio, tackles the pressing issue of mental illness among physicians and trainees—a crisis that remains hidden due to fear and stigma. We examine a crucial study that uncovers the obstacles to self-disclosure in medical training and highlights the ways we can better support those who care for us. Listen in for a powerful discussion on breaking down the barriers to mental health in medicine.Note: This episode may be triggering for some listeners (listener discretion is advised)Episode Host: Lara VarpioFor notes and references, please look at the PAPERsPodcast Episode webpageEpisode articleKassam, A., Antepim, B., & Sukhera, J. (2024). A Mixed Methods Study of Perceptions of Mental Illness and Self-Disclosure of Mental Illness Among Medical Learners. Perspectives on Medical Education, 13(1), 336–348. https://doi.org/10.5334/pme.1152PAPERs Podcast are Hosts: Lara Varpio, Jason Frank, Jonathan Sherbino, Linda SnellTechnical Producer: Samuel LundbergWeb Manager: Alex AlexanderssonExecutive Producer: Teresa SöröProduction of Teaching and Learning at Karolinska Institutet

Description: You should not share everything with your clients. However, there are certain things and moments where this could be appropriate and even helpful. In today's episode, I present you with three rules you need to know that will filter what you share and when with clients.    ASC Application: www.chatwithjess.com   Stay in Touch: www.jessicademarchis.com IG @jess_demarchis_coaching   

Feeling Down? Try the Feeling Great App for Free! The Feeling Great App is now available in both app stores (IOS and Android) and is for therapists and the general public, and you can take a ride for free! Check it  out at FeelingGreat.com! What's the Meaning of Life? Before we start today, I have a special shoutout to Max Kosma, our new colleague, friend and brilliant technical guru who helped make our new video studio possible! Next week, we'll see if we can pipe him in to say hello to all of you. His spirit is joyous, infectious, incredibly generous and supportive. Thanks, Max! Rhonda opened today's podcast with a vibrant and inspiring endorsement from Jeff, a podcast fan who was raving about the Feeling Great App. Thank you Jeff, and please check out our new app at FeelingGreat.com. Important Announcement Rhonda, along with a group of dedicated TEAM Therapists, including Amy Berner, Brandon Vance, Leigh Harrington, Mariusz Wirga, and Mark Noble, has just created a new non-profit organization called TEAMCBT International (TCI). TCI will provide seed money in the form of no-or-low-interest loans for groups around the world who want to offer TEAM-CBT intensives for therapists in your country. Rhonda has been instrumental in the organization of successful intensive workshops in India, Poland, Mexico, England and Ireland. They have been well received, but can be somewhat costly to produce, so Rhonda's new group is ready to provide a helping hand. I've had the honor of presenting keynote addresses, live therapy demos, and Q and A sessions in many of those programs, and have totally enjoyed them. A big hug and THANKS to Rhonda once again! To learn more, just go to TEAMCBT.International. Today, Matt joins us for a discussion of the meaning of life, something young people often worry about, but people of any age can be concerned. So, today, you may finally find the answer to that lofty question! But first, I (David) mentioned a little about one of last week's questions, “Is the universe real?” I provided the type of answer the famed philosopher, Ludwig Wittgenstein, might have provided. Namely, that the question is nonsensical, it is language “out of gear.” So, we can dismiss the question, as opposed to trying to answer it. HOWEVER, the question DOES make a ton of sense when we ask if human beings are “real.” And I am not referring to some metaphysical nonsense, but rather the tendency of many people to present a happy or confident false front, all the while feeling empty, lonely, anxious and ashamed inside. Two of the now more-than-140 TEAM techniques include Self-Disclosure and the Survey Technique, where you take the chance of opening up about some of the secrets you've been hiding, and ask others what they think about you. Although this takes tremendous courage, it often results in tremendous warmth and connection to others. I provide a description of a young man who disclosed a tremendous amount he'd been hiding in our recent Tuesday group at Stanford, and he was convinced the group would judge him and look down on him. But just the opposite happened. He encountered a flood of warmth, admiration, and respect from the people in our group. A small miracle, perhaps, but a real and meaningful miracle at the moment when his universe suddenly became “real” and radically different from the dangerous and critical world he'd feared and imagined. Then we tackled today's philosophical question: “What's the Meaning of Life?” As usual, our brilliant and beloved Matt May began with a description of an extraordinarily depressed patient he once treated who'd been hospitalized for 180 days with no improvement, including a very dangerous suicide attempt. Matt was worried for the patient's safety, so told the referring doctor that he'd been willing to talk with the patient while the patient was still in the safe environment of the hospital. The patient called Matt and, after some listening and empathy Matt said he would like to help and that there would be committed to helping the man and thought he could help him make a complete recovery, work with this man, and thought there was an excellent chance for significant progress, perhaps even complete recovery, but the patient probably wouldn't want to work with him.as long as he'd be willing to give Matt what he needed in order to work together effectively. Matt suggested the patient give him a call. On the call, Matt told him he might not be able to afford treatment, since part of the “cost” of therapy was that the patient had to make a commitment to life, and that he must agree never to attempt suicide no matter what, for the rest of his life. After a couple days of reflection, the man convinced Matt that he WOULD make that commitment. Then Matt described the man's problem. Both of his parents were world famous, successful scientists, and during his upbringing, his parents emphasized how fantastic and rewarding a career as a scientist could be, and he was convinced that his parents expected him to follow in their footsteps. He had "learned that doing science was the "meaning of life" and would inevitably result in his feeling satisfied, joyful and proud. So. sure enough, this young man, who was extremely bright, pursued a scientific career, and eventually one of his papers was accepted for publication in one the world's most prestigious research journals. There was a big party at his laboratory, and everyone congratulated him and sang his praises. But there was one big problem. He felt nothing! Of course, he smiled and didn't let on that he felt nothing. He tried to act happy, but simply WASN'T. He said, “I faked it.” He concluded that he must be defective, since he'd done what he was supposed to do, in order to feel joyful and happy, but he felt nothing, even though he had fulfilled his parents dreams and expectations for him. This plunged him into his severe depression, with the familiar theme of “I'm not good enough. In fact, I am deeply flawed and defective, incapable of feeling joy or happiness. There must be something terribly wrong with me!” Sound familiar? Did you ever feel like YOU weren't good enough? During an early session, Matt asked his patient what he really enjoyed, what he'd really LIKE to do with his life. The patient confessed, after much resistance, that he felt that his fantasies were totally ridiculous, but what he really loved were trains, photography, and painting. He said his dream job would be to be a conductor or engineer on a train where he could take pictures of the scenery and especially, the people on the train. BUT, he said, that would be meaningless, since he wouldn't be contributing to science and would be letting everyone down., etc. etc. etc. I bet you can guess what followed! If you were his shrink, what would you say or do? Put your ideas here, into the text box, and then I'll tell you!   If you took a guess, thanks! If you didn't, no problem. Matt suggested he do those very things—take a train somewhere, start snapping photos, and do some painting. Predict how satisfying each thing will be (0 to 100) BEFORE you do it. Then do it, and record how satisfying each activity actually was on the same scale of 0 to 100. He exclaimed, “I'd LOVE to do that,” and started crying. His depression score immediately fell to zero. The next week he brought a large cardboard box to his session. It was filled with books on ancient philosophy and how to find the “meaning of life.” He said, “I don't need these anymore, so they're a gift to you!” Matt said, “I don't need them either!” Now you know about the “meaning of life.” We discussed some of the many meanings in this story, including: Rhonda pointed out what Kurt Vonnegut said on the meaning of life. He said, “We're all here to fart around!” David discussed the basic idea that it's not what we're doing, but our thoughts, that trigger ALL of our feelings. And at the moment you learn to turn off that critical voice in your brain, you will experience your own “enlightenment. David has also said, over and over, that when you discover that you no longer need to be “special,” you can experience the “Great Death” of the “self,” but it's not like a funeral. It's more like a celebration, because when you lose your “self,” and discover you didn't “need” the things you wrongly thought you needed (like love, achievement, perfection, etc.), at that moment you'll experience enlightenment and you'll inherit the world, and life, and deeper connections with the people you love. There's not one “meaning” to life. There are many meanings every day. And today, for Matt, Rhonda and David, it is VERY meaningful and joyful just to hang out with each other, and with you, so we can shoot the breeze together! Or, as Kurt Vonnegut said, so we can "fart around" together. Please keep your wonderful questions and comments flowing, and be sure to catch us in our new video version on my feeling good YouTube channel. Warmly, Rhonda, Matt, and David

Feeling Down? Try the Feeling Great App for Free! The Feeling Great App is now available in both app stores (IOS and Android) and is for therapists and the general public, and you can take a ride for free! Check it  out at FeelingGreat.com! Is the Universe One? Is the Universe Real? Is the Universe Real? These two philosophical problems used to seem nonsensical to me, and certainly not relevant to much of anything in my life—or anyone's! But now the picture has changed a bit! When I was a student at Amherst College, I majored in the philosophy of science. On this show, I've often talked about my hero, Ludwig Wittgenstein, who attempted (successfully in my opinion) to “solve” all the problems of philosophy. He wanted to help those of us who were “afflicted” by an attraction to philosophical problems to see through them and understand precisely how and why they were nonsensical. He hoped to provide a “treatment” for philosophers so we could give up the need to obsess about nonsensical philosophical problems. Once you see through the these problems, they become kind of like a joke, and you can use jokes to help other people see through them. For example, here's a kind of lame joke about the question of whether or not the universe is “real.” Wittgenstein said that before we try to answer questions like that, we might want to ask ourselves if these questions even makes sense! And if it a philosophical problem doesn't make sense, it isn't a real question, so we won't need to deal with it. In other words, questions that don't make sense don't need to be answered because they're not real questions. Take the question, "Is the universe real?" You could ask, “Well, what would it be like if the universe weren't real? What would that look like? How would things be different?” If you can't answer that question, the question might not make sense. To most of us, philosophical questions wound nonsensical because we are taking words, like “real,” out of the contexts in which it DOES make sense. For example, we can ask : “Is this painting real? Or is it a fake?” That question does make sense. It has an obvious meaning, since many valuable paintings are copied and are fakes, and they try to pass them off as the “real” thing. But what would a "real" or "fake" universe look like? How would it differ from our universe? Now let's think about another example that is mildly humorous. Let's imagine you're driving through Iowa in the summer, and you spot a farmer working in his corn field. You're interested in speaking to him because you are writing a story about your travels in Iowa, and want to talk about the lives of farmers. So, you pull your car over to the side of the road and shout, “Howdy! What are you doing in the field?” The farmer seems pleased and grabs a gorgeous stalk of corn and holds it up and proudly shouts, “I'm growing corn, and it is real!” Well, that's great that he's happily growing corn, but what does the tag-on, “and it is real” mean? It doesn't actually mean anything, because farmers don't grow “unreal corn.” So, in this context, the word has no meaning. Now, if you were on a movie set, they might actually be using artificial corn as a prop, so now the contrast between real and unreal corn becomes meaningful. This is a very humble point, but it's the very heart of what Wittgenstein was trying to make us aware of. Philosophical problems kind of sound meaningful and puzzling, but most of the time, they are simply a kind of nonsensical use of language. Now, in personal relationships, we might also have a notion of when people are being “real” or fake. And we often act fake because we don't think we're good enough just the way we really are. So, for example, you may hide your shyness in social situations because you're ashamed, and telling yourself that your shyness is incredibly weird and abnormal, and makes you “less than” other people. One method of helping people overcome shyness is simply to disclose it to others. This TEAM-CBT  technique is called "Self-Disclosure." Instead of hiding your shyness and feeling awkward and ashamed in social situations, you share your feelings openly. Shame depends on hiding, so when you open up, the feelings of shame will often disappear. For example, in a recent podcast of a dramatic, live therapy session, a man named Chris revealed many troubling things about his teenage years that he'd been hiding for years. When he opened up, he began sobbing intensely, thinking he'd let his father down with his wild behavior when he was a high school student. His grief, he was incredibly compelling, and his courageous self-disclosure was appealing to most of us who were privileged to witness that session. Showing us his “real” self became his path to enlightenment, joy, and deeply meaningful relationships with himself and with all of us who witnessed that amazing session. So, although the question, “is the universe real” is silly and nonsensical, the question, “are we being real with each other,” is definitely NOT silly or nonsensical. Being real and vulnerable is an important key to connecting with ourselves as well as other human beings. Is the Universe One? How about “Is the universe one?” This philosophical question also seemed nonsensical to me for years, although I was intellectually aware that some Buddhists make claims that the universe IS one and that the failure to “see” this is the basic of all evil. That's because if you see other humans, for example, as being "external" to yourself, you may feel you have the right to abuse and exploit them. However, for years I thought the idea that the universe is "one" seemed like sheer nonsense. For example, I am sitting in a chair typing, and there is a cup on the desk. People have never call that cup “David,” and no one has ever called me a coffee cup (although lots of people have sad some pretty bad things about me!) So, I concluded that the cup and I are not “one,” and so the whole thing about the universe being one seemed nonsensical and silly. But when I began to think about it in the context of my work with patients, my thinking suddenly changed. For example, the TEAM interpersonal model I've developed was based on research I did early in my career that suggested that Blame was one of the main causes of troubled relationships, and perhaps the most important and powerful cause. And this is certainly true in my personal life and in my work with individuals with troubled relationships who are unhappy in their marriages or people who are angry with their neighbors, or family members, or anyone. We almost always see ourselves as victims, and the other person as the one who is to blame for the problem. This triggers feelings of frustration, anger, and moral superiority, and can easily and often lead to arguments, mistrust, divorce, hostility, and violence, murder, and even war. Now, I'm beginning to see that the idea that we are separate from others, who are doing something TO us, does, in fact, lead to hostility, and arguably to evil. And once you “get it,” the same insight applies to our relationships, not just with loved ones, friends, and other people in general, but also our relationships with animals, with the environment, and with the planet earth. If we think of them as “other,” then we may conclude that it is okay to exploit or use them for our own advantage. In the interpersonal TEAM model, we focus more on circular causality, or interpersonal connectedness and ask the question, how do we actually shape and cause the very behavior in the other person that we complain about so vigorously? I have developed a fast, powerful tool that allows any to pinpoint their own role in a relationship problem very quickly and with reasonable accuracy. It's called the Relationship Journal (RJ), and we've talked about it often on this show. Essentially, it's simple to use the RJ, but it can be startling and illuminating but incredibly painful. All you have to do is write down ONE thing another person said to you that you found upsetting, and EXACTLY what you said next. Choose an interaction that did not go well; otherwise, it's a waste of time. Then, the RJ will take you through a step by step analysis of your response, and it's implications. When you discover how you are actually forcing the other person to treat you shabbily, it can hurt. This is one of the four ‘Great Deaths” of the self, and it's the most painful of all, in my experience. This is the "Great Death" of the angry, blaming "self." I hate this great death! But if you have the courage to use it and take a look, it can be incredibly illuminating and liberating, and can put you on the path to far more loving relationships. As an exercise, I will list a number of common complaints that people have about loved ones, friends, or family that they find irritating. Your job will be to show how you could FORCE them to do the exact thing you are complaining about. The other person could be your partner, friend, son or daughter, etc. Your complaint about that person might be that they Refuse to talk to me. Can't (or won't) open up and express their feelings Constantly whine and complain, and ignore and resist my good advice. Constantly argue, and always have to be right. Won't listen. Are relentlessly critical. Always have to get their way. Doesn't treat me with respect. In each case, see if you can figure out how you could FORCE the other person to do that exact thing. We will discuss a couple of these on the show and lustrate solutions to give you a feel for how this works. Rhonda's and Matt shared their wise and interesting thoughts on both of these philosophical questions, and how you can understand them in the context of your own lives, and, if you're a shrink, how you can use them in your work with patients. Thanks for listening today! Matt, Rhonda, and David

Dr. Miriam Kirmayer, a clinical psychologist specializing in adult friendships, discusses the importance of friendships and social connections in our lives. She shares her journey of researching adult friendships and the challenges of building and maintaining them. Dr. Kirmayer emphasizes the need for knowledge translation and making evidence-based information about friendships accessible and relatable. She also explores the dynamics of childhood friendships and how they differ from adult friendships. Dr. Kirmayer provides insights on overcoming social anxieties, being open and vulnerable in friendships, and the importance of self-talk and positive cues in building and maintaining connections. Bio: Dr. Miriam Kirmayer is a clinical psychologist, leading friendship expert, and influential speaker on human connection and social support.  With over a decade of research on the science of friendship, Dr. Miriam is revolutionizing the way we show up for, mentor, and connect with each other.  Dr. Miriam is one of the first and only clinical psychologists to specialize in friendship and shares guidance on navigating relationship changes and challenges through her writing, courses, and online community. As a speaker and consultant, Dr. Miriam helps people, teams, and organizations to bridge the connection divide and readily build resilient, supportive relationships. She currently sits on the Mental Health Advisory Board for Wondermind, a mental fitness company co-founded by Selena Gomez and consults for The Foundation for Social Connection. Dr. Miriam regularly contributes research-driven insights and relatable advice to top outlets including The Atlantic, BBC, Forbes, The New York Times, Time, and more.  Dr. Miriam Kirmayer received her Ph.D. from McGill University and lives in Montreal, Canada with her husband and their two children. Connect with Dr. Miriam @miriamkirmayer and learn more at MiriamKirmayer.com. Chapters 00:00 Introduction and Background 03:44 The Power and Importance of Adult Friendships 08:48 Navigating the Challenges of Building and Maintaining Friendships 15:38 The Role of Self-Talk and Positive Cues in Building Connections 20:53 Embracing New Connections and Initiating Friendships 28:00 Recognizing and Embracing the Evolution of Friendships 32:46 Gender Differences in Friendships 39:19 Men's Need for Intimacy and Self-Disclosure in Friendships 42:06 Conclusion and Final Thoughts --- Support this podcast: https://podcasters.spotify.com/pod/show/thedudetherapist/support

⚠️ Trigger Warning: Eating Disorders Should a therapist self-disclose their struggles, symptoms, and/or diagnosis? And, if so, when, where, and how should they disclose? In this episode, we follow Lauren's journey from living with an eating disorder to seeking treatment and ultimately establishing her own private practice as a therapist. Join us as we navigate the intricacies of normalizing appropriate self-disclosure in therapy, aiming for deeper connections and validation. guest: Lauren Larkin, a licensed NYC therapist specializing in eating disorders https://leltherapy.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/normalizetheconversation/support

Sources/Recomended Reading:Addas, Claude (1993). "Quest for the Red Sulphur". The Islamic Texts Society.Austin, R.W.J. (translated by) (1980). "The Bezels of Wisdom". Classics of Western Spirituality Series. Paulist Press.Chittick, William (1989). "The Sufi Path of Knowledge: Ibn 'Arabi's Metaphysics of Imagination".Chittick, William (1998). "The Self-Disclosure of God: Principles of Ibn al-'Arabi's Cosmology". State University of New York Press.Chittick, William (2005). "Ibn Arabi: Heir to the Prophets". OneWorld Publications.Chodkiewicz, Michel (1993). "Seal of the Saints: Prophethood and sainthood in the doctrine of Ibn 'Arabi". Translated by Liadain Sherrard. The Islamic Texts Society.Caner Dagli (translated by) (2004). Ibn 'Arabi - "The Ringstones of Wisdom (Fusus al-Hikam)". Great Books of the Islamic World. Kazi Pubns Inc.Ibn Arabi - "The Universal Tree and the Four Birds (al-ittihad al-kawni). Translated by Angela Jaffray. Oxford: Anqa Publishing.Ibn 'Arabi - "The Openings Revealed in Makkah: al-futuhat al-makkiyya". Translated by Eric Winkel. Volumes 1-4. Pir Press. Hosted on Acast. See acast.com/privacy for more information.

The conversation explores the topic of self-disclosure in coaching. The hosts discuss the traditional approach of not disclosing anything about oneself and the potential benefits of sharing personal experiences. They emphasize the importance of maintaining focus on the client and being mindful of the intention behind self-disclosure. The conversation also touches on the potential risks and pitfalls of self-disclosure, such as projecting one's own experiences onto the client. Overall, the hosts suggest that self-disclosure can deepen the human-to-human connection in coaching, but it should be done thoughtfully and with the client's best interests in mind.Keywordscoaching, self-disclosure, client focus, human connection, intention, risks, benefitsTakeawaysSelf-disclosure in coaching can deepen the human-to-human connection and build trust.It is important to maintain focus on the client and be mindful of the intention behind self-disclosure.Self-disclosure should be done thoughtfully and with the client's best interests in mind.There are potential risks and pitfalls of self-disclosure, such as projecting one's own experiences onto the client.Chapters00:00 Introduction and Question00:30 Traditional Approach to Self-Disclosure in Coaching01:28 The Importance of Human-to-Human Connection03:02 Personal Examples of Self-Disclosure06:27 Different Types of Sharing09:07 Being Mindful of the Relevance and Usefulness of Sharing12:26 The Potential Power of Self-Disclosure15:33 Differentiating Between Personal Experience and Client Focus26:53 Closing Thoughts____If you'd like to stay up to date with new episodes, continue the conversation or generally support what we do: Send us your question: http://bit.ly/talkingaboutcoachingSign up to our mailing list (no spam, no sales, just a quick shout about new episodes): https://mailchi.mp/afc10fc74492/talkingaboutcoachingWatch us on YouTube: https://www.youtube.com/channel/UCG2cC6sgHdLuhBdRqxQNPYgListen to and download all episodes: http://talkingaboutcoaching.buzzsprout.com/Like our Facebook page: http://fb.me/TalkingAboutCoachingJoin our Facebook community: https://www.facebook.com/groups/3023068731067611/Support the show on PatreonSupport the Show.

Hi ATWC Curmmunity! This week's episode will be our last episode while we take a break and recalibrate. We thank everyone for all the love and encouragement. Please look out for updates for our next episode release via social media, Patreon and our newsletter.For our main topic, we explore the concept of Jahari's Window which is a visual framework for understanding self-awareness and interpersonal relationships. The window consists of four quadrants: open, blind, hidden, and unknown. In the open area, both individuals are aware of certain traits and behaviors. The blind area represents things that others see in us but we are unaware of. The hidden area contains aspects of ourselves that we keep hidden from others. The unknown area represents untapped abilities and qualities that neither we nor others are aware of. We complete an exercise together. Together we discuss our blind spots and hidden areas in our personal and professional lives. We end the conversation feeling some relief and optimism as we uncover new possibilities for growth and understanding in our future together.Contact Around the Way Curls:Follow us on YouTube: https://www.youtube.com/channel/UCz6aYqKi7g-kZvFFWaxT2gQ Hotline: (215) 948-2780Discord: https://discord.gg/PjVjBBQuEmail: aroundthewaycurls@gmail.com Patreon: www.patreon.com/aroundthewaycurls for exclusive videos & bonus content01:44 Exploring Jahari's Window05:06 The Four Quadrants of Jahari's Window09:41 The Importance of Self-Disclosure and Trust12:21 Adjectives Associated with Jahari's Window21:46 Revealing Hidden Aspects of Ourselves25:14 Uncovering Hurt and Suspicion27:04 Addressing Resistance and Control31:34 The Power of the Johari Window35:09 Finding Relief and New PossibilitiesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Creator of ALL

In this episode, we are discussing the intriguing topic of self-disclosure and its role in fostering genuine connections. Self-disclosure, the art of revealing personal information about yourself to others, shapes our relationships on various levels. Join us as we explore the psychology behind self-disclosure, its benefits, risks, and the delicate balance required for meaningful communication. Some of the topics we're covering in today's episode: Knowing what to share and what not to share The fear of being seen Vulnerability hangovers Building trust and intimacy  How we practice self-disclosure  How to maintain boundaries  Coming out as an act of self-disclosure If you're wanting to enjoy richer, more fulfilling connections in both personal and professional spheres, this episode is for you! Today's Hosts: Michael DiIorio Matt Landsiedel Reno Johnston Support the Show - viewer and listener support helps us to continue making episodes - CONNECT WITH US - Watch podcast episodes on YouTube Join the Gay Men's Brotherhood Facebook community Get on our email list to get access to our monthly Zoom calls Follow us on Instagram | TikTok Learn more about our community at GayMenGoingDeeper.com - LEARN WITH US - Building Better Relationships online course: Learn how to nurture more meaningful and authentic connections with yourself and others. Healing Your Shame online course: Begin the journey toward greater confidence and self-worth by learning how to recognize and deal with toxic shame. Gay Men Going Deeper Coaching Collection: Lifetime access to BOTH courses + 45 coaching videos and 2 workshop series. Take the Attachment Style Quiz to determine your attachment style and get a free report.

Clinicians who live with mental illness share the do's and don't's of self-disclosureCME: Take the CME Post-Test for this EpisodePublished On: 05/06/2024Duration: 21 minutes, 46 secondChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Alix Agar is a Clinical Sexologist and one of LA's top Sex Therapists originally from Oakville Ontario where her mom was the cool mom to create safe spaces for her, and all her friends. A literal hero. In this episode we talk about: 02:06 Early Experiences as a Dancer 03:34 Bonding Experiences through Travel 04:04 Exploring Power Dynamics and Relationships Working On a Cruise Ship 05:55 Open Communication and Supportive Parenting 09:16 The Role of Parents in Sex Education 13:24 The Power of Self-Disclosure in Therapy 21:32 Disarming Clients and Normalizing Experiences 23:00 Spoiler… Therapists Hav Biases! 26:23 Harm Reduction!! 31:23 Lack of Sex Education in Therapy Programs 39:39 Defining Boundaries and Scope of Practice 41:33 You Gotta Like Your Therapist! 44:15 Sex and Politics - They're unfortunately intertwined! 45:37 Religion's Impact on Sexuality 47:59 The Cruelty of Sex Education 51:36 The Importance of Embracing Childhood Curiosity 59:40 Find Your Community and Get Support You can find Dr. Alix on Instagram at @dralixagar and her website https://dralixagar.com/ Like to watch? Check out the video version of this podcast on YouTube!   LOS ANGELES: Join me on Wednesday May 15th for a Couples Intimacy Workshop at Zula Den where we'll be exploring arousal, gaining practical sexy communication tools and embaring on a journey of sensory exploration designed to ignite passion and deepen connection. Learn more at: https://www.ariellezadok.com/workshops/couplesintimacy   Stay connected through Birds and Bees Don't Fck on Instagram at @birdsandbeesdontfck & follow your host @ArielleZadok K, love you, byeeeeee

In this episode, Greg and Rob continue to provide insights on the HRSA data request list.   DRL #8 is self-disclosure documentation and DRL #9 is Medicaid billing information, which includes providing details regarding your CE's listing on the Medicaid Exclusion File, as well as sample billing claim forms for physician-administered drugs and billing claim screenshots for retail dispenses. In the intro, they recap state-level 340B legislation, discuss ongoing uncertainty around Medicare Advantage & Part B underpayment remedies, and also note some recent data published on drug shortages. Rob and other folks from our team will be attending Asembia in Las Vegas from April 29 – May 2.  Reach out to us if you want to connect there! Email us at 340Unscripted@spendmend.com Also, save the date for our next webinar, which will be on May 14, 2024 – We'll be sharing tips on what covered entities should be doing to effectively self-audit their 340B Program operations!

If you are looking to improve your relationship skills, this episode features Dr. Kevin Skinner and Amy Andrus discussing how to create better relationships through appropriate self-disclosure. In this episode, “The Art of Self-Disclosure,” you will learn the research-based benefits of learning to open up and allow others to see into you. Self-disclosure in close relationships can create a foundation of trust, empathy, and emotional connection that sustains and enriches the bond between you and the people you care about. Learn how to put these skills into action in your relationships.   A special thanks to McKay Hatch for sharing his music in each episode. If you haven't heard McKay's “Quench My Heart,” here's a link to listen to this fun and entertaining song.  https://youtu.be/BPmF47qHYbg?si=yWRL3H47q2f6HHZt

In a recent speech on March 7, 2024, Deputy Attorney General Monaco announced that, in the next 90 days, DOJ would implement a new whistleblower program to reward reporting of criminal misconduct at public and private companies. In particular, DOJ will encourage reporting of potential violations of the Foreign Corrupt Practices Act ("FCPA") and the recently enacted Foreign Extortion Prevention Act ("FEPA"). AAG Monaco noted that DOJ will be particularly interested in "foreign corruption cases" involving "non-issuers and violations of the recently enacted FEPA," along with criminal abuses of the United States financial system and domestic corruption cases.DAG Monaco also reiterated the importance of voluntary self-disclosures. DOJ employs a "mix of carrots and sticks" to incentivize companies to build stronger compliance programs that proactively mitigate risks and disclose misconduct to DOJ when appropriate. DAG Monaco underscored the fact that a corporate resolution "will always be more favorable with voluntary self-disclosure."In this episode, Michael Volkov discusses DOJ's new initiatives on whistleblowing and encouraging voluntary self-disclosures.DOJ's planned whistleblower program will significantly impact individual incentives to report financial misconduct and corporate decisions regarding voluntary self-disclosures.The program's focus extends beyond FCPA violations, encompassing other significant financial abuse schemes and potential reporting against non-issuer companies.Global companies are facing unprecedented risks and challenges in today's economy, leading them to prioritize robust ethics and compliance programs to promote positive corporate citizenship.The SEC whistleblower program has been successful, resulting in serious prosecutions and the derailment of fraudulent schemes. However, only around 10% of reports involve FCPA anti-bribery allegations.The Department of Justice recently announced its plan to create a whistleblower bounty program, which would fill gaps in existing programs and coordinate with voluntary self-disclosure policies.DOJ's whistleblower program will reward reporting of criminal misconduct at both public and private companies, encouraging reporting of potential violations of the FCPA and the Foreign Extortion Prevention Act.Companies are urged to disclose misconduct to earn valuable benefits, and the DOJ emphasizes the benefits of voluntary self-disclosure and cooperation to mitigate risks and maximize financial performance.ResourcesMichael Volkov on LinkedIn | TwitterThe Volkov Law Group

Is there such a thing as revealing too much about yourself?

In this episode, we explore the fascinating world of Dune and the religious themes that we can find in the books and movies.Sources/Recomended Reading: Amir-Moezzi, Mohammad Ali (1994). "The Divine Guide in Early Shi'ism: The Sources of Esotericism in Islam". Translated by David Streight. State University of New York Press. Amir-Moezzi, Mohammad Ali (2011). "The Spirituality of Shi'i Islam: Beliefs and Practices". I.B. Tauris. Chittick, William (1989). "The Sufi Path of Knowledge: Ibn 'Arabi's Metaphysics of Imagination". Chittick, William (1998). "The Self-Disclosure of God: Principles of Ibn al-'Arabi's Cosmology". State University of New York Press. Corbin, Henry (1998). "Alone with the Alone - Creative Imagination in the Sūfism of Ibn 'Arabī". Princeton University Press; Revised edition. McNelly, Willis E. (1987). "The Dune Encyclopedia". Berkley. Hosted on Acast. See acast.com/privacy for more information.

3. The Word: The Beauty and Power of God's Self-Disclosure (Hebrews 4:12-13) by Church in the Square (Sermon Audio)

Easily listen to Social Skills Coaching in your podcast app of choice at https://bit.ly/social-skills-home00:10:46 Four Easy Self-Disclosure Rules.00:14:38 Mini Self-Disclosures.00:17:30 How to Respond to Someone Else's Disclosure.Hear it Here - https://adbl.co/3N9lsjI• Vulnerability is essential for human connection, and appropriate self-disclosure creates trust, authenticity, and intimacy. Self-disclosure is intentionally sharing personal information that other people wouldn't know unless we chose to tell them. The most effective kind of self-disclosure is the one that only slightly pushes the current state of affairs toward more intimacy.• Friendship-making is an upward spiral of mutual and incremental disclosures over time. Keep things symmetrical, gradual, positive, and small at first. #BanterLand #Chunking #Derlega #Disclosure #Selfdisclosure #RussellNewton #NewtonMG #PatrickKing #PatrickKingConsulting #SocialSkillsCoaching #MakeFriendsEasily #TurningOnTheCharm:PrinciplesOfSelf-Disclosure

In this special episode of Corruption, Crime, and Compliance, Michael Volkov joins colleague and long-time friend Tom Fox as they delve into the intricacies of recent FCPA enforcement actions, shedding light on the evolving landscape of corporate compliance. From the ABB case to the SAP settlement, Michael and Tom dissect the nuances of voluntary disclosure, extensive remediation, and the shifting priorities of the Department of Justice. Join them as they navigate the complexities of recidivism, cooperation, and the pivotal role of self-disclosure in today's compliance environment.You'll hear them discuss:The Department of Justice (DOJ) faced a challenging situation with ABB, a three-time FCPA recidivist, raising questions about their enforcement actions and policies.ABB's case highlighted the importance of voluntary disclosure, extensive cooperation, and remediation in mitigating penalties and demonstrating commitment to compliance.The shift in DOJ's approach towards recidivism and self-disclosure signaled a new emphasis on data-driven compliance and the use of evidence to support remediation efforts.Albemarle and SAP cases showcased the significance of data-driven compliance programs and proactive measures to address compliance deficiencies.DOJ's focus on self-disclosure as a key factor in enforcement actions underscores the importance of transparency, cooperation, and timely reporting in compliance efforts.The evolution of DOJ's policies and enforcement strategies in 2023 reflected a balance between tough enforcement on recidivism and incentivizing self-disclosure through reduced penalties.The role of voluntary disclosure, remediation, and cooperation is critical in navigating FCPA enforcement actions and achieving favorable outcomes with the DOJ.ResourcesMichael Volkov on LinkedIn | TwitterThe Volkov Law GroupTom Fox on LinkedInCompliance Podcast Network

[280] Consumers are looking for two-way dialogues and relationships with brands. Still, scaling real-life relationship qualities within vast online communities remains full of complexity. Through the storytelling of personal experiences, this discussion with industry-renowned expert business coach Britt Seva (@brittseva) explores the essence of authenticity, vulnerability, the delicate equilibrium between private life and public persona and the implications of presenting a filtered version of ourselves to the world. Originally released in October of 2022, as part of Season 6. Links: Hear more of Britt Seva's thoughts on vulnerability and social media: https://thethrivingstylist.com/podcast/254 Learn more about Britt Seva's business-building strategies & educational offerings: https://thrivingstylist.com Access the Thriving Stylist podcast's full directory: https://thethrivingstylist.com/full-podcast-episode-directory Check out the Harvard Business Review's "When — and when not — to share" assessment: https://hbr.org/web/2013/09/assessment/when-and-when-not-to-share Click here to subscribe to the weekly Phorest FM email newsletter: http://bit.ly/2T2gUj1 This episode was edited and mixed by Audio Z: Montreal's cutting-edge post-production studio for creative minds looking to have their vision professionally produced and mixed. Great music makes great moments. Leave a Rating & Review: http://bit.ly/phorestfm  Read the transcript, or click here to learn more about Phorest Salon Software.

Welcome to the award-winning FCPA Compliance Report, the longest running podcast in compliance. In this episode, Tom Fox welcomes back Michael Volkov as they take a deep dive into the ABB, Albemarle and SAP FCPA enforcement actions to try and unpack the DOJ's pivot away from heavy penalties for recidivists to prioritizing self-disclosure above all else.   Volkov's perspective on the Department of Justice's (DOJ) FCPA enforcement actions is both critical and analytical, shaped by his extensive experience. He underscores the necessity of transparency and explanation in the factors considered by the DOJ, highlighting its significance to practitioners in the field. Volkov also recognizes the shift in DOJ policy towards data-driven compliance, requiring companies to provide data to substantiate their conclusions and demonstrate their compliance efforts. He further notes the evolving landscape of voluntary disclosure and remediation, suggesting these areas are now pivotal in the DOJ's enforcement approach. Volkov's insights reflect a nuanced understanding of the changing dynamics in FCPA enforcement and the imperative for companies to adapt to these shifts.  Key Highlights: Importance of Cooperation in Corporate Enforcement Cases Incentivizing Self-Disclosure in DOJ's FCPA Enforcement Increased Penalty Reduction for Voluntary Self-Disclosure DOJ's Evolving Approach to Corporate Penalties Benefits of Voluntary Self-Disclosure in Enforcement Resources: Volkov Law Group Corruption, Crime and Compliance Tom Fox Instagram Facebook YouTube Twitter LinkedIn   For more information on Ethico and a free White Paper on top compliance issues in 2024, click here. Learn more about your ad choices. Visit megaphone.fm/adchoices

Can You Treat ADHD with TEAM? Does Humor Play a Role in Therapy? What's the Difference between Rejection Practice and Shame-Attacking Exercises? Featuring Dr. Matthew May Note: Not all of the information covered here is in the podcast, and much of what we discuss in the podcast is not covered here. Questions for the next two Ask David Podcasts: Rich asks how you treat ADHD in TEAM. Hwa-Chi Qiu Alvarez asks about the use of humor in therapy. Rima asks about the differences between Rejection Practice and Shame-Attacking Exercises.   Rich asks: How do you treat ADHD? From Richard: How about a podcast concerning ADHD? I feel that applying TEAM would work. No? I mean “disorders” arise from distortions…so what does a distraction “disorder” arise from? Thanks for all you do David, Rich David's reply: Hi Rich, I don't treat “disorders,” I treat individuals at specific moments when they're struggling and wanting help! Hope that helps. As an aside, if you or a friend, colleague, or patient have ADHD and you can describe a specific moment when that person was struggling, I would love to hear about it! Then you'll see how TEAM works it's magic by focusing on individuals, and not “problems” or “disorders,” etc. TEAM is a “fractal psychotherapy.” I will explain! Warmly, david Matt's Take: Thanks for the question, Rich! I love what David is saying, about treating the individual, not the diagnosis. There are a lot of things that can interfere with focus and attention, such as. medical problems, sleep difficulties, toxin exposure, substance misuse, and relationship problems. In addition, depression and anxiety can interfere with concentration and contribute to ADHD symptoms. Below, I've listed many of the distracting thoughts that my clients have had. Along with a list of some good things about being Distracted. Hope you enjoy! Matt's A – Z List of Distracting Thoughts: I don't feel like doing this This is boring and no fun I never get to do what I want It's not fair I'll do it later There's plenty of time Best not to rush things I might be missing out on something interesting or important I'll check my phone one more time, real quick, and then get right back to work This time will be different. Seriously. I mean it. Actually, I'm feeling too tired to concentrate I'll just take a quick, 5-minute nap I'll get to work when I feel more rested and motivated I've had a hard day and deserve a little break and some fun Tomorrow's going to be really hard, so I need to rest up I just *can't* concentrate, at all There's something seriously wrong with me I lack willpower / I have no ambition I shouldn't have to do this There's no point doing this I'll never be able to do this I need to be doing important, interesting things It would be really exciting and fun to … x, y, z, instead I need to tidy up a bit before starting this big project I don't know where to get started / don't want to mess up I'll be too distracted if I don't take care of this one thing, first   Matt's A – Z List of GOOD Reasons to be Distracted I can be spontaneous, have fun and be present, in-the-moment I won't miss out on something interesting and important I won't waste my life doing boring stuff that leads nowhere I'll focus on what makes me happy I won't let other people control me or make my decisions for me I like to feel powerful and in-charge; I call the shots This is my time, nobody controls me It's calming to know that I'm in-control I want to treat myself with respect I want to be free, not shackled It's important to take breaks I want to maintain a good work-life balance It's fun and exciting to be a bit of a ‘rebel' I'm my own unique person, doing things my way I just want to ‘go with the flow', it's easier I want to be safe, protected me from failure. I can't really fail if I don't give it my all I can get instant relief from the pressure anxiety when I outsource this task to ‘future me' I deserve to do what I want, when I want to; I'm sticking up for me I can reject others' advice and feel superior I don't know where to start I can have more time to plan I'll be less likely to mess up if I consider my approach carefully I don't want to do an average job, this needs to be amazing I can prepare, talk, plan and complain; that's more interesting and fun than doing I don't have to face how dull and boring some parts of life can be I can daydream about a better life On the live podcast, Matt and Rhonda gave examples of individuals diagnosed with “ADHD” who all needed completely different and highly individualized treatment, which is what TEAM is all about. Matt described treating a boy with ADHD who would get anxious in class when he was called on to read out loud. He was afraid he'd get nervous and make mistakes, and the other students would judge him. The technique that helped him was the Feared Fantasy. Matt also described a fellow with ADHD who had trouble keeping appointments and getting places on time. He was helped by the technique I have called “Little Steps for Big Feats,” and the treatment was similar to the methods we used to treat procrastination. Rhonda described someone with ADHD who felt anxious in social situations, and he was helped with the same types of techniques we would used to help anyone with social anxiety. The bottom line: treat the person, not the so-called “disorder”!   Hwa-Chi Qiu Alvarez suggests: An episode focused on humor and its uses/impacts could be interesting, I didn't find any. What are some strategies for when humor backfires? How did you learn to appropriately use humor with patients? David's reply will include: First, time I “discovered” humor when teaching the psychiatric residents with Aaron Beck. How I think about my own use of humor: I just kind of blurt out things that are outrageous. Buddhists have concept of “Laughing Enlightenment,” which occurred during the Terri jumping jacks video. What laughing creates is the experience of not taking ourselves so The time I laughed with a patient during the entire session. When NOT to use humor, and what to do when it backfires. During the live podcast, Matt, Rhonda and David talked about why and how humor can be helpful—in therapy, in teaching, during podcasts, and in life in general. David talked about how he “discovered” humor when teaching a group of psychiatric residents at the University of Pennsylvania, and how he used a humorous Feared Fantasy to help a depressed FBI agent who was demoralized because he didn't have a sense of humor. This was a problem because the men at work of joked around the water or coffee pot during breaks. When David modeled how to accept the fact that he had no sense of humor during the Feared Fantasy, it struck his funny bone, and he laughed so hard he fell out of his chair. This was a paradox, since the very moment he accepted the fact, without shame, that he had no sense of humor, he suddenly discovered his awesome sense of humor! I, David, call that the Acceptance Paradox. David also described how humor helped a woman who had struggled for ten years with terrifying panic attacks and extreme depression. David also warned about the pitfalls of using humor with angry or severely depressed individuals who feel intense grief or extreme worthlessness and hopelessness. Matt's Take I've noticed that if you're ‘supposed' to laugh, you won't. But, if you're not supposed to laugh, you probably won't be able to stop laughing. Maybe that's why, when we tried to talk about it, on the podcast, it was really dry and unfunny? Normally I'm hilarious. Rima asks: I believe rejection practice is a fine art and I'm just trying to understand the specifics a little more, and how it differs from Shame Attacking Exercises. David talks about some of his male patients doing rejection practice by asking as many women out as possible and collecting no's from them. The way David explains it, it seems standard practice for the patients to self disclose to the women that they are doing the rejection practice and are collecting no's. My question is, if you disclose this information, would that be considered a safety behaviour and maybe less powerful exposure than not disclosing what you are doing? I'll give you a personal example that hopefully will clarify more. I have been doing my own rejection practice to experience how it feels for myself. One of the things I set myself was to ask someone to sing a duet with me. I found that a little daunting so to make it easier for myself, I disclosed to a woman that I am doing shame attacking/rejection practice and thus would she help me and sing with me. I felt I was using a safety behaviour and protecting myself from certain judgements from her. Therefore, I'm wondering if the patient disclosing what they are doing would be as helpful exposure as not disclosing. David Comment You are confusing Rejection Practice with Shame Attacking Exercises. They are actually very different. You can do Rejection Practice with or without telling the person what you are doing. Shame Attacking is just done without giving away what or why you're doing it. For example, if you want to sing in public, you can just do that. Or you can approach a person or couple and offer to sing for them, and then when done hold out your hand as if asking for a tip. There are certain general guidelines for Shame Attacking that we can mention, as they are very important. You can also do with as a duet with someone you know, so you are doing Shame Attacking together. But in this case, you are definitely not confusing it with Rejection Practice. During the live podcast, Matt discussed the pros and cons of two different styles of Rejection Practice, and David and Rhonda and Matt sharpened the contrast between Shame-Attacking Exercises and Rejection Practice, which are actually quite different, although there is clear some overlap. Rhonda described a Shame-Attacking Exercise that David persuaded her to do after a Sunday hike, in a Chinese restaurant when everyone was ordering dim sum. Rhonda went to a nearby table and asked the people who were seated if she could taste their food! This was almost impossibly anxiety provoking, but to Rhonda's surprise, they let her tase one of their dim sum and she said it tasted great. They asked if she wanted more! It was a great exercise in overcoming social anxiety. Matt described one of his outrageous Shame-Attacking Exercises in a grocery store, lying on his back making angels in the snow in the produce section, talking loudly about what an awesome grocery store it was. He said that he was surprised and relieved to discover that no one seemed interested in what he was doing. He said that one of our illusions is that people are incredibly interested in us, whereas in reality, most people are mainly interested in themselves! Quite a useful discovery. Matt's Take Hi Rima, thanks for this nuanced question, I can tell you've been paying close attention! As a little background, the fear of getting rejected can cause a lot of suffering and deprivation, both emotionally and in the form of loneliness, relationship problems and career development. Overcoming this fear can improve one's social life, relationships and career. However, there's a ‘necessary' part of overcoming any fear, which people don't want to do. It is to lower our defenses and face the fear directly. This is the only way to prove that we are, in fact, ‘safe', for example, when we are rejected. Rejection Collection (getting rejected frequently and regularly, and counting these as ‘wins') is a powerful social exposure method that has helped many people, including myself, overcome the fear of getting rejected.  Huge thanks to David for helping me overcome my resistance to trying this (extremely challenging) exercise. Doing so has helped me overcome my fear and has radically improved many aspects of my life. Exposure may not work, however, for a variety of reasons. A common one is motivational. For example, we may not want to feel ok, if we're getting rejected. We might prefer to feel upset, perhaps as a motivator to improve. Surprisingly, there are many good reasons to base some portion of our worth on the approval of others: Wanting to live up to their expectations, wanting to be open to feedback, wanting to avoid conflict, wanting to be maximally motivated to work hard, in our relationships, to be mature and responsible. TEAM therapy stresses the importance of raising these motivational elements to the surface for discussion, in an admiring way, before deciding whether to change anything about a person. If someone can still convince me that they want to overcome the fear of rejection and are willing to do the hard work, rejection collection is extremely effective and powerful. It's good to know that one's nerves won't be the thing that gets in the way of developing a wonderful social life. Rejection collection can still fail, however, for other reasons. For example, it's common to focus too narrowly on only one method. There are many, many methods that can help, and may be necessary, to overcome a fear of rejection. Just in the category of ‘Social Exposure' there are quite a few: TEAM Therapy Social Exposure Methods: ‘Smile and Say Hello' practice ‘Talk Show Host' technique ‘Self-Disclosure' ‘Flirting Training' ‘Survey Technique' ‘Shame attacking' ‘Rejection Collection' ‘Rejection Feared Fantasy' You're correct, too, Rima, about the problem of ‘safety behaviors'. Even if ‘rejection collection' were the method that could lead to a cure, it still might fail if we are, in some way, ‘protecting' ourselves, during the rejection collection exercise. The most common form of ‘safety behavior' I've seen, when doing ‘rejection collection', is to rush the process. Then, we can tell ourselves, ‘well, if I'd really tried and put in the time and all my effort, I wouldn't have gotten rejected'. This defeats the most liberating experience of, ‘I got thoroughly rejected, despite my best effort, and it's totally fine'. You asked, is it would be a ‘safety behavior'. if you said this to a stranger: “Please reject me, to help me get over my fear of rejection.', I would not necessarily label it as a safety behavior, unless it was the only thing that was said. I would consider this to be ‘Self Disclosure' (talking about oneself in a vulnerable way) combined with rejection collection. If this were the only thing you said to someone, then I'd agree that it's a ‘safety behavior', as there's a rushed element to it, as opposed to a ‘best effort, still failed, it's fine' experience. The liberation of a ‘real' rejection is a glorious thing and is, in my experience, most often achieved by combining multiple of the above techniques, starting with, ‘smile and say hello', ‘talk show host technique', ‘flirting', self-disclosure, survey technique and only then asking for a rejection. Practicing this for a bit using the ‘Rejection Feared Fantasy' (a role-play/practice exercise with one's therapist) is often great preparation for the real-life experience. We thank Rhonda for recording for us today, when she is just starting to recover from COVID, and the day before a trip to visit her son, daughter in law, and two wonderful grandchildren. We love you Rhonda, and wish you the best for a wonderful month! Thanks for listening today, and thanks for submitting your excellent questions. Stay tuned for more answers to your questions next week, including these: Magellan asks about the effectiveness of TEAM without the guidance of a therapist. Werner asks about the differences between Positive Reframing and the Positive Thoughts you record on the Daily Mood Log. Anonymous asks several questions about the Feeling Great App. Matt, Rhonda, and David  

Discover the remarkable life and enduring legacy of Abd al-Qadir al-Jaza'iri. From his leadership during the Algerian resistance against French colonization to his commitment to his Islamic religious beliefs & sufi mysticism. Abd al-Qadir impact reverberates through history. Join us as we explore one of the most fascinating and inspiring figures of modern history.Sources/Recomended Reading: Bouyerdene, Ahmed (2012). "Emir Abd El-Kader: Hero and Saint of Islam". World Wisdom Books. Chittick, William (1989). "The Sufi Path of Knowledge: Ibn 'Arabi's Metaphysics of Imagination". Chittick, William (1998). "The Self-Disclosure of God: Principles of Ibn al-'Arabi's Cosmology". State University of New York Press. Chodkiewicz, Michel (ed.) (1995). "The Spiritual Writings of Amir ʿAbd al-Kader". State University of New York Press. Caner Dagli (translated by) (2004). Ibn 'Arabi - "The Ringstones of Wisdom (Fusus al-Hikam)". Great Books of the Islamic World. Kazi Pubns Inc. Kiser, John W (2015). "Commander of the Faithful: The Life and Times of Emir Abd El-Kader". Monkfish Book Publishing Company. Hosted on Acast. See acast.com/privacy for more information.

We share our policies on sharing personal information with clients and when oversharing can cause problems. Is there an “appropriate” amount of self-disclosure or is less more? Are there situations where disclosing personal information can help a client achieve their goals? Hosts: Eyrn, Toshia, Al, Yasmine

Rich Slatcher is a psychologist who is the current Gail M. Williamson Distinguished Professor in the Behavior and Brain Sciences area of the Department of Psychology at the University of Georgia. In this conversation with Bart Campolo, he talks about the power of self-disclosure in relationships, and the other factors which draw people closer to each other.

Embark on an intellectual journey into the realm of Sufism. Explore the intricate history, philosophical underpinnings, and mystical practices that have shaped this fascinating tradition. Join me as we delve into the topic of Sufi mysticism, shedding light on its profound impact on Islam & its history.Sources/Recomended Reading: Abu-n Nasr, Jamil M. (2007). "Muslim Communities of Grace: The Sufi Brotherhoods in Islamic Religious Life". C Hurst & Co Publishers Ltd. "Al-Qushayri's Epistle on Sufism - Al-Risala Al Qushayriyya Fi 'ilm Al-Tasawwuf". Translated by Alexander Knysh. 2020. The Center for Muslim Contribution to Civilization. Avery, Kenneth S. (2004). "A Psychology of Early Sufi Sama: Listening and altered states". Routledge. Casewit, Yousef (2017). "The Mystics of al-Andalus: Ibn Barrajan and Islamic Thought in the Twelfth Century". Cambridge University Press. Chittick, William (1989). "The Sufi Path of Knowledge: Ibn 'Arabi's Metaphysics of Imagination". Chittick, William (1998). "The Self-Disclosure of God: Principles of Ibn al-'Arabi's Cosmology". State University of New York Press. Cornell, Vincent J. (1998). "Realm of the Saint: Power and Authority in Moroccan Sufism". University of Texas Press. Caner Dagli (translated by) (2004). Ibn 'Arabi - "The Ringstones of Wisdom (Fusus al-Hikam)". Great Books of the Islamic World. Kazi Pubns Inc.Ernst, Carl W. & Bruce B. Lawrence (2003). "Sufi Martyrs of Love: The Chishti Order in South Asia and beyond". Palgrave Macmillan. Homerin, Emil (Translated by) (2001). "'Umar Ibn al-Farid: Sufi Verse, Saintly Life". Classics of Western Spirituality. Paulist Press. Homerin, Emil (2019). "Aisha al-Ba'uniyya: A Life in Praise of Love". Makers of the Muslim World Series. Oneworld Publications. Karamustafa, Ahmet T. (2006). God's Unruly Friends: Dervish Groups in the Islamic Middle Period 1200-1550. Oneworld Publications. Karamustafa, Ahmet T. (2007). "Sufism - the formative period". Edinburgh University Press. Knysh, Alexander (2000). "Islamic Mysticism: A Short History". Brill. Knysh, Alexander (2019). "Sufism: A New History of Islamic Mysticism". Princeton University Press. Lewis, Franklin D. (2000). "Rumi: Past and Present, East and West". Oneworld publications. Malik, Jamal & John Hinnells (ed.) (2006). "Sufism in the West". Routledge.Ridgeon, Lloyd (ed.) (2015). "The Cambridge Companion to Sufism". Cambridge University Press. Schimmel, Annemarie (1975). "Mystical Dimensions of Islam". The University of North Carolina Press. Van Bruinessen, Martin & Julia Day Howell (ed). (2007). "Sufism and the Modern in Islam". I.B. Tauris. Hosted on Acast. See acast.com/privacy for more information.

In episode 49 of The Traded Life, Greg Michelman welcomes special guest Jon Mossey, a clinical psychologist, coach, podcast host, and author. They discuss the growth they've both experienced and the exciting projects they're currently working on, such as hosting podcasts and writing books. They reflect on their journey and marvel at the opportunities they have to share their knowledge and experiences with others.Tune in to gain insights for personal and physical growth as well as having that sense of accountability.TIMESTAMPS[00:02:00] Accountability and Growth.[00:04:43] Psychology in Everyday Life.[00:09:26] Traditional Psychotherapy and Self-Disclosure.[00:13:19] Vulnerability as a Superpower.[00:15:50] Coaching vs. Therapy.[00:23:12] Discipline and Ownership.[00:26:01] Striving for Personal Growth.[00:32:29] Identity and Habit Formation.[00:35:39] What is a Healthy Person?[00:39:59] Physical Appearance and Credibility.[00:44:56] Quality of Life and Excuses.In this episode, Greg Michelman and Jon Mossey explore the concept that discipline leads to freedom. They explain that when certain behaviors become ingrained in our routines, we no longer have to consciously think about them. This creates mental space and energy that can be directed towards personal growth, exploration, and trying new things. They also discuss the importance of understanding human nature and how the brain works. By having a deeper understanding of psychology, individuals can gain an advantage in comprehending their environment and effectively navigating various situations. Another topic covered in the episode is the significance of measurable goals and consistent habits. Greg and Jon emphasize the difference between therapy and coaching, highlighting that coaching focuses on setting specific goals and implementing daily habits. By having clear goals and consistent habits, individuals can track their progress and make meaningful changes in their lives. QUOTES“Having that accountability and to stop making excuses and everything else, it was just something that really resonated with me, got me pointed in the right direction. I stopped making excuses. I stopped using the word someday.” - Greg Michelman "So you set people up so they can have wins in each day and you get to decide what the wins are, and so as a coach, you can set people up to win." - Jon Mossey“If you're not taking action, you don't even realize what you're missing out on. I mean, it's not until you take action, then you start developing new questions.” - Jon Mossey"Like I realize there are people doing life way bigger than I am, and I want to live that life. So it pushes you to be better every single day." - Greg Michelman "External motivation isn't always going to be there, you got to have that intrinsic motivation, you got to be constantly asking yourself, and I know it's cliche, but you got to ask yourself what your why is. You got to ask yourself, what is your meaningful mission? What is the impact? Why am I doing this in the first place? What is my existential goal? What is the imprint that I'm trying to leave on the world? What is it that I'm trying to build for me, for my family, for everybody around me? And those are the questions that you always have to be having circulating in your mind." - Jon MosseySOCIAL MEDIA LINKSGreg MichelmanInstagram: https://www.instagram.com/fightlikeamothereffer/Facebook: https://facebook.com/gregmichelman LinkedIn: https://www.linkedin.com/in/greg-michelman-27074697/Jon MosseyInstagram: https://www.instagram.com/the_doc_jon/Facebook: https://www.facebook.com/people/Doc-Jon/WEBSITEFight Like A Mother FU%$&R: https://www.fightlikeamothereffer.com/Doc Jon Mossey: https://docjon.phonesites.com/

Self-disclosure can be really empowering, but it can also be re-traumatizing. We go over some basics.See omnystudio.com/listener for privacy information.

I won a grant years back to produce a podcast series from NYU's Rudin Master Scholars Program in Ethics and Humanities. I am proud of that work. This episode never made it on the air. It is presented for your consideration. Suicide is discussed, frankly. Both my friend and guest, Lara J. Cox, M.S., M.D, and I discussed extensively that her name should be used. That personal disclosure was the healing element, as we understood it.I presented this work on May 6th, my birthday, in 2018, at the APA annual meeting. That morning, a psychiatric resident in a local program died by suicide. It was devastating. This is a challenging disclosure to write— because of my worries about contagion effects. This issue around contagion was the difficulty in editing these stories to begin with.These stories aimed to REDUCE suicide risk by providing stories of hope. These stories offer support for vulnerable medical trainees. Otherwise, they learn the lesson…as part of the hidden curriculum of medical training: “It's unsafe to talk about your struggles, even in the past.”We lose hundreds of physicians to completed suicide every year, and the numbers on ideation are dispiriting:A 2015 meta-analysis of 54 studies examined the prevalence of depression and depressive symptoms in resident physicians across decades and around the globe.2 They found a 15.8% increase in depressive symptoms during the first year of residency, across all specialties and countries of training. Over the course of training 20.9% to 43.2% of residents reported depressive symptoms, with symptoms increasing over time. This finding could be extrapolated to fellows, attendings, and other post-training physicians. Currently, the actual data for post-training programs is sparse. When we refuse to speak—using best practices—we are also heard. I have long argued this is not the way.The physician interviewed in my podcast above is brave, outspoken, and a personal hero. Lara J. Cox, M.S., M.D., has served on the Board of Trustees of the American Psychiatric Association and is herself a scholar of suicide prevention. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

There's a school of thought out there that says to make friends it's important to be vulnerable by sharing your story. Some call it “being authentic.” Yet it's been my experience that sharing your story when someone is trying to share there's may end up pushing people away. Some would call that being self-centered. Today's episode, though, is about three reasons to be stingy in sharing your story. But before we get into today's episode, here's what this podcast is all about.   Welcome to You Were Made for This If you find yourself wanting more from your relationships, you've come to the right place. Here you'll discover practical principles you can use to experience the life-giving relationships you were made for. I'm your host, John Certalic, an award-winning author and relationship coach. I'm here to help you find more joy in the relationships God designed for you. To access all past and future episodes, go to the bottom of this page to the yellow "Subscribe" button, then enter your name and email address in the fields above it.  The episodes are organized chronologically and are also searchable by topics, categories, and keywords. In the last episode If the phrase “be stingy in sharing your story” sounds familiar it's probably because you heard it used in episode 202, “The Best Stories.” It was in reference to the listening advice shared in the interview I did with Linda Crouch, a retired missionary friend. She talked about her friend Meg who listened well to Linda talking about her recent trip to Nigeria. Even though Meg was a missionary herself, she was stingy in sharing her own story. So Linda had all the time she needed to tell hers. I love this word, “stingy.”  I never thought of it being a good word with a positive connotation to it. Ebenezer Scrooge in Charles Dickens A Christmas Carol come to mind when I hear the word “stingy.”   But in the context of relationships, “stingy in sharing our story” is a great principle on several levels, when used properly. Here are three reasons why: Being stingy in sharing your story honors the person sharing there's In any meaningful conversation you can't have two stories going on at once. Unfortunately, though, you see this happening all too often. Tune in any TV or radio news show with 3 or more hosts and invariably you hear them talking over each other, fighting for air time. A meaningful conversation requires someone to take the high road by being quiet and listening. We honor people when we relinquish our turn to be the center of attention. It gives voice to people who may not have had a voice. It's a biblical principle as well. James 1:19, that familiar passage says, “…be quick to listen and slow to speak.” When we take that to heart and put it into practice it manifests another Biblical concept we read in Romans 12:10, “…take delight in honoring each other.” Being stingy in sharing your story brings out the best in you A second reason why being stingy with your story when someone is sharing there's is a great practice is because it brings out the best in you. The best in you displays relational hospitality, where you invite people into interaction with you by giving them the floor and allowing them to be the focus of attention. To let someone go first in sharing their story is an act of humility, which is always found in the best of our character traits. It's a sacrifice to let someone have the air time we would like. Letting someone else have the spot light without interruption from you models what good listening looks like. And when we model something for others that will bring out the best in them, it brings out the best in ourselves. Being stingy in sharing your story is an antidote to our loneliness As counterintuitive as it sounds, being stingy in sharing your story is an antidote to loneliness. When you hold back on talking about yourself it creates an opportunity to learn about someone else and a possible point of connection based on their life, not yours. We have a missionary friend who grew up in a large family where everyone talked. In order to be heard she learned how to fight for airtime by talking a lot herself. While that skill served her well as a child, it did just the opposite as an adult. Instead of drawing people to herself, talking a great deal pushed people away. Consequently, she was often lonely. Another thing. When we hold back on talking about ourself so that others can share their story it creates the possibility of broadening our world, which tends to dissipate loneliness.   Now I'll be the first to admit that many times the stories people share about themselves are boring and repetitive. I know, because some of my stories are boring and repetitive.  A brother-in-law story Recently though, Janet and I were at an extended family event that wasn't all that interesting to me, and as the afternoon wore on I was itching to go home. Janet, however, was thoroughly enjoying herself and didn't want to leave.   At one point the subject of military service was mentioned, which prompted me to ask my brother-in-law Rich, “Were you ever in the service?” “Yes,” he said, but nothing more.  I then asked, “What was your your role, your job?” “Paratrooper,” Rich said.  That one word answer changed my mood entirely. I've known Rich for many years, but never knew he was paratrooper. This prompted me to ask more more questions about his military service that I found really interesting. Especially about the mechanics of jumping out of airplanes with a parachute on your back. I was so glad I coaxed my brother-in-law into sharing his story instead of telling parts of my own. It made for a far more interesting afternoon. Being stingy with your story doesn't mean remaining silent about it One final thought on this whole matter: Being stingy with your story doesn't mean remaining silent about it.  It's more about waiting your turn. It's about going last, not first. Good listeners do that, you know.  So what about YOU?  I wonder. Is it possible you may be too generous in sharing your story in ways that keeps someone from sharing there's? I also wonder if  being stingy with your story isn't a problem for you, how are you handling the results of letting others fill the air waves with the sound of their voice. What goes on inside you when you can't get a word in edgewise because other people are dominating the conversation and sucking the air time available for anyone else to talk.  I've got some thoughts on this that I'll share at another time, but I do wonder how  others deal with this relational dynamic Because someone listened… One of our listeners wrote in to tell what happened to her because someone listened. She tells the story of two friends who walked beside her through the death and grief of her 40-something daughter who died of cancer.  “I can't count the number of times I drove out of their driveway with warm refreshing healing teardrops flowing down my cheeks. Over the years — but especially these past 18 months on the hardest journey I never would have signed up for — they welcomed me with open arms, listened to my ongoing expressions of grief and struggle, fed me with an abundance of Papa God's love and delicious food, and brought the beauty of laughter into the hard. Their listening love has been a gift of GRACE wrapped in a ribbon of GOLD.” I bet you have stories of what happened to you because someone listened. We'd like to hear them. Closing Before we wrap up today's show, if you'd like some input regarding a relationship question or issue you're dealing with, I'd love to hear from you. Just go to JohnCertalic.com/question to leave me a voicemail. If you'd rather put your question in writing, just enter it in the  Comment box at the bottom of the show notes. I'll do my best to answer your question in a future episode. In closing, I'd also love to hear any thoughts you have about today's episode. I hope your thinking was stimulated by today's show, to be stingy in sharing your own story so someone else can share theirs. For when you do, it will help you experience the joy of relationships God desires for you. Because after all, You Were Made for This. Well, that's it for today. If there's someone in your life you think might like to hear what you just heard, please forward this episode on to them. Scroll down to the bottom of the show notes and click on one of the options in the yellow “Share This” bar. And don't forget to spread a little relational sunshine around the people you meet this week. Spark some joy for them.  And I'll see you again next time. Goodbye for now. Other episodes or resources related to today's shows 139: Why Should I Listen to This Podcast? 021: The Most Important Relationship of All Last week's episode 202: The Best Stories All past and future episodes    JohnCertalic.com Our Sponsor Caring for Others, a missionary care ministry, is the sponsor for You Were Made for This. The generosity of people like you supports our ministry. It enables us to continue this weekly podcast and other services we provide to missionaries around the world.

Self-disclosure of an autistic diagnosis in medical situations or even everyday life is a very vulnerable thing to do, and there are so many results that can come from it. Self-disclosure can result in both negative and positive experiences including everything from insurance challenges and negative societal assumptions to better accommodations for sensory issues in medical situations and quicker access to neurodivergent-affirming healthcare providers. This mix of results can make the decision to self-disclose or even seek a diagnosis in the first place a very tricky choice.  In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, cover the topic of self-disclosure for autism diagnoses and share their personal experiences, both good and bad, around self-disclosure as autistic individuals diagnosed in adulthood. Top 3 reasons to listen to the entire episode: Understand the complexities of disclosing autism diagnoses and the various implications it can have on one's life. Understand the complications and stigma surrounding getting treatment with medication for neurodivergent individuals who are struggling with chronic health issues. Learn how to tailor self-disclosure to meet specific needs and goals during medical visits. Self-disclosure in medical settings can be complex and feel vulnerable and is not always right for everyone and every situation. However, if you choose to do so, using the method of partial self-disclosure to tailor care to your individual needs and finding healthcare providers who are neurodivergent-affirming and willing to learn about you and your needs can help reduce stress in medical situations. Resources: Autism Acceptance In Medical Care: This infographic talks through steps medical providers can take to be more Autistic aware and inclusive: https://neurodivergentinsights.com/autism-infographics/autism-acceptance-in-medicine   Transcript PATRICK CASALE: Hey, everyone, you are listening to the Divergent Conversations Podcast. We are two neurodivergent mental health professionals in a neurotypical world. I'm Patrick Casale. MEGAN NEFF: And I'm Dr. Neff. PATRICK CASALE: And during these episodes, we do talk about sensitive subjects, mental health, and there are some conversations that can certainly feel a bit overwhelming. So, we do just want to use that disclosure and disclaimer before jumping in. And thanks for listening. MEGAN NEFF: Good morning, Patrick. PATRICK CASALE: Good afternoon, Megan. MEGAN NEFF: Isn't that funny? It's your afternoon, it's my morning. PATRICK CASALE: I know, it is. MEGAN NEFF: It was actually like a perspective shift moment. I was like, should I say good afternoon because it's Patrick's afternoon? Or should I say good morning because it's my morning. Good subjectivity are we going with here. PATRICK CASALE: I like that. And I think it's important for everyone to know that, you know, you're in Pacific Time and I'm an Eastern Time. So, a little bit of a different experience. MEGAN NEFF: Yeah. Well, I'm not going to ask you how you are because I hate that question. But I am curious, like, what kind of headspace you're coming into today's episode with? PATRICK CASALE: I like that you name that you hate that question because you've told me you hate that question [CROSSTALK 00:00:48] so many times that I no longer ask of that. I don't that. MEGAN NEFF: I can say like, I had to train you a little bit, but like it worked. You no longer ask. PATRICK CASALE: Also, I'm like not doing that with friends or family. Or, you know, so anyone who's listening, I owe that all to Megan. MEGAN NEFF: You're so welcome. PATRICK CASALE: There you go, that's your gift today. MEGAN NEFF: [INDISCERNIBLE 00:01:11] friendly now because Patrick has stopped asking how are you? PATRICK CASALE: Yeah, I've also really tried hard to, like, filter my emails through an autistic lens and longer like, unless I absolutely feel like, "Oh, I really want to pitch this thing and it has to come across this way." I've really tried to shift that.  What kind of headspace am I in today? I feel actually pretty good. I am tired, like physically tired. I sent you that really gnarly bruise on my calf. I feel like my whole body feels like that right now. I noticed like I have a retreat that I'm hosting next week, so I have been in like hibernation mode most of the last couple of weeks just trying to like, charge as much of my battery as I can. And right now, like, I feel pretty good. How about you? MEGAN NEFF: Let's see. Okay, I'll start with the sensory stuff and start with that, I'm having like a high sensory day of like, it's so interesting how these things ebb and flow. Like, I want someone to wrap me up really tight in a blanket, and like, I want all the pressure and all the way. Like, last night my husband came in, and he was like, "Are you wearing two beanies." Like, I had two beanies on my head. I love the pressure of beanies on my head. That's why I wear a beanie like all year round. So, having like a high, like, I just want a lot of pressure on me.  Headspace-wise, like tired, but then burpy. Like, so many thoughts popping around which… and then, that's always interesting when that's overlaid on top of like, tired, but energetic. And then, yeah, we're leaving for Canada next week, and I've got a workbook to finish. This is such an autistic thing because I'm also doing a manuscript. So, my intention was like, I'm going to make a really simple workbook this month, it's going to be a gratitude journal, I'll introduce gratitude in five pages, it'll be a 35-page thing. Do you want to know how many pages it is? PATRICK CASALE: I want to guess but I feel like it's at least like 90. MEGAN NEFF: Yeah, it's 127. I don't know how to do simple. Like, it just grows and it grows and it grows. And my husband, he used to be an English teacher, so he like added [PH 00:03:24] suits for me and he's like, "Yeah, I just know this about you. Like, you can't do simple." PATRICK CASALE: That's the second week in a row where you've kind of mentioned, well, maybe you mentioned it to me through texts that just the understanding that he has of your processing. I love that for both of you, to say like, I know this about you now. Like, this is a part of who you are. MEGAN NEFF: Yeah, you say you're going to make a 30-page workbook and it's 120. That's you, that's your brain. And I'm going to edit 130 pages. PATRICK CASALE: Right, right. Well, yeah, it's a united front, so that sounds pretty good to me. MEGAN NEFF: Yeah, yeah. No, he's wonderful and super helpful because grammar and spelling is not my thing. Okay. So, we talked about talking about kind of continuing the conversation. Wait, did I just abruptly transition us too quickly? Do you have… PATRICK CASALE: I feel good about it. MEGAN NEFF: I had, like, a [CROSSTALK 00:04:26]- PATRICK CASALE: …today unlike a lot of my days where I'm like scattered in and I feel pretty centered right now. MEGAN NEFF: Okay. Yeah, it didn't go off my head, like this is interesting. But our listeners might want us to get to the point.  PATRICK CASALE: True.  MEGAN NEFF: So, yeah, I really loved the conversation we had with Mel last week. I think both of us walked away with like, wow, that was so I'm impactful and interesting. And there's so much to dive into here.  And it got me thinking about some of my experiences medically and especially, experiences around self-disclosure, and I know that is a really tricky subject around if you're in a position where you have the option, if you're going to self-disclose or not, not everyone has that option. Like, if you're diagnosed as a child, it's in your medical record.  But for those of us coming at this in adulthood, we sometimes have that option, do I self-disclose? And navigating medical appointments. Like, that's a really vulnerable thing. And I don't know about you, but I know for me, and I think for a lot of autistic people just walking into a medical office, our anxiety, like, shoots up, and then, to talk about disclosing on top of that, like, it's just a lot. So, I thought it'd be interesting to have a conversation around, like, self-disclosure, navigating medical systems. PATRICK CASALE: Yeah, one, I just want to say that I feel like if you are listening right now, and you listen to last week's episode, my mind was like blown throughout that conversation where I was learning so much, not only about myself, but what a just incredibly helpful conversation all around. I've already told so many friends to listen to that episode because I was like, "This is so good." We haven't even released it yet. So, as I'm tracking what I'm saying, most of you who are listening are like, this is happening in real time and we have a queue of episodes. MEGAN NEFF: That's why last week you were like, "Can we bump this up?" [CROSSTALK 00:06:19]. PATRICK CASALE: I was just like so excited, it was so good. Yeah, so the self-disclosure piece is interesting. And you're right. Like, for those of you who were diagnosed as a child, it feels like that autonomy was kind of taken away from you. Like, you don't have the option to say yes or no, I want to put this into my record.  And I think it's interesting because if you don't have a good relationship and rapport with your PCP, or whichever provider it is, I think it's daunting, and intimidating, and even more anxiety-producing to even consider disclosure because we know that diagnosis follow our medical records. Like, these are things that are charted, these are things if you're using your health insurance, like, they're going to follow you. And that can have an impact in a lot of ways. Like, even when you're looking for potential life insurance options, like things like that might.  My last life insurance update and exam I got denied increased coverage because of my throat condition and my autistic diagnosis. Both of those things were notated in my request to increase my coverage. MEGAN NEFF: Really? Okay, so I've like heard stories about this, but I see you actually had that happen, and you wanted to increase life insurance to like, so if you die tomorrow, and they were like, "No." PATRICK CASALE: Yep, yep. I wanted to increase for my wife, you know because I'm like, "Okay, I'm in a position now where financially I'm making more money than I was when I first did this." And I want to make sure she's okay. Did all the tests, did all the medical tests, and they don't really give you a whole lot to go off of other than like, "Hey, it was rejected. Here are the comments." And the comments are Zenker's diverticulum, which is the third condition that I have, and autism.  And I thought, "Huh, well, that feels pretty shitty." Now, I don't feel like I will ever pursue this option again. And I think that is also something to consider when we're talking about disclosure and diagnosis. MEGAN NEFF: Yeah, I mean, these are some of the concerns I hear. Like, there's kind of like five big concerns, but one, like life insurance, but then, also being denied like insurance, if you're trying to… and I should also add, like we're speaking in the US context, I'm sure some of these things would apply internationally. But obviously, like insurance in the US is just a hot mess. So, some of this might not apply internationally. But… PATRICK CASALE: It's a great point because I know that we actually have so many people who are tuning in consistently from the UK, Ireland, and Australia, and Canada. So, one, thank you. And two, yeah, your healthcare systems are a bit different than ours. MEGAN NEFF: Yeah. That's actually why I'm going to Canada next month, just testing it out, see… Actually, wait, no, I couldn't move to Canada. Like, I'm pretty sure that's one of the countries, so that's another part of having to put up your medical record, is there some countries you can't migrate to? PATRICK CASALE: It's really fascinating because you're not always thinking about this in the moment when you're in the doctor's office, right? Because there is anxiety, like you mentioned, and you're nervous about whatever you're there for, and potentially, just the sensory overwhelm.  And if you're using health insurance in the United States, and that is a part of your record, you don't really have a choice of whether you want to disclose or not. But we're talking really about the autonomy of saying I did this testing, whether it's self-diagnosis or whether it is from testing result and I have the ability to let my provider know this because it could be helpful for them to then conceptualize my medical conditions and struggles through this lens. But then that's a whole nother like nuanced conversation, right? Because that provider really has to be really ND-affirming too. MEGAN NEFF: Yeah, yeah. And I think that's definitely my anxiety is like, what are the associations going to be? When I say I'm autistic are they going to think… Like, there's so many worries, right? So, there's, like, the assumptions I think they might put on me on one hand, and like, are they going to start talking to me like I have an intellectual disability, which that's a common experience because people don't often realize, like, in mainstream people don't always realize that an intellectual disability and autism are separate, there is a higher rate of co-occurrence, at least among diagnosed autistic people, right? So, they can co-occur. And typically, that's when we're talking about level three or level two autism. Level one autism is which you and I were diagnosed with, is autism without a co-occurring intellectual disability. It's not that simplified. I'm simplifying it a little bit.  So, one it's like are they going to start making those assumptions and either start talking loudly or start, you know, these things? Or on the other hand, are they going to think I'm full of shit? And like, "No, you're not autistic? Like, here you are, we're having a fluid conversation."  So, like those are kind of the two sides of the road of the two fears I have when I'm disclosing to anyone, but especially, to medical providers, knowing that the medical field is pretty far behind on the research. PATRICK CASALE: And I mean, let's take that a step further, like we talked about last week, the mental health field is still behind, so… MEGAN NEFF: Yeah, when I say medical, I'm including mental health field in that for sure. PATRICK CASALE: Got it. I never know with like psychology because psychologists there's so much overlap and inter-woven like medical and mental health, and I know they go hand in hand. But I think so much of our country feels like medical and mental health are separate. MEGAN NEFF: Yeah, that's a good point. I worked in hospitals for so long that in my head, it's like, it's a really [CROSSTALK 00:12:03]. PATRICK CASALE: Yeah, and I totally, like, most mental health professionals, hopefully, understand there's a holistic picture of health here where medical and mental health go hand in hand, and I know, but there's an archaic version of like, what it's like to be autistic in the mental health community. So, when I think about medical community, I think about it even as more archaic and more sterile, and a way of like saying is it safe for me to openly disclose this information in this environment?  And some of you that are listening may have had the same provider for a long period of time because you feel comfortable with them, so then it's like, do I disclose this part of myself that's so important, knowing that there could be repercussions, or knowing that there could be a reaction that really doesn't feel affirming to me, or supportive, or safe? MEGAN NEFF: Yeah, yeah. And I think that's part of like outside of medical, right? That's just part of self-disclosure. And like, I work with a lot of people in the first, like, you know, year post-discovery, and so spend a bit of time talking about self-disclosure, and like a few things, like tips, I give people with one, like, be really comfortable with this in yourself before you start disclosing it because, like, often, we will get responses that either make us, like, activate our imposter syndrome around the diagnosis, or just make us feel like really bad about ourselves. Like, sometimes it's a really positive experience. And I love those moments. But often, there's a lot of painful interactions that come with self-disclosure.  So, one of the pieces of advice I give people is like, be so comfortable with this on your own so that if you get or when you get those negative responses, it's not going to shake you to the core in the same way.   PATRICK CASALE: That's great advice. I think that's really important because the more you can openly talk about this stuff, the more you can openly put this out into the world, I do think it gets easier. But that also comes with inherent risk. And I think that's why I've tried so hard to just openly talk about it over and over and over again, not just for myself, but for people who cannot.  And, you know, I was talking last week on the episode that we did with Mel about talking to my PCP about autism, and sleep, and sleep struggle, and I really appreciated their reaction, which I don't think is like the norm, where they were just like, "Oh, you're autistic. Okay, cool. Like, how do you want me to… Is there anything you want to send me? Is there anything you want me to learn about? Is there anything that you feel like is [CROSSTALK 00:14:32]- MEGAN NEFF: That is so cool. PATRICK CASALE: I was like, "What?" I was blown away by that. I was just like, but I don't think that's the norm, in terms of that reaction [CROSSTALK 00:14:41]- MEGAN NEFF: That is not the norm. And first of all, like what PCP has time for that? I will say, my psychologist's response, and I mean, psychologists they're still very busy, but their caseload you know, PCPs have like their panel was like 2000 or more patients, right? Like, there's a lot of patients they're interfacing with.  But my psychologist had a similar response when I brought up autism. And like, I, of course, sent him so many resources because autistic brain. And like it was really cool. He met me in that and was like, willing to learn and curious about it. And I think it's influenced him as a psychologist with other patients, which is really meaningful. So, that's really incredible whenever you find a therapist or medical provider who's like, "Okay, I'm curious, tell me more." PATRICK CASALE: Yeah, absolutely. And I think this conversation can be both discussed around, not just the medical staff, but also, mental health staff. So, your therapist, I mean, we've talked on here about disclosing to your therapist and having such negative reactions in that field where people are told, then, "Oh, I'm not comfortable supporting, or I don't feel like I have enough training, or I have to refer you out."  And that's a fear too because that brings up so much abandonment and shame of like, there's something really wrong with me where this person cannot help me or support me. And I've mentioned my own therapist on here many times, and I know she listens to this podcast. But again, another shout out to someone who's affirming, who's like, "Send me podcast episodes, send me like clips of what you and Megan are talking about when you feel like it's really important for our sessions because then it helps me better understand your world." But I really wish that we had more providers who were really interested in learning and really supportive and affirmative, and I just feel like we don't. I think we're missing the mark a lot of the time. MEGAN NEFF: Yeah, yeah, yeah. Can I shift conversation a bit to talk about, like, self-disclosure experiences?  PATRICK CASALE: Totally.  MEGAN NEFF: So, it's interesting I feel like, actually, well, you know, I've been talking about in the podcast, I've been sick for like two or three months now. Finally, like, my lungs finally feel okay, for the first time in three months, which is great. But it means I've also been to the doctor more. And so, I've self-disclosed three different times to different medical providers. It's not in my medical chart, so I was diagnosed by a private psychologist, and then, I have Kaiser which, like, it's a really big, kind of inclusive, it's an insurance company, but also hospitals. And I, like, hadn't added it to my medical record.  So, the most recent one I had was actually last week, it was the dentist. I hate the dentist. I think most autistic people do. And between COVID and the dentist, and hate it. I haven't been in three years and didn't realize it was that long. So, I had a cleaning. And they were doing it because it had been so long, there's more buildup, and they were using a, like a scraping machine.  And there was a high-frequency sound that was piercing in my inner ear. And like I was obviously, in pain, and the hygienist was asking me like, "Are you in pain." And I was able to disclose, like, I have sensory issues, and I'm experiencing a lot of pain. And so, then we kind of tried some things.  And I was so impressed with his response. And I want to note, this was a partial self-disclosure, and I'm a really big fan of talking about where you can do a full self-disclosure, I'm autistic, I'm ADHD, but you can also do partial self-disclosures. Like, I have sensory issues, I have a sensory processing disorder. So, I used a partial self-disclosure. And he was incredible throughout the rest of it. And he was like, "Hey, just let us know next time you're in that you've got sensory processing." The other thing he mentioned was like, "I've been doing this eight years, and I've never seen this." And in my mind, I'm thinking, "I'm sure you have or people probably aren't saying anything when they go in. They're probably disassociating through it, or they're not going in like me." PATRICK CASALE: Right.  MEGAN NEFF: But that would be an example of a partial self-disclosure, and it went well. PATRICK CASALE: That's great. I mean, especially, in an environment where like, I don't know anyone who enjoys going to the dentist, and then, you take it a step further with someone who is autistic or someone who has any sort of sensory processing disorder. It's a horrible experience and for them to recognize that you are in pain, and then, to help navigate through that, I imagine going back will feel maybe a little bit more comfortable the next time.  MEGAN NEFF: I'm totally going to go back, specifically, to that provider. And yeah, it makes it way more likely. Like, I think, I mentioned that on the episode last week, like, I have a medical avoidance which is really unhelpful when you've got like chronic medical stuff going on, but it makes me way more likely to go back and to kind of stay on my normal six-months schedule that, you know, is healthy. PATRICK CASALE: Yeah, I think the ability to… it probably feels like feeling seen and feeling validated. Like, instead of saying like, you're making this up, this shouldn't be painful, or just completely dismissing the experience that you had. MEGAN NEFF: Yeah, yeah. Like, it shifted to a really collaborative, he's like, "Do you want to like push your ear in?" And like that did help. And then he's like, "Do you want to stop?" And I kind of made the choice of like, I'd rather get the buildup off, and like, not have to do that again. But just having it be a collaborative decision. Like, and having my autonomy kind of centered in that experience was incredibly helpful. PATRICK CASALE: It sounds incredibly helpful. And I think about, like, someone had asked us on our Instagram to do an episode on like autism and chronic pain, and the correlation, which I think is a good idea, for sure. And I'm in chronic pain all the time. Like, I've had significant back issues for the last decade, I'm tall, I play soccer, I've been injured. And it's just, I think that pain, feeling like there's an increasing sense of chronic pain and sensation too, and a lot of providers can really dismiss that as if like, or minimize that experience. And I think that can feel so frustrating to want to pursue another appointment, or to circle back, or to do a follow-up because it's like, I can't even really have my experience validated and feel like it's really feeling supported and seen. And that doesn't make me want to do another appointment- MEGAN NEFF: Totally.  PATRICK CASALE: …so I just live with the pain. MEGAN NEFF: Sorry, okay, you're… PATRICK CASALE: No, it's good.  MEGAN NEFF: Well, and that… So, if you think about chronic pain, and especially, autistic ADHDers, like I think part of what can be the medical avoidance is we know how we're being perceived. Like, we're being perceived as like pill seekers, right? Like, so we're talking about ADHD medication.  Like, I had a provider just a couple of weeks ago be like, "Oh, well, now we're talking about controlled substances." And so, like it was just so stigmatizing the way she talked to me about ADHD medication. And then, chronic pain, right? Pain medication, this is another one that, like, gets really stigmatized. So, if we're an autistic ADHDer, in chronic pain, seeking medication to support us, like, I think we know how we can be perceived, which is not a great, yeah [CROSSTALK 00:22:30]. PATRICK CASALE: So, the narrative's already been written, right? If you're going in as an autistic ADHDer on a controlled substance for your ADHD medication, and you're in chronic pain, and the quick review of the chart is like, you know, we have systems in place in this country that highlight like whether or not someone's on a controlled substance so that you're not going from provider to provider. And that immediately pops up and you're talking about chronic pain issues, there can definitely be this immediate, what's the word I'm looking for? Perception, that you are med seeking, that you're like, "Okay, this person is on a controlled med for ADHD. Now, they're in here for pain issues, looking for something that's going to help alleviate this. This is something that we now have to talk about first and foremost." Opposed to like saying, "Hey, here's the experience, this is what we're going to do to support you through it." MEGAN NEFF: Yeah, exactly. And then, you've got 20 minutes. And if you spent, like, most medical visits are like 20 minutes, and if you spend 10 minutes, like convincing the doctor why you actually are going to use these medications responsibly, and 10 minutes to talk about the complex medical stuff, yeah, yeah. PATRICK CASALE: Yeah. And it makes sense why so many people, like you mentioned, have medical avoidance or just have to dissociate or are just struggling with their bodies and how they're experiencing everyday life. And just feeling like that's the better alternative because I don't have a provider that I can go to comfortably, and really speak about my experience.  And this is a whole nother conversation, like we talked about last week, where we could talk about the medical system and all its flaws for days. So, like if you're a medical professional, and you only have 15 minutes with a patient, and you have to get all of this information, there's so many areas where that can just fall through the cracks, or be missed, or completely just not even discussed or avoided. MEGAN NEFF: Yeah, absolutely, absolutely. And this is why medical providers are experiencing moral injury at such high rates. This isn't what they signed up for. Like, they wanted to help people, that's why most physicians go into the field. PATRICK CASALE: You're seeing a lot of physicians move into these models that are like membership-based, where they're seeing fewer clients, and you have a monthly membership fee, and it's actually can be quite affordable. And that's actually the model that I'm involved in here. I think it's like $70 a month, and I can see my physician and PCP at any time. We have like messaging software's very available. And I have health insurance, I don't have to go into that model, so I'm very lucky and privileged to be able to say that, but like, I would rather opt for that model than have to use my health insurance and just find someone who takes BlueCross BlueShield, and then see if they're a good fit. MEGAN NEFF: But, so then you pay out of pocket for your medical visits?  PATRICK CASALE: Yeah, no, it's all-inclusive in that price, like $70 a month includes like, as many medical visits as I want to have with this person. MEGAN NEFF: Wait, how do they like, from a business model, how does that work? That doesn't seem sustainable. PATRICK CASALE: Well, you got to think like if they have 500 patients, and I have no idea how many patients this practice has, and everyone's paying $70 a month, what's the likelihood that all 500 of those people are coming in on a monthly basis? The odds are quite low, so you're making consistent revenue, and then, you're becoming more accessible and available because you're seeing fewer patients.  And I love that model. And I think a lot of practices are starting to do that. But for people who do not have the ability to go to something that's more tailored, more catered, have more time with your provider, like, it's a struggle, right? Like, a yearly annual physical that takes an hour's time and you sit in the waiting room for three hours, and you're frustrated, and overwhelmed the whole time, it's not a good experience. MEGAN NEFF: Well, and the body boundaries. I think that, I mean, I don't even know the last time I had a physical… I actually don't have a PCP, it's on my to-do list. My PCP retired in like 2020 and I just haven't gotten a new one. I definitely should do that. PATRICK CASALE: This podcast is going to hold you accountable to that.  MEGAN NEFF: I know, it's on my to-do list. It's on my, like, those are the things… that's where I really feel my ADHD is things like that, where it's like, that's been on my to-do list for a long time. Going to the dentist was on my to-do list a long time. That's where it's medical stuff, and like just that daily life stuff, where I really struggle to get myself to just do it. But yeah, the body boundaries aspect of like having a physical or like, that is always really hard for me, not going to see the doctor.  PATRICK CASALE: Yeah, absolutely. That makes total sense. And then, having to re-establish with someone new. I mean, there's a lot of challenges here, so we're talking about a lot of barriers. And I'm realizing that as we're talking, like, yeah, what I don't want to do is say, like, the system is broken, and we're all screwed. Like, that's certainly not the [CROSSTALK 00:27:31- MEGAN NEFF: Yeah, and I feel like we do that a lot on our podcast. And I'm, like, being mindful of that of, and I'm seeing this on social media. And like, I'm seeing this in spaces. And I'm feeling this too, like, a lot of the educational posts that are out there are around educating about what's hard for us. And I think that's absolutely important. And actually think like, if you think about the discovery process on like a developmental arc, I think the first process is like identifying, oh, these barriers I experienced, they're connected to autism, or they're connected to ADHD.  But we have to move beyond that. We have to move on to like, hope is such a loaded word, so I don't exactly want to use the word hope, but to things that are really pragmatic and helpful. And like, okay, so these are the barriers, and here's what to do about it.  So, like, I'm feeling that in general with the like, kind of autistic, ADHD neurodivergent affirming world. But I'm also feeling in our podcast of like, okay, I don't want to be yet another voice just talking about how hard our lives are. PATRICK CASALE: Yeah, it's a hard thing to navigate. And you're so right, like because our lives are hard, so we don't want to dismiss that.  MEGAN NEFF: Yeah, we want to honor that. And we want to move the conversation beyond that. PATRICK CASALE: Absolutely. So, I think- MEGAN NEFF: We got to [INDISCERNIBLE 00:28:52]- PATRICK CASALE: What can we do in this situation, when we're talking about the stigma of self-disclosure in medical and mental health spaces? And what can we do to ensure that we're taking care of ourselves, and our physical needs, and our mental health needs too, in a way where we, maybe it's not filled with, like, complete and utter dread all the time? MEGAN NEFF: Yeah, yeah, yeah. Should we kind of shift our conversation and our energy to talk about like, what are some things people can consider doing? PATRICK CASALE: I think so. I mean, we could highlight the other side of the coin all day, it feels like, and I think, maybe we default to that cynical outlook because we're so used to living in a neurotypical world that isn't always set up for us. MEGAN NEFF: Like, it's so important to talk about, and it feels easier in some ways to talk about that than to talk about, okay, now, what do I do about it? Yeah, yeah. PATRICK CASALE: So, I think when we're talking about like, how do… we've talked about how to seek out neurodivergent affirmative mental health spaces. Like, that's pretty clear and cut and dry. And I think it gets a little bit more challenging when we're talking about medical spaces because sometimes you kind of feel like you get what you get and- MEGAN NEFF: Oh, 100%, yeah. PATRICK CASALE: … we don't have the autonomy of choice all the time, especially, if you're in like a small rural area, or health insurance isn't great, or whatever. So, I do think we have to figure out strategies in terms of how do you ensure that you're mentioning, like Megan said, like, that there is some sensory, you know, sensitivity or struggle, how do you mention that? You know, I struggle to sit in a waiting room that's really brightly lit. Like, these are the conversations that need to be had, I think. MEGAN NEFF: Yeah, absolutely. And I think this is, at least in the US, one of the hard things, it often takes a visit with a provider before you really know. Like, I will always go on the directories and read their bios, but even then it's like, it's after the experience.  But grabbing the provider… when you do have a positive experience, when I'm grabbing them, like that dental hygienist, like I, you know, wrote down the name, and I'm like, I will schedule with him forever.  Same thing with, I recently met with a OB-GYN provider who was incredible. And I disclosed I was autistic. And their conversation went well. And I asked her, then I was like, "How do I make you like my primary doctor for OB-GYN care?" So, whenever you do have a positive experience, like figuring out how to grab that provider and getting them on your panel. PATRICK CASALE: I love that. That's a great point, though, like when you do have a positive experience asking that question and trying to feel comfortable as possible to say, how can I ensure that when I come here you're the person that I see, you're the person that I have contact with? I think that's a great step.  MEGAN NEFF: Yeah.  PATRICK CASALE: I imagine if that hygienist leaves that dental practice and you find that out, you're going to follow that person to another dental practice because of the comfortability and the ability to feel supported. MEGAN NEFF: Yeah, yeah, yeah, and that gets back to like, another, I guess, tip would be thinking through your, like, what are your primary needs, and then, pairing your disclosure to that? So, if you're someone who hasn't disclosed, if it's not in your medical record, and you don't want to disclose that, especially, there's a lot of trans people right now who are like disclosing that can have implications for gender-affirming care, so that I know, especially, in the transgender and queer community, this is like a really key topic right now. So, there might be reasons you don't want to fully disclose.  So, thinking through, okay, what do I need in a medical visit? So, yeah, for me, sensory stuff. For me it was really important my OB-GYN knew I had sensory issues, it was really important. My dental hygienist knew I had sensory issues. So, I paired my self-disclosure to that need. Actually, for the for the OB-GYN, I did a full self-disclosure because females are more prone to a lot of endocrine stuff, I wanted her to know that. So, again, it was paired to my need, what am I trying to accomplish here, and then tailoring my self-disclosure to meet that need. PATRICK CASALE: Right. That's a really great point. So, what I hear you saying is like in these moments you have to be intentional and it doesn't always have to be the first time I meet this person I tell them everything. Getting really comfortable with the provider, and then deciding whether or not what is the purpose behind this disclosure, how is this going to best serve me? And I think that's important because you want to protect yourself. MEGAN NEFF: Yeah. And you want to get your needs met. And it's a really effective, like, it's a good effective communication tool, in general. It comes from nonviolent communication theory, like express the underlying need, and then, make a request, right? So, it's basically, practicing nonviolent communication.  So, another one that I see a lot being helpful, especially, for ADHDers, like an ADHDer, I feel like that tends to be in the medical record because many of us are on medication for it. But it could be like, I struggle with attention and remembering. Like, my work in memories is poor, especially, when I'm anxious or like in a medical setting, you want to have to add that part which is struggle to focus, "Is it okay if I audio record your feedback to me or if I audio record part of our visit today?" That's a super helpful one because we're often, again, those 20 minutes, are fast, and we're often talking about complex medical things that aren't going to stick in our head, especially, like, if there's a lot of medical language that can be overwhelming, so being able to audio record a session is one accommodation I find been really helpful for a lot of folks. PATRICK CASALE: That's another great tip. Another thing that I've done that I've found useful is sometimes writing down a list of questions before you go into a visit or things that are on your mind that are causing you anxiety that you would like to have addressed, so it doesn't feel like you're just sitting in this appointment, and it's like, "Oh, my God, I feel really overwhelmed and I don't even get to ask the things that are important to me or bring them up." Scheduling-wise, asking for reminders, making sure that you are opting in to reminder texts, or calls, or emails so that it can help you get yourself oriented, especially, if your executive functioning is really struggling in that way. I find that to be really important for appointment reminders, and just ensuring that you have something on your calendar to defer to or however you like to visualize what your week and month looks like. I think that also helps quite a bit. MEGAN NEFF: Absolutely, absolutely. Yeah, especially, you know, most of us have met like complex medical stuff going on. So, I love that idea of like writing things down ahead of time. I often even tell people, like, what are the top two or top three things you really want to talk about in the medical visit, knowing like, if you have a list of eight things, you're not going to get to it in 20 minutes, and because probably, like, prioritization can be hard for us, and then, again, if we're anxious and kind of in a fight, flight, or freeze state, we're not going to be effective in our self-advocacy. So, thinking through ahead of time, okay, these three things I really want to talk about and I'm even going to script out like, what I'm going to say, or I'm going to write it out. I love that. PATRICK CASALE: Yeah, yeah, absolutely. I think asking, you know, any ND-affirming and positive and supportive community that you're a part of, like, does anyone have recommendations of providers who are ND-affirming? Because I think that's another way because, Megan, if you're saying I really enjoyed this hygienist, this person was really supportive. I imagine if someone was to ask about that you would be the first person to like, "Definitely see this person." Like, with person you'll feel comfortable, where you're going to talk within our communities and I think just having that ripple effect of sharing positive experiences is also really helpful. MEGAN NEFF: Yeah, I don't think I'll actually do this, I don't think I have the spoons for it, but maybe one of our listener wants to do this project on. I've been saying for like a year, I really want to make like, a neurodivergent directory for like everything, right?  So, I think a year ago I went and got my hair done for the first time in three years because it was so long, and again, like, these are things I don't like. So, I went on the website of the place I was going to go and I was like, "Who looks the most neurodivergent? And like, someone with purple hair, and like spunky, and I was like, "Her." And I went to her, and she was, and it's amazing. And just how much of a difference it made having a neurodivergent hairdresser, like, it has been so impactful that I think if we could make neurodivergent directories at like groupthink, I just think that would be so, so resourceful, PATRICK CASALE: It'd be amazing. I mean, if any of you want to take that on as a startup or a project, when Megan and I have the spoons and capacity we can help add to it. But like, I think if people just were able to do that, you know, where we had some sort of resource. And I know it's hard, geographically, but like, just location-wise. And I'm lucky, like, and you are, too. I mean, we live in areas of the country where the cities are probably a bit more progressive than other areas of the country, so we're going to have more providers who are more holistic. And that is definitely a privilege for us to have the ability to say like, there are multiple providers we can contact for this one thing. I also think being mental health professionals, people are more inclined to listen to our feedback. And if someone's not, so I know that's also a struggle as well in terms of advocacy in the medical space. MEGAN NEFF: Yeah, yeah. I mean, this topic of self-advocacy in medical spaces, like actually, it's on my wish list of workbooks to make someday because it's such an important topic and like, I think it's such an area of a struggle for so many of us. And there are some really practical steps of like, okay, this can help me think through how I want to seek out medical care or organize the visit, or, yeah. PATRICK CASALE: Just the little things. Like, if you can do some of these little things that we're suggesting prior to a visit, I think it can alleviate just a little bit of anxiety. It may not complete really remove that sensation, or emotion, or experience, but I do think that it can at least allow for things to feel more manageable when things can feel really overwhelming when you're starting with a new provider, or doing a follow-up, or concerned about something that's happening and you don't really know if you're going to have enough time with this person. So, I do think these strategies can help quite a bit. MEGAN NEFF: Yep, yep. Are we at the point? PATRICK CASALE: I don't know. I'm reading you right now and I feel like maybe you're at the point, or you're at the transition point. Which one would you prefer? MEGAN NEFF: Yeah, I don't know. I mean, there are a few other things in my head I tagged of like, that could be an interesting story, but like, it feels like we're in whatever that conversation was, like, I guess self-advocacy and medical office, it feels like we're done with that conversation. I don't know if that means we're done with the podcast for today or if it just means we'll transition to another similarly related topic. PATRICK CASALE: I love that this is our experience. Like, this is really how this goes. And so many of you have mentioned that you really enjoy this aspect of the podcast, so we want to keep that feeling as natural, and awkward, and uncomfortable as possible for everybody involved, including ourselves. I do think we're done with these self-advocacies component of this conversation. I do think we can transition elsewhere. I'm always tracking time, as I've mentioned before, and it is about 15 minutes from your next appointment, so we can do something else in the next five if something's pressing on your mind. MEGAN NEFF: Well, this is an association, it's not about healthcare. But it was an interesting realization So, I've been listening to our podcast back and I hear my awkwardness and I hear my misspeaks. Oh, I should add this because I felt so… this was my one misspeak that I was like, "Okay, these kinds of misspeaks bugged me last week." Well, the show that aired last week, the one after Thomas. There's was more of group dynamics. I said, "I used to exercise three to four hours a day." Which like, that is an exercise disorder, it was three to four hours a week, but I said day. And I was like, "Oh my gosh." Like, I need to like go back through and like add bloopers of like, "This is what I actually meant." Anyways, that aside, like, aside when I make like mistakes like that, I actually have loved my awkwardness, which is really interesting because I think I used to be so nitpicky in my awkwardness. Like, if I was doing a presentation, I'd record myself, I'd watch it, I'd figure out how to make that smoother. And I genuinely, when I'm listening back to our podcast and I hear me being awkward or hear me misspeak, unless I'm indicating I have an exercise disorder, I smile, and I enjoy it, and it brings me delight, yeah. PATRICK CASALE: I love that because, you know, when we first started this and kind of pitched each other the idea, I think that was a concern for you. Like, "How am I going to come across? And how am I going to embrace my authentic just experience and personality?" MEGAN NEFF: Yeah, I mean, like a lot of ADHDers and autistic people, like I've got pretty gnarly RSD, like rejection sensitivity. So, putting myself out here in this way, I definitely was scared about. And I do realize that, like in being able to celebrate my awkwardness, A, it made me realize how much I have integrated my autistic identity and I have worked through a lot of my ableism. And I've realized that actually really helps with RSD in other ways like, and I mean, there's other places in my life where the RSD is still really active, but around my awkwardness, it's not nearly as much. PATRICK CASALE: I love that. And I also love how this right now, like just processing out loud is probably going to lead to an episode because I think we definitely need to do an episode on RSD. MEGAN NEFF: Well, and this is why my workbooks go from 30 pages to 130 pages. It's the divergent, like, and the combination of ADHD and autism, right? So, it's like, "Oh, this connects to this. Oh, but I have to go really deep into this." PATRICK CASALE: Right. Yes, yes, yes, yes. I love it. Yeah, I think that there the RSD topic is a crucial one and one that we should definitely do an episode on and we could do a series on from people's experiences, too. I mean, stuff is so painful and so there's so much vulnerability there and I'm glad that you feel comfortable with your awkwardness on here.  MEGAN NEFF: Yeah, yeah, yeah, we should definitely talk about RSD. I've actually got some content planned for it next year. So, I'll be deep into that research which will be fun. PATRICK CASALE: We'll do a little behind the scenes of like Megan's life every week of like, what is Megan planning right now? What's Megan's deep dive? MEGAN NEFF: Yeah because I guess it is my, like, whatever my deep dive is for that month, it's kind of my lens. Like, because I'm spending so much time with it, it becomes my lens for seeing the world, which is, I mean, that's why it's the perfect business for me as an autistic ADHDer. It's like a new, deep, immersive ecosystem, but they're all connected, but they're different enough that I don't get bored. So, if I could just learn to not, like, write 130 workbook page every month, and like, tone it down, then this is a perfect business model for me. PATRICK CASALE: Sounds like good goals for the foreseeable future to try to figure out a way to satiate all parts of you to be able to do that. But yeah, I think that's a good topic for sure. And I think embracing our awkwardness is another form of advocacy in some capacities. Like, if we can be okay being awkward in public spaces, and okay with some of our, I'm trying to think of how I'm trying to say what I'm saying. I'm feeling awkward right now. MEGAN NEFF: Are you saying [INDISCERNIBLE 00:46:16] the thing you're talking about right now.  PATRICK CASALE: Yeah, exactly. You know, I think if we could just highlight that and just be like, "This is how we experience life." Right? That's the point of this podcast. Sometimes is like live processing, of acknowledging like, this is how we go through life, and when we have to mask, or when we have to really shift those behaviors, or interactions, or the ways we show up, it doesn't feel authentic for us. And it also feels painful and it also feels exhausting. So, I think the more we can do this, the more we can, you know, embody just actual real sense of self, then I think that's a really powerful thing.  If you want to talk about RSD for the last 30 seconds, I obsessively check our podcast reviews on Apple podcasts, like almost every day. I don't know why, it's just something I've always done. I do it with my other podcasts, too. We got our first like, one-star review, but there's no comments and I just want to know, like, why? It's like when you look at a restaurant, and it's like all five stars, and there's just one person who's like, one-star, I just want to know. MEGAN NEFF: You want context for it, totally.  PATRICK CASALE: I want context. MEGAN NEFF: Yeah, yeah, that hurts a little bit. PATRICK CASALE: Yeah, I get it, but that's just the reality. MEGAN NEFF: And I could see why we're not for everyone, right? Like, for one, anyone who's not in the neurodivergent affirming space, I could see having reactions to us.  PATRICK CASALE: Absolutely. MEGAN NEFF: And I don't know, maybe not everyone loves listening to two [INDISCERNIBLE 00:47:51] people. PATRICK CASALE: All I can say is that I love all of you who are listening, and supporting, and consistently tuning in, and consistently offering feedback, whether it's constructive, positive, whatever, that's what we want. We want feedback. So, if you have it, if you have topics that you want us to cover, if you have things you just want to share, check out our Instagram page, Divergent Conversations. You can post comments, you can send messages, whether or not we respond to those messages, that's a different story. I'm trying to limit the pings and pongs as Megan would say, but we do want feedback and we really do value your questions, and your thoughts as well.  And we appreciate the fact that like, in less than two months there are 30,000 of you listening and that feels amazing. And I think that there feels like there's a trickledown effect from just having these conversations and sharing these episodes, and Megan and I just showing up as authentically and vulnerably as we can. MEGAN NEFF: And that's [INDISCERNIBLE 00:48:59] goodbye. Now [CROSSTALK 00:49:02] awkward. PATRICK CASALE: Okay, I'm losing my voice so saying goodbye is going to be fun. MEGAN NEFF: Me too. PATRICK CASALE: To everyone who listens to this podcast, to Divergent Conversations, our new episode's out every single Friday on all major platforms and YouTube. You can like, download, subscribe, and share. And we will see you next week. Goodbye.

Dr Kirk and Bob answer patron emails.From our sponsor, BetterHelp: Need a therapist? Try BetterHelp! https://www.betterhelp.com/kirkGet started today and enjoy 10% off your first month. Discount code “KIRK" will be automatically applied.Become a patron: https://www.patreon.com/PsychologyInSeattleEmail: https://www.psychologyinseattle.com/contactMerch: https://teespring.com/stores/psychology-in-seattleCameo: https://www.cameo.com/kirkhondaInstagram: https://www.instagram.com/psychologyinseattle/Facebook Official Page: https://www.facebook.com/PsychologyInSeattle/TikTok: https://www.tiktok.com/@kirk.hondaApril 14, 2023The Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com