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This convo was a pleasure to have. Body image in our 30's is not something discussed enough and the truth is- body image distress impacts people throughout the lifespan. I hope you feel seen, understood and motivated to divest from beauty standards that don't align with your values and/or are not serving you. As always, find me on IG @bodyjustice.therapist or via my website: www.eatingdisorderocdtherapy.comAbout Colleen:Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Philadelphia, Pennsylvania. She is the founder of a group eating disorder practice, Wildflower Therapy. She is an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She has lived experience of anorexia, as well as infertility, IVF, and recurrent pregnancy loss-which has led to her inability to stop chattering away about the nuanced relationship between reproductive grief, motherhood, and our bodies. She is a lucky mom of two, and an intersectional feminist through and through. Substack: Musings from a feminist mother Tiktok @drcolleenreichmannInstagram @drcolleenreichmannWebsite: www.wildflowertherapyllc.comBook: The Inside Scoop on Eating Disorder Recovery: Advice From Two Therapists Who Have Been TherePodcast: The Motherhood Body ChroniclesReminder that this podcast is not a substitute for individual therapy or medical advice. This podcast is for informational and educational purposes only. This podcast does not constitute provider-patient relationship. If you would like to work with Allyson or a member of her team, please visit our website and schedule a free consultation to see if we are the right fit for you: www.eatingdisorderocdtherapy.com
In this episode of The Birth Trauma Mama Podcast, I'm joined by Dr. Colleen Reichmann, clinical psychologist, eating disorder specialist, and founder of Wildflower Therapy. Together, we dive deep into the complex intersections of body image, eating concerns, infertility, pregnancy, postpartum, and birth trauma.Dr. Reichmann shares her professional expertise and personal journey navigating anorexia, infertility, and postpartum body changes, offering validation, compassion, and essential insights for anyone who has felt disconnected, angry, or let down by their body.What You'll Hear in This Episode:
In this episode, Stephen Merz, FACHE, Vice President and COO of Sheppard Pratt Solutions, joins the podcast to discuss the critical role of behavioral healthcare in today's health systems. From expanding access through national partnerships to breaking stigma and addressing social determinants of health, Merz shares actionable insights and bold strategies for improving care and outcomes nationwide. This episode is sponsored by Altera
Send us a textTwo time grammy nominee, pop sensation, and author Madison Beer's rise to fame set her family on a stardom whirlwind after the then 13-year-old's viral video of a Bruno Mars mash-up caught the attention of music manager Scooter Braun and pop-phenom Justin Beiber. Madison has millions of fan around the world and has been very open about downfalls of success and popularity. In this conversation, Madison's mom Tracie shares her journey as a mother navigating the complexities of raising a child in the spotlight as she talks with Got it From My Momma podcast host, Jennifer Vickery Smith. From her daughter's viral moment to the challenges of fame, mental health, and maintaining family dynamics, Tracie emphasizes the importance of open communication and support. She reflects on the rapid changes in their lives, the struggles they faced, and the lessons learned along the way, highlighting the significance of resilience and understanding in parenting. In this conversation, Tracie shares her experiences as a mother navigating the complexities of raising a child in the music industry while maintaining strong family values. She emphasizes the importance of creating a safe space for open conversations, the highs and lows of fame, and the evolution of her daughter's music. Tracie also reflects on her own identity beyond motherhood and her aspirations for the future, all while instilling empathy and kindness in her children.Visit www.gotitfrommymommapodcast.comBecome an INSIDER by subscriber to our newsletter on the websiteThank you to our generous Got It From My Momma podcast friends! This episode is brought to you by the following:SHEPPARD PRATTwww.sheppardpratt.orgThis episode is brought to you in partnership with Sheppard Pratt- the nation's largest private, non-profit provider of mental health, substance use, special education, developmental disability, and social services.Link to Tracie's Halter Hangers www.halterhanger.comLink to Madison's Book- The Half of It https://www.amazon.com/dp/0063237695/ref=cm_sw_r_as_gl_api_gl_i_AEH2Q141F60XP7QY9KEF?linkCode=ml2&tag=jennifersm0be-20Puchase Barefaced Skincare Products atBarefaced.comUse code MOMMA15 for 15% off Visit coatdefense.comGet 15% off with codeMOMMA15 www.gotitfrommymomma.tvThank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: HARPER COLLINS CHRISTIAN PUBLISHERSJesus Calling Commemorative Edition or Reba McEntire's Not That Fancywww.faithgateway.comUse Code Momma3 for $3 off and free shipping or the GIFMM AMAZON Storefront https://www.amazon.com/shop/gotitfrom_mymomma/list/3T9YOF2KPS8NB?ref_=cm_sw_r_cp_ud_aipsflist_BNA664W48A20GG0PEHDY_1BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off Got it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
In episode 465 I chat with Molly Schiffer (LCPC). Molly is a therapist and associate director at The Center for OCD and Anxiety at Sheppard Pratt. We discuss her therapy story, cognitive processing therapy (CPT), trauma and OCD, CPT for trauma (PTSD & CPTSD), how trauma can fuel the OCD, CPT helping exposure and response prevention therapy (ERP), Molly shares a clinical case example of CPT in action, and much more. Hope it helps. Show notes: https://theocdstories.com/episode/molly-465 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter Thanks to all our patrons for supporting our work. To sign up to our Patreon and to check out the benefits you'll receive as a Patron, visit: https://www.patreon.com/theocdstoriespodcast
In episode 457 I chat with Jon Hershfield, MFT. Jon is the director of Sheppard Pratt's The Center for OCD and Anxiety. In this episode we discuss what is a residential treatment center, who can benefit from residential treatment, what a day in the life in residential looks like, the duration of a residential stay, therapy at residential centers, art therapy, yoga, mindfulness, having a team around you, the use of family therapy, and much more. Hope it helps. Show notes: https://theocdstories.com/episode/jon-457 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter Thanks to all our patrons for supporting our work. To sign up to our Patreon and to check out the benefits you'll receive as a Patron, visit: https://www.patreon.com/theocdstoriespodcast
Send us a textApril Simpkins discusses her book 'By the Time You Read This' and her daughter Cheslie's battle with mental illness on the Got it From My Momma podcast with host, Jennifer Vickery Smith. Cheslie, a high achiever and beauty queen, struggled with persistent depressive disorder and feelings of inadequacy. April shares the importance of building a support system for children dealing with mental illness and the need to destigmatize mental health. She also talks about the challenges of being a parent to a child with mental illness and the guilt she felt when making decisions about her daughter's treatment. April emphasizes the need for empathy and support for those struggling with mental health issues. April Simpkins shares her experience of receiving a text message from her daughter, Cheslie, saying that she won't be alive anymore. April immediately called the police and rushed to New York to be with Cheslie. Unfortunately, Chesley had already passed away. April emphasizes the importance of mental health awareness and removing the stigma surrounding mental illness. She also discusses how she has found joy even in the midst of grief. April applauds the recent decisions of pageant queens to step down to prioritize their mental health. She shares her gratitude for the support she received during her daughter's reign as Miss USA and emphasizes the importance of community. April also talks about her other children and the role of faith in her healing journey.Purchase: By the Time You Read Thishttps://a.co/d/gq2T0O5Visit www.gotitfrommymommapodcast.comThank you to our generous Got It From My Momma podcast friends! This episode is brought to you by the following:SHEPPARD PRATTwww.sheppardpratt.orgThis episode is brought to you in partnership with Sheppard Pratt- the nation's largest private, non-profit provider of mental health, substance use, special education, developmental disability, and social services.@jvickerysmith on InstagramGOT IT FROM MY MOMMA is an interview-format podcast with the moms of your favorite entertainers and athletes. In each episode, our guests share stories from an artist's childhood and the journey to stardom from the perspective only a momma can share! Fun, heartwarming, and never-before-heard stories fill the engaging episodes as we appeal to fans of the stars as well as listeners who just love good stories and great advice!About the Host - Jennifer Vickery Smith:Jennifer Vickery Smith has worked as an on-camera reporter, anchor, producer, and print journalist in both the world of entertainment and broadcast news for more than 20 years. Jennifer has worked with each of the major networks and nationally broadcast entertainment programs, including Entertainment Tonight and EXTRA. Momma herself to rising country music artist Conner Smith (Valory/Big Machine), Jennifer is excited to help tell stories of an entertainer's journey from a perspewww.coatdefense.comCoat Defense Pet Products15% off with code: MOMMA15 Visit Barefaced.com and use the code MOMMA15 to receive 15% off your first purchase! Thank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off Got it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
Back from SHSMD Connections 2024 in Denver, CO, Jenny Bristow, Shelby Auer, Mark Brandes, and Taylor Fedderke from Hedy & Hopp share their key takeaways. They discuss the latest trends in AI and privacy, the strong audience engagement in Q&As, and why using data effectively remains a top priority in healthcare marketing. They also highlight sessions on recruitment-focused marketing strategies, a basketball-themed initiative that improved KPIs like reducing harm events and patient stay times, and a creative healthcare heroes social media program. From first-time attendees to catching up with old friends—and handing out fan favorite friendship bracelets and art prints at H&H's booth—the team shares their favorite moments and insights from a successful conference! Connect with Jenny: ● Email: jenny@hedyandhopp.com ● LinkedIn: https://www.linkedin.com/in/jennybristow/ Connect with Mark: ● LinkedIn: https://www.linkedin.com/in/markbrandes/ Connect with Shelby: ● LinkedIn: https://www.linkedin.com/in/shelby-wanne/ Connect with Taylor: ● LinkedIn: https://www.linkedin.com/in/taylorfedderke/ SHSMD24 Speakers Mentioned ● Maria Belli, Sheppard Pratt: https://www.linkedin.com/in/maria-belli-773389143/ ● Kristina Schiller Chaki, Sheppart Pratt: https://www.linkedin.com/in/kristina-schiller/ ● Allison Vance, Regional One Health: https://www.linkedin.com/in/allisonvance/ ● Jani Radhakrishhnan, Regional One Health: https://www.linkedin.com/in/janirad/ ● Carley Cori (Weinstein), Stony Brook Medicine: https://www.linkedin.com/in/carleypweinstein/ ● Breanne Taylor, The Kids Mental Health Foundation: https://www.linkedin.com/in/breanne-taylor-932403b/ ● Donna Teach: https://www.linkedin.com/in/donnawteach/ If you enjoyed this episode we'd love to hear your feedback! Please consider leaving us a review on your preferred listening platform and sharing it with others.
Matthew W. Johnson, PhD, is a senior researcher for the Center of Excellence for Psilocybin Research and Treatment at Sheppard Pratt's Institute for Advanced Diagnostics and Therapeutics. He is one of the world's most accomplished scientists on the human effects of psychedelics and has conducted seminal research in the behavioral economics of drug use, addiction, and risk behavior. The conversation explores the evolution and impact of psychedelic research, particularly psilocybin and ketamine, over the past 20 years. Dr. Johnson highlights the shift from psilocybin's political casualty status to a multi-billion-dollar industry with FDA approval potential. Psilocybin shows promise in treating tobacco addiction, with a recent study doubling nicotine patch success rates. Ketamine, approved for depression, also shows potential in addiction treatment. The discussion touches on the therapeutic settings, the importance of preparation, and the potential for psychedelics to induce profound, lasting behavioral changes. The conversation also addresses the legal landscape, ethical considerations, and the risks associated with psychedelic use.0:00:00 - Intro0:00:13 - Interest in Psychedelics and Early Research0:03:09 - Behavioral Science & Psychedelics 0:05:20 - MK Ultra and Mind Manipulation 0:07:58 - Therapeutic Setting and Regulation 0:10:07 - Comparison with Traditional Treatments0:13:19 - Psychedelic Therapy Model0:16:45 - Music and Environment 0:18:44 - Personal Reactions and Screening0:23:15 - Neuroplasticity and Brain Changes0:30:27 - PTSD and MDMA0:33:15 - Ketamine & Addiction 0:51:20 - Realizations Under Psychedelics 0:56:20 - Prince Harry & Psychedelics 0:59:15 - Psychosis Risk & Vulnerability 1:03:05 - Pursuing Psychedelics Use & Legality 1:14:01 - Outro Dr. Matthew W. Johnson link:https://www.sheppardpratt.org/why-sheppard-pratt/our-experts/details/matthew-w-johnson-phd/Chuck Shute link tree: https://linktr.ee/chuck_shuteSupport the showThanks for Listening & Shute for the Moon!
Send us a textFIVE-TIME OLYMPIC GOLD MEDALIST MISSY FRANKLIN AND HER MOTHER D.A. JOIN HOST JENNIFER VICKERY SMITH IN A CONVERSATION ABOUT MOTHERHOOD, THE PRESSURE THAT OFTEN COMES WITH SUCCESS, AND MENTAL HEALTH. LEARN ABOUT MISSY'S CHILDHOOD AS A FOCUSED, DRIVEN, PEOPLE-PLEASING CHILD AND THE HIGHS AND LOWS OF A CAREER IN PROFESSIONAL SPORTS. Stay tuned as we continue the conversation with Dr. Harsh Trivedi, Child Psychiatrist and CEO of Sheppard Pratt- the nation's largest private, non-profit provider of mental health, substance use, special education, developmental disability, and social services. www.sheppardpratt.orgVisit www.gotitfrommymommapodcast.comVisit www.momslovegold.com to learn more about investing in precious metals. Receive a 5 Gram Gold Bar free with qualifying purchases. Use code MOMMA15 to receive 15% off at www.coatdefense.com Visit Barefaced.com and use the code MOMMA15 to receive 15% off your first purchase! Thank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off AMERICAN INDEPENDENCE GOLDwww.momslovegold.comFree 5 Gram Gold Bar with Qualifying PurchaseGot it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
Send us a Text Message.Crystal Henderson is mom to seven athletic, high-achieving difference makers including Scoot Henderson of the Portland Trailblazers. Scoot was the #3 draft pick in the NBA and at age 17, the youngest player to play in the NBA's G-League for elite athletes. The Henderson now give back to the next generation of young athletes through their NEXTPLAY 360 organization- a training facility near Marietta, GA where kids are learning a whole lot more than the game of basketball. Stay tuned as we continue the conversation with Dr. Harsh Trivedi, Child Psychiatrist and CEO of Sheppard Pratt- the nation's largest private, non-profit provider of mental health, substance use, special education, developmental disability, and social services. www.sheppardpratt.orgVisit Barefaced.com and use the code MOMMA15 to receive 15% off your first purchase! Visit www.momslovegold.com to learn more about investing in precious metals. Receive a 5 Gram Gold Bar free with qualifying purchases. Visit Coatdefense.com and receive 15% off with the code MOMMA15Thank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off AMERICAN INDEPENDENCE GOLDwww.momslovegold.comFree 5 Gram Gold Bar with Qualifying PurchaseGot it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
Send us a Text Message.Robin Burrow, mother of NFL quarterback Joe Burrow (Cincinnati Bengals), discusses her son's upbringing and journey to success. She shares that Joe was always a chill and focused child, excelling in sports like baseball and basketball. Robin talks about the importance of communication and maintaining a strong support system for children. She also highlights the challenges and sacrifices they made as a family. Robin expresses her pride in Joe's accomplishments and his grounded nature. She discusses the impact of Joe's Heisman speech and the establishment of the Joe Burrow Foundation, which focuses on food insecurity and early childhood education. The conversation with Robin Burrow focused on two main themes: the importance of access to care for teens dealing with mental illnesses and the impact of the Joe Burrow Foundation. Robin Burrow discussed how her experience as a teacher and as an elementary principal made her aware of the struggles that children face and the need for mental health support. She also highlighted the foundation's efforts to de-stigmatize mental health and provide resources for those in need. Robin Burrow also shared insights into Joe Burrow's mindset as a professional athlete and the importance of supporting athletes' mental health. This episode is brought to you in partnership with Sheppard Pratt- the nation's largest private, non-profit provider of mental health, substance use, special education, developmental disability, and social services. www.sheppardpratt.orgStay tuned after our conversation with Robin to hear from Child Psychiatrist and Sheppard Pratt CEO, Dr. Harsh Trivedi. Visit Barefaced.com and use the code MOMMA15 to receive 15% off your first purchase! Visit Coatdefense.com and receive 15% off with the code MOMMA15iMOM PodcastIf you need a mom friend right now, you've come to the right place. On iMOM.com we...Listen on: Apple Podcasts SpotifyThank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off Got it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
Send us a Text Message.Meet Keisha Caine Bishop- the momma and chief cheerleader behind "the fastest man in the world" - her son Noah Lyles. Noah took the gold in the 100-meter race for Team USA in the 2024 Olympics in Paris (maybe another by the time you are listening). When you hear what he has overcome- asthma, anxiety, ADHD, depression... you will cheer even harder for this Olympian. Keisha battled depression herself as a former elite athlete and has placed a priority on Noah and his sibling's mental health. In fact, Noah has three therapists. After the interview with Keisha, stay tuned to hear from Dr. Harsh Trevedi, CEO and President of Sheppard Pratt. It's a great conversation offering encouragement and practical information for moms concerned for their child's mental well-being. This episode is brought to you in partnership with Sheppard Pratt- the nation's largest private, non-profit provider of adolescent mental health, substance use, special education, developmental disability, and social services.www.sheppardpratt.orgVisit Barefaced.com and use the code MOMMA15 to receive 15% off your first purchase! Visit Coatdefense.com and receive 15% off with the code MOMMA15iMOM PodcastIf you need a mom friend right now, you've come to the right place. On iMOM.com we...Listen on: Apple Podcasts SpotifyThank you to our generous Got It From My Momma podcast friends! This episode is brought to you by: BAREFACED SKINCAREwww.barefaced.comUse MOMMA15 for 15% off your first purchase! TEXT a Skincare Specialist at 25169 for complimentary consults and to answer any skin questions.COAT DEFENSEwww.coatdefense.comInstagram @coat_defenseUse MOMMA15 for 15% off Got it From My Momma on the WEBwww.gotitfrommymomma.tv(Become an Insider!)Host- Jennifer Vickery Smith@jvickerysmith on Instagram WATCH podcast episodes on YouTube @gotitfrommymommapodcast
Matthew W. Johnson, PhD, is a senior researcher for the Center of Excellence for Psilocybin Research and Treatment at Sheppard Pratt's Institute for Advanced Diagnostics and Therapeutics. He is one of the world's most accomplished scientists on the human effects of psychedelics and has conducted seminal research in the behavioral economics of drug use, addiction, and risk behavior. Dr. Johnson, an expert in behavioral pharmacology research, has decades of experience. In his most recent role, he served as a professor of psychiatry and behavioral sciences at Johns Hopkins Medicine. Dr. Johnson's current research centers around the efficacy and safety of psychedelics in the treatment of various medical and mental health conditions. In 2008, Dr. Johnson played a crucial role in revitalizing human psychedelic research by publishing psychedelic risk and safety guidelines, which are now widely recognized as field standards. His trials have explored the effects of psychedelics on mystical experience, personality change, cancer distress treatment, and depression treatment. Dr. Johnson published the first research on psychedelic treatment for tobacco addiction in 2014. In 2021, he received the first federal grant in a half-century for treatment research with a classic psychedelic. He has received continuous National Institute of Health (NIH) funding as Principal Investigator since 2009 and has reviewed for >75 journals, including serving as guest editor on two special issues on psychedelics. Dr. Johnson has reviewed grants for the NIH, the National Science Foundation, the U.S. Military, and multiple governments outside the U.S. He was a member of the Addictions Risks and Mechanisms (ARM) NIH study section for 5 years. He has been invited to present his research in over a dozen countries. Dr. Johnson holds a Bachelor of Science degree from Eastern Oregon University and earned his PhD in Experimental Psychology from the University of Vermont. He served as President of the International Society for Research on Psychedelics in 2020, the first scientific society dedicated to quantitative research on psychedelics and one he played a role in founding. In 2019, Dr. Johnson also served as President of the Psychopharmacology and Substance Abuse Division of the American Psychological Association. Dr. Johnson has been interviewed about psychedelics and other drugs by many newspapers, TV and radio programs, and podcasts around the world. These include interviews by Anderson Cooper on 60 Minutes, CNN, NPR, Fox News, Fox Business News, the BBC, The New York Times, The Washington Post, The Wall Street Journal, The Globe and Mail, The Atlantic, Newsweek, Vanity Fair, Marie Claire, Vogue, Washingtonian, Scientific American, Nature, the Lex Fridman Podcast, the Huberman Lab Podcast, Big Think, and by Michael Pollan in his best-selling book, How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression, and Transcendence. Follow Dr. Johnson X: https://x.com/drug_researcher Website: https://www.sheppardpratt.org/why-sheppard-pratt/our-experts/details/matthew-w-johnson-phd/ The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.
In this episode of the Becker's Healthcare Podcast, Megha Kachalia, Chief Strategic Planning at Sheppard Pratt, discusses her career journey from physician to healthcare executive, the current challenges in mental health care, and innovative strategies to address provider shortages and improve access to care. She highlights the importance of authenticity in leadership and the role of continuous professional growth in a fulfilling healthcare career.
In this episode of the Becker's Healthcare Podcast, Megha Kachalia, Chief Strategic Planning at Sheppard Pratt, discusses her career journey from physician to healthcare executive, the current challenges in mental health care, and innovative strategies to address provider shortages and improve access to care. She highlights the importance of authenticity in leadership and the role of continuous professional growth in a fulfilling healthcare career.
This week we welcome Dr Harsh Trivedi, President and CEO of Sheppard Pratt- the largest private, nonprofit provider of mental health, substance use, special education, developmental disability, and social services. As a parent of two adolescent children and as a child and adolescent psychiatrist, Dr. Trivedi empathizes with parents of today's youth, who are also in uncharted territory. He ia passionate about helping parents find the tools and communication to help their kids navigate and cope with mental health struggles. This podcast is hopeful, backed by research, and full of strategies for parents. To find out more about Dr. Trivedi's incredible work and all the work happening at Sheppard Pratt, click here. The Parenting Handbook: Your Guide to Raising Resilient Children For a limited time only, buy a copy of our The Parenting Handbook: Your Guide to Raising Resilient Children and recieve a free gift! Yes, when you buy our book you also get access to our Compassionate Discipline workshop valued at $87.84. Not quite sure yet? Download a free chapter! To find out more, click here for more info! Interested in our Professional Membership? ICP is thrilled to offer its new professional membership. This membership comes with 30+ accredited mental health courses, 15 general children's mental health courses, bi-monthly professional group consults, access to our live tranings, printables, scripts, and case note templates. Affordable, accesible training all in one spot! Find out more here
Since Dr. Matthew Johnson first appeared on 12 Geniuses in September of 2020 to discuss The Future of Psychedelics, popular opinion in favor of this category of drugs has surged and so has the research and potential uses for psilocybin, MDMA, LSD, ayahuasca, and other drugs that fit into the broader category of psychedelics. Dr. Johnson and his research have been critical to fueling these growing trends. In this interview, Dr. Johnson discusses the advancements in psychedelic research that have been made in the last few years, how favorable public opinion about the use of these once taboo drugs continues to grow, and he closes the conversation with his sobering advice for people who are experimenting on their own with these drugs, going on weekend psychedelic retreats, or even going to South America to have ayahuasca experiences with a shaman. Dr. Matthew Johnson is Senior Investigator in Psychedelics at Sheppard Pratt and Professor of Psychiatry and Behavioral Sciences at Johns Hopkins University where he is one of the world's most published scientists on the human effects of psychedelics. He had conducted seminal research in the behavioral economics of drug use, addiction, and risk behavior. Dr. Johnson published psychedelic safety guidelines in 2008, helping to resurrect psychedelic research.
A large search-and-rescue operation is underway following the collapse of the Francis Scott Key Bridge Tuesday morning after a container ship crashed into a support pier. The bridge, which links serves an important artery for the region, and is part of Interstate 695 which serves north-south traffic along the I-95 corridor. WYPR News Director Matt Bush joins us to discuss the latest developments. We also speak to Dr. Mehdi Shokouhian, a Morgan State Associate Professor in the Department of Civil Engineering, about the monitoring and maintenance of Maryland's transportation infrastructure, including the Key bridge. John Olszewski, Baltimore County Executive, joins us to discuss the ramifications of the collapsed bridge, which spanned from Dundalk across to Baltimore County. And then we talk to Dr. Vittoria DeLucia, a psychiatrist with Sheppard Pratt, about how to cope with traumatic events and manage the fears that may result.Email us at midday@wypr.org, tweet us: @MiddayWYPR, or call us at 410-662-8780.
In this episode, we speak with Dr. Matthew Johnson about the use of psychedelic therapy for enhancing mental health. Dr. Johnson is a Professor of Psychiatry and Behavioral Sciences at Johns Hopkins University and most recently a Senior Investigator in Psychedelics at Sheppard Pratt further. He is one of the world's most published scientists on the human effects of psychedelics, and has conducted seminal research in the behavioral economics of drug use, addiction, and risk behavior. Dr. Johnson was the 2019 President of the Psychopharmacology and Substance Abuse Division of the American Psychological Association, and is currently President of the International Society for Research on Psychedelics. Our discussion spans the fundamental aspects of these substances, their application in therapy, and what one can expect from a psychedelic experience. This conversation sheds light on the preparation required prior to embarking on such a journey, offers detailed insights on dosage and the experience itself, and emphasizes the importance of integration post-experience. If the exploration of psychedelic medicine's healing potential captivates you, this episode is not to be missed. Host: Brent Franson, Founder & CEO, Most Days Guest: Dr. Matthew Johnson Music: Patrick Lee Producer: Patrick Godino
U.S. Surgeon General Vivek Murthy raised the alarm last year about social media use and deteriorating mental health among young people. In the advisory, headlined Social Media and Youth Mental Health, Murthy highlighted research tying social media use to eating disorders and body-image concerns among young people. Eating disorders are among the deadliest mental disorders. Here to talk about the myths and risks of eating disorders is Dr. Terri Griffith, a psychologist at Sheppard Pratt and the Center for Eating Disorders. More resources can be found at he National Eating Disorders Association's website. You can call the National Association Of Anorexia Nervosa And Associated Disorders' Helpline at (888) 375-7767, which offers emotional support and referrals. (Marco Verch, Creative Commons 2.0, via Flickr)Do you have a question or comment about a show or a story idea to pitch? Contact On the Record at: Senior Supervising Producer, Maureen Harvie she/her/hers mharvie@wypr.org 410-235-1903 Senior Producer, Melissa Gerr she/her/hers mgerr@wypr.org 410-235-1157 Producer Sam Bermas-Dawes he/him/his sbdawes@wypr.org 410-235-1472
Matthew Johnson, Senior Researcher at the Sheppard Pratt center of Excellence for Psilocybin Research and Treatment, joins guest host Ian Hoch to talk about the possibilities of using psychedelics to treat PTSD and depression.
This hour, guest host Ian Hoch speaks with Matthew Johnson, Senior Researcher at the Sheppard Pratt center of Excellence for Psilocybin Research and Treatment, about the research into using psychedelics to treat PTSD and depression.
The start of the school year can be an anxious time for kids. How can parents offer reassurance? When are back-to-school jitters something more serious? We ask psychiatrist Dr. Justine Larson, who serves as medical director of schools and residential treatment centers for Sheppard Pratt. Plus, Baltimore Banner education reporter Liz Bowie on test scores, bus routes, and school renovations. Read more:Thousands of Howard County students stranded without bus service this weekHistoric Baltimore high schools are getting a face-lift. Parents and alumni want more.Maryland schools recovered from pandemic learning losses in English. Math is a different story. Check out WYPR's education reporting, including this recent story: New survey shows half of Maryland teachers work a second job, even more gain personal debtDo you have a question or comment about a show or a story idea to pitch? Contact On the Record at: Senior Supervising Producer, Maureen Harvie she/her/hers mharvie@wypr.org 410-235-1903 Senior Producer, Melissa Gerr she/her/hers mgerr@wypr.org 410-235-1157 Producer Sam Bermas-Dawes he/him/his sbdawes@wypr.org 410-235-1472
#52: Jon Hershfield, MFT — The Relationship of Mindfulness and OCD Jon Hershfield has been an expert in the field of mental health, specifically in OCD since 2009. He was the director of the OCD and Anxiety Center of Greater Baltimore, associate director of the UCLA Pediatric OCD Intensive Outpatient Program, and clinician at the OCD Center of Los Angeles. Now, he is the director of the Center for OCD and Anxiety at Sheppard Pratt. He is also both an author and co-author for books relating to OCD. In this episode we talk about: ◾️ Mindfulness and OCD ◾️ Training your mind and other techniques for managing OCD ◾️ Judgement and self-criticism and how to counter it Find Jon here: ocdbaltimore.com @ocdbaltimore Find Zach here: zachwesterbeck.com @zach_westerbeck
In this episode, Dr. Thomas Franklin and Dr. Marina Nikhinson of the Mindwork Group join host Scott Maberry to explore what the best companies in the world are doing to promote the mental health and well-being of their people. What We Discussed in This Episode What does a mentally healthy organization look like? What do great organizations do to support the mental health and well-being of their people? Why is it sometimes difficult to access high-quality mental health care? What about business executives and law partners? They sometimes need help too. What is a typical psychological profile of people with leadership roles in large organizations? What mental health needs do these individuals typically have? What is burnout? What are really good organizations doing to combat this issue? About Thomas Franklin, M.D. A national leader in psychiatry and psychoanalysis, Dr. Thomas Franklin served as Medical Director of the Retreat at Sheppard Pratt, the premiere program of the prestigious Sheppard Pratt Hospital. He was appointed a member of the American College of Psychiatrists and the Group for the Advancement of Psychiatry. Dr. Franklin is board-certified in psychiatry and addiction medicine and is a graduate of the Washington Psychoanalytic Institute and the Johns Hopkins Carey School of Business. In addition to serving as a faculty member of the University of Maryland School of Medicine faculty, he also serves as a discussion group leader for the American Psychoanalytic Association. Dr. Franklin is a co-founder of Mindwork Group, where he is President and Chief Executive Officer of MindWork Group. He has extensive experience treating professionals, executives, business owners, political leaders, and their families. He has been extensively quoted in the areas of substance use disorders, personality disorders, and mental health policy. Marina Nikhinson Dr. Marina Nikhinson is a board-certified psychiatrist with advanced training in psychodynamic psychotherapy, mentalization-based therapy, dialectical behavior therapy, and the treatment of mood and personality disorders. She is a master-trainer in the general psychiatric management of borderline personality disorder. In her role as attending psychiatrist at the Retreat at Sheppard Pratt, Dr. Nikhinson became a recognized leader in the treatment of people with complex psychiatric, psychological, and substance use disorders. She is a graduate of the Washington-Baltimore Center for Psychoanalysis. A faculty member at the University of Maryland School of Medicine, she is also a Fellow of the American Psychiatric Association. Dr. Nikhinson is a co-founder of the MindWork Group, serving as its Executive Vice President and Chief Operating Officer. In her distinguished career, she has cared for an international cadre of patients, including business owners, political leaders, and executives of Fortune 100 companies. About Scott Maberry As an international trade partner in Governmental Practice, J. Scott Maberry counsels clients on global risk, international trade, and regulation. He is also a past co-chair of the Diversity and Inclusion Working Group for the Washington D.C. office, serves on the firm's pro bono committee, and is a founding member of the Sheppard Mullin Organizational Integrity Group. Scott's practice includes representing clients before the U.S. government agencies and international U.S. Department of Treasury's Office of Foreign Assets Control (OFAC), the Department of Commerce's Bureau of Industry & Security (BIS), the Department of Commerce Import Administration, the Department of Homeland Security (DHS), the Department of State Directorate of Defense Trade Controls (DDTC), the U.S. Department of Justice (DOJ), the International Trade Commission (ITC), and the Committee on Foreign Investment in the U.S. (CFIUS). He also represents clients in federal court and grand jury proceedings, as well as those pursuing negotiations and dispute resolution under the World Trade Organization (WTO), North American Free Trade Agreement (NAFTA) and other multilateral and bilateral agreements. A member of the World Economic Forum Expert Network, Scott also advises the WEF community in the areas of global risk, international trade, artificial intelligence and values. Contact Information Dr. Thomas Franklin Dr. Marina Nikhinson J. Scott Maberry Resources MindWork Group Thank you for listening! Don't forget to SUBSCRIBE to the show to receive two new episodes delivered straight to your podcast player every month. If you enjoyed this episode, please help us get the word out about this podcast. Rate and Review this show on Apple Podcasts, Amazon Music, Google Podcasts or Spotify. It helps other listeners find this show. This podcast is for informational and educational purposes only. It is not to be construed as legal advice specific to your circumstances. If you need help with any legal matter, be sure to consult with an attorney regarding your specific needs.
We're talking about mental health and teaching coping skills for children with Jenna Bernstein, assistant director of social work at Sheppard Pratt. They are the nation's largest private, nonprofit provider of mental health services. A Pew Research study from January noted that more than being bullied or facing difficulties with drugs/alcohol, parents are most worried about their child experiencing depression or anxiety. The CDC's recent Youth Risk Behavior Survey reflects a worsening of mental health trends among high school girls over the past decade. Nearly 1 in 3 high school girls report feeling anxious and having a negative view of themselves. They are constantly worried and comparing themselves to their peers. Coping Skills for KidsParents should start modeling positive behaviors to their children at an early age. If parents are angry it's ok to say they are angry, and then model a behavior to reduce their anger. Foster connections with kids without making direct eye contact. Try talking while you are driving in a car. Play video games side-by-side, go fishing. If a child hangs their head while trying to have a conversation with you, don't make it mandatory that they have to look you in the eye. It was probably hard enough to start the conversation, don't make it harder by forcing eye contact. When a child shares their feelings, they are often looking for validation, not a quick fix from an adult. After making sure to understand their feelings an adult can then ask if there is anything they can do to help. When to get helpIf parents see a lot of self-blame, guilt, loss in interest in favorite activities, loss of appetite, and especially self harm or aggression it's time to seek help. Sheppard Pratt Mental Health Care Finderhttps://www.sheppardpratt.org/care-finder/outpatient-mental-health-centers/More Podcasts
This episode features Jennifer Wilkerson, Chief Strategy Officer at Sheppard Pratt. Here, she discusses what led her to her current position, how Sheppard Pratt is addressing behavioral health as a whole continuum of care, and more.
This episode features Jennifer Wilkerson, Chief Strategy Officer at Sheppard Pratt. Here, she discusses what led her to her current position, how Sheppard Pratt is addressing behavioral health as a whole continuum of care, and more.
Happy day after Thanksgiving. a day late caz of the holiday but late better then never. We got a good one for you today. We talk about our times in mental institutions. getting flew out and much more. With guest Pawnie!!!!! (lmao)
Jon Hershfield, MFT, author of The Mindfulness Workbook for OCD, joins us to discuss obsessive-compulsive disorder. Hershfield is director of The Center for OCD and Anxiety at Sheppard Pratt in Towson, MD. He specializes in the use of mindfulness and cognitive behavioral therapy (CBT) for obsessive-compulsive disorder (OCD) and related disorders. He is also author of Overcoming Harm OCD, When a Family Member Has OCD, and The OCD Workbook for Teens, and coauthor of Everyday Mindfulness for OCD. Visit our website at www.newharbinger.com and use coupon code 'Podcast25' to receive 25% off your entire order. Buy the Book: New Harbinger - https://bit.ly/3SCXWgf Amazon - https://www.amazon.com/dp/1684035635/ Barnes & Noble - https://www.barnesandnoble.com/w/1113893446 IndieBound - https://www.indiebound.org/book/9781684035632
In episode 353 I interviewed Jon Hershfield. Jon is a psychotherapist and the director of The Center for OCD and Anxiety, at Sheppard Pratt. He is the author of six OCD books. We discuss what's new with Jon, his new book, Borderline Personality Disorder (BPD), OCD and BPD, common overlaps in traits, causes of BPD, how BPD may complicate therapy for OCD and how to navigate this, Dialectical behaviour Therapy (DBT), words of hope and much more. Hope it helps. Show notes: https://theocdstories.com/episode/jon-353 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories
Jon Hershfield, MFT is the Director of The Center for OCD and Anxiety at Sheppard Pratt in Baltimore Maryland. He is the author of several books on OCD and is prominent figure in the world of OCD treatment. In this interview, we talk about his book for teens the ocd workbook for teens: mindfulness & cbt skills to help you overcome unwanted thoughts & compulsions with illustrations by Sean Shinnock, New Harbinger Publications. Jon Hershfield has provided a workbook that provides both an explanation of the treatment of OCD and relevant exercises presented in a very adolescent friendly fashion. This is a valuable resort for clinician, parent and teen.
Speaking Of Show - Making Healthcare Work for You & Founder's Mission Series
Since 1853, Sheppard Pratt has been leading the way of how to care for people with mental illness. CEO, Dr. Harsh Trivedi shares how Sheppard Pratt continues to evolve, innovate, and scale mental healthcare. Through Dr. Trivedi's intense dedication to the meeting unmet needs in the community, focusing on strategic goals, and investing in people, the organization has grown to more than 5,000 employees, 162 programs, and 287 sites of service, while remaining grounded in its Quaker roots. Check out this interview to learn more about Dr. Trivedi's path to Sheppard Pratt, and the keys to the organization's success. Learn more about Sheppard Pratt: https://www.sheppardpratt.org Connect with Dr. Harsh Trivedi: https://www.linkedin.com/in/harshktrivedimd/ Topical time codes: 00:00 - Video begins 00:33 - About Sheppard Pratt 3:42 - Meeting unmet needs 8:14 - Unique considerations of mental healthcare vs other medical specialties 13:15 - Company culture and connecting with the mission 20:17 - Finding blindspots 25:01 - Choosing a career in mental health Sheppard Pratt, Mental Health, Behavioral Health, Physician leadership, executive leadership, Making Healthcare Work for You, Speaking Of Health, healthcare, Access to care, substance use, addiction, strategic planning, healthcare transformation, leadership, leadership transformation,
On this week's podcast, we discuss some of the significant changes to federal child welfare policy proposed in President Biden's budget for the next fiscal year. Erin Dorrien, vice president of policy for the Maryland Hospital Association and Carrie Etheridge, director of social work at Sheppard Pratt, join to talk about why foster youth are getting stuck in hospitals long after such a restrictive sitting is necessary, a problem that seems to be very acute in Maryland but we are also hearing is a major capacity symptom in other states as well. Reading RoomBiden Proposes Major Spending Shifts to Prioritize Kin, Foster Care Preventionhttps://bit.ly/3iL0U26FMAP: Four letters that drive the biggest source of federal funding for state child welfare serviceshttps://bit.ly/3wD1dk2Maryland H.B. 406: Children in Out-Of-Home Placementshttps://bit.ly/3P1Xp6yStranded in the ER: Can California Change its Treatment of Kids in Crisis?https://bit.ly/3B41pMu
Anti-diet therapist Colleen Reichmann joins us to discuss how to keep from falling prey to diet culture, the problem with Whole30 and other forms of The Wellness Diet, why true well-being is about so much more than food and movement, a quick way to tell if your “lifestyle change” is really a diet, why eating-disorder diagnoses are often problematic, and so much more! Plus, Christy answers a listener question about how to handle envy for people who seem to be “successfully managing” their weight. (This episode originally aired on December 31, 2018.) Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for intersectional feminism, body liberation, fat acceptance, and Health At Every Size. She speaks at national and regional eating disorder conferences, and writes about body image and eating disorders for MORELove Project, Project HEAL, The Mighty, Recovery Warriors, Adios Barbie, and more. Find her online at ColleenReichmann.com. Subscribe to our newsletter, Food Psych Weekly, to keep getting new weekly Q&As and other new content while the podcast is on hiatus! If you're ready to break free from diet culture once and for all, come check out Christy's Intuitive Eating Fundamentals online course. You'll get all your questions answered in an exclusive monthly podcast, plus ongoing support in our private community forum and dozens of hours of other great content. Christy's first book, Anti-Diet, is available wherever you get your books. Order online at christyharrison.com/book, or at local bookstores across North America, the UK, Australia, and New Zealand. Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, for help getting started on the anti-diet path. For full show notes and a transcript of this episode, go to christyharrison.com/foodpsych. Ask your own question about intuitive eating, Health at Every Size, or eating disorder recovery at christyharrison.com/questions.
Dr. Rachna Raisinghani, Chair of the Department of Psychiatry at GBMC and Medical Director for the Division of Consultation-Liaison Psychiatry at Sheppard Pratt, offers advice on how to cope with anxiety, depression and stress during the holiday season.
The holidays can be a mixed bag, especially when you are grieving the loss of a loved one. There is an expectation to smile and lean into the celebration - even though you are still feeling the loss. This webinar was presented on December 3, via Zoom. The holiday season is upon us. While most people are in celebration mode, the special season can create tensions for people who have lost a loved one. In this webinar, you will learn: How to recognize the emotions that may be pent up inside Creating safe boundaries with families and friends Tips on surviving social events that you must attend Developing an arsenal of coping skills to get through this period About the Expert Presenters Marjorie Brimley Hale is a high school teacher and a freelance writer in Washington DC. She is also a mother of three and a remarried widow. Marjorie lost her first husband, Shawn, to colon cancer when she was 38 and has since connected with thousands of other young widows through her blog, DCWidow.com. She has also written for the Washington Post, Vox, the Cut, and Modern Loss, along with a number of other publications. She writes and speaks about losing her mother to suicide at 19, becoming a widow at 38, and parenting alongside her widowed father for the two-and-a-half years following her first husband's death. Marjorie recently married her husband, Chris on a farm near his hometown in Maine, and she continues to chronicle her life and their family twice-weekly on the blog. Kumar Dixit, D.Min, BCCC, BCPC, Dixit earned his doctorate in Leadership Excellence from Wesley Theological Seminary in Washington, DC. He is a board-certified pastoral counselor and board-certified clinical chaplain through The College of Pastoral Supervision & Psychotherapy. He has authored dozens of magazine and journal articles and published a book called Branded Faith: Contextualizing the Gospel in a Post-Christian World. He has served as the director of Bereavement at The Washington Home and Community Hospices. Click here to read an article on holiday grief by Kumar. Dr. Jen Yoon is a board-certified psychiatrist. She attended Virginia Commonwealth University School of Medicine in Richmond, Va. Her residency training was at the University of Maryland and Sheppard Pratt. She currently practices medicine in Texas. Alexander Raspberry earned his Master's of Divinity from Vanderbilt University. He currently serves as a Territory Marketing Manager with Golden Rule Hospice, out of Atlanta Georgia. Alex is an ordained minister, having served as the Director of Youth Ministries for a congregation of over 20,000 and a board-certified chaplain through the College of Pastoral Supervision and Psychotherapy. He is a published author, The God Xperience: There's A Lot More Than Just A Sunday Service. Alex previously has served as a chaplain and the Spiritual Care Director for Washington Home Community Hospice, Washington D.C.
In episode 294 I interviewed Jon Hershfield. Jon is a psychotherapist and the director of The Center for OCD and Anxiety, at Sheppard Pratt. He is the author of six OCD books, including his most recent book the 2nd edition of, “The mindfulness workbook for OCD”. I chat with Jon about what's new with him, what is false memory OCD, real event OCD, the problem with compulsively reviewing memories or thoughts, how this theme of OCD links into moral scrupulosity, some of the compulsions linked to this theme, dealing with the uncertainty, rumination, when you're worried to go to therapy, mindfulness around this theme, why the difference between a false memory or a real one doesn't matter and why we shouldn't try to figure it out, why drinking alcohol can make OCD worse, and much more. Hope it helps. Show notes: https://theocdstories.com/episode/jon-hershfield-false-memory-294 The podcast is made possible by NOCD. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Next monthly zoom hangout with Stuart is on 2nd October. Come chat about the show. Pay what you can/want: https://www.eventbrite.com/e/169814805655 See you then.
This is Your Anxiety Toolkit - Episode 197. Welcome to Your Anxiety Toolkit. I'm your host, Kimberley Quinlan. This podcast is fueled by three main goals. The first goal is to provide you with some extra tools to help you manage your anxiety. Second goal, to inspire you. Anxiety doesn't get to decide how you live your life. And number three, and I leave the best for last, is to provide you with one big, fat virtual hug, because experiencing anxiety ain't easy. If that sounds good to you, let's go. Welcome back, you guys. So grateful to have this precious time with you. Thank you so much for coming and spending your very, very precious time with me. As we do this together, it's exciting, we're almost at 200 episodes. You guys, I cannot believe it. I am pretty, pretty proud of that, I'm not going to lie. Today's episode is with the amazing Jon Hershfield. He's been on the show multiple times and I have been really reflecting and thinking about how important it is for us to practice response prevention and how that is so, so important for everybody who has any type of anxiety, whether that be an anxiety disorder like OCD, social anxiety, specific phobia, generalized anxiety. Even for myself, I've been reflecting on any time I'm responding to fear and responding to discomfort. It's just a topic that I want to continue to address because I think from you guys, I just continue to see how much it's a struggle for you. As I thought about continuing education on tools you can use, I thought, who else can I have none other, but Jon Hershfield to talk about using mindfulness to manage compulsions. Now we talk about compulsions like mental compulsions and rumination. We talk about reassurance-seeking, avoidance, any kind of physical compulsion. We also talk about how to practice mindfulness so that it doesn't become a compulsion. And so I'm just so grateful to have John give us his very valuable time and to talk with you guys about these amazing concepts. I'm not going to spend too much more time doing the introduction. You guys know how amazing Jon Hershfield is. He has some amazing books. He has The Mindfulness Workbook for OCD, and he has Everyday Mindfulness that he co-authored with Shala Nicely, and The Teen OCD Workbook, and Harm OCD book. He's just written amazing books. So please do go out and support him. He does share all that information at the end of the show, and I can't wait for you guys to listen. In the meantime, please do go and leave a review. It helps us to reach more people. I'm going to be quiet now and let you listen to Jon's wisdom. Have a wonderful day. ----- Kimberley: All right, welcome. I am so happy to have the amazing Jon Hershfield with us again today. Jon: Thanks for having me. You make me sound like Spiderman of the OCD world. Kimberley: You are the Spiderman of the OCD world. I love it. Jon: What does that mean? Kimberley: Yeah, it's true. Well, that's a good thing. I know my son is probably jumping up and down at the idea of me meeting the Spiderman of something. Thank you for coming on. I really wanted to invite you on, of course, because I love the work that you're doing regarding mindfulness in OCD. I really wanted to talk about how we can use mindfulness, particularly to address compulsion, because a big part of Exposure and Response Prevention is the response prevention piece. I would really love to pick your mind on how you implement mindfulness as a part of that and also address some of the misunderstandings that happen regarding mindfulness. So, let me first ask you, just for those who don't know or new to the show, how would you give a definition? How would you explain mindfulness, particularly in the respect of treatment? Jon: It's interesting because we all make this same grammatical error. I do it too. We say we use mindfulness as if mindfulness was an act or an action or a thing that you use as opposed to a perspective that you take. So I'm thinking about what mindfulness means. Usually, the definition we hear is “Paying attention to the present moment as it is without judgment and without the desire to change it.” And that's a great definition. It's escaping me at the moment who actually coined that exact language, but I think it applies to most mindfulness concepts. But I don't like that it starts with the word “paying” because it still implies that you're doing something. I think mindfulness is actually the perspective that you have when you're paying attention to the present moment. If you want to play around with the words, it's really noticing the fullness of the mind – mindfulness, right? It's a position that you take as opposed to a thing that you do. Right now, I'm sitting here in my desk chair. I'm aware of the sensation of my body in the chair, hearing my voice in the headphones and I have coffee and tasting that coffee. These are all things that I'm noticing and I'm being mindful of. The other part of mindfulness that I think is important to understand is that, in a state of mindfulness, you're best able to observe the difference between an experience – I just listed for you a bunch of experiences – and a story. A story is a narrative. It's the meaning and the webs that we weave around those experiences. So it's me thinking I'd had too much coffee today, right? That's a story about the taste of coffee in my mouth right now and its significance, but they're two separate things. When we're treating something like OCD, which is very much about being pulled away by your mind into these narratives, these fear-based narratives – to be able to drop out of the narrative and into the experience would be to take a mindful perspective, or in colloquial terms “to use mindfulness.” But I think a lot of times when we say “using mindfulness,” we associate that with stopping what we're doing and focusing on the breath, or pulling out an app and doing a meditation, or trying to execute change in our environment by being mindful. When in fact, mindfulness is very much the opposite of that. It's not about executing change. It's actually about stepping back and seeing the way things really are. Kimberley: Right. I love this. So would you say in this perspective that mindfulness is not adding something on, it's just dropping down into what was already there? Jon: Yes. I would agree with that. Kimberley: I like that. So how might we use this, particularly in terms of managing anxiety or uncertainty or any other discomfort? Can you give me a walk-through of what that might sound like or look like for somebody who is practicing mindfulness? Jon: Well, one of the things you might think about, when somebody feels triggered, something happens. You've touched something you think is contaminated or you've become aware of an unwanted, intrusive thought, a harming thought, or something like that. Then you have an experience in the brain and in the body that alerts you to the fact that you're under attack, that you're distressed, something is wrong and it needs to be fixed. What most people do is they immediately go into the story of, “This is bad. I'm triggered. I need to get away from this trigger. How do I make this feeling go away? Because it's unpleasant.” Of course, it's unpleasant because it's your brain's way of trying to help you jump into action to get away from the things that could harm you. So it's natural that we want to get rid of this feeling. And then we do these things called compulsions that reliably, in the short term, get rid of these feelings. If you know anything about OCD as you do, it's like you get stuck in that loop. The more you compulse, the more you really feel the responsibility towards your obsessions as they arise. In that space, between the trigger and the compulsion, there's an experience you're having. A person who has been practicing mindfulness or who is mindfully aware can show up to that experience in the same way they might show up to other experiences, again, without having to make it go away. So you render the compulsion less important because you're willing to be in the presence of that triggering experience. If you were to take this to the mat and think about, “Well, what happens when you're meditating and you get an itch?” what is the instruction? It's not, “Well, just scratch it so you can be more comfortable.” It's usually, “Okay, well, notice what itching is like. Notice what it's like to be sitting, which is what you're doing, and then have your attention pulled away from the sitting to the sensation of itching, to be able to say, ‘Oh, that's itching.'” Now at some point, we all break and we start scratching ourselves all over it because it's too much, but that's fine. But that's not the first instruction. The first instruction is simply notice itching. And then if you're capable of letting go of that and going back to what you were doing before you got distracted by the itch, you'd go back to your breath or whatever the anchor of your meditation might've been. It's the same thing in real life. You're minding your own business. You're trying to read a book and then you have an intrusive thought that something terrible is going to happen. And then you notice that experience of this mental itching and you're, “Okay, that's happening.” And then you have a choice. You can drop down out of that back into your book, or you can dwell on it, ruminate on it, try to figure it out, try to figure out a way to make it go away, and then give yourself permission to go back to your book. Kimberley: So, we call it in my practice, my staff have called it “itch surfing.” Jon: Itch surfing. Yeah. Kimberley: I always laugh when I say “itch surfing.” So, let's say you have the presence of a thought that's really concerning, right? It's triggering. And you're trying to be mindful, but you're also not trying to step across the line to where you are ruminating or being compulsive related to that. How might someone differentiate between the two? Jon: So there's a couple of things to consider here. One is that a lot of people will say, mindfulness is about watching your thoughts come and go. There's a good reason why we use that metaphor, that idea of sitting at the bank of the stream and watching the leaves go by. But it's not really accurate in the sense that it's more about just noticing thoughts coming and going. Watching thoughts coming and going implies that you're supposed to sit there and stare at them and give them special attention. You're supposed to remember, right? It's a perspective. It's not an act. You're supposed to remember like, “Oh yeah, it was a thought coming and going. Okay, that's cool.” And then let go of it. Ruminating is when you're digging up that thought for the purpose of trying to figure it out to digest it. You're trying to act on the thought and get certainty about it. It's a very active thing you're doing when you're ruminating. To be mindful would really be the opposite of that. It would be to notice that you're ruminating and stop. Because the whole point, if you're being mindful, it's not that you're executing change on your environment, but you're simply noticing what's coming up. So it was really impossible to be mindful and ruminate at the same time because that would be like being mindful while trying to figure out some problem. So the instruction would be to notice that urge to ruminate, to notice what's coming up for you in your body, that experience of, “I really want to figure this out,” and then to allow that experience to be there, and again, drop back down into your anchor. In real life, it's whatever you were doing before you got distracted. In meditation, it's whatever your anchor is – the breath, the feeling of your body in the seat. Kimberley: So it'd be like using the metaphor of, if you're sitting at the edge of the stream and you're just watching the leaves come and go, that would be mindfulness. But ruminating or being hyper-aware would be like watching the leaf after it's way, way, way, way down the river, but you're still giving that attention and missing what's right in front of you? Jon: Yeah. It's easy to make that mistake because you could feel like you're being mindful. You could say like, “Well, I'm just watching this leaf and seeing how far it goes.” But in fact, when you're doing that, you're missing everything that's happening in the present moment, all those other leaves that are going by. A lot of times, people think of themselves as being very negative because they get distracted by negative thoughts, and the thought comes down the stream and they follow it. And while they're falling, those negative thoughts, all sorts of other nice things are happening – the smell of their breakfast or the warmth of the sun or whatever it might be. But they're not noticing that stuff because they're immersed in tracking that negative experience that they had. They think of their lives as being negative instead of thinking of their lives as just being whatever it happens to be in any given moment. Kimberley: Right. Talk about, if you will, hyper-awareness, because I think sometimes people think they're being mindful, and I think it's going to be very similar maybe in your answer, but I just want to be really clear for people who I've heard struggle with. They're trying to be mindful, but it becomes hyper-awareness. Do you have any thoughts on that? Jon: A lot of this, I think, comes down again to language. Most of us are trained to say things like “Sit with uncertainty,” which sounds like a good idea, but the implication for some is that you're literally sitting and there's literally uncertainty in front of you. It's like sitting on your head and you're immersed in it and you're dwelling on it. So it gets translated as “Dwell on uncertainty,” and feel bad as long as you can feel bad. Actually, I interviewed Jon Abramowitz who some of you may know in a lecture series here at Sheppard Pratt not too long ago. He said he likes to say, “Act with uncertainty instead.” I really like that because to me, that is still mindfulness. You're doing something, you notice you became distracted, cool. That's what that's like. Now I'm going to go back to what I was doing before I got distracted. I'm going to act with the uncertainty instead of sitting, letting the uncertainty sit on my head. I think it's such an important distinction because to be mindful of your thought process is to be aware of it. But it's not the same thing as to be trying to figure it out or be certain about it. That would be the opposite of mindfulness. And so the whole instruction, if you've had a lot of experience meditating, it might sound something like you wander away from your anchor and you start trying to figure out what's wrong with your life. And then you go, “Oh yeah, thinking.” And then you go back to your anchor. No meditation teacher is going to tell you like, “Well, just notice that you're trying to figure it out and keep trying to figure it out and try to get to some sort of outcome.” That really would go against the larger project. Kimberley: Yeah. I mean, for me, if I were to explain it, if I were out and about, and let's say another emotion showed up, like shame or guilt or something, my practice is just to go, “Oh, hi, Shame.” I think actually in the last episode, you were here talking about teens and you were like, “That's cool, bruh,” or whatever it was, but that's observing it and allowing it to be there. But then there's a redirect to the present. Would you agree that's a method that you use? I mean, again, we're saying it's not a doing, but talk to me about whether that's something that you would apply to. Jon: I would absolutely apply that. I mean, at the end of the day, we're coming up with fancier and fancier ways of politely and compassionately saying, “Let it go.” We might have all the different ways of saying “It's okay to let it go,” where we understand that it's very painful to have these experiences and that makes it difficult to let it go. We don't mean let it go, like, “Oh, you're being silly.” I mean literally, it arrived and you allowed that, and now it's leaving and you can allow that to let it go. To become aware that you have an urge to ruminate or an urge to do some other compulsion and to let that urge be a thing, don't sit there and stare at the urge and wait for it to go away. just be like, “Oh, that's happening.” Just like shame arises or guilt arises. And then just gently note it and allow it to be, and you don't have to do anything. It's really a beautiful thing. The shame and the guilt and the urge to ruminate and the urge to wash, it'll go away in its own time. You don't have to be actively involved in it. Kimberley: Right. It's like mindfulness underneath there. A major component is non-attachment, to not be attached to it or the story we tell about it or what it means and all the things. Jon: I mean, if you look at that and the concept of diffusion, they have specific skills for trying to make that happen. I think people can argue over like, “Well, what are the mechanics of building those skills? And could there be some compulsivity involved in that?” I mean, I think there's some people that certainly could. If you're going around saying, “It's just the thought, it's just the thought, it's just the thought,” that's not exactly what we're getting at when we talk about diffusion. But the end game is diffusion, it's being able to say, “I'm having a thought that...” What we want is to be able to do that without having to say it, without having to remind ourselves. But instead, simply have the experience that the thought arises much the same way the credits in a movie arise on a screen. Okay, yeah, that is the thought. And then you get to decide, “Do I want to engage with this or let it go?” If it's an obsessive thought that you've been grappling with, that you've decided is your OCD because you keep trying to get certainty about it, well then the instruction is going to be to drop it, not to play with it. Kimberley: Right. Yeah. I think that this was a lesson for me early in my mindfulness game. Mindfulness is not just that heady, heady meaning like only a cognitive skill. It's like you talk about dropping down, and it's a behavioral skill as well. It's not just sitting still and thinking, thinking, thinking, thinking your way out of discomfort. It's also a doing. It's a body thing as well, instead of it just being heady. I think that's where we get into trouble, right? We start to try to think our way out of problems or our way out of discomfort. Jon: Look at checking OCD, for example, like OCD where there's a lot of checking compulsions. What happens is there's this experience of not being complete, something missing or something being lost. And rather than own that experience and be able to say, “That's something that just came up for me and I'm willing to allow that,” the instinct is to get rid of that experience by engaging in the checking compulsion. So, mindfulness plays an important role in being able to say, “I'm aware of this urge to check, and that's fine. I have all kinds of urges throughout the day. I don't have to give in to this urge.” You don't have to do anything about it. Like you were saying, that's an experience you have in the body, like a sense that the body is craving a change and your willingness to allow that craving. Again, not to sit there and stare at it and wait for it to go away, but just simply just know that it is there and then go onto the next thing. Kimberley: Right. I think that this is true in so many compulsions. Would you use the same skill? Would you use the same concepts regarding reassurance-seeking compulsions? Jon: Yeah. Well, reassurance-seeking is really just another form of checking, isn't it? It's like you have a sense that you know something, just like you have a sense that your door is locked when you go back to make sure. In the case of reassurance-seeking, you're going to a person or the internet to try to make sure. But again, it's that experience of dis-ease, right? Not feeling ease with your experience and wanting to change. Instead of resisting that by doing compulsions, you're saying, “I'll allow it.” I've been using this coping skill with the client. I might have mentioned that they prefer “allow” rather than “accept” because accept felt, I don't know, it felt different to them. We can use whatever language you want, but I liked it. I've noticed that as a coping statement. If something comes up, like, “I want to change it,” and they're like, “Nope, I'll allow it.” And then now you're free. Kimberley: Open the gates to it. Jon: Yeah. Kimberley: Right. I like that a lot. The same goes for avoidance, right? Do you want to share how you might drop into mindfulness when it comes to avoiding, whether you're about to avoid or you're already in avoidance? What would your thoughts be there? Jon: Well, it's like observing your inner magnet, right? Something is pulling you in a direction. It might be pulling you away from something or pulling you towards it. And again, what does that feel like for you? What does that experience in the body? And rather than telling yourself “Accept it, accept it, I got to accept it, and push, push, push, push, push,” can you just notice where the resistance is? Can you let go of that, that part of you that's resisting? you want to go to this party, but it's overstimulating and you might say something embarrassing and there's something there that might be triggering for you or something like that. But you want to go. As you're approaching it, do you notice that resistance? Do you notice that push-pull in your body? And again, can you allow it? Can you say, “Worth it, investment return, worth it.” Very quickly, not spending a lot of time on it. Again, I think cognitive therapy gets a bad rap a little bit in the OCD world because it can so easily turn into mental rituals, trying to assess the probabilities and things like that. But just a pinch, like a pinch of salt, a pinch of cognitive therapy where you're able to say, “Come on now, this is a black and white thinking. I can handle this.” If you're allowed to do that. Kimberley: It's funny that you say that because I was actually just about to ask you, like, go back to your story. Remember at the beginning, you were talking about the stories we tell ourselves. And I think in avoidance, there are so many stories that take us away from mindfulness. So I was actually going to ask you. Do you want to share how you would maybe implement a cognitive skill there? Jon: So, if you're being mindful, it means that you're aware that you're thinking. And if you can be aware that you're thinking, you can also be aware of the tone of thinking. This is especially useful if you're trying to quickly assess. Are you ruminating? Are you engaged in mental rehearsal? Are you thought-neutralizing? What is the mental behavior? If you're noticing the way that you're thinking and that tone, you might be able to pick up historically if that tone has been helpful or not, or if it usually ends in you feeling like you have to do compulsions. Take catastrophizing, for example. You're saying, “Something in the future is definitely going to go badly and I'm not going to be able to handle it.” Now, if you're aware and you're mindful, you know you're thinking, and then you know that that's what you're thinking, and you know that that's catastrophizing, you can simply say, “Yeah, that's catastrophizing. I don't need to do that right now.” Very simple. “I can't predict the future.” You don't have to go into “Everything will be fine,” or “The probability is that this is going to go my way.” Again, we want to spend as little time there as possible because we don't want to get wrapped up in arguing with the OCD, but to just call it out and say like, “I can't predict the future. I'm going to just go with this and see what happens.” And then when you make that choice, notice what that feels like. Can you allow that or not? And if you can't, that's okay. You can go find something else that you can allow. Kimberley: Right. I will always remember many, many years ago, probably even when we worked together, a client of mine, and they gave me permission to tell this story, but I won't, of course, disclose any information. But they always said they can feel the shift in their body. And that was them being mindful. They said as if they were holding onto the sides of their chair. So even though they weren't sitting in a chair, they could feel this shift in their body of clenching. You can't see me on the video. You can see me on the video, but listeners can't. But just this wringing of the hands or clinging of the hands, and that her being able to just identify that slight shift in her body was enough to be able to shift out of that avoidance or resistance. I think just being aware and mindful of that, I think, is a big piece of the pie. Jon: So, it's knowing the quality and the tone and the texture of your internal experience. That's essential for being able to pick out and resist mental compulsions. Ruminating is not just thinking about something because you like to think about it. Ruminating is very much like, there's a puzzle and you've put all the pieces together but one, and now you can't find that one piece that it's somewhere. Maybe it's on the floor, it's under your desk. You know what that feeling is like. It's so intense. And that mental quality is what's going on with the person who's ruminating. And that's what they have to let go of, or be able to experience to let go of the ruminating. If you can't truly appreciate the tone and texture of your mind that “Sometimes when I'm thinking this way, it feels like this, sometimes when I'm thinking this way, it feels like that,” it's just very difficult to trust yourself enough to call out the mental compulsion as they happen. Kimberley: Yeah. I love this so much. I think it's so important that we do address it. So, in all, I know there has-- we have addressed this, but I want to make sure we're really clear. Do you believe that someone can mindfully ruminate? Jon: I think it's an oxymoron because to be mindful is to remember that everything going on inside is an object of attention, and to ruminate is to really engage in a changed behavior. So it's really the opposite of mindfulness. There are types of meditations like traditional meditation. You have an anchor. You notice when you're not paying attention to the anchor, you return your attention. Then there's other types of meditations that might involve free-floating, like free-associating. Notice that this thought then connected to that thought, then connected to that thought. That is a kind of meditation. And you could argue that there's a kind of mindful awareness of where things are going when you're doing that. I still wouldn't call that ruminating though, because ruminating is done with purpose. It's done with a specific intention. It's not just watching where your thoughts land. Now, if you have OCD and you're learning to meditate, I certainly wouldn't recommend you do the type of meditation where you just watch your thoughts bounce around each other. But if you're a more experienced meditator and you want to do that free-associating of watching each thought arise and fall and rise and fall and connect to other thoughts and feelings, that can be fun. But it's not ruminating. To ruminate would be to intentionally try to figure out or try to get certain about your obsessive content. And I don't think that there's any mindful way to do that because it is literally the antithesis of mindfulness, in my opinion. Kimberley: Right. No, and that's how I was trained on it as well. I think the thing that I often will say to clients is, anything can become compulsive. Treatment can become compulsive. If you were to technically look at the term, engaging in compulsive treatment isn't actual treatment because it's going in the direction of doing compulsions, which is not the technical term for treatment. Jon: It's tricky with exposures. For example, I encounter people all the time who are doing checking compulsions but calling them exposures. “I have a fear of something. So I'm going to go over and pretend to do that thing and expose myself to that fear by being in this scary situation. And then it's going to go away and then I'll know that I'm not going to do that thing.” Well, that wasn't an exposure. It might've been hard, but it really wasn't ERP. I usually tell people not to do ERP when they want to. That's usually suspicious of that. And also to consider what the point of it is. Like, if your OCD is getting between you and some valued behavior, that's a good reason to go do that ERP. But if it's not, and it just exists in your head, you don't have to go ahead and be ready to go find any ERP to do. You're allowed to just live your life. That's allowed. Kimberley: Right. Jon: Yeah. I think that the other thing that happens with rumination that I think is very confusing and hard for people to appreciate is that, though, I wouldn't say you can mindfully ruminate. You can certainly be lost in thought and you can certainly ruminate without full awareness of what you're doing, because a lot of it is habit, right? Rumination, some compulsions, they can become habitual, but most of them are pretty easy to tease apart from habits. But mental behavior is a little bit trickier, I think. In the same way that a person who's-- let's say they have difficulty with biting their nails, and they always bite their nails when in front of the computer. The computer becomes the cue to bite their nails. The hands go up to their face. They start chewing on their nails. They're not necessarily thinking, “Oh, I'm going to bite my nails now.” It's just happening. And then they might become aware of it. And if they're working on it, then they might use a habit blocker or some other strategy that they might remember to be mindful of the urge to bite it and come up with another strategy. The same thing happens in the mind where if you're someone who's used to engaging in compulsive rumination in different contexts of your life, there are going to be things that actually cue you to do it without you paying attention. You might not notice that, but it's like, “Oh, every time I'm in this chair, I start to ruminate.” The goal here in terms of improving your mental health situation would be to take ownership of the moment that you become aware of what you're doing. Not to beat yourself up for ruminating, because again, your mind was like, “Oh, are we sitting in that chair? Okay, sure. Let's bring up that topic and start reviewing it.” And you can't take responsibility for something you can't control. You might argue, “Okay, well, that's not really rumination because you're not the one trying to control it,” but it has all the same words. You're just lost in this thought of like, “Well, I know this thought must not be true because of this and that, plus my therapist said this and I read in a book, blah, blah, blah, blah.” You don't know that you've left the building. You still think you're sitting in the chair. But then, boom, you become aware. You suddenly remember, “Wait a minute, I'm a guy sitting in a chair, having a thought, and wait, I'm trying to figure out if my obsessions are true. Nope. Not going to do that. That's rumination. Okay, good. Where was I?” Let it go. But I think people can get very self-critical, really hard on themselves, and say, “I can't stop thinking, I can't stop ruminating.” In part, some of that is then taking responsibility for something that's-- it's just habit. It's just the brain has been trained to just start revving up the engine. That's all right. You'll catch it earlier and earlier and earlier if you practice. Kimberley: Right. Okay. Is there anything else that you feel we haven't covered in this area? I mean, of course, we haven't covered everything, but is there anything that you really want to drive home here in this conversation? Jon: Well, I guess one thing that's been on my mind is, we talk a lot about how thoughts aren't the problem, right? If you're being mindful, thought as a thought is a thought. And if you have mastery over your OCD, whatever, a thought about what day it is or a thought about hurting your baby, they're just thoughts. It's no big deal. And to some extent, that's true. We don't treat OCD by treating what thoughts people have. We address how they're relating to those thoughts and what behaviors they're choosing in response to that experience. But in the interest of remembering self-compassion too, I think it's important to recognize that it may also be the case that people with OCD are more predisposed to the average person to receive certain types of thoughts in a certain way. So even though those thoughts are normal events, it is normal for you to have thoughts about all of the potentials in human existence, all of the different things. We can kill and have sex with all of these things. It's totally normal to have thoughts about them. But it might also be that when you have that thought, it hits you in a way that immediately generates an urge or a moral responsibility to address it. And yes, mindfulness can help because it can help. You both recognize the arising of the thought as an object of consciousness and the arising of that desire to do something about it as an object of consciousness. But it's also worth noting that it's just hard to have OCD sometimes. And every once in a while, you're just going to get sucker-punched by it. And that's not because you've done something wrong, it's because your brain is conditioned or wired to receive some thoughts in that way. And that can be something that you develop mastery over. But I think when we take all of the emphasis on behavior and none of the emphasis on perspective or predisposition, some people feel like they're not being heard. Kimberley: Yeah. Thank you for saying that. I think that that's been largely the feedback I have gotten as well. If people are struggling and they don't want to struggle, and they're trying to navigate this thing, that feels like an absolutely crazy puzzle that, like you said, they don't even have all the pieces. They don't even have half the pieces yet. So I totally really loved that you said that. I love the idea of compassionate responsibility, which is, we can take responsibility for our experience with the absence of self-criticism. I think we sometimes think that owning this and experiencing this has to mean you have to beat yourself up and that it has to be like “You should've done better” kind of thing. But I do not like that. Jon: Well, you've recently written a book on the subject, and I could go on and on about self-compassion. We could do a whole other episode on it. But I do want to end on this note, which is, a lot of what mindfulness means is simply being honest, and we often lie to ourselves about our experiences. We say, “I should have known better,” but when you look at it, there's no way to have known better, that everything you've done is preceded by a thought or an urge or an emotion and we can track this back very, very far. I'm not making the case for no free will or not taking responsibility for anything. I'm just saying self-criticism is inherently dishonest. I say, “I'm a bad person.” That's a story. That's not an objective fact. I say, “I feel terrible.” That's an experience. That's honest and that's also mindful. Kimberley: Right. I love it. Thank you so much. I'm so grateful. I wanted to navigate all this, but I didn't want to do it on my own. So, thank you for coming on and helping me because you're just so good at explaining this stuff, and I really appreciate the way that you conceptualize this. So thank you. Jon: Well, I appreciate you inviting me. I always love hanging out. Kimberley: Yeah. Are there any projects or things you've got going on that you want to share with us? Jon: Well, right now, we're working really hard at The Center for OCD and Anxiety at Sheppard Pratt. We have some new team members and so we're helping a lot of people that way. Not too long ago, we launched the residential program, the OCD program at the retreat here at Sheppard. We've had a few people come in and out of that program. It's really exciting because it's just a different way of working, working as a team on one or two cases at a time and seeing them every day. That dynamic is new and exciting for us. And then book-wise, the OCD Workbook for Teens is out there. The second edition of Mindfulness Workbook for OCD is out there. I just started working on a new one that I'm co-writing with a friend on how to combine ERP and DBT. Kimberley: That's fantastic. Jon: Yeah. So, dealing with relentless thoughts and painful emotions. Kimberley: Nice. That would be so important. Jon: Yeah, I hope so. Kimberley: Oh, without a doubt, DBT is such an important piece of the work, particularly when those emotions are really strong. So that's super exciting. We'll make sure all of those links to that are in the podcast notes so people can check that. Thank you again. Jon: Thank you. ----- Please note that this podcast or any other resources from cbtschool.com should not replace professional mental health care. If you feel you would benefit, please reach out to a provider in your area. Have a wonderful day, and thank you for supporting cbtschool.com.
SHSMD Podcast Rapid Insights for Health Care Marketers, Planners, and Communicators
Behavioral health services have been undervalued and underfunded for many years, making them unprofitable service lines for most health systems. Even before the COVID-19 pandemic, suicide rates were at their highest in 30 years, and opioid abuse had reached crisis proportions, along with anxiety and depression,” says Harsh K. Trivedi, MD, president and CEO of Sheppard Pratt, the nation's largest private, nonprofit provider of mental health, substance use, developmental disability, special education and social services. “The pandemic has amplified these trends and exacerbated an already-grim outlook for the provision of mental health services not just in the overall population, but especially in communities of color.”
Today, my guest is Lars Christian Wilde, the President, Chief Business Officer and Co‑founder of Compass Pathways. Compass is a “mental health care company dedicated to accelerating patient access to evidence-based innovation in mental health.” as they describe themselves. Compass was one of the first companies engaging in a bigger vision of the substance psilocybin. But back to Lars. He is a special guest to me, since I like his open mind. I remember talking to Lars in one of our first podcasts about vaccine against depression in the future. I also remember how openly Lars talked about his treatment-resistant depression and anxiety disorder and the effects it had on him and the people in his life. He told me about his treatment with psilocybin, that helped him tremendously to begin a new life with a different mental health set. I am always a fan of people, especially entrepreneurs in the psychedelic field, that share their psychedelic experiences and are personally affected by the power of psychedelic substances. In 2020 lot of things have happened at Compass Pathways. In September 2020 the company became a public company, listing their stock on Nasdaq and raising $146.6 million. Compass became one of the most exciting company in the field. Lars and I catch up, what is happening in the Compass World right now. How does a psychedelic public company feels and works different? How does the Compass and Sheppard Pratt collaboration look like, since Compass is opening a Centre of Excellence in collaboration with The Sheppard Pratt Institute for Advanced Diagnostics and Therapeutics in Baltimore, Maryland, to do more research. Their psychiatry department exists since the 1800s. We talk about how Compass works with the Charité hospital in Berlin and how to do conduct a study in times of Covid at all, we discuss COMP360, a psilocybin therapy trial for treatment-resistant depression designed by Compass for future treatments of depression (https://compasspathways.com/)
Welcome back to another episode of Your Anxiety Toolkit Podcast. Today I am so happy to have Jon Hershfield on with us. Jon is an author and the Director of the Center for OCD and Anxiety at Sheppard Pratt. The second edition of his book, The Mindfulness Workbook for OCD, has just been released and his new book, The Mindfulness Workbook for Teens, is scheduled for release in March. We had a great conversation about both books and Jon shares many of the OCD mindfulness tools that he describes in his books that are used to enhance treatment. In this interview, Jon explains why he wanted to write a book for teens and how he decided to approach the topics of mental health, OCD, and mindfulness in a way that would be relatable to teens and young adults. He discusses in more detail some of the topics in his book including how to understand your diagnosis, how to respond to intrusive thoughts, and how to incorporate meditation and mindfulness into your daily life. Jon also shares some OCD mindfulness tools that he describes in The Mindfulness Workbook. These include thoughts are thoughts, not threats; feelings are feelings, not fact, and sensations are sensations, not mandates to act. He shares that mindfulness really involves calling things what they are. Towards the end of this interview, we discuss Exposure and Response Prevention and the difference between habituation and inhibitory learning. He shares with us the five things we should consider when doing ERP with the goal of inhibitory learning. This is a great interview full of so many wonderful mindfulness tools to help you manage your OCD. I hope you enjoy! The Mindfulness Workbook for OCD: A Guide to Overcoming Obsessions and Compulsion Using Mindfulness and Cognitive Behavioral Therapy The Center for OCD and Anxiety IG @ocdbaltimore If you have some time, I would love it if you would please go and leave me an honest review wherever you listen to podcasts – Apple Podcasts, Spotify, Podbean, or Stitcher. This would really be helpful to me in achieving my goal for 2021 of being able to reach and help more people. Thank you so much! ERP School, BFRB School and Mindfulness School for OCD are open for purchase. Click here for more information. Additional exciting news! ERP School is now CEU approved which means that it is an accredited course for therapists and mental health professionals to take towards their continuing education credit hours. Please click here for more information.
Today, we talk with Jack Drescher, MD, about psychoanalytic and psychology training. Specifically, we explore ways psychoanalytic and psychology training can better integrate gender, sexuality, and the mental health of LGBTQ communities into training curricula. Furthermore, we discuss the burden placed on students and gender and sexual minorities to educate trainees in training programs. Dr. Drescher is a psychiatrist and psychoanalyst in private practice in New York City. He is a Distinguished Life Fellow of the American Psychiatric Association, Past President of the Group for Advancement of Psychiatry and a Past President of APA's New York County Psychiatric Society. Dr. Drescher is Clinical Professor of Psychiatry at Columbia University, College of Physicians and Surgeons and Faculty Member, Columbia Center for Psychoanalytic Training and Research. He is Adjunct Professor of Psychiatry, New York Medical College and Clinical Supervisor and Adjunct Professor at New York University's Postdoctoral Program in Psychotherapy and Psychoanalysis. He is a Training and Supervising Analyst at the William Alanson White Institute. Dr. Drescher served on APA's DSM-5 Workgroup on Sexual and Gender Identity Disorders. He serves as a member of the World Health Organization's Working Group on the Classification of Sexual Disorders and Sexual Health addressing sex and gender diagnoses in WHO's forthcoming (2018) revisions of the International Classification of Diseases (ICD-11). He also served on the Honorary Scientific Committee revising the 2nd edition of the Psychodynamic Diagnostic Manual (PDM-2) scheduled for 2017 release. Dr. Drescher's professional honors include the Albert M. Biele Visiting Professor in Psychiatry, Sidney Kimmel Medical College at Thomas Jefferson University (2016), Sheppard-Pratt's Harry Stack Sullivan Award Lecturer (2013), an APA Special Presidential Commendation (2009), an APA Distinguished Psychiatrist Lecturer (2009), APA's Irma Bland Award for Excellence in Teaching Residents (2006), and the James Paulsen Service Award from the Association of Gay and Lesbian Psychiatrists (2004). Dr. Drescher is board certified in psychiatry by the American Board of Psychiatry and Neurology and certified as a Fellow in Adult Psychoanalysis by the American Board of Psychoanalysis. Dr. Drescher is Author of Psychoanalytic Therapy and the Gay Man (Routledge) and Emeritus Editor of the Journal of Gay and Lesbian Mental Health. He has edited and co-edited more than a score of books dealing with gender, sexuality and the health and mental health of LGBT communities. He has authored and co-authored numerous professional articles and book chapters as well. Dr. Drescher can be reached at jackdreschermd@gmail.com. --- You can find the Unconventional Dyad Podcast on: Our website, Instagram, Twitter, Facebook Featured Song: Unquiet Mind by Laurence (@laurencemusic992) --- Support this podcast: https://anchor.fm/unconventionaldyad/support
In episode 259 I chat with Jon Hershfield. Jon is a psychotherapist and the director of The Center for OCD and Anxiety, at Sheppard Pratt. He is the author six OCD books, including his most recent book the 2nd edition of “The mindfulness workbook for OCD”, and his upcoming book “The OCD Workbook for Teens”. In this episode I chat with Jon about what’s new with him, The mindfulness workbook for OCD, what the book about, what’s new with this 2nd edition, Jon’s personal experiences with meditation and mindfulness, why he broke the book down by themes. We discuss The OCD workbook for teens, what it’s about, Sean Shinnock’s illustrations in the book, exercises in the book, how he works with teens, staying in the present moment, dealing with uncertainty, living joyfully, and much much more. Hope it helps. Show notes: https://theocdstories.com/episode/jon-hershfield-mindfulness-workbook-for-ocd-259 This episode is sponsored by OCD Jacksonville and Natural Life. Shop the Fearless collection of apparel and gifts here https://www.naturallife.com/collections/fearless-giveback-collection. Use code “FEARLESS” at the checkout for 20% off the Fearless range. To find out more about OCD Jacksonville click here: https://ocdjacksonville.com/
In our follow-up with Karla Hoffman and Jennifer Carberry from Family Services, a part of the Community and Family Services line of programming at Sheppard Pratt, we find out how they're providing care to vulnerable populations while dealing with the difficulties of the coronavirus crisis and fundraising. In every episode of Take 5: An Inventory Series, we take five minutes to cover what's going on with healthcare's supply chain. Take 5: An Inventory Series is a production of Z5 Inventory. To get more information on Family Services and the 50 For 50 program, visit Z5Inventory.com.
For the first time on the podcast, we're profiling a recipient of the 50 For 50 program, which donates $5000 to a charity nominated online. This episode, Carl Natenstedt talks to Karla Hoffman and Jennifer Carberry from Family Services, a part of the Community and Family Services line of programming at Sheppard Pratt. In every episode of Take 5: An Inventory Series, we take five minutes to cover what's going on with healthcare's supply chain. Take 5: An Inventory Series is a production of Z5 Inventory. To get more information on Family Services and the 50 For 50 program, visit Z5Inventory.com.
Dr. Estes will talk with Harsh K. Trivedi, M.D., president and CEO of Baltimore-based Sheppard Pratt, to discuss COVID-19’s impact on behavioral health trends and services in the U.S.
Join the Editors of The Journal of Psychedelic Psychiatry as they discuss Treatment-Resistant Depression with Special Guest and Psychiatrist Dr. Scott Aaronson. Dr. Scott Aaronson obtained his M.D. from Harvard University in 1981. He is currently an Associate Professor at The University of Maryland School of Medicine, a Distinguished Life Fellow of the American Psychiatric Association, a Fellow of The American College of Psychiatrists. He serves on the board of the American Society of Clinical Psychopharmacology and the board of the Clinical TMS Society. He currently is the Director of Clinical Research for The Retreat at Sheppard Pratt. Referenced Articles on Treatment-Resistant Depression: https://www.ncbi.nlm.nih.gov/pubmed/30974339 https://journals.sagepub.com/doi/abs/10.1177/0004867418808585?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=anpa Follow us: Website: https://www.journalofpsychedelicpsychiatry.org/ Twitter: https://twitter.com/psychedelic_org Facebook: https://www.facebook.com/JournalofPsychedelicPsychiatry/ Instagram: https://www.instagram.com/journalpsychedelicpsychiatry/
Understanding CBD with Max and Steven as heard on WCBM Radio
Who doesn't have anxiety these days? But for the people who suffer with schizophrenia, depression, social anxiety and other diagnosed psychiatric disorders—with or without a pandemic—can CBD be a safe and effective treatment? Max and Steven introduce Vicci Sobol, Max's wife and a psychiatric nurse of 20 years to weigh in on the issue. Having worked at Sheppard Pratt for many years, and more recently for the State of Maryland, Vicci reveals the truth about using CBD for mental health. Plus, Dr G explains how CBD can help boost serotonin levels. Tune in to learn how CBD can benefit the mind—without the psychoactive effects.
Now, a conversation about how the COVID-19 pandemic is threatening not only our physical and financial well-being, but also our mental health. Across the nation, tens of millions of people in all walks of life - from front-line hospital staff and shuttered small business owners to unemployed restaurant workers and parents staying home with their kids — are reporting increased levels of psychological stress about the COVID-19 illness and the threat it poses to them, their loved ones, and their livelihoods. The impact of this heightened stress is indisputable. What kinds of services are available during the pandemic to help people cope with psychological trauma? Tom's guest is Dr. Harsh Trivedi. He’s is the President and CEO of the Sheppard Pratt Health System in Baltimore, one of the nation’s largest private, non-profit providers of mental health, substance use and other special-needs services. He is also a professor of psychiatry at the University of Maryland School of Medicine. Dr. Trivedi joins Tom via Skype phone to describe the scope of the current mental health crisis, and the range of services available to those in need. Those services include Sheppard Pratt's new Virtual Walk-In Mental Health Clinic, and, to support Mental Health Awareness Month this May, its weekly online "Lunch and Learn" expert seminars on ways to manage our mental health.
Dr. Komrad is a psychiatrist on the teaching faculty of Johns Hopkins and Sheppard Pratt in Baltimore and Clinical Assistant Professor of Psychiatry at the University of Maryland and Tulane. He earned his undergraduate degree in molecular biophysics at Yale University, his M.D. degree at Duke Medical School, and trained in internal medicine and psychiatry at Johns Hopkins. He was an attending psychiatrist on the Treatment Resistant Psychotic Disorders Unit at Sheppard Pratt Hospital for 15 years, where he continues to train residents in psychotherapy and psychopharmacology. In addition to clinical psychiatry, Dr. Komrad is a medical ethicist. He chaired the Ethics Committee and ethics consultation service for the Sheppard Pratt Health System in Maryland for over 25 years. He served on the Ethics Committee of the American Psychiatric Association for 6 years, which oversees ethics and professionalism for psychiatry in the U.S. Recently he has been speaking throughout the U.S. and internationally, also consulting to government policy makers, expressing ethical concerns related to physician assisted suicide and euthanasia, especially concern that these procedures are available to people with mental illness in some countries. He speaks widely about why legalizing these procedures is neither good social policy nor good medical ethics. Special Guest: Mark Komrad, MD.
For many college freshman, the thought of a committing to a PhD is daunting. For students in the Meyerhoff Scholars Program at the University of Maryland Baltimore County, it’s a chance to be a leader.With three decades’ of know-how increasing diversity in engineering and the sciences, the scholarship program is now expanding to two universities on the West Coast.We speak to Keith Harmon, director of the program, and Dr. Michael Summers, chemistry professor and Meyerhoff mentor, about the keys to scholarship's success. And alumna Dr. Crystal Watkins, director of the Memory Clinic in the Neuropsychiatry Program at Sheppard Pratt, and UMBC senior Aliyah Smith, describe the impact of being a Meyerhoff scholar. Original air date: May 7, 2019.
Show Notes: In this episode, I talk with Dr. Colleen Reichmann, a licensed clinical psychologist specializing in eating disorders. She works in her private practice (Wildflower Therapy) in Philadelphia, PA, and has also worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. Colleen herself is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is deeply committed to Health at Every Size and body liberation, and considers herself a fat-positive clinician. Colleen speaks at national and regional eating disorder conferences, and writes about body image and eating disorders for Project HEAL, The Mighty, Recovery Warriors, and more. In this episode, Colleen briefly shares how and why she became an eating disorders clinician. Then, she dives deep into the subject of self-disclosure as a clinician. Colleen discusses why she decided to disclose her own recovery from an eating disorder, and the specific boundaries that she believes are important to set when sharing personal information during sessions or online. In the episode we talk about: Colleen's eating disorder recovery Colleen's experience disclosing her recovery with clients and patients The “boundaries” Colleen sets when disclosing her recovery journey Resources: Jessi's Newsletter The Nutrition & Body Image Coaching Course Colleen's Instagram Colleen's Website
For many college freshman, the thought of a committing to a PhD is daunting. For students in the Meyerhoff Scholars program at the University of Maryland Baltimore County, it’s a chance to be a leader.With three decades’ of know-how increasing diversity in engineering and the sciences, the scholarship program is now expanding to two universities on the West Coast.We speak to Keith Harmon, director of the program, and Dr. Mike Summers, professor of chemistry and Meyerhoff mentor, about the keys to scholarship's success. And alumna Dr. Crystal Watkins, director of the Memory Clinic in the Neuropsychiatry Program at Sheppard Pratt, and UMBC senior Aliyah Smith, share the impact the being a Meyerhoff.
Anti-diet therapist Colleen Reichmann joins us to discuss how to keep from falling prey to diet culture, the problem with Whole30 and other forms of The Wellness Diet, why true well-being is about so much more than food and movement, a quick way to tell if your “lifestyle change” is really a diet, why eating-disorder diagnoses are often problematic, and so much more! Plus, Christy answers a listener question about how to handle envy for people who seem to be “successfully managing” their weight. Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for intersectional feminism, body liberation, fat acceptance, and Health At Every Size. She speaks at national and regional eating disorder conferences, and writes about body image and eating disorders for MORELove Project, Project HEAL, The Mighty, Recovery Warriors, Adios Barbie, and more. Find her online at ColleenReichmann.com. This episode is brought to you by Poshmark, the easiest way to buy and sell fashion items. Sign up for a Poshmark account and get $5 off your first purchase with the code FOODPSYCH! Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. If you're ready to give up dieting once and for all, join Christy's Intuitive Eating Fundamentals online course! Ask your own question about intuitive eating, Health at Every Size, or eating disorder recovery at christyharrison.com/questions. To learn more about Food Psych and get full show notes and a transcript of this episode, go to christyharrison.com/foodpsych.
In this podcast Tabitha chats to Dr Colleen Reichmann about her recovery, health at every size, body diversity, and advoacy and activism. Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for feminism, body liberation, fat acceptance, and health at every size. She writes about body image and eating disorders for morelove.org, Project Heal, The Mighty, Recovery Warriors, and more. Website: www.colleenreichmann.com instagram: @drcolleenreichmann facebook: https://www.facebook.com/drcolleenreichmann/
Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Virginia. She works at her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that full recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for feminism, body positivity, health at every size, and FULL recovery. In this thoughtful and (super) informative conversation, we pull back the layers on body image, eating disorders, recovery, and much, much more. You don't want to miss it. Inside the episode we discuss: Finding hope What rock bottom really means Body image Why you don’t need to look a certain way to have an eating disorder How weight is such a small, small symptom of eating disorders How the majority of people don’t seem like they have an eating disorder The danger of food being a short-term coping skill Binge eating and numbing Tackling diet culture Genetic predispositons to eating disorders Colleen’s own personal story What full recovery really means The difference between body positivity and full recovery Breaking through food rules Body changes with age How attractiveness is not important Self-worth Self-esteem Eating disorder recovery Self-awareness How full recovery doesn’t mean you feel amazing about your body everyday CONNECT WITH COLLEEN Website // Instagram // Facebook PEOPLE, BOOKS & RESOURCES MENTIONED IN THE SHOW National Eating Disorders Association (NEDA) NEDA Helpline (or call 1-800-931-2237) Recovery Warriors Glennon Doyle's, Carry On, Warrior: The Power of Embracing Your Messy, Beautiful Life Carolyn Costin Cynthia Bulik Find a therapist Subscribe & lean more about the show at www.CorinneDobbas.com/heartspace
A recently published study from the Johns Hopkins Bloomberg School of Public Health found that news reports frequently link mental illness with acts of violence, giving the public the impression that people with mental illness are prone to violence when, in fact, only a small percentage of them are. We talk this over with Mark Komrad, Baltimore-based psychiatrist on the clinical and teaching staffs of both Sheppard Pratt and Johns Hopkins hospitals.Mark Komrad also serves as ethicist-in-residence at Sheppard Pratt and he is a member of the ethics committee of the American Psychiatric Association. He is the author of "You Need Help: A Step-by-Step Plan to Convince a Loved One to Get Counseling." We start the show with a chat about Section 7.3 of the APA's ethics principles — something known as the Goldwater Rule and dating to the 1964 presidential election, but with relevance to the present campaign for the White House.
Get ready for a long one! Lots of talking about Maryland cocktails, Hannibal at the the mall, the flawed Hannibal Rising, various syndromes and bonding, and more. Hope this helps ease the post-Hannibal Con blues! Forgotten Maryland Cocktails https://www.amazon.com/Forgotten-Maryland-Cocktails-American-Palate/dp/162619856X Dinner is Served 1972 http://dinnerisserved1972.com/tag/hannibal/ TV Ate My Wardrobe https://tvatemywardrobe.com/category/hannibal/ Target Antler Decor http://www.target.com/p/antler-decor-14-x12-white/-/A-17296911 Everything Hannibal Wore http://www.ew.com/article/2015/08/29/everything-hannibal-wore-hannibal Why Hannibal Rising? http://www.ew.com/article/2007/02/16/hannibal-lecter-meets-his-end Sheppard Pratt at Ellicott City (AKA Taylor Manor) http://www.taylorhealth.com/ Persimmon symbolism, some Japanese examples http://zentalks.blogspot.com/2010/12/shibui-shibumi-and-wabi-sabi.html and http://www.persimmonimages.com/2010/01/31/a-meditation-on-persimmons/ Willard Wigan https://en.wikipedia.org/wiki/Willard_Wigan IDFYTI Kickstarter https://www.kickstarter.com/projects/1374530875/rules-of-disorder-hannibal-pin-badges and Etsy https://www.etsy.com/shop/IDFYTI Toes https://vimeo.com/107910254