Podcasts about statistical manual

Cancer is never convenient, and it never arrives when a patient is truly prepared, according to Daniel C. McFarland, DO, who began the most recent episode of Oncology On the Go with this sentiment. When individuals enter the high-stakes, highly coordinated world of oncology, they do so under extreme duress, often presenting the versions of themselves that are most under stress. In this environment, clinical teams frequently encounter behaviors that get unfairly lumped into the vague and pejorative category of the “difficult patient.” What happens when these challenges stem from an underlying personality disorder rather than just temporary situational anxiety? In this episode, McFarland was joined by psycho-oncology expert Kaleena Chilcote, MD, to unpack the inner workings of personality styles and disorders within oncologic science. Together, they explored the Diagnostic and Statistical Manual of Mental Health Disorders (DSM) diagnostic framework, spanning the eccentric, dramatic, and anxious categories. They discussed how these enduring, pervasive traits impact a patient's health care journey. Shifting the conversation away from the stigma of labels, McFarland and Chilcote delivered actionable, real-world advice for oncology teams. They discussed how to utilize objective, descriptive charting; initiate a pause to check your own provider emotions; and build highly consistent, structured boundaries. From managing frequent phone calls to intentionally scheduling short, high-frequency touchpoints, the pair provided a roadmap for turning interpersonal conflict into therapeutic collaboration, proving that underneath the defense mechanisms, every patient has a uniquely valuable strength to connect with. McFarland is the director of the Psycho-Oncology Program at Wilmot Cancer Center and a medical oncologist who specializes in head, neck, and lung cancer, in addition to being a psycho-oncology editorial advisory board member for the journal ONCOLOGY®. Chilcote is director of Psycho-Oncology in the Department of Palliative and Supportive Care at the Taussig Cancer Center, part of the Cleveland Clinic. 

Is it Time for a New Approach to Emotional Suffering? Advantages and Disadvantages of DSM Diagnoses Hosts: Kevin Cornelius, LMFT Dr. David Burns Episode Summary In this thought-provoking episode, Dr. David Burns and host Kevin Cornelius, LMFT explore a topic that shapes nearly every corner of modern mental health care: psychiatric diagnosis. For decades, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has defined how clinicians diagnose, treat, and research emotional suffering. But what if many of these diagnostic categories don't represent distinct medical diseases? What if they are simply normal human emotions—like sadness, anxiety, or shame—occurring on a spectrum? Dr. Burns draws on decades of clinical experience, research, and insights from TEAM-CBT to question the assumptions behind psychiatric labeling. While diagnoses can sometimes reduce stigma or help people access care, they can also unintentionally shape identity, medicalize everyday emotional struggles, and distract from the real drivers of emotional pain. This episode offers a nuanced conversation about labels, measurement, therapy, and what actually helps people recover from depression and anxiety. In This Episode You'll Learn What the DSM is—and why it became so influential How the DSM functions as the "diagnostic bible" of psychiatry Why the system was originally designed for research standardization, not necessarily for everyday clinical treatment The difference between true mental disorders and normal emotional experiences Examples of genuine brain disorders such as schizophrenia and bipolar I disorder Why many DSM diagnoses describe normal emotions taken to an extreme How everyday struggles became medical diagnoses Shyness becoming "social anxiety disorder" Chronic worry becoming "generalized anxiety disorder" Why time-based thresholds (like "14 days of depression") can be arbitrary The unintended consequences of diagnostic labels How labels can reinforce feelings of shame or defectiveness Why diagnoses can sometimes lead to over-medicalization and medication-focused care Why measurement matters more than diagnosis in therapy Dr. Burns explains how simple mood scales can quickly assess a patient's emotional state Research showing that DSM diagnoses often add little predictive value for treatment outcomes A surprising research finding After lengthy diagnostic interviews, clinicians were only 3–5% accurate at estimating patients' feelings in the moment What this reveals about the limits of traditional diagnostic approaches Why focusing on thoughts may be the key According to cognitive research, negative thoughts drive emotional suffering Effective therapy focuses on identifying and transforming these thoughts Hope for people who feel defined by a diagnosis Why diagnoses do not determine your ability to recover How targeted cognitive techniques can sometimes produce rapid improvements—even within a single session Benefits of Diagnosis (According to Dr. Burns) While the episode critiques diagnostic labeling, the conversation also highlights situations where diagnoses can help: Access to insurance coverage Eligibility for disability or academic accommodations Temporary relief from self-blame Clear communication in research studies Key Takeaway Mental health diagnoses can sometimes be useful administrative tools—but they should never define who you are. Real healing often comes from understanding the specific thoughts, moments, and experiences that drive emotional pain, and learning practical methods to change them. Mentioned in This Episode Dr. Burns' article: "Is It Time for a New Approach to Emotional Suffering?" (Psychology Today) TEAM-CBT approach to psychotherapy Brief Mood Survey and other measurement tools used in therapy Memorable Quote "We treat humans, not disorders." Connect & Learn More Read Dr. Burns' latest articles on Psychology Today Explore more tools and resources at FeelingGood.com Learn about TEAM-CBT training and techniques If you enjoyed this episode, please consider subscribing, sharing the podcast, or leaving a review. It helps more people discover tools for overcoming depression and anxiety. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!

Een kwart van alle Nederlanders heeft een psychische aandoening, volgens de DSM, de diagnosebijbel voor psychiaters (Diagnostic and Statistical Manual of Mental Disorders). Dat kan gaan van psychose, tot depressie tot ADHD. Kan onze samenleving nog zónder al die diagnoses en labels? Presentator Margje Fikse gaat in gesprek met psychiater Jim van Os.

By David Stephen who looks at electrochemical psychiatry trends and issues to consider. The College of Psychiatrists of Ireland [CPsychI] and the Royal College of Psychiatrists [RCPsych] may choose to collaborate on one of the major opportunities to better explain mental disorders and addictions: electrochemical psychiatry. The objective is to focus on electrical and chemical signals to describe and display mental disorders and addictions. Already, neuroscience has established that neurons with their electrical and chemical signals are responsible for functions. So, because there has not been any major success in explaining the configurations of mental disorders by neurons — which, in part, may be due do their anatomy as cells — the next options are the electrical and chemical signals. Why CPsychI and RCPsych should partner on electrochemical psychiatry There is currently no national or continental Psychiatric Association that is focused on this. The American Psychiatric Association actually released a road map earlier in 2026, towards improving the Diagnostic and Statistical Manual of Mental Disorders. However, they are having their 2026 Annual Meeting [May 16-20] in San Francisco, with a different theme entirely. Meanwhile, there is a recent debate in the United States about how and when to get off selective serotonin reuptake inhibitors [SSRIs], such that both the people on the side of deprescribing or against it have no model of the human mind, to explore how to map the mind for the effects of medications. While it is true that CPsychI and the RCPsych go it alone, respectively, it is possible to have both of them do much better if they collaborated on getting it done. The American Psychiatric Association do not seem to be in a hurry about solving the mind or have it as a central agenda. This gives the CPsychI and the RCPsych the chance to accelerate and get ahead, to bear the might of global psychiatry and mental health, even as the era evolves with newer risks and more unknowns. The CPsychl also need to make a major mark, giving its relatively young existence as well as the importance to lead right even as guess therapies continue in mental health, with little understanding of how they work. While the RCPsych has the National Collaborating Centre for Mental Health [NCCMH], the principal advance is what can be explained, or displayed using components of the brain, to move certainty to a better percentage, to shape outcomes. This means the interactions and attributes of electrical and chemical signals can be useful to thoroughly move psychiatry forward for now, according to the postulate in Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology. Conceptually, the human mind is the collection of all the electrical and chemical signals, with their interactions and attributes, in sets, in clusters of neurons, across the central and peripheral nervous systems. Simply, the human mind is the sets of signals. There is a recent [May 14, 2026] analysis in The New York Times, Thinking About Stopping an Antidepressant? Here's What to Consider., stating that, "The American Society of Clinical Psychopharmacology recently published recommendations about "deprescribing" psychiatric medications. They include the suggestion that doctors re-evaluate "the utility of continuing any particular psychotropic medication" on at least an annual basis." "There are several factors to take into account when deciding whether to stop. As a general rule, experts said people could consider going off their antidepressants when they felt they were back to their normal selves." "Dr. Mark Rapaport, the president-elect of the American Psychiatric Association, said he also took into account whether the person had a good support network in place and if they would be experiencing any major life changes in the near future, like moving or starting a new job. "Even good change is associated with stress," he said." "Anoth...

This episode explores the growing issue of body image struggles and eating disorders among men, examining how cultural pressures and online environments—particularly the Manosphere—shape perceptions of masculinity, worth, and identity.Gunter Swoboda discusses clinical insights into muscle dysmorphia, steroid use, and the increasing pressure men face to view their bodies as measures of status and value. The episode also explores practical pathways toward developing healthier relationships with the body and reconnecting with genuine wellbeing.Key Topics• The influence of the Manosphere on men's body image• Clinical insights into muscle dysmorphia and steroid use• Understanding interoceptive awareness and why it matters• Societal and cultural factors reinforcing toxic masculinity• Practical approaches toward healthier body relationshipsSound Bites“The clinical consequences are really real, very real.”“Muscle dysmorphia is a distorted perception of the body.”“The path forward is clinical.Inside This Episode• Understanding the growing body image crisis among men• How the Manosphere shapes male body standards• Exploring muscle dysmorphia and its consequences• Competition, acquisition, and body image pressures• The crisis of recognition and identity in men• The role of algorithms in reinforcing unrealistic standards• Reframing the relationship with the body• Practical pathways toward healing and self-understandingResourcesButterfly Foundation Helplinehttps://butterfly.org.au/DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition)https://www.psychiatry.org/psychiatrists/practice/dsmInteroceptive Awareness Researchhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362784GratitudeWe want to extend a huge thank you to our listeners in Fairborn, Grafton, Maple Heights, and Findley for bringing Ohio to #1 on our Top USA listeners list!! And to our Global Listeners, a special shoutout to our listeners in Mainz (mine-s), Emmerich (em-uh-rick), and Mannheim (man-hyme) for pushing Germany to #5 on our global listeners list! CONGRATULATIONS!! you made the Top Listeners List.Become a supporter of this podcast: https://www.spreaker.com/podcast/inspire-change-with-gunter--3633478/support.PatreonIf this episode resonates with you and you'd like to go deeper into practical exercises and guided reflection, Gunter offers extended self-development resources and exercises through our Patreon community: www.patreon.com/inspirechangeSponsorDistil UnionThis episode of Inspire Change with Gunter is brought to you by Distil Union, creators of beautifully designed, functional everyday carry accessories that help bring organization, simplicity, and intention into your daily life.Distil Union blends craftsmanship with thoughtful design to help you carry what matters most — without the clutter.

South Side Baptist ChurchAbbeville, South CarolinaPastor Joel BradberryMay 10, 2026Sunday AM Servicehttps://www.southsideabbeville.comSermon Notes:Luke 4:31-32Luke 4:33-41 Luke 4:42-441. His supernatural acts of deliverance and healing gave credence to the person and message of Jesus of Nazareth.Luke 5:20–242. Jesus overcame the temptation to secularize His ministry.Matthew 11:23Diagnostic and Statistical Manual of Mental Disorders (DSM-5)Main Point: Syncretism is a huge problem and the secular world isn't being tempted to trust the Biblical world view—it's just the opposite.Honest assessment of our “desolate” place

Der Titel der heutigen Episode lautet: »Die Cannabis-Protokolle«, und mein heutiger Gast ist Stephan Schleim. Er war in Episode 67 im Jahr 2022 schon einmal zu dem Thema Wissenschaft, Hype und Realität zu Gast. Das war und ist eine wichtige Episode, die ich nur empfehlen kann nachzuhören, falls Sie sie verpasst haben sollten. Heute aber geht es um ein seit langer Zeit gesellschaftlich und politisch heiß umstrittenes Thema: Drogen und Abhängigkeit oder Sucht.  Prof. Stephan Schleim ist promovierter Kognitionswissenschaftler, Wissenschaftsphilosoph und hat über 5.000 Studierende im Fach Psychologie ausgebildet, zuletzt als assoziierter Professor für theoretische Psychologie an der Universität Groningen (Niederlande). Zuvor war er Professor für Neurophilosophie an der Ludwig-Maximilians-Universität München. Seit 20 Jahren informiert er auch ein breites Publikum über Fortschritte in Psychologie, Hirnforschung und Psychiatrie, unter anderem in seinem Blog »Menschen-Bilder«. Anlass der heutigen Episode ist sein neues Buch: Die Cannabis-Protokolle. Medizin, Politik und Wissenschaft auf dem Prüfstand. Cannabis wird in dieser Episode ein Thema sein, aber es freut mich, dass wir das Thema Drogen, Abhängigkeit, Substanzen, die Menschen zur Bewusstseinsveränderung nehmen, aber auch Verhaltensweisen, die als Sucht bezeichnet werden, breit angehen. Es handelt sich um ein wirklich relevantes und hochinteressantes Thema, und eines, das perfekt in diesen Podcast passt, denn der Streit um die Frage, was als Droge gilt, was abhängig macht, wie man als Gesellschaft damit umgeht, geht mindestens ins 19. Jahrhundert zurück und wird uns mit Sicherheit noch lange in der Zukunft beschäftigen. Denn der Mensch verwendet seit jeher Substanzen verschiedener Art, um sich zu berauschen, sein Bewusstsein zu verändern sowie in bestimmten sozialen Kontexten und Ritualen. Wo liegt die Grenze zwischen Genuss, Ritual und Sucht? Diese und zahlreiche andere Fragen werden wir in diesem Gespräch thematisieren. Wir beginnen mit der Frage: Was ist eigentlich eine Droge? Woher kommt das Wort, was ist der philosophische und politisch-historische Hintergrund? Wie verändert sich der Begriff über die Zeit? Es gab die erste internationale Verbotsliste beim Opiumkongress in Genf 1925. Was wurde verboten und was waren die Folgen? Zunächst sollten vor allem Opiate verboten werden, aber dann ist durch Gesandte Ägyptens etwas Unerwartetes – was Cannabis betrifft – passiert! So manche Substanz wechselt auch zwischen Arznei und verbotener Substanz hin und her, als Beispiel erwähnen wir Kokain, aber auch Heroin. Wie scharf ist der Drogenbegriff eigentlich? Fallen etwa Substanzen wie Zucker hinein?Woher kommt der Begriff der Pharmazie – pharmakon? Auch in diesem Begriff spiegeln sich die unterschiedlichen Facetten von Substanzen und des Drogenbegriffs wider. Auch Begriffe wie Stimulantien und Genussmittel spielen in dieser Diskussion mit und machen den Diskurs nicht schärfer. Was empfinden wir heute als gefährlich? Hat sich unsere Furcht vor allen möglichen Substanzen ins Extreme gesteigert? Wie viel Eigenverantwortung gestatten wir Menschen noch? Oliver Sacks beschreibt seine Kindheit in England, das Zitat bezieht sich ca. auf die 1940er Jahre: »I had had not the least difficulty getting potassium cyanide from the chemist's, the pharmacy, down the road — it was normally used for collecting insects in a killing bottle — but I could rather easily have killed myself with the stuff. I gathered, over a couple of years, a variety of chemicals that could have poisoned or blown up the entire street but I was careful — or lucky.« — Oliver Sacks Welche Drogen werden in Deutschland und Österreich in welchem Umfang konsumiert? Wie wird (regelmäßiger) Drogenkonsum definiert? Auch die Definition von Drogen ist oftmals enumerativ – also aufzählend –, um das Problem der unklaren Definition zu umgehen. Ist folglich die Drogenpolitik janusköpfig und ist dies überhaupt vermeidbar? Werden psychoaktive Substanzen in den letzten Jahren stärker oder schwächer konsumiert? Und welche Rolle spielen »legale« Arzneien dabei? »In Deutschland hat man inzwischen so viele Antidepressiva Jahr für Jahr verschrieben, dass man fünf Millionen Menschen tagtäglich damit behandeln könnte.«  Das hat sich seit 1990 verelfacht. Wie sieht es mit den verbotenen Substanzen aus?  »Der Anstieg hat schon vor der Teillegalisierung [von Cannabis] angefangen.« Ergeben Verbote Sinn, wenn ein nennenswerter Teil der Bevölkerung diese ignoriert und Substanzen wie Cannabis für viele bereits zum Alltag geworden sind? Hat als Substanz der Wahl (Jugendlicher?) Cannabis Alkohol abgelöst? Ist man mit der Legalisierung zu weit gegangen? Welche Rolle spielt Werbung für pharmazeutische Substanzen (auch Cannabis) – auch da gibt es große Unterschiede zwischen den USA und Europa. Was ist unter diesen Rahmenbedingungen eine »vernünftige« Drogenpolitik, beziehungsweise welche Parameter sollte man hier berücksichtigen? Es gibt wohl einen Unterschied, ob der Konsum einer Substanz im Wesentlichen auf einen selbst wirkt oder andere betrifft, z. B. dadurch, dass der Konsument aggressiv wird oder sein eigenes Verhalten nicht mehr unter Kontrolle hat – denken wir an den Straßenverkehr oder das Verhalten in der Familie. Wie geht man damit um? Was sind positive und negative soziale Faktoren von Substanzkonsum, z. B. Alkohol? Wie sind kulturelle Einflüsse zu bewerten?Cannabinoid- und Opioid-Rezeptoren sind fast über das gesamte Gehirn verteilt – was bedeutet das? Unterschiedliche Opioide überwinden auch die Blut-Hirn-Schranke in unterschiedlichem Tempo, welche Folgen hat dies? »Opioidabhängigkeit ist eine der schwersten Abhängigkeiten – wenn man davon abhängig wird, was auch nicht alle werden.«  Die Frage, wer überhaupt von einer Substanz unter welchen Umständen abhängig wird, ist somit eine hochinteressante Frage für sich selbst. Was ist folglich der Begriff der Sucht? Ist dieser einfacher zu definieren als der Begriff der Droge? Der Effekt ein und derselben Substanz – sei es Alkohol, Opioide oder Cannabis – hat offenbar auf unterschiedliche Menschen sehr unterschiedliche Wirkungen. Was auf manche entspannend wirkt, führt bei anderen zu einer Psychose. Was bedeutet diese Erkenntnis?  »Der Trip, den man erfährt, ist eine Interaktion von Set und Setting.«  Ein Beispiel ist die Nutzung von Heroin durch die US-Soldaten im Vietnamkrieg. Auch außerhalb dieses extremen Szenarios gibt es in unterschiedlichen Subkulturen unterschiedliche Akzeptanz für verschiedene Drogen. Was können wir davon lernen? Damit kommen wir zur Frage, was Abhängigkeit bedeutet und wie diese zustande kommt. Welche Rolle spielt das Über-Verschreiben von Schmerzmedikation durch Ärzte ab den 1990er-Jahren, mit dem Versprechen, Schmerz gehöre der Vergangenheit an und die Gefahr von Schmerzmitteln wäre in der Vergangenheit zum Schaden der Patienten überschätzt worden? »Ein Grund, warum der Konsum so zunimmt, ist meines Erachtens nach auch eine zunehmende soziale Verelendung vieler Gesellschaften.«  Was ist Sucht, was bedeutet der Suchtbegriff? Sowohl in der historischen Betrachtung als auch in der aktuellen Situation? »Vor dem 20. Jahrhundert hat man wenig von Sucht gesprochen.«  Der Psychiater Emil Kraepelin prägte für lange Zeit diese Diskussion. Der Suchtbegriff beginnt sich dann erst langsam zu entwickeln, zum Teil getrieben durch politische und religiöse Überzeugungen. Nach dem Zweiten Weltkrieg wird der Begriff dann durch eine Kommission der Weltgesundheitsorganisation definiert – oder jedenfalls wird der Versuch unternommen. Der Suchtbegriff wird dann durch den Abhängigkeitsbegriff abgelöst. Warum? »Seit den 1980er-Jahren wird der Suchtbegriff in den USA von der Psychiatrie aufgegeben.«  In Deutschland verwenden wir diesen Begriff allerdings permanent. Was bedeutet diese begriffliche Verwirrung in der Praxis? Wie wird also Abhängigkeit – von Substanzen, aber auch Verhalten – definiert? Meist wird Bezug genommen auf Kontrollverlust gepaart mit Dysfunktion. Was bedeutet dies konkret? »Man hat den Konsum nicht mehr unter Kontrolle und der Konsum führt zu verschiedenen Problemen.«  Gibt es einen wesentlichen Unterschied zwischen psychischer und körperlicher Abhängigkeit und fallen Verhaltensweisen in dieselbe Kategorie? Was ist von Begriffen wie Sport-Sucht, Sex-/Porno-Sucht, (Video-)Spiel-Sucht, Arbeits-Sucht usw. zu halten? Was ist der Unterschied zwischen Sucht, Abhängigkeit und Impulskontrollstörung? Ein weiterer Begriff, der sich in diese Melange der oftmals unklar beschriebenen Begriffe mischt. »Man kann auch Sport so betreiben, dass man die Kontrolle verliert und dass er schädlich wird. Im Übrigen hat auch Sport psychische Wirkungen – Runners High. Man könnte eine Sport-Sucht mit den genannten Kriterien definieren. Warum macht man's nicht? Weil Sport moralisch toleriert und gefördert wird.« Was bedeutet das für eine »vernünftige« Drogenpolitik – von libertären Gedanken bis zur Frage, wie mit Schäden an der betroffenen Person und weiter zum individuellen Umfeld und zur Gesellschaft? »Obwohl die Leute immer weniger konsumieren, wird das Thema in den Medien immer extremer diskutiert.«  Freier Markt oder Prohibition? Sollte man den Substanzkonsum kontrollieren? »Substanzkonsum ist etwas Normales.«  Warum wird beziehungsweise wurde der Begriff »Marihuana« fallweise stigmatisierend verwendet? Was ist ein schadenbasierter Ansatz (Harm-based approach)? Welche quantitativen Folgen hatte etwa die (Teil-)Legalisierung von Cannabis in den USA und Deutschland im Vergleich etwa zu Österreich? Sobald es erlaubt ist, ist es für die Jugendlichen weniger anziehend? »Man kann Substanzen nie isoliert betrachten, man muss sich immer auch die soziale Praxis ansehen.«  Verändert sich auch die Droge durch die Nutzung beziehungsweise durch gesellschaftliche Trends? So steigt etwa der THC-Gehalt in Cannabis über die letzten Jahrzehnte stetig (stark) an. Was hat es mit dem viel diskutierten Psychose-Risiko nach Cannabis-Konsum auf sich? »Über Jahrtausende unserer Menschheitskultur war Substanzkonsum in der Regel ritualisiert – entweder mit Freunden oder religiös eingebettet. Wir sind halt im 20. Jahrhundert in diese konsum-, massen- und individualisierte Gesellschaft hineingekommen, die dann eben auch dazu führt, dass manche Menschen diesen ritualisierten oder sozialen Kontext nicht mehr haben.«  Was ist die Rolle von Wissenschaft bei diesen komplexen und wichtigen gesellschaftlich wesentlichen Fragestellungen? »Als Wissenschaftler ist ja meine Funktion nicht, der Gesellschaft zu sagen, wie sie ihre Politik gestalten sollte, aber ich versuche natürlich die Diskussion zu informieren.«  Funktionieren Verbote überhaupt? Sehr viele Probleme erscheinen gerade durch den harten Kampf gegen Drogen erst zu entstehen?! Aber auch die Legalisierung kann man besonders ungeschickt gestalten, wie das gerade auch wieder in Deutschland zu beobachten ist. »Mit Verboten hält man gerade die Menschen mit den größten Problemen nicht ab und erzeugt viele neue Probleme.« Referenzen Andere Episoden Episode 148: Künstliche Vernunft? Ein Gespräch mit Jan Juhani Steinmann Episode 142: Games. A Conversation with Tom Vasel from the Dice Tower Episode 132: Fragen an die künstliche Intelligenz — eine konstruktive Irritation Episode 123: Die Natur kennt feine Grade, Ein Gespräch mit Prof. Frank Zachos Episode 121: Künstliche Unintelligenz Episode 116: Science and Politics, A Conversation with Prof. Jessica Weinkle Episode 111: Macht. Ein Gespräch mit Christine Bauer-Jelinek Episode 107: How to Organise Complex Societies? A Conversation with Johan Norberg Episode 67: Wissenschaft, Hype und Realität — ein Gespräch mit Stephan Schleim Fachliche Referenzen Homepage Stephan Schleim Menschen-Bilder Blog Stephan Schleim, Die Cannabis-Protokolle. Medizin, Politik und Wissenschaft auf dem Prüfstand, BoD (2026) Stephan Schleim, Perspektiven aus der Depressions-Epidemie. Was Depressionen sind und wie man sie behandelt, BoD (2026) Oliver Sacks, Uncle Tungsten, Memories of a Chemical Boyhood, Isis Publishing (2001) International Classification of Diseases 11th Revision, WHO Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)

The comedy queen of our generation Nikki Glaser is on the pod today!! Not only is she hilarious and gorgeous, but extremely smart and compassionate and a phenomenal talker. We talk all things back pain, depression, sex, and our time together at the Vanity Fair Party. It's a good one enjoy!! Watch her new Hulu comedy special “Good Girl” on Hulu 4/24!! Fibromyalgia quote mentioned source: Wolfe, Walitt, Katz, and Häuser. “Symptoms, the Nature of Fibromyalgia, and Diagnostic and Statistical Manual 5 (DSM-5). Defined Mental Illness in Patients with Rheumatoid Arthritis and Fibromyalgia Website: https://pmc.ncbi.nlm.nih.gov/articles/PMC3925165/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Discover what's possible when diagnosis opens doors. What are considered the “gold standard” tools for diagnosing autism?  If you're curious about the history of autism diagnoses and observational assessments, you'll want to listen to this episode with Dr. Catherine Lord. Dr. Lord is an American psychologist and researcher. She currently serves as a member of the International Advisory Board for The Lance Psychiatry, co-chair of the Scientific Research Council of the Child Mind Institute, and the George Tarjan Distinguished Professor of Psychiatry and Education at UCLA's Semel Institute for Neuroscience and Human Behavior.  Credited for co-developing the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R), Dr. Lord is also known for leading one of the largest and longest-running longitudinal studies of autism in modern research, which began in 1990 and continues to follow a community sample of over 200 individuals.  Dr. Lord has authored numerous books about autism and hundreds of peer-reviewed journal articles, as well as received a considerable number of awards and professional recognitions.  This episode is part one of our conversation, and we discuss: Shortcomings of early autism diagnosis Why autism was so hard to diagnose consistently How the ADOS assessment tool was developed What it actually does and does not measure Common misunderstandings of the ADOS Why a diagnosis involves more than a single test Training and cultural considerations for professionals who administer the ADOS The evolution of autism categories in the DSM (Diagnostic and Statistical Manual of Mental Disorders) and why these changes matter How families can explain an autism diagnosis to their child Early detection in infants Misconceptions about regressive autism Self-diagnosis and access to autism assessments  To learn more about Dr. Catherine Lord and her work, please visit: Dr. Catherine Lord UCLA Profile ----more---- We appreciate your time. If you enjoy this podcast and you'd like to support our mission, please take just a few seconds to share it with one person who you think will find value in it too. Follow us on Instagram: @autismpodcast Join our community on Mighty Networks: Global Autism Community Subscribe to our YouTube channel: Global Autism Project We would love to hear your feedback about the show. Please fill out this short survey to let us know your thoughts: Listener Survey 

Scientific and Medical Consensus: Homosexuality is recognized as a normal variant of human sexual orientation. Major organizations, including the American Psychiatric Association (APA), the American Psychological Association, and the World Health Organization (WHO), affirm that same-sex attraction does not indicate a developmental or mental disorder.Removal from Diagnostic Manuals: In 1973, the American Psychiatric Association removed homosexuality from its Diagnostic and Statistical Manual of Mental Disorders (DSM), concluding that it did not meet the criteria for a psychiatric disorder. The World Health Organization followed suit, removing it from the International Classification of Diseases (ICD) in 1990.

This week, Marianna sits down with Dr. Francine Cournos to talk about the importance of integrating mental health into HIV care. Tune in to hear about the differences between distress and disorders, screening and diagnosis, treatment, and more. -- Resources: National HIV Curriculum: https://www.hiv.uw.edu/The Circle of Health: https://www.va.gov/WHOLEHEALTH/circle-of-health/index.aspDiagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), American Psychiatric Association https://doi.org/10.1176/appi.books.9780890425787--Help us track the number of listeners our episode gets by filling out this brief form!  (https://www.e2NECA.org/?r=AQX7941)--Want to chat? Email us at podcast@necaaetc.org with comments or ideas for new episodes. --Check out our free online courses: www.necaaetc.org/rise-courses--Download our HIV mobile apps:Google Play Store: https://play.google.com/store/apps/developer?id=John+Faragon&hl=en_US&gl=USApple App Store: https://apps.apple.com/us/developer/virologyed-consultants-llc/id1216837691

"Rethinking DX: A Digital DSM" looks at how the Diagnostic and Statistical Manual of Mental Disorders (DSM) quietly shapes almost every part of mental health care—from who gets a diagnosis and insurance coverage to how people understand their own symptoms and identities. In this conversation, Lita and Jean Marie unpack what the DSM actually is, why the current DSM‑5‑TR matters, and how a future, fully digital "DSM‑6" could function as a living document that updates more quickly, links to decision‑support tools, and better integrates real‑world data from electronic health records.​ They explore the growing push to move beyond symptom checklists and include factors like biology and inflammation, social determinants (poverty, racism, housing instability, community violence), culture and language, life stage, trauma history, and even nutrition and the gut–brain connection when understanding mental health. The episode also imagines what a visit with a clinician using a digital DSM might look like—from plain‑language criteria and prompts about trauma and physical health, to culturally sensitive questions and age‑specific guidance—while encouraging listeners to bring their whole story to appointments, ask how environment and biology interact in their own case, and get involved in shaping future DSM updates through advocacy and lived‑experience input.​

When the concept of ‘gamifying life' comes up, scoring is transparent and portable but strips nuance, creating a gap between what's measurable and what matters. When codifying everything through metrics, massive amounts of nuance is lost, so how can we utilize game theory without reducing everything to a high score? C. Thi Nguyen is a professor of philosophy at the University of Utah. He is also the author of the books The Score: How to Stop Playing Somebody Else's Game, The Routledge Handbook of Philosophy of Games, and Games: Agency As Art. Greg and Thi discuss the differences between genuine gameplay and institutional metrics and gamification. Thi explains Huizinga's “magic circle” concept, where games create a temporary space with altered meanings and low real-world stakes, enabling intense striving without value capture. Drawing also on Bernard Suits, Thi frames games as voluntarily taking on unnecessary obstacles and distinguishes achievement play (valuing winning) from striving play (valuing the struggle), separating these from intrinsic vs extrinsic motivations.  They discuss how clear scoring is transparent and portable but strips nuance, creating a gap between what's measurable and what matters; transparency can reduce bias yet undermine expertise. Examples include social media likes, quotas, education metrics, sports rule changes, cooking “recipe vs dish,” and academia's citation and ranking pressures. *unSILOed Podcast is produced by University FM.* Episode Quotes: The paradox on inefficiency 08:31: To play a game is to voluntarily take on unnecessary obstacles,  to create the possibility of struggling to overcome them, which I find, it's got to be to be inefficient, but interestingly not fully inefficient. So we're not trying to be as inefficient as possible. One of the ways to put the paradox of games is we take on an inefficiency and then we try to be as efficient as possible inside that inefficiency. The trap of simple scoring 04:00: One of the biggest differences between real games and the kinds of gamifications of work and education that we find is that gamifications are attempts to modify things into line with simple scoring systems that occur continuously with the rest of life that have direct connections to valuable resources. Collapsing the magic circle 05:08: Twitter likes and citation rates and gamified work are modifications of something that has preexisting value, preexisting activity. So I think the important thing about Twitter, X, Facebook is those scoring systems don't occur in a magic circle. They don't occur in a space with separated meaning. They modify our activities in the real world and change our attitudes and interactions over real world resources. So I think exactly like this easy glide from games or grudge to like we should gamify everything ignores one of the most crucial elements, which is some version of this magic circle is basically active in a lot of genuine gameplay, but is completely inactive, is completely canceled. We have the superficiality of scoring systems and game-ishness, but deep down we don't have the core guts of transferring into a temporary alternate meaning space whose meanings kind of can be held relatively isolated. Show Links: Recommended Resources: Johan Huizinga Lusory Attitude Dungeons & Dragons John Dewey Goodhart's Law Onora O'Neill John Thorne Theodore Porter Autotelic Diagnostic and Statistical Manual of Mental Disorders (DSM) Guest Profile: Faculty Profile at the University of Utah Thi Nguyen's Website Wikipedia Profile Social Profile on X Guest Work: Amazon Author Page The Score: How to Stop Playing Somebody Else's Game The Routledge Handbook of Philosophy of Games Games: Agency As Art Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Did your child just tell you they're “transgender” or that they identify as the opposite gender? As a parent, you may feel confused, pressured, and even afraid — especially when the media, schools, and parts of modern medicine seem to insist that immediate affirmation is the only loving response.In this powerful episode of The Sentinel Ph, we sit down with Miriam Grossman, M.D., author of Lost in Trans Nation: A Child Psychiatrist's Guide Out of the Madness, to discuss the growing phenomenon of gender dysphoria in children and teens, the debate over medical transition, and what parents need to know before making irreversible decisions.Dr. Grossman is board-certified in child and adolescent psychiatry and has spent decades working with young people struggling with mental health issues. She is also the author of Unprotected and You're Teaching My Child What? and appeared in the hit documentary What Is a Woman?, which sparked global discussion on gender identity and transgender ideology.In this episode, we discuss:• The heartbreaking Zoom meeting with parents of trans-identified teens• The controversial legacy of John Money• How the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) replaced “Gender Identity Disorder” with “Gender Dysphoria”• The rise of transgender identification among youth• How parents can respond with truth and compassion• How to engage respectfully with people who identify as another genderIf you're searching for answers about transgender children, gender ideology, mental health, child psychiatry, parenting in a gender-confused culture, or the medical transition debate, this episode is for you.

Dr. Pamela Keel is Distinguished Research Professor in the Department of Psychology, Florida State University and the 2025-2026 Robert O. Lawton Distinguished Professor at Florida State University – the highest honor FSU faculty can award.  She directs the Eating Behaviors Research Clinic, co-directs the NIMH-funded Integrated Clinical Neuroscience Training Program, and leads efforts to enhance faculty recruitment and mentorship at Florida State University and has attracted over $55 million in external funding to FSU since joining their faculty in 2008. Her NIH-funded research examines the nosology, biology, epidemiology, and longitudinal course of eating disorders, and she has over 250 peer-reviewed journal articles and authored four books. Dr. Keel identified Purging Disorder as a new disorder of eating by revealing its clinically significant impact on the lives of those with the condition and demonstrating distinct postprandial gut peptide responses linked to purging in the absence of binge eating.  Her groundbreaking work contributed to Purging Disorder's inclusion in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Dr. Keel was honored with the AED Leadership Award in Research for the global impact of her work identifying Purging Disorder as a life-threatening illness affecting 1 in 50 women worldwide person does not.   We discuss topics including: Understanding the long-term outcome for bulimia nervosa (one person gets better and one person does not) Discussing what is weight suppression? Hormones including Leptin and Glucagon Peptide 1 (GLP-1) What happens when GLP-1 is released? What does lower leptin levels mean?   SHOW NOTES: https://www.cambridge.org/core/journals/psychological-medicine/article/test-of-a-biobehavioral-model-linking-weight-suppression-to-bingeeating-severity-via-leptin-and-glucagonlike-peptide-1-in-bulimia-nervosa-and-related-syndromes-in-women/C00119BEADF52EE75A53F7D675E9648A https://eatingbehaviorskee.wixsite.com/mysite https://www.cambridge.org/core/journals/psychological-medicine/article/test-of-a-biobehavioral-model-linking-weight-suppression-to-bingeeating-severity-via-leptin-and-glucagonlike-peptide-1-in-bulimia-nervosa-and-related-syndromes-in-women/C00119BEADF52EE75A53F7D675E9648A ___________________________________ If you have any questions regarding the topics discussed on this podcast, please reach out to Robyn directly via email: rlgrd@askaboutfood.com You can also connect with Robyn on social media by following her on Facebook, Instagram, Twitter, and LinkedIn. If you enjoyed this podcast, please leave a review on iTunes and subscribe. Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE "Maximizing Your Time with Those Struggling with an Eating Disorder". Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book "The Eating Disorder Trap", please visit the Official "The Eating Disorder Trap" Website. "The Eating Disorder Trap" is also available for purchase on Amazon.

Despite major advances in our understanding of the biology of mental health disorders,  there's no blood test or brain scan that will confirm if you have depression, anxiety, PTSD, or any other psychiatric illness.  And yet, the American Psychiatric Association recently announced that it will be including biomarkers for mental conditions in the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which guides diagnosis and treatment of mental illness. So how close are we to pinpointing the biological markers of mental illness, and what does that mean for diagnosis? It's complicated.  Host Flora Lichtman untangles some of this science with psychiatry researcher John Krystal. Guest: Dr. John Krystal is a professor of psychiatry, neuroscience, and psychology at the Yale School of Medicine. Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

By David Stephen who looks at biomarkers in this article. Will there ever be a biological test for human intelligence, to explore how to improve it in the age of AI? Like, would it ever be possible to test a human being for intelligence by some biological factor, and how to make it competitive against AI? The same question applies to mental disorders. Would there ever be biological tests, to know what therapies would work? These, at least for mental disorders, is what the American Psychiatric Association is seeking. Biomarkers for Psychiatry, Human Intelligence There is a recent [January 28, 2026] press release, APA Releases Roadmap for the Future of the DSM, stating that, "The American Psychiatric Association (APA) has released a series of papers offering a proposed roadmap for the future of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The five papers, including the Initial Strategy for the Future of the DSM and four accompanying commentaries, are the result of the committee's year of structured debate and consideration of long-standing critiques and rapid scientific advances. They propose a forward-looking model for the evolution of the DSM. They also suggest changing the name from Diagnostic and Statistical Manual to Diagnostic and Scientific Manual to better reflect its scientific and global scope. The four accompanying papers address structure and dimensions of the DSM; the role of biomarkers and biological factors in diagnosis; vision for incorporating socioeconomic, cultural and environmental determinants of health and intersectionality; and the role of functioning and quality of life in psychiatric diagnosis." Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology What are the options for biomarkers in the brain for mental disorders? Would they be different or similar to those for human intelligence? What are the universal components in the brain, for functions of human life and experiences? Can a model be developed on these components and their mechanisms, first to explain labels and next to scope out biomarkers? The problem before psychiatry is not just the distance to developing tests but to even describe what is happening in the brain for the labels of conditions. Mood disorders have several descriptions. But what are their components in the brain and the course of their actions. Answering these questions can put conditions in perspective as parallels are sought, before adventuring into biomarkers development. The same applies to human intelligence. Now, artificial intelligence is in an intense acceleration. There are valuable labor tasks that will be lost due to AI. And, because intelligence is the last frontier of superiority for humanity among organisms, it will be important to seek to map it, and explore it for problem-solving. This is the postulation in Conceptual Biomarkers and Theoretical Biological Factors for Psychiatric and Intelligence Nosology. The options are electrical and chemical signals as the components of functions in the brain. It states that neurons are conduits or bridges that signals use to carry out functions. It also states that signals are in sets in cluster of neurons. It is possible to use signals, conceptually, to explain and display all disorders in the DSM. It is also possible to use them to develop, explain, and display the two main types of human intelligence [improvement and operational], to ensure that options are broadened towards survival in the age of AI. This seminal work on conceptual brain science could be completed by August, 2026, moving psychiatry and intelligence forward, as well as neurology. David Stephen currently does research in conceptual brain science with focus on the electrical and chemical configurators for how they mechanize the human mind with implications for mental health, disorders, neurotechnology, consciousness, learning, artificial intelligence and nurture. He was a visiting scholar in m...

Most people think dementia starts with memory loss. But for millions, it actually begins decades earlier: in the blood vessels. Long before someone forgets a name or misses an appointment, the brain is being quietly damaged by high blood pressure, cholesterol imbalance, poor sleep, inflammation, and chronic stress, day after day, year after year. This kind of damage doesn't look dramatic. There's no big stroke, no clear warning sign. It happens slowly and silently, which is why it's so often missed until it's too late. But here's the good news: vascular dementia is one of the most preventable and manageable forms of cognitive decline. When caught early, lifestyle changes and medical interventions can help slow the onset and manage the effects. In this episode, we explore: What vascular dementia and vascular cognitive impairment are, and how they differ from Alzheimer's disease Why most dementia cases involve both vascular damage and neurodegenerative pathology (mixed dementia) How blood vessel damage begins in childhood and accumulates silently for decades The role of high blood pressure, cholesterol, diabetes, sleep disorders, and chronic stress in damaging brain vasculature Why slowed thinking, movement, and processing speed are hallmark signs of vascular cognitive decline The critical importance of the endothelium: the thin lining of blood vessels that controls brain health How lifestyle factors like nutrition, exercise, sleep, and stress management protect and repair vascular health Why managing blood pressure early is one of the most powerful interventions for long-term brain health (and why everyone should have a blood pressure monitor at home!) How vascular damage can be slowed, even in midlife Practical steps for prevention across the lifespan, from childhood through older adulthood Our guest for this episode is DR. COLUMBUS BATISTE, a board-certified interventional cardiologist, an incredible science communicator, and author of 'Selfish: A Cardiologist's Guide to Healing a Broken Heart'. Dr. Batiste brings deep expertise on how cardiovascular health shapes brain health, and why protecting the endothelium (the inner lining of blood vessels) is foundational to longevity. His work emphasizes that all roads to longevity are paved by the heart, and what's good for the heart is good for the brain! 'Your Brain On…' is hosted by neurologists, scientists, and public health advocates Drs. Ayesha and Dean Sherzai. SUPPORTED BY: NEURO World, a science-based brain health community designed to help you protect your brain long before problems begin. Learn more at https://neuro.world/  'Your Brain On… Vascular Dementia' • SEASON 6 • EPISODE 8 ——— LINKS Dr. Columbus Batiste: https://drbatiste.com/  Instagram: @HeartHealthyDoc Facebook: https://www.facebook.com/drbatiste  ——— FOLLOW US Join NEURO World: https://neuro.world/   Instagram: https://www.instagram.com/thebraindocs   YouTube: https://www.youtube.com/thebraindocs ——— REFERENCES Core Definitions & Diagnostic Framework • Diagnostic and Statistical Manual of Mental Disorders (5th ed.) - American Psychiatric Publishing • Vascular contributions to cognitive impairment and dementia - https://doi.org/10.1161/STR.0b013e3182299496 • Classifying neurocognitive disorders: The DSM-5 approach - https://doi.org/10.1038/nrneurol.2014.181  Epidemiology & Public Health Burden • Neuropathological diagnosis of vascular cognitive impairment and vascular dementia with implications for Alzheimer's disease - https://doi.org/10.1007/s00401-016-1571-z • Vascular dementia - https://doi.org/10.1016/S0140-6736(15)00463-8  • Risk reduction of cognitive decline and dementia: WHO guidelines - WHO Press Small Vessel Disease & Subcortical Vascular Dementia • Small vessel disease: Mechanisms and clinical implications - https://doi.org/10.1016/S1474-4422(19)30079-1  • Cerebral small vessel disease: From pathogenesis and clinical characteristics to therapeutic challenges - https://doi.org/10.1016/S1474-4422(10)70104-6  • The clinical importance of white matter hyperintensities on brain magnetic resonance imaging - https://doi.org/10.1136/bmj.c3666  Mixed Dementia & Alzheimer–Vascular Overlap • Mixed brain pathologies account for most dementia cases in community-dwelling older persons - https://doi.org/10.1212/01.wnl.0000271090.28148.24 • Early role of vascular dysregulation on late-onset Alzheimer's disease - https://doi.org/10.1016/j.neurobiolaging.2016.04.009 • The pathobiology of vascular dementia - https://doi.org/10.1016/j.neuron.2013.10.008  Cerebral Amyloid Angiopathy (CAA) • Cerebral amyloid angiopathy and Alzheimer disease—one peptide, two pathways - https://doi.org/10.1038/s41582-019-0281-2 • Emerging concepts in sporadic cerebral amyloid angiopathy - https://doi.org/10.1093/brain/awx047 Genetics, Inflammation, and Repair • Apolipoprotein E controls cerebrovascular integrity via cyclophilin A - https://doi.org/10.1038/nature11087 • TREM2—A key player in microglial biology and Alzheimer disease - https://doi.org/10.1038/s41582-018-0072-1  Prevention & Vascular Risk Factors • Dementia prevention, intervention, and care: 2020 report of the Lancet Commission - https://doi.org/10.1016/S0140-6736(20)30367-6  • Lifestyle interventions to prevent cognitive impairment, dementia and Alzheimer disease - https://doi.org/10.1038/s41582-018-0070-3  Further Reading • The role of vascular risk factors in Alzheimer's disease - https://doi.org/10.1038/s41582-021-00530-4

How can healthcare professionals transform burnout and trauma into a revitalized life and practice?In this special episode of Heartline: Changemaking in Healthcare, Dr. Andrea Austin reads from her book Revitalized, focusing on the chapter "The Revitalization." She reflects on her own soul-level burnout at the end of the pandemic, sharing a formula for change: inflection point + inner work + clarity = revitalization. Drawing from personal experiences and expert insights, she emphasizes embracing the past's pain as part of growth, avoiding trauma loops, and intentionally "doing the work" for self-improvement.You'll hear how to:Recognize burnout as a chronic issue requiring inner reflection, not just quick fixes, and frame it as an opportunity for revitalization beyond "bouncing back."Differentiate top-down therapies (like CBT and talk therapy) from bottom-up approaches (like EMDR, somatic experiencing, and art therapy) for trauma healing, especially in high-stress fields like medicine.Understand coaching as a future-focused partnership for unlocking potential, while knowing when to seek therapy first, given high rates of PTSD (40%) and depression (30%) among healthcare workers.Navigate "VUCA" (volatility, uncertainty, complexity, ambiguity) in healthcare, including life quakes like job loss or health crises, and avoid maladaptive coping like overconsumption or addictions.Build vulnerability in hard conversations, reflect on perfectionism, and beware predatory coaching programs while prioritizing ethical, supportive resources.If you're a healthcare professional grappling with burnout, trauma, or the desire for more fulfillment, this episode offers empathetic guidance, reflective questions, and actionable steps to craft your own revitalization.

Ladies and Gentlemen and whoever else is listening. The opinions of Brian, your host and our guests have not been sanitized or scientifically tested so please consume at your own risk. Ethan and Leland reflect on what it means to be close—not just physically, but emotionally—to a moment that altered the course of many lives. Just 20 feet away, they found themselves inside a violent, chaotic event surrounding the Charlie Kirk assassination at Utah Valley University in Orem, Utah. Seconds felt suspended and normalcy vanished. This conversation isn't about replaying headlines or assigning meaning too quickly; it's about memory, proximity, and the quiet aftermath that lingers long after the crowd disperses and media stories fade. What stays with you when you realize you were close enough to history to feel it move? Contact:  Leland - https://www.instagram.com/leland_osterhout/ Ethan - https://www.instagram.com/lelegoman/ References and Time Stamp Call-outs: @ 10:19 - The Chaos Machine - Amazon Link  @ 16:55 - DSM5 - The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition @ 37:00 - Leland interviewed on ABC4 Salt Lake City #CharlieKirkAssassination #UtahValleyUniversity #UVU #CharlieKirk #TurningPointUSA #ProveMeWrong #WhenHistoryTurns #ProximityToTragedy #UnforgettableMoments #LivingThroughHistory #20FeetFromHistory

Is the DSM Dead? The "Bible" of Psychiatry, The Thud Experiment, and The Crisis of Diagnosis Episode Description: https://gettherapybirmingham.com/is-the-dsm-dying-rethinking-suffering/ It dictates every diagnosis you receive, every medication you're prescribed, and every insurance dollar spent on your mental health. But what if the "Bible of Psychiatry" isn't actually scientific? Pull back the curtain on the Diagnostic and Statistical Manual of Mental Disorders (DSM) to reveal a document in crisis. From the secret backroom deals that voted diagnoses into existence to the "checklist revolution" that stripped therapy of its meaning, we investigate how American mental healthcare became a system of billing codes rather than healing. We explore the infamous Rosenhan "Thud" Experiment that humiliated the psychiatric establishment, the accidental creation of "false epidemics" like ADHD and Bipolar II, and why the National Institute of Mental Health (NIMH) effectively abandoned the DSM years ago. Most importantly, we ask the hard question: Why does the system demand you be "broken" to get help, yet deny you care if you are "functioning" enough to work? If you have ever felt misunderstood by a diagnosis, frustrated by the medical system, or wondered why your "high-functioning" suffering doesn't seem to count, this episode is the validation you've been waiting for. In This Episode, We Cover: The "Thud" Experiment: How 8 sane people got committed to asylums and proved psychiatry couldn't tell the difference between madness and sanity. Reliability vs. Validity: Why the DSM prioritized "agreeing on a label" over "finding the cure." The Productivity Trap: How the "Clinical Significance Criterion" denies care to people who are suffering but still employed. The "False Epidemics": A look at how diagnostic inflation created the modern ADHD and Autism boom. The Divorce of Psychiatry & Therapy: Why your psychiatrist doesn't do therapy anymore (and why that matters). The Future: Moving beyond the checklist toward a model of narrative, systems, and human connection. Quote from the Episode: "The DSM is not a description of nature. It is a description of what American healthcare requires nature to be." Resources Mentioned: The Myth of Mental Illness by Thomas Szasz The Book of Woe by Gary Greenberg The STAR*D Study's true remission rates (2.7%) Hierarchical Taxonomy of Psychopathology (HiTOP) Connect & Listen: Subscribe to hear more critical investigations into the mental health system. If this episode resonated with you, please leave a review and share it with a friend who needs to hear that they are more than a billing code. Keywords for SEO: Mental Health, DSM-5, Psychiatry, Psychology, Trauma, ADHD, Neurodivergence, Joel Blackstock, Taproot Therapy, Clinical Depression, Bipolar Disorder, Big Pharma, Medical History, Rosenhan Experiment.   More @ https://gettherapybirmingham.com/

Koro is a culture-bound delusional disorder in which individuals have an overpowering belief that their sex organs are retracting and will disappear, despite the lack of any true longstanding changes to the genitals.[1][2] Koro is also known as shrinking penis, and was listed in the Diagnostic and Statistical Manual of Mental Disorders.

You may find the charges in this episode jarring: depression is not the result of a chemical imbalance, SSRIs aren't necessarily antidepressants, and the term you use for your mental health condition isn't scientifically valid. Sarah Fay, author of Pathological: The True Story of Six Misdiagnoses says it's dangerous to identify with your diagnosis because it's kind of made up and it blocks your path to recovery.A doctor told her she was “an anorexic” when Sarah was 12 years old, even though she didn't meet many of the criteria for anorexia. Sarah embraced the identity, taking on the behaviors and habits of a person with that eating disorder. Later in life, she was diagnosed with five more disorders, each time embracing the tag, all while her mental health deteriorated. Finally, another doctor said he didn't know what was the matter with her and that gave Sarah some peace and a chance to focus on feeling better. She saw her mental makeup as something not bound by the names of disorders in the Diagnostic and Statistical Manual used by mental health professionals. While she still takes meds and sees a therapist and a psychiatrist, Sarah has come to believe that everyone's focus needs to be on recovery rather than focusing on the limitations borne of terms she says are way too subjective and that don't stand up to scientific scrutiny.Thank you to all our listeners who support the show as monthly members of Maximum Fun.Check out our I'm Glad You're Here and Depresh Mode merchandise at the brand new merch website MaxFunStore.com!Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Depresh Mode is on BlueSky, Instagram, Substack, and you can join our Preshies Facebook group. Help is available right away.The National Suicide Prevention Lifeline: 988 or 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlines

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers how to take a substance use historyHosts: Dr. Andrew Nguyen, Dr. Zakia Hussain, Jo Kikukawa, and Dr. Kate Braithwaite.Audio editing: Dr. Kate BraithwaiteResources:Chapter 4: Substance Use and Addictive Disorders. In Kaplan & Sadock's Synopsis of Psychiatry: Behavioral SciencesMeta:Phi Resource LibraryTen Domains of De-escalation to Prevent Behavioural Emergencies (from Alberta Health Services)References:American Psychiatric Association Publishing. (2022). Substance-Related and Addictive Disorders. In Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition, Text Revision: DSM-5-TR (5th ed., pp. 481-590). American Psychiatric Association Publishing. Boland, R.J., Verduin, M.L., & Ruiz, P. (2022). Chapter 4: Substance Use and Addictive Disorders. In Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences, Clinical Psychiatry (12th ed., pp. 269 - 336). Wolters Kluwer. Porter, L.D. Getting to the Good Part: How to Take an Engaging SUD History. [Presentation Transcript]. University of California, Los Angeles Integrated Substance Use and Addictions Programs. https://www.uclaisap.org/clinicalproviderquicktips/docs/La-Donna-Porter/Porter_LD_Transcript_Clean.pdf Welsh, C.J. “Trapped”: A Mnemonic for Taking a Substance Use History. Acad Psychiatry 27, 289 (2003). https://doi.org/10.1176/appi.ap.27.4.289For more PsychEd, follow us on Instagram (⁠@psyched.podcast⁠),  Facebook (⁠PsychEd Podcast⁠), X (⁠@psychedpodcast⁠), and Bluesky (⁠@psychedpodcast.bsky.social‬⁠). You can email us at ⁠psychedpodcast@gmail.com⁠ and visit our website at⁠ ⁠⁠psychedpodcast.org⁠.

As Donald Trump gives oxygen to unproven theories about what might be behind a recent rise in autism cases, experts repeatedly point to the changing nature of how autism is diagnosed and viewed.A key moment in the history of autism diagnosis was the publication in 1994 of a new version of the Diagnostic and Statistical Manual of Mental Disorders. It's a reference book of psychiatric conditions and how to diagnose them, used by psychiatrists and psychologists around the world. In this episode, Andrew Whitehouse, a professor of autism research at the University of Western Australia, explains why this shift in autism diagnosis happened in the 1990s, what impact it had, and what it's meant for the support autistic people get. This episode was produced by Katie Flood, Mend Mariwany and Gemma Ware. Sound design and mixing by Michelle Macklem and theme music by Neeta Sarl. Read the full credits for this episode and sign up here for a free daily newsletter from The Conversation.If you like the show, please consider donating to The Conversation, an independent, not-for-profit news organisation.

Atlanta's Sunday TV talk diet includes one local program - WAGA-TV/ Fox 's "The Georgia Gang." I watch it occasionally and happened to have some time Sunday to catch the most recent episode, and I'm furious but glad I caught it.Two pundits - Phil Kent and Martha Zoller - notably the right-wing participants, spewed anti-trans swipes, which I suppose should be unsurprising. That they did so with zero pushback from the show's moderator or the two left-wing participants, however, is disappointing. The pundits zeroed in on the prior week's Senate subcommittee skewering of Trump HHS Secretary Robert F. Kennedy Jr. Kent whined that Warnock was "rude" and wandered into an attack on Dr. Demetre Daskalakis (without citing him by name), labeling him a "trans promoter," (I suppose) simply because he used the term "pregnant people" and offered his pronouns of preference in his now-infamous resignation letter. Listening to he and Martha Zoller fumble around in an anti-science uproar over CDC pandemic strategy "in the moment" and current vaccination conversations is cringy enough, but weaving in anti-trans swipes is just beyond the pale repugnant, and it's time someone called it out. So I did.Later in the show, the conversation of school shootings came up, what with the one-year anniversary of the Apalachee High School shooting and the recent Minneapolis catholic school shooting. Zoller, citing a "series" (it's two, lady - nowhere near the leading number of heterosexual white men who've victimized hundreds over the years) of incidents involving trans shooters, leaned into the mental health aspect. "...DSM 5 (the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) took that out as a mental health problem but clearly there's a mental health problem there," she said. She almost gets it. Gender dysphoria isn't a "mental illness," in the latest DSM. She's right. However, as the Philadelphia Mental Health Center points out , "gender dysphoria is listed as a mental health diagnosis, but it is not considered a “mental illness” in the traditional sense," continuing "gender dysphoria is not seen as a pathological condition. The focus of treatment is not to “cure” someone of their gender identity but to alleviate the distress they experience due to societal pressures or physical incongruence."In other words, bigots like Kent and Zoller are a driving reason trans people seek mental health treatment; the dysphoria isn't something needed to be treated as a mental health condition.Bloop.------The ICE raid on the southeast Georgia manufacturing plant was meant to be a use of fear and intimidation aimed at Hispanic people working in construction, but hundreds of South Korean nationals were swept up (without any Korean-speaking ICE officials - which tells you ICE wasn't prepping to take them). So says Dustin Baxter with the Kuck Baxter Law Firm, an Atlanta-based immigration firm. He joined me to discuss. The "visa waiver" program was the likely channel the temporary guests from South Korea were here under the guise of, but this is just another situation where it is painfully obvious American immigration laws are woefully inadequate for modern needs.

Today's Topics: 1) Gospel - Luke 5:1-11 - While the crowd was pressing in on Jesus and listening to the word of God, He was standing by the Lake of Gennesaret. He saw two boats there alongside the lake; the fishermen had disembarked and were washing their nets. Getting into one of the boats, the one belonging to Simon, He asked him to put out a short distance from the shore. Then He sat down and taught the crowds from the boat. After He had finished speaking, He said to Simon, "Put out into deep water and lower your nets for a catch." Simon said in reply, "Master, we have worked hard all night and have caught nothing, but at Your command I will lower the nets." When they had done this, they caught a great number of fish and their nets were tearing. They signaled to their partners in the other boat to come to help them. They came and filled both boats so that the boats were in danger of sinking. When Simon Peter saw this, he fell at the knees of Jesus and said, "Depart from me, Lord, for I am a sinful man." For astonishment at the catch of fish they had made seized him and all those with him, and likewise James and John, the sons of Zebedee, who were partners of Simon. Jesus said to Simon, "Do not be afraid; from now on you will be catching men." When they brought their boats to the shore, they left everything and followed Him. Bishop Sheen quote of the day 2) Cardinal Cupich and Fr. James Martin ignore Minnesota shooter's transgenderism and call for treating the symptom with more gun control while ignoring the real cause https://www.lifesitenews.com/news/cardinal-cupich-fr-james-martin-ignore-minnesota-shooters-transgenderism-call-for-more-gun-control/?utm_source=twittercath 3) President Trump stops SIX wars, so when will he get the Nobel Peace Prize? 4) Psychology: Friend or foe? What do orthodox faithful Catholics believe about the book: Diagnostic and Statistical Manual of Mental Disorders (DSM) https://jesseromero.com/blog/what-do-orthodox-faithful-catholic-exorcist-believe-about-diagnostic-and-statistical-manual-0

In this episode of The Patrick Coffin Show, Patrick sits down with Dr. Josef Witt-Doerring, a board-certified psychiatrist, former FDA Medical Officer, and owner of the world's largest psychiatric drug tapering program. Dr. Josef, as he is known, has spent years on the front lines of mental health treatment. IN this candid interview, he pulls back the curtain on some of the biggest myths in modern psychiatry and points the way toward authentic, humane approaches to depression, anxiety, and other challenges of the human condition.

Andrew For America welcomes to the show "America's Psychiatrist" and author, Dr. Carole Lieberman. Dr. Lieberman is also known as "the terrorist therapist" and has appeared on ABC, NBC, Fox, Newsmax, and Dr. Phil as well as many other blogs and podcasts. She and Andrew unexpectedly start the show by doing an impromptu session about Andrew, and then pivot to doing what they originally planned, which was to talk about how Dr. Lieberman is getting ready to propose that "Trump Derangement Syndrome" is soon to be a clinical psychiatric diagnosis that will be entered into the DSM (Diagnostic and Statistical Manual of Mental Disorders)! Andrew makes the contention that some of the blame for TDS can also be laid at the feet of the mainstream media and how they have covered Donald Trump in the "news" ever since he has entered the world of politics. Enjoy!Visit allegedlyrecords.com and check out all of the amazing punk rock artists!Visit soundcloud.com/andrewforamerica1984 to check out Andrew's music!Like and Follow The Politics & Punk Rock Podcast PLAYLIST on Spotify!!!Check it out here: https://open.spotify.com/playlist/1Y4rumioeqvHfaUgRnRxsy...politicsandpunkrockpodcast.comhttps://linktr.ee/andrewforamericaFollow Future Is Now Coalition on Instagram @FutureIsOrgwww.futureis.org

Ask David-- The Fear of Happiness! Although we had five questions for today's Ask David episode, we spend the entire podcast on the first question from a man with an intense fear of happiness. He wrote: How can I use exposure to overcome my fear of happiness? Hi David, How would you do exposure for the fear of happiness? Whenever I feel happy I immediately feel afraid because I had a very strict religious upbringing where many harmless forms of fun and enjoyment were completely forbidden. Even though I'm no longer a religious believer, the fear remains. Feeling good then makes me afraid, anxious and insomniac. This often goes on for days after something good happens and it almost seems as if I AM being punished after all! How can I recover when feeling good makes me feel so bad? Love your work and all that you do. Best regards, Tomas David's reply As I have said on numerous occasions, I do NOT recommend “methods” (like exposure) for “problems” (like your “fear of happiness.”) I think your problem is very treatable, but I work with patients systematically, and that doesn't mean starting out with a “method,” like exposure or any other method. I use a step by step approach, using T = Testing, E – Empathy, A = Assessment of Resistance, and M = Methods in a sequence. In addition, when I work with anxiety, I always incorporate these four approaches with every patient I work with: The Motivational Model: I bring Outcome and Process Resistance to conscious awareness and melt them away, if possible, using a variety of TEAM CBT approaches. The Cognitive Model: This involves a well-done Daily Mood Log to identify and challenge the distorted negative thoughts at one moment in time. The Exposure Model: Facing your fears, or testing them with an experiment. This is frightening, but required of every anxious patient. The Hidden Emotion Model: This is based on the idea that only “nice” people struggle with anxiety, with only a few exceptions, and that an unacknowledged problem is often hiding right behind the anxiety. The cure requires the Detective Step: identifying what the hidden emotion or feeling is. The Action Step: Expressing the suppressed feeling and or dealing with the problem you are avoiding. Your fear of happiness is an interesting problem for sure. One of my favorite movies, “Babette's Feast,” involves this theme. If you want some help, you could send me a partially completed Daily Mood Log. You will discover that you are the only one who is doing the punishing! It is that belittling, intimidating voice in your own head that is causing 100% of your suffering. I look forward to helping you challenge those voices! In the meantime, I'll add this to the latest Ask David podcast questions, in the hopes you might send the DML, and then Rhonda and I can comment in greater depth on the live program. Best, david Tomas kindly sent a Daily Mood Log, which you can see if you CLICK HERE As you can see, the Upsetting Event is simply “studying mathematics,” something he loves. However, he has the belief that if he allows himself to enjoy this or any activity, something terrible will happen to him. He traces this to a strict religious upbringing, and perhaps also to bullying he endured as a kid. You can see that this is intensely upsetting to him. If you look you will see that in 8 of the 9 categories of emotions on his Daily Mood Log (DML), he scores in the range of 80 to 100, which is intense and severe to extreme. The only emotion category that is not extremely elevated is the anger cluster, which he rated at only 40. You can see as well that his negative thoughts all involve the theme of punishment and destruction if he allows himself to feel happiness and enjoyment of life, or if he advances himself in life. In some of the emails he sent me, he traces this back to being bullied when young. . . possibly by kids who were jealous of his high IQ. As mentioned above, I don't throw methods (like exposure) at people based on a problem or diagnosis (in his case a phobia, the fear of happiness.) I also mentioned that I go through the T E A M model in a sequence, starting with Testing and Empathy, followed by the Assessment of Resistance and culminating in Methods. In addition, I always treat anxious patients with four powerful models, including the Motivational Model, the Cognitive Model, the Exposure Model, and the Hidden Emotion Model. I described these models above. The Motivational Model The Outcome Resistance has to do with the fact that Tomas may resist treatment because of his fear of the consequences of successfully achieving happiness. We will deal with that with Positive Reframing, including the Miracle Cure Question, the Magic Button, Positive Reframing, and the Magic Dial. In addition, we'll have to deal with Process Resistance. At some point, we will have to use exposure techniques, and we will want to find out if he's WILLING to do exposure even though it may be extremely anxiety provoking at first. We can dangle the carrot, letting him know that we anticipate a positive outcome, but also understand that facing his worst fears may be terrifying at first, and very uncomfortable. I will not try to persuade him to use any of the many versions of Exposure. He will have to persuade me that he's willing to do it. I suspect he will be, because he is asking for exposure, but if he says he wants to be treated without exposure, I will have to let him know I am not a good choice as a therapist for him! That's because I don't know how to defeat any form of anxiety without exposure. Of course, I cannot treat Tomas, or anyone, through an Ask David, but can only make teaching points. But I am teaching self-help techniques that have been helpful to many people. In an email, I asked him the Magic Button question, and he said he didn't think he'd push it. This indicates some understandable resistance that has to be dealt with. Positive Reframing is one way to deal with Outcome Resistance. The goal is not only deeper empathy but also helping patients “see” that the negative thoughts and feelings they are struggling so desperately to overcome are actually positive in many ways. Once they “see” this, it is kind of a pleasant shock to the system, and their resistance to change typically disappears. Then we ask them to set goals for each negative feelings—a lower level of each feeling that would allow them to feel better and not lose all the wonderful positives we have discovered. That's why it's better NOT to push the Magic Button. To help Tomas or anyone see and list the positives in their negative thoughts and feelings, we ask two key questions about each one: What are some possible advantages, or benefits, of this negative thought or feeling? How might it help me? What does this negative thought or feeling show about me and my core values as a human being that's positive and awesome? Typically, this leads to list of 10 to 20 positives that have three characteristics. To give you an example, his intense loneliness is an expression of his love for people and the great value he sees in meaningful relationships. And his anxiety serves to protect him from danger, and is therefore an expression of self-love. And his feelings of inferiority—in spite of his tremendous intelligence—show humility, which is not only a spiritual quality, but also can make a person of great intelligence more accessible, more vulnerable, and more attractive. Inferiority may also be an expression of his honesty and willingness to acknowledge his shortcomings, as well as his accountability. We could easily go on and on, and it might be a great exercise for you to try find the positives in several other of his negative thoughts and feelings by asking those two questions. Once my patient and I have listed 10 or more positives, I ask if these positives are True and valid? Powerful? Important? Nearly always, I get a resounding YES to each question. Then I use the Magic Dial to see what they might want to dial each negative feeling down to in the % Goal column of the Daily Mood Log. Is this Positive Reframing process straightforward? Easy? Not really. I make it look easy, because when I teach I want people to understand, but “seeing” these positives is, in reality, incredibly challenging for most people. In fact, You can see the Positive Reframing that Tomas completed on his own if you CLICK HERE As you can see Tomas almost completely missed the boat when he tried to identify the positives in his negative thoughts and feelings. I mention this because it is a CRUCIAL step in TEAM CBT, and people often have a tremendously hard time “seeing” the positives in their negative thoughts and feelings. A big part of the reason is that society teaches us the opposite. In fact, negative feelings are Labeled as a bewildering array of more than 200 so-called “mental disorders” by the American Psychiatric Association in their “bible,” the DSM (Diagnostic and Statistical Manual of Mental Disorders.) But here's something even MORE surprising. Rhonda—a highly respected and admired TEAM CBT therapist and teacher—also struggles to find the positives during today's podcast. Once someone has pointed them out, you can suddenly “see” them. But on your own, you may have a lot of trouble at first with Positive Reframing, which is anything but simple, but extraordinarily powerful once you “get it.” I recently told my weekly Tuesday psychotherapy training group at Stanford that TEAM CBT is extraordinarily difficult to learn and master—nearly always requiring years of study and practice—and perhaps the most challenging form of psychotherapy ever developed. She was angry and told me I'd have to do large controlled outcome studies to validate that claim! Yikes! I may be wrong, and there could be other more difficult forms of therapy, but I still believe what I'm saying because I see it every single day. Many of the most powerful and helpful concepts, such as the four “Great Deaths” of the “self” for the therapist and for the patient in TEAM, and the Acceptance Paradox, and more are hard to learn! But worth it, IF you take the time to learn this method. And if you wish to use TEAM CBT, on yourself (for self-help) or with your patients (if you're a therapist) you will have much greater success after you master this powerful but elusive skill. The Cognitive Model After Rhonda and I worked with Positive Reframing, we went on to the technique that usually starts the M = Methods section, called “Explain the Distortions.” This powerful method includes answering three questions about one or several of the distortions you can find in one of the thoughts you want to work on first. First, select the thought and identify all the distortions in it, listing them by abbreviations in the Distortion column on your Daily Mood Log. For example, if it is an example of All-or-Nothing you can put AON in that column. And you can put OG for Overgeneralization, and so forth. Often, you will find five or even ten distortions in a single negative thought. Let's say you work on, “If I'm happy, I'll be destroyed.” This alarming thought includes AON; LAB, FT, DP, and ER. And it's also a Hidden SS. Choose the distortion you want to work on first. Let's say it's Fortune Telling (FT). Why is this distortion, FT, considered a thinking error in general? Why does the FT distortion your specific thought pretty much make the thought unreasonable? In other words, Why does the FT in your thought NOT map onto reality? And finally, why is the FT is this thought unfair? As an exercise, turn off the podcast for a moment and write down your answers to those three questions. Once you're done, you can check the answers at the end of the show notes. It's a great skill to practice and learn, because it will usually make it really easy for you to generate positive thoughts that satisfy the necessary and sufficient conditions for emotional change. Do you know what they are? Write them down before you look at the answers at the end of the show notes. Just take a guess, but WRITE SOMETHING DOWN before you look! But DON'T look until you've written down your own answers! Hey, did you peek, or did you write down the answers first? I get it! And I forgive you! However, you missed out on a great opportunity for learning if you skipped the written exercise. Or, to put it positively, I try to make the exercises fun and interesting. And if you do them, you'll learn some cool and helpful things rapidly. It's like riding a bicycle. You've got to get on and ride to learn how to do it! But here's what's really interesting. You'll notice that Rhonda, once again, really struggles with this exercise during the podcast. Although I think of Explain the Distortions as a really easy TEAM CBT method, experience with real people has over and over again provided abundant evidence that it's NOT easy for many, or possibly most, people at first. So, what's the point? Here's the point. If you're a therapist, this method is powerful, and will richly reward you for the time and effort you spend in learning how to do it! But you cannot take it for granted if you want to use it in an actual therapy session. And if you are simply looking for self-help, the exact same thing is true: the method is incredibly helpful and well worth some time and effort to “get it!” In addition, to challenging the obviously distorted thoughts on his Daily Mood Log, what other methods might be helpful to Tomas? The Exposure Model Well, there are a great many, including the Exposure techniques he was asking for. For example, he could intentionally make himself happy, and then fantasize some horrible punishment using Cognitive Flooding. The idea would be to make himself as anxious as possible for as long as possible, until he finally gets bored with the fantasy, which will definitely happen eventually, and the anxiety disappears. Exposure is terrifying at first, and it is supposed to be. That's whey and how it works! The Hidden Emotion Model There are many helpful variations on the Exposure front, and the Hidden Emotion Model might also be key. Is there some problem or issue in his life that Tomas is not dealing with? The Class on this technique in the (now entirely free for the summer of 2025 app) Feeling Great app has many details and exercises and examples to show how this mind-blowing technique works. That's it for today's podcast. I want to thank you, Tomas, for providing us with a fascinating problem, and all of you who send in your questions. We are SO GRATEFUL that you are bouncing back, Rhonda, after your ordeal with radiation therapy for your lymphoma, and send you all our love and best wishes for joyful and complete healing and liberation from your nightmare! Warmly, Rhonda and David Answers Here is my answer to first exercise on the necessary and sufficient conditions for emotional change from a positive thought. . The necessary condition for emotional change: The Positive Thought must be 100% correct. The sufficient condition for emotional change: The Positive Thought must reduce your belief in the disturbing negative thought. Sometimes you'll want to reduce it all the way to zero. Sometimes, that's not necessary, especially with Should Statements. Here are my answers to the three questions about Explain the Distortions above. In general, FT is a thinking error when you are making arbitrary alarming predictions without strong evidence that supports those predictions. In particular, there is no evidence that supports the claim that people who feel happy rapidly become the victims of some horrific disaster or punishment. This thought is very unrealistic because the ONLY punishment that Tomas has experienced is the result of his own negative thoughts! This thought is unfair because it puts Tomas in handcuffs so he will be unable to enjoy his life.

Dr. David Spiegel is an author, psychiatrist and professor at Stanford University, and one of the world's leading experts into the clinical applications of hypnosis. He has published thirteen books, over 400 scientific articles, and 170 chapters on hypnosis, stress physiology, trauma, and psychotherapy. He is also the creator of REVERI, an innovative guided self hypnosis app which has been clinically proven to reduce stress, improve sleep, and enhance focus. In this lively and wide ranging conversation, we explore: — The exciting new science of clinical hypnosis and how it can be applied in the treatment of addiction and trauma — The importance of focusing on valued directions in clinical work and being a kind parent to yourself — Dr Spiegel's experiences working with Irvin Yalom and what he learned from him — The neural mechanisms that explain why clinical hypnosis works, including dissociation, cognitive flexibility, and absorption — The extent to which we can view hypnosis as a form of “internal exposure therapy”. And more. I used Dr Spiegel's REVERI app to help with sleep earlier this week and found myself out like a light within a few minutes, so I'd highly recommend giving it a try. You can learn more at https://www.reveri.com. --- Dr. David Spiegel is Willson Professor and Associate Chair of Psychiatry & Behavioral Sciences, Director of the Center on Stress and Health, and Medical Director of the Center for Integrative Medicine at Stanford University School of Medicine, where he has been a member of the academic faculty since 1975, and was Chair of the Stanford University Faculty Senate from 2010-2011. He has published thirteen books, over 400 scientific journal articles, and 170 chapters on hypnosis, psychosocial oncology, stress physiology, trauma, and psychotherapy. His research has been supported by the National Institute of Mental Health, the National Cancer Institute, the National Institute on Aging, the National Center for Complementary and Integrative Health, the John D. and Catherine T. MacArthur Foundation, the Fetzer Institute, the Dana Foundation for Brain Sciences, and the Nathan S. Cummings Foundation. He was a member of the work groups on the stressor and trauma-related disorders for the DSM-IV and DSM-5 editions of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. He is Past President of the American College of Psychiatrists and the Society for Clinical and Experimental Hypnosis, and is a Member of the National Academy of Medicine. In 2018, Dr Spiegel was invited to speak on hypnosis at the World Economic Forum in Davos in 2018. --- 3 Books Dr Spiegel Recommends Every Therapist Should Read: — Dopamine Nation — Dr Anna Lembke - https://amzn.to/3O6NdKe — Trance and Treatment: Clinical Uses of Hypnosis 2nd Edition — Herbert Spiegel and David Spiegel - https://www.appi.org/Products/Psychotherapy/Trance-and-Treatment-Second-Edition — How to Change Your Mind — Michael Pollan - https://amzn.to/3OysDUw

Secretary of Health and Human Services Robert F. Kennedy, Jr. has spent years spreading doubt about the safety of vaccines and linking them to autism. Dozens of studies have debunked the theory, but it has nevertheless persisted for years. Part of the reason why may be that autism diagnoses have soared over the last few decades.Dr. Allen Frances is psychiatrist who led the task force that created the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, which expanded the definition of Autism. Frances says that expanded definition played a role in the increase.Rates of autism have exploded in recent decades. Could the clinical definition of autism itself be partly to blame? For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

In Case Number CR01-24-31665, defendant Bryan C. Kohberger has filed a reply to the State's response regarding his motion to strike the death penalty due to his diagnosis of Autism Spectrum Disorder (ASD). The defense asserts that Kohberger's ASD results in significant impairments in communication, reasoning, social skills, and understanding others' reactions—factors that, according to the U.S. Supreme Court's decision in Atkins v. Virginia, diminish moral culpability and render the death penalty unconstitutional for individuals with such disabilities. They emphasize that these deficits have been present since early childhood and persist into adulthood, affecting Kohberger's adaptive functioning despite his high intelligence quotient (IQ). The defense references the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), noting that individuals with ASD may exhibit a substantial gap between intellectual abilities and adaptive functioning, leading to challenges in daily living, self-care, socialization, and communication. ​to contact me:bobbycapucci@protonmail.comsource:Ty ABecome a supporter of this podcast: https://www.spreaker.com/podcast/the-moscow-murders-and-more--5852883/support.

Episode 192: ADHD Treatment.  Jordan Redden (MSIV) explains the treatment of ADHD. Dr. Bustamante adds input about pharmacologic and non-pharmacologic treatments. Dr. Arreaza shares the how stimulants were discovered as the treatment for ADHD. Written by Jordan Redden, MSIV, Ross University School of Medicine. Comments and edits by Isabelo Bustamante, MD, and Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.ADHD is a chronic neurodevelopmental condition characterized by inattention, impulsivity, and/or hyperactivity. While it's often diagnosed in childhood, symptoms can persist well in adulthood. The treatment for ADHD is multifaceted. It often includes medication, behavioral therapy, environmental modifications, and sometimes educational interventions which are especially effective in younger patients. Ongoing evaluation is needed during treatment. Treatment needs adjustments over time.Starting with medications: Stimulants are the most well-studied and effective pharmacologic treatment for ADHD. These include methylphenidate-based medications such as Ritalin, Concerta, and Focalin, and amphetamine-based options, like Adderall, Vyvanse, and Dexedrine. Discovery of stimulants for ADHD> Dr. Charles Bradley discovered stimulants as the treatment for ADHD around 1937. ADHD did not have a name at that time, but it was known that some children had behavioral problems related to poor attention and inability to control their impulses, but they were still intelligent. Dr. Bradley was a psychiatrist who was working in the Bradley Hospital (Rhode Island), he was studying these children and, as part of his experiments, they developed severe headaches. He gave “Benzedrine” (a decongestant) to his pediatric patients to treat severe headaches, and he discovered that Benzedrine improved academic performance and interest in school and improved disruptive behavior in some children.How do stimulants work.Stimulants work primarily by increasing dopamine and norepinephrine levels in the brain, which helps improve focus, attention span, and impulse control. They typically show a rapid onset of action and can lead to noticeable improvements within the first few days of use. Dosing is individualized and should start low with gradual titration. Side effects can include reduced appetite, insomnia, headaches, increased heart rate, and emotional lability.Types of stimulants. Stimulants come as short acting and long acting. They can come as a tablet, liquid, patch, or orally disintegrating tablet. After the discovery of Benzedrine as a possible treatment for ADHD, more research was done over the years, and Ritalin became the first FDA-approved medication for ADHD (1955). The list of medications may seem overwhelming, but there are only two types of stimulants used to treat ADHD: methylphenidate and amphetamine. Long-acting stimulant medications are often preferred for their consistent symptom control and lower potential for misuse. Vyvanse (lis-dexa-mfetamine) is a widely used long-acting amphetamine-based option. As a prodrug, it remains inactive until metabolized in the body, which results in a smoother onset and offset of action and may reduce the risk of abuse. This extended duration of effect can help patients maintain focus and regulate impulses throughout the day without the peaks and crashes sometimes seen with shorter-acting formulations. Of note, Vyvanse is also approved for Binge Eating Disorder. Many of these medications are Schedule II controlled substances, so to prescribe them you need a DEA license. Other long-acting options include Concerta, an extended-release methylphenidate, as well as extended-release versions of Adderall and Focalin. These are especially helpful for school-aged children who benefit from once-daily dosing, and for adults who need sustained attention during work or academic activities. The choice between short- and long-acting stimulants depends on individual response, side effect tolerance, and daily routine.For patients who cannot tolerate stimulants, or for those with contraindications such as a history of substance misuse or certain cardiac conditions, non-stimulant medications are an alternative. One of the most used is atomoxetine, which inhibits the presynaptic norepinephrine transporter (NET). This leads to increased levels of norepinephrine (and to a lesser extent dopamine). Guanfacine or clonidine are alpha-2A adrenergic receptor agonists that lead to reduced sympathetic outflow and enhanced prefrontal cortical function, improving attention and impulse control. These alpha agonists are particularly useful in younger children with significant hyperactivity or sleep disturbances.Non-pharmacologic treatments.Behavioral therapy before age 6 is the first choice, after that, medications are more effective than BH only, and as adults again you use CBT.Medication is often just one part of a broader treatment plan. Behavioral therapy, especially in children, plays a critical role. Parent-training programs, positive reinforcement systems, and structured routines can significantly improve functioning. And for adolescents and adults, cognitive-behavioral therapy (CBT) is particularly helpful. CBT can address issues like procrastination, time management, emotional regulation, and self-esteem which are areas that medication doesn't always touch.Using medications for ADHD can be faced with resistance by parents, and even children. There is stigma and misconceptions about mental health, there may be concerns about side effects, fear of addiction, negative past experiences, and some parents prefer to treat ADHD the “natural” way without medications or only with supplements. All those concerns are valid. Starting a medication for ADHD is the first line of treatment in children who are 6 years and older, but it requires a shared decision with parents and patients. Cardiac side effects are possible with stimulants. EKG may be needed before starting stimulants, but it is not required. Get a personal and family cardiac history, including a solid ROS. Benefits include control of current condition and treating comorbid conditions.The presentation of ADHD changes as the person goes through different stages of life. For example, you may have severe hyperactivity in your school years, but that hyperactivity improves during adolescence and impulsivity worsens. It varies among sexes too. Women tend to present as inattentive, and men tend to be more hyperactive. ADHD is often underdiagnosed in adults, yet it can significantly impact job performance, relationships, and mental health. In adults, we often use long-acting stimulants to minimize the potential for misuse. And psychotherapy, particularly CBT or executive functioning coaching, can be life-changing when combined with pharmacologic treatment. There are several populations where treatment must be tailored carefully such as pregnant patients, individuals with co-occurring anxiety or depression, and those with a history of substance use. For example, atomoxetine may be preferred in patients with a history of substance misuse. And in children with coexisting oppositional defiant disorder, combined behavioral and pharmacologic therapy is usually more effective than either approach alone.Comorbid conditions.Depression and anxiety can be comorbid, and they can also mimic ADHD. Consult your DSM-5 to clarify what you are treating, ADHD vs depression/anxiety.Treatment goes beyond the clinic. For school-aged children, we often work closely with schools to implement 504 plans or Individualized Education Programs (IEPs) that provide classroom accommodations. Adults may also benefit from workplace strategies like structured schedules, noise-reducing headphones, or even coaching support. Ongoing monitoring is absolutely essential. We assess side effects of medication, adherence, and symptom control. ***In children, we also monitor growth and sleep patterns. We often use validated rating scales, like the Vanderbilt questionnaire for children 6–12 (collect answers from two settings) or Conners questionnaires (collect from clinician, parents and teachers), to track progress. And shared decision-making with patients and families is key throughout the treatment process.To summarize, ADHD is a chronic but manageable condition. Effective treatment usually involves a combination of medication and behavioral interventions, tailored to the individual's needs. And early diagnosis and treatment can significantly improve quality of life academically, socially, and emotionally.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., text rev. (DSM-5-TR). Washington, DC: American Psychiatric Association; 2022. CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder). Understanding ADHD. Accessed May 2025. https://chadd.org National Institute for Health and Care Excellence (NICE). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE guideline [NG87]. Updated March 2018. Accessed May 2025. https://www.nice.org.uk/guidance/ng87 Pliszka SR; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921. doi:10.1097/chi.0b013e318054e724 Subcommittee on Children and Adolescents with Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 Texas Children's Hospital. ADHD Provider Toolkit. Baylor College of Medicine. Accessed May 2025. https://www.bcm.edu Wolraich ML, Hagan JF Jr, Allan C, et al. Attention deficit hyperactivity disorder in children and adolescents: Overview of treatment and prognosis. UpToDate. Published 2024. Accessed May 2025.https://www.uptodate.comThe History of ADHD and Its Treatments, https://www.additudemag.com/history-of-adhd/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

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Send us a textThe term codependency began being discussed in the late 1980s, with the first Codependency Conference being held in Scottsdale, AZ, in 1986. The terms have been used, banished, and used again. Dr. Tim Cermak tried to get the terms included in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders, but so far, the term has not been included. One of the first books, Codependent No More, was written by Melody Beattie. Regardless of what the over-giver behavior is called, there are symptoms that are discussed in this episode.Support the showWe're eager to hear from you! Feel free to share your thoughts through our anonymous form or simply write to info@freshouttaplans.com with your topic requests or any burning questions you'd like us to explore on the podcast. https://linktr.ee/freshouttaplans

What if your success was hiding your stress? Lesley and Brad break down the signs of high-functioning depression and how Dr. Judith's Five Vs can help you reclaim your joy. From burnout to anhedonia, this conversation offers real tools to track what actually makes you happy. It's a powerful reminder that joy is personal—and redefining happiness starts from the inside out. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co.And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How to recognize overlooked symptoms of high-functioning depression.Ways to measure and increase your personal joy points.The contagious nature of joy—and how to spread it.Daily practices that help you feel more present, centered, and fulfilled.Why reconnecting with your “I am” can ground you in who you truly are.Episode References/Links:April UK Mullet Tour - https://opc.me/ukSpring Pilates Training - https://opc.me/eventsPilates Studio Growth Accelerator - https://prfit.biz/acceleratorCambodia October 2025 Waitlist - https://crowsnestretreats.comContrology Reformer - https://opc.me/reformerContrology Mat - https://opc.me/foldingmatDr. Judith Joseph Website - https://drjudithjoseph.comHigh Functioning Book by Dr. Judith Joseph - https://a.co/d/9sFHkQWAnhedonia Quiz - https://drjudithjoseph.com/anhedoniaquiz If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/ Resources:·        Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-g·        Lesley Logan website https://lesleylogan.co/·        Be It Till You See It Podcast https://lesleylogan.co/podcast/·        Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/·        Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQ·        Profitable Pilates https://profitablepilates.com/about/ Follow Us on Social Media:·        Instagram https://www.instagram.com/lesley.logan/·        The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-g·        Facebook https://www.facebook.com/llogan.pilates·        LinkedIn https://www.linkedin.com/in/lesley-logan/·        The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Brad Crowell 0:00  We have this idea, this preconceived idea, of what depression is, and that's not necessarily like the only way that depression looks, right?Lesley Logan 0:09  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 0:51  Welcome back to the Be It Till You See It interview recap where my co-host in life, Brad, and I are going to dig in to this validating convo I had in the last episode with Dr. Judith Joseph. Brad Crowell 0:59  Dr. Judith Joseph. Lesley Logan 1:00  So good. I clearly decided to start while Brad is still getting ready, and we're not going to worry about that because he has ADD, I have ADHD. We're just going with it. Okay? This is how two people making it work. Guys, how are you? I cannot believe this is episode 509, on the day that we're recording this, I'm gonna actually post and celebrate the episode 500 that like just happened. It came, it went. Life was going on. Because, you know, life, life's fucking life, guys. Lesley Logan 1:26  So today is April 10th and it's Consumer Awareness Week. Consumer Awareness Week takes place from April 10th to 16th this year. Oh, thank you. Brad Crowell 1:37  Ready to get started now, guys. Okay, here we go.Lesley Logan 1:37  This day aims to educate buyers and consumers about their basic rights. This includes access to information regarding the goods and products they are purchasing. The sellers are enforced by law to reveal the ingredients they are using in their products, and they also have to follow certain guidelines regarding quality and standard of the product of being sold. If any of the above stated rules are broken, the seller's answerable to the court of law. Yes, consumers are powerful and many laws have been passed to protect them from being exploited. Are you aware of all of your rights? If not, celebrate the week and find out all there is to know. So here's the deal, actually, really, really important. Depending on what state you live in, those who are in the States, you have different consumer buyer laws, depending which country you live in, like there's these different things. So definitely, if you don't know, you should absolutely do some research and do some Googling. But I also just want to say, like, we're recording this after several different weeks and days and months of like, exercising our consumers and power, and it is working. Like, have you seen how much it's working? Like, I don't shop at Target, but I've been part of the not shopping at Target. Like, you know, there's a couple things we need, I was like, not getting it there. My poor assistant was like, so where are we getting these things? And I'm like, oh, here's an art store you can go get them at, and they're $1 more, and it's gonna be fine. So Target's less, like, $15 billion the last time I checked, $15 billion, $15 billion, you guys, this is great news. I don't want anyone to lose their jobs, none of that kind of stuff. But also, like, we have to tell these people who is in charge here, so. Brad Crowell 3:04  Yeah, it's actually really difficult right now, especially in the States, with people taking a wrecking ball to the things that that actually hold companies accountable, such as the FTC and their Consumer Protection Bureau. So there are literally laws that are supposed to protect us, and right now, there are people in power who are trying to give companies back the power to do anything that they choose, and that is going to eventually affect every single person, not just in the United States, but if you're buying products that were made in the United States and you're overseas, they might not be made with the same kind of qualities that, you know, they need to be, so. Lesley Logan 3:45  So here's the thing, even if you feel like you have no rights or voice, your dollar has power wherever you live in this world. And so where you spend that money does matter. And I get it like we have been in places in the States where I'm like, okay, so this is the only place we can shop right now. This is the only place to go. So, you know, don't, please, don't starve. Please don't, like, go without, but like, if you can spend an extra dollar and go to a different store, go support small businesses. Go support women-owned businesses. Go support people of color businesses. Like, I promise you, you'll feel so much freaking better. You'll just feel better. Like, it felt good to be like, oh, we're gonna, look at this place over here that has exactly what we need.Brad Crowell 4:18  I mean, slash or I'm just buying less stuff because I'm like, oh, I need to buy that thing and what would be my normal thing would be, go to Amazon and just order the thing. Lesley Logan 4:26  You know, in one of the FYFs, I actually told people how they can boycott like in a way that like helps them. So if you haven't ever listened to FYFs, I'm adding like things in it that inspire me, plus your wins, plus my wins, and they're still under 15 minutes. And I actually did do it. It's really fun. Okay. Brad Crowell 4:41  Cool. Cut me off. So what I was actually gonna finish saying there is that, you know, I'm actually buying less stuff because my natural inclination is to just go to Amazon and then to just order it, right? But now I'm like, okay, well, if I'm not ordering from Amazon, or if I'm not ordering from Target, or if I'm not ordering from Walmart, you know, then where am I going to get this? And now there's more effort to go figure that out, and probably requires a trip to the store, which I don't really have the time and the schedule to just go do that. So the convenience is, is definitely something that we're trading. But also my pocketbook thanks me, because did I really need to buy that thing. Chances are it's 50-50.Lesley Logan 5:23  Yeah, yeah. Well, in the FYF episode, I actually explained it, you could also borrow it if you need to, like, if you really need it, but you don't need it forever, you could just borrow it, right? So anyways, we have to keep going. So know your rights. Consumers all around the world do some research. This will actually make you it'll make the companies that you work with even better because of it. Brad Crowell 5:40  Yep. Lesley Logan 5:41  Okay, we just literally wrapped up the eLevate retreat. So that's a retreat at our house for those who graduated the eLevate program. And we also had just wrapped the reformer weekend for eLevate round five, which is super, super fun. If you're interested as a teacher in eLevate, you can apply for 2026's program, and then that way you could come to 2027's retreat, because the retreat is for the grads, and it's really special. I guess, don't you love it? I love it. I love having the people here. I love having all the different years of grads here. I love being able to see them in person. So it was absolutely fabulous.Brad Crowell 6:14  It's a good time. It's a good time. People are amazing, and it's, what's been really fun is to see the incredible sense of community created even across different groups of grads. So year one, year two, year three, etc, etc, where, where they're intentionally building community, and they're part of this really amazing group. So it's been fun to see that from our perspective, for sure. Lesley Logan 6:38  Yeah. And then also, last week, we actually opened up the registration for the UK tour, the Mullet Tour. Brad Crowell 6:41  The Mullet Tour. Lesley Logan 6:41  So, you guys, if you are in Europe or the UK, or you want to fly there, we're going to be there this September. Brad Crowell 6:52  Yeah, we're going to be there in September. And what is a Mullet Tour, Les? Lesley Logan 6:55  Business in the morning, Pilates in the evening. That's how it goes. Business in the front, party in the back, business in the morning, Pilates in the back, in the evening. No? Brad Crowell 7:05  Well, sort of. You just mixed a whole bunch of things, but it's business in the front, Pilates in the back.Lesley Logan 7:12  Right, but it's in the morning and then the Pilates is in the evening. Brad Crowell 7:15  Yeah, okay, we're gonna go with that. Lesley Logan 7:17  Well, that's what the Mullet Tour is. It's our second event. It's not annual, because we skipped a couple years. So I don't know the next time we'll be in the UK. I'll be really honest. We're already booking 2026 stuff, and 2027 we just got booked for something potentially so like this might be it, UK, for a couple, for a little bit, so. Brad Crowell 7:35  For a bunch of years. Lesley Logan 7:37  Yeah. So get in. Brad Crowell 7:38  Do it. Make sure you're paying attention. Lesley Logan 7:41  If you understand how the UK works, the studios are quite small, so space is limited, opc.me/uk is where you can get that information. You can come to workshops. You can come to classes. Obviously, the deal is in there. If you get all the good stuff for the Mullet, the whole Mullet, you need the whole Mullet to get the deal. Also coming up. Brad Crowell 7:57  You need to show up with a mullet or you can't come. Just kidding. Don't do that.Lesley Logan 8:02  (inaudible) on a lot of people. So don't do it. All right. April and this month that we're in right now, towards the very end, it is Spring Training. What is Spring Training? Well, there's the baseball people's doing spring training, and it's our version, and it's a week of Pilates classes with the OPC teachers and myself, mat classes, reformer classes, chair classes, tower classes. You can get the mat only ticket, or you can get the full spring training pass. It's a freaking great deal. If you go to opc.me/events, you'll hear about it as an early bird, which means you'll get a better price than anyone else. Brad Crowell 8:35  Yeah, get yourself on the wait list. Lesley Logan 8:36  You don't have to be a teacher. You can be someone who's just been doing Pilates. You can also be someone who's like, pie-curious, and you're like, I don't know. Maybe this is time. It's gonna be a lot of fun. I'm just gonna say we have uniforms. The dog has a uniform, everything. Brad Crowell 8:37  It's gonna be great. In fact, there's a theme to this one. It's all about the push ups. Lesley Logan 8:54  Oh yes. Brad Crowell 8:55  So this is our first annual spring training. We do want to do this every single year, but that will depend on you, gotta show up. Lesley Logan 9:03  We wouldn't do push ups next year. And also, if you would, ah, push ups, it means you have to sign up.Brad Crowell 9:08  That's right. Lesley Logan 9:08  It means you have to sign up. Brad Crowell 9:09  It's intentional. All right, cool. So that kicks off at the end of April. So go to opc.me/events right now, so you can get on the waitlist where you're actually gonna get that early bird offer. Only the people on the waitlist get the early bird offer. If you are a Pilates business owner in any way, meaning you are taking clients and getting paid by anybody, then I want you to come to my free Pilates business webinar. It's called the Growth Accelerator, and it's going to help you, whether you have a studio or home studio, or you're taking clients in the park. Go to prfit.biz/accelerator. That's profit without the O dot biz slash accelerator, and we're going to be talking about the three biggest secrets that Lesley and I have learned over the past 2500 clients we've coached. We're going to share those things with you, and it is awesome, actually. It's really been a great experience so far, doing this on a consistent basis, and we want you to join us. Lastly. Lesley Logan 10:01  Lastly, we're going to Cambodia this fall. Brad Crowell 10:05  Yep, October. Lesley Logan 10:06  Yeah and people are like, oh, I want the 2026 dates. And I have to say, we have a tentative date, but we are waiting on some news. Brad Crowell 10:11  We are waiting on a couple of other things to fall into place before we can confirm the 2026 dates. But here's what we can tell you, we're only going once in 2026, this year '25, we were able to go twice, next year because we're traveling to Europe at the beginning part of the year, we can only go to Cambodia one time. Lesley Logan 10:27  And so we want you to come this time. Brad Crowell 10:29  Don't wait, like, a year and a half from now to do this. Lesley Logan 10:31  No, I mean, like, things will just be, your life is not going to get less busy. Brad Crowell 10:35  It's true. It's very true. Lesley Logan 10:37  Like, just like, when does that ever happen? So, so you're going to go to crowsnestretreats.com and snag your spot. Brad Crowell 10:43  Yep, crowsnestretreats. Lesley Logan 10:45  Only a few spots. Go grab yours. Okay. Brad Crowell 10:48  crowsnestretreats.comLesley Logan 10:50  Yes, do that. Okay, we have to talk about Dr. Judith Joseph, but first we have a few audience member questions. Audience questions to answer. Brad Crowell 10:58  We do. This is interesting. We've had a bunch of questions come in recently about types of equipment and models and brands and all those kinds of things. So I'm just gonna quickly zip down them, @JohnLanningQ7B on YouTube, asks, hey, my wife is looking for a machine currently. What brand model is yours, Specifically? He was referencing a reformer video, @Finaloadonell3419 on YouTube asks, where can I buy a mat like you're using? And @marilynhighness4234 on YouTube also asks, hello, thanks for this great workout. May I ask where can I get this Pilates mat with handles and a strap? Thank you so much. Lesley Logan 11:35  Yes. Okay, so John, my reformer is a Contrology Reformer. I like the 80-inch. It's really amazing. Prefer it to anything longer, unless your wife is over six-four, that's what I would get. And I like calling a machine myself as well. I think it's really cool. Also, it makes it feel like that's why it's expensive. It's a machine. I buy it. So that's what I use. Brad Crowell 11:57  You can go to opc.me/reformer and you can literally get a link to the one that Lesley uses. Lesley Logan 12:03  There's a little discount on it too. Then for my mat lovers, I use the Contrology Mat. That's the mat with the handles. I prefer the Contrology Mat to all the other brands out there. Yes, I've tried most of them all, and the rest are too squishy, way too squishy. And after just teaching the reformer weekend and then having the mat weekend eLevators, every single different teacher who was on my equipment was able to be like, oh, this, this is what is happening, right? Like, this is what, like, this is why I'm not connecting when I think I'm connected, because most people are on too squishy of apparatus. And so if you're a tight person, the squish, kind of like fills in the gaps, and if you're a hyper mobile person. you kind of like, fold into the squish. So you want to get the Contrology Mat and. Brad Crowell 12:47  Just fold in the squish. Lesley Logan 12:48  You fold in the squish. Brad Crowell 12:49  Just fold it in. Lesley Logan 12:50  Just fold it in. Brad Crowell 12:50  Fold it in. Lesley Logan 12:51  Yeah. So opc.me/mat gets you the discount link for the mat, if those for whatever reason, don't show a discount at checkout, then just hit me up and with your email and I will connect you to a person. So that was all the questions, right? I answered them. Brad Crowell 13:05  Yeah, you got all three. Lesley Logan 13:06  Yeah. I'm a cool, I'm a Contrology demo center. So I think it's really important that you know I'm freaking biased. However, that being said, my bias does not come from me not having explored all the equipment or having other brands. I have actually just sold them because I prefer the Contrology I really think that they have a great thing going on there, and their customer service is really helpful if anything goes wrong. So I, not that that does happen. But you know, like, shippers, things like, you gotta just, you want to have build up relationship. And I really love Balanced Body, and Jay worked with them closely on the Contrology line and you know how much I love Jay, by the way, the day that we're recording, this is his birthday. Brad Crowell 13:40  What? Lesley Logan 13:41  It's his birthday today. Brad Crowell 13:42  Come on, I didn't know that. Lesley Logan 13:43  Yeah, we did. Last year, we actually celebrated his birthday with him.Brad Crowell 13:48  Well, I didn't, yeah, okay, cool. I'm not remembering last March 25th.Lesley Logan 13:52  Happy Birthday, Jay. And he hates it. Brad Crowell 13:55  Happy Birthday, Jay. Lesley Logan 13:55  He hates right now that we're doing any of this. Okay, well, now go get your Contrology stuff, and if you have questions about any of it, you can just DM me. I will happily answer. I love talking about equipment and making sure you get the right stuff for you and what your practice is. And you know, somebody else was like, hey, I'm thinking of getting a folding reformer instead of a mat and spine corrector. And I was actually able to talk about, like, why there is a classical reformer that folds. I have not personally experienced it. It is not cheaper than a regular reformer. It just happens to fold up. And when I'm in Chicago this fall, I'll get to kind of explore it with someone who is in my program who has access to a Contrology Reformer, and that one so I can give you more comparisons, but like, it doesn't become cheaper, it just becomes foldable. Anyways. Brad Crowell 14:38  I just want to give you guys a quick update. The actual link for the mat is opc.me/foldingmat, folding mat. Lesley Logan 14:45  Folding mat. Brad Crowell 14:47  Folding mat. Because you're gonna fold in the mat.Lesley Logan 14:49  Fold in the mat. All right. The wheels have come off this bus. We have to take a brief break, and then we're gonna come back and talk about Dr. Judith Joseph.Brad Crowell 14:56  Stick around. Brad Crowell 14:59  Welcome back. All right, let's talk about Dr. Judith Joseph. Dr. Judith Joseph, MD, MBA is a board certified psychiatrist, researcher and passionate mental health advocate, recognized in the 2023 Congress Proclamation Award, with that award. She's dedicated to making mental health conversations more accessible through groundbreaking research and social media. In her book, High Functioning: Overcome Your Hidden Depression and Reclaim Your Joy, Dr. Joseph helps readers identify hidden depression and discover the unique science behind their own happiness. And I'm really excited to dig in, because there's a ton to learn in last episode. Lesley Logan 15:37  I learned so much. I mean, this was like I got turned on to this guest because we have a different guest. We had on about anahandria. And I was like, okay, this is the first time I've heard this word. I'm very interested. And so then a friend of mine who listens to the pod. Brad Crowell 15:52  What it? What is it? Lesley Logan 15:53  Anahandria.Brad Crowell 15:54  No, anhedonia. Lesley Logan 15:56  Anhedonia. Brad Crowell 15:58  Yeah. Lesley Logan 15:58  Anhedonia. Brad Crowell 15:59  Anhedonia, A-N-H-E-D-O-N-I-A anhedonia. Lesley Logan 16:03  Yeah, guys, I'm a little dyslexic. Anyways, so, but I had been turned on to this person, and I did some research. I like, went down the rabbit hole of her, and I was like, oh, I really love that we have another person's voice on this. And also, like, a book that's coming, that's out on this. And so first of all, there's so much in the episode, you must go back and listen to it. Also you have to grab her book, ladies, I think it's gonna be amazing for you to give to your friend. But she said, there's a, there are tons of people out there who have the symptoms of a depression but are still functioning and over-functioning because they are the rock and I think a lot of people listening, I mean, if you didn't feel so seen and so heard during this episode, like you, there's not a time for you to be depressed. Brad Crowell 16:46  Yeah, who's, who's the rock, like, you know the person who keeps the family together, or the person who, you know, you could be the breadwinner, or. Lesley Logan 16:55  You might not even be the breadwinner, but you're, you're the like, you might bring money to the family, but like, you're the person who gets them on the bus. You're the person who gets every like, if you take a day off, there's no groceries for dinner, like you're the rock, like you're the. Brad Crowell 17:09  Teacher, doctor, boss person, you know, whatever. Lesley Logan 17:11  But also, like you could be working at a place, and especially now with everything's going on, you could feel like, if you stop, they'll just replace you, and then you have nothing to go back to, and that's gonna even be more depressing and more so you are just like over. Brad Crowell 17:26  You're not allowed to stop, you're not allowed to fall apart, no way. Lesley Logan 17:28  So you keep it all together, but you're actually like, not happy, and the things that used to make you happy don't make you happy anymore.Brad Crowell 17:35  We have this idea, this preconceived idea, of what depression is, and that's not necessarily like, the only way that depression looks, right? Depression certainly can look like that, but also it, we might not realize that we're depressed because we think, well, I'm out there kicking ass and taking names everyday.Lesley Logan 17:53  I get up, I got, I've showered, I wash my hair, so I can't be depressed because I got dressed and I'm actually doing great at work.Brad Crowell 18:00  Yeah, and, and, you know, I think, I think there's something specific that you said about it, that you said, I'm going through the motions. There's no joy in it, you know. And I think she really responded to that. She, like, lit up. She's like, yes, that's exactly, that's exactly it like, you know, it's absolutely possible to still be doing all the things, but when there's no joy in any of it, that's like, can also be depression, right? Lesley Logan 18:29  Yeah. And I just want to add, before, I want to say, like, she said, not only over time does it wear on you, but it can feel like you don't have anywhere to turn to. Because if you go to the regular medical world, they're gonna be like, here, you look fine, right now, you know so, and my girlfriend is a social worker, and she was trained that people would be coming and looking for medication. So, like, she's like, Lesley, people probably needed it, but they're like, they looked clean. They looked like they got, they got them, like, all the things there. And so I think, like, it's just important to know that these different things are out there, and you might be experiencing them, and you might actually have to be advocating for yourself around these things. So I don't know, I just, this blew my mind.Brad Crowell 19:10  Yeah, and, you know the joy, the element of joy missing, I thought that was intriguing, but, but the other thing that I that like, really blew me away was it seems quite logical to me that we say my biology is different than your biology, so the food that I need is different than the food that you need. I know that they custom-make nutrition plans for the astronauts, they all have a different custom nutrition plan because their bodies function differently. Here's what I never took that to the next step and realized happiness doesn't look the same for everybody either, right? So we have this concept of like, well, do this thing to be happy. Well, that might make you happy, but it doesn't necessarily make me happy. And now that I'm saying it out loud, it sounds very logical, but I never thought about it. And when Dr. Judith said that, she said your happiness is not the same as my happiness. There's a lot of people out there trying all these different things, but it's not working for them. That's because they're basing it off of the science of somebody else's happiness. And she mentioned that, this was also, I found really interesting, so the definition of anhedonia was that, basically you're missing the joy, right? And there's more to it, but I'm forgetting it off the top of my head. But she said it's actually contagious, right? So if you work in a high stress environment, I'm putting that in air quotes, right, I used to work in a place like this, where it was stressful for no fucking reason, right? It was stressful. Why? Because the boss, that's how he felt like a good company's run, right? And so he would make arbitrary deadlines that had literally no reason. This has to be done by tomorrow. Why? Why? What's happening tomorrow? We just have to get it done by tomorrow, right? And it was like this manufactured stress, and it created this, like, high, this frenzy, this high, high, strong atmosphere, right? And that is contagious. And she said, but guess what? So is joy. Joy is also contagious, right? And I thought this is really interesting, because I've, I operated in this high stress environment for like, six years, and you know, people would come in and they would say, how do you do this? And I'd say, I don't know. I just do it, right, but it's probably because I was conditioned to do it. Well, interestingly enough, I think we can also flip that and condition ourselves to find joy, to be in joy, you know? And she said, when you start to shift inside, people are going to notice it in you. You have something that they want, and they're going to start gravitating towards you. Yeah, I, I really appreciated all this. And she said, she said, how do you know what happiness is for you? She said, there's a lot of science under it. Well, first off, she has a quiz about anhedonia, right? And I think that's, that's like a great. Lesley Logan 21:59  I love that quiz. Brad Crowell 22:00  It's a great jumping off point. We're gonna put the quiz in the show notes. The link to the quiz in the show notes.Lesley Logan 22:05  It's only 17 questions, and it takes two minutes. Brad Crowell 22:08  Yeah, it's a self-assessment tool for self-reflection, right, and it allows you to understand, like, yeah, am I finding the joy, you know, in my life? And then from there, she's got tons of resources. She obviously is the reason that the timing is really great here, because her book is just coming out right now, and she has a book called, it's called High Functioning: Overcome Your Hidden Depression and Reclaim Your Joy. Lesley Logan 22:36  You guys, you can pre-order it today and if it's available by the time, but, here's the thing, if you, like, I think this is the type of book that needs to be on the New York Times bestseller list, because we, the more people know about this, the more we can change the contagion. Brad Crowell 22:51  Yeah, so HFD is what it's about, right? High Functioning Depression. And she says, hey, look, it's not like an official diagnosis. You couldn't go to the doctor and get diagnosed as HFD. But I think that that's like comma yet, because her research is started, is effectively what she's trying to understand is, you know, like, you know, can this be something that can be diagnosed? Because people are experiencing these, these feelings, and they are, they are experiencing depression, even though they're, you know, high functioning. So, very interesting research. Lesley Logan 23:27  And also, I recently got added to the DSM at some point, because this, I was in high school, and the DSM was like a three so, like, we find things out and we add it in. So I. Brad Crowell 23:35  I don't know what a DSM is. Lesley Logan 23:37  Oh, it's this, it's like an encyclopedia for mental health stuff. So, like, it's where every doctor goes when it comes to, like, like your.Brad Crowell 23:44  Diagnosis of Statistical Manual of Mental Disorders.Lesley Logan 23:47  Yes, yes. So when I was in high school, I remember it being, like, three, maybe, maybe it was a four already. But I remember being, I remember my teacher specifically saying, do you see how there's a three? It means there was a two and a one, and that means that like, as they, as we learn more, we add more and like, I think the more, I think it's really, not that we should label everything, but I do think when you have a label for what you're going through, you feel less alone, and you have an understanding of, like, how to operate, to get back to where you want to be. I just think that's how, that's how it works.Brad Crowell 24:23  Yeah. And I, you know, I do want to say, obviously, Lesley and I are not psychiatrists, but Dr. Judith is, so, you know, that's, that's a really great place to get started.Lesley Logan 24:32  If this is your first episode, and you were thinking you were listening to two psychiatrists. I'm so sorry to disappoint you. We are two people who talk to a lot of smart people.Brad Crowell 24:40  All right, well, stick around. We'll be right back. We're going to dig into those, Be It Action Items that you covered with Dr. Judith Joseph and they're pretty, they're pretty fire y'all. We're gonna dig into the Five Vs. We'll be right back. Brad Crowell 24:53  All right. Welcome back. Let's get into these Be It Action Items. What bold, executable, intrinsic or targeted action items can we take away from your convo with Dr. Judith, Joseph? I'm gonna go first here. She talked about practicing the Five Vs to reconnect yourself. And this, I had to go back and listen to this, like, two or three times, because she also talked about, like a overlapping Venn Diagram, and then, and then, like, the conversation just went a different direction. And we never finished that thought. And I was like, where is it? But we did cover the Five Vs. So the Five Vs, and she writes about them in depth in her new book, are Validation, Venting, Values, Vitals and Vision. She said they can really help you understand the science of your happiness and increasing those little points of joy every day. And what she means by that is, when you're doing research, you often create points, right? You like, like, if this happens, you get this many points. If that happens, you get this many points. If this happens, you lose points, whatever. They're points. It's a point-based system. And she said, so her tools help you evaluate your happiness in a, in a scientific way, you know, so and she uses these Five Vs to reconnect with herself. So what I was saying, I would start with her quiz. I'm sure part of the quiz is going to be going through these Five Vs, or at least that's in her book, and that'll help you start to figure out, like, you know, where are you on this? You know, are you? Are you? Do you have HFD, right? The High Functioning Depression. She says, Start with one or two. Don't, don't start with all five. Lesley Logan 26:24  Be It babes, you do not get to start with all five. You just start with one or two. That's what the doctor said.Brad Crowell 26:29  Okay, so pick one or two, tap into it. Don't overwhelm yourself. Validation and venting are great places to start. And so check in daily, and track your joy. So check in daily, and track your validation and venting and then she has the Anhedonia Scale to measure whether or not you are getting points of joy in life. So that Anhedonia Scale, we're going to link to that in the show notes as well, so that you have a quick link to go find this information. But, but this is great. I mean for, especially, for those of you who are a one woo person like me, having a systematic approach to measuring something as amorphous as happiness is very helpful. It helps, clarify things. So what about you?Lesley Logan 27:22  Well, I was just thinking about how the longer life is going the way it's going where we are, I might become a two woo. I might just go all in on the second woo. That doesn't mean I'm I'm not, I'm not for Dr. Judith. I'm just, just saying it right now, if you hear me say I'm a two woo girl, you know why.Brad Crowell 27:39  Heard it here first, people.Lesley Logan 27:40  Heard it here first. So the other part of her Be It Action Items that I really love was she said she was talking about Deepak Chopra meditation and like, how we can get caught up in, like, I'm a Pilates instructor, I'm a mom, I am this. And like, when you even say your name, your name can represent a lot of different things that you're known for, or what people think you are known for, or whatever it is. And so she suggested you do what he said, which is like, lose your name and just say I am, I am, and you can repeat I am. And what it does is it really helps you become present in just being a human, in your experience that day. And that is like just being right, like we forget to just kind of be in our bodies, which is really, really cool, and you get to have that self-reflection. So, and I think it's easy to forget who we are or like or think of ourselves as, like, having all these different compartments, and then forgetting, like, why are we doing all the things we're doing? What is all this for? You know, and I really like when I lead a breath work session. I'll ask the people, like in agency, I'll ask them, like, okay, like, if you need more energy from others, put your palms up. And if you need more energy, if you want to actually keep the energy you have, you don't want any more from anyone else, put your palms down. And I actually, like, sit there and I ask myself, like, I notice I ask myself the same question, like, do I need more from others? Do I need this? So, like, being able to be present is really helpful and understanding like what we need and who we are and where the joy is coming from. So you guys, I was blown away. I'm blown away by Dr. Judith Joseph, and I am so grateful that she was on the pod. We get to say we knew her when this book goes on the bestseller list and the HFD becomes something that we all can actually like, you know, find easily if we need it. And so go, go check her out, go get her book. And I'm Lesley Logan. Brad Crowell 28:10  And I'm Brad Crowell. Lesley Logan 29:28  Thank you so much for joining us today. Thank you for being part of 509 episodes. Brad Crowell 29:33  What? Lesley Logan 29:34  What? When I say we can't do it without you, it is actually not just written down. It's like, truly, truly, if you don't listen, we can't make these. It's not cheap. It's free for you, not for us. So we, we truly are so grateful that you share these episodes, that you come, you tell us what your favorite ones are, that you tell us what your feedback is, like, it really means a lot to us. So please share this with a friend who needs it. Share this with a friend who you might think has HFD so that they can, like, go listen and take the quiz themselves, because remember, joy is contagious. Brad Crowell 30:02  Joy is contagious. Lesley Logan 30:03  Until next time, Be It Till You See It. Brad Crowell 30:05  Bye for now. Lesley Logan 30:07  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 30:49  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 30:54  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 30:59  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 31:06  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 31:09  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In today's media, it is impossible not to see an ad for the latest gambling service. If you don't already know, gambling is risking money or something of value on an event with an unknown outcome and can be done both online and in-person, on anything from slot machines to a sports game. While it may seem fun to win some money on something, gambling comes with a bunch of risks, and it's not just losing money.    Links: If you or someone you know might struggle with gambling visit https://www.nhproblemgambling.org/ for information and resources Explore psychology resources and therapy services on Psychology Today's website Explore Gamblers Anonymous website for resources and services Check out TCU University for financial education tips and resources! Follow us on Facebook, Instagram and Twitter! Learn more about Triangle Credit Union  Transcript: Welcome to Money Tip Tuesday from the Making Money Personal podcast.      If you decide to gamble, it is very important to gamble safely. Before you try your luck, consider setting some guidelines to stick to. Limit how much you want to gamble, and don't exceed that limit. If you have the unfortunate experience of losing all the money you set aside to gamble, walk away. Don't put any more money down to chase a win. If you decide to gamble, keep it in a social setting with supportive friends who can help you stick to your plan. Also, try to avoid excessive alcohol and drug use while gambling, as that might influence you to make rash decisions and gamble more.    While most people who have placed a bet have done so without problems, some have gone on to develop a gambling addiction.  The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, which is a diagnostic tool published by the American Psychiatric Association, classifies gambling problems as an addictive disorder. Similarly to drugs and alcohol, a gambling addiction involves an increased tolerance that results in the feeling of gambling even more to feel satisfied. People with a gambling addiction who try to quit will go through similar withdrawal symptoms, such as an urge to gamble and irritability.     With unchecked gambling issues, it can quickly turn from a fun way to win or lose money to costing you a fortune, going into debt, mental health issues, and even bringing harm to your friends and family. The first part is obvious: the more you gamble, the more likely you will lose more and more money. Watching your finances go down the drain will impact your mental health. Often when this happens, a gambling addict will keep going back in an attempt to win their money back. This spiraling behavior can strain your loved ones, especially your family or people who might rely on you.    An estimated 0.4% to 2% of the world's population has a gambling addiction. You are more likely to develop a gambling addiction if you have any other addictions or have a psychiatric condition. For example, an estimated 4% of people treated for substance abuse also have a gambling addiction. A lower income is also linked to having a gambling addiction, as people are looking for a big win to give them a step up.    If you believe you may have a gambling problem or addiction, there are options to help you. Going to therapy is a significant first step. Many therapists are knowledgeable about gambling addictions and trained to help you overcome them. You can visit psychologytoday.com to find the right therapist for you. There are also support groups like Gamblers Anonymous, where you can talk to other people with gambling problems and share experiences.    Gambling can be fun, but it's risky. Please play responsibly.    If there are any other tips or topics you'd like us to cover, let us know at tcupodcast@trianglecu.org. Also, remember to like and follow our Making Money Personal Facebook and Instagram to share your thoughts. Finally, remember to look for our sponsor, Triangle Credit Union, on Facebook and LinkedIn.           Thanks for listening to today's Money Tip Tuesday. Check out our other tips and episodes on the Making Money Personal podcast.

In Case Number CR01-24-31665, defendant Bryan C. Kohberger has filed a reply to the State's response regarding his motion to strike the death penalty due to his diagnosis of Autism Spectrum Disorder (ASD). The defense asserts that Kohberger's ASD results in significant impairments in communication, reasoning, social skills, and understanding others' reactions—factors that, according to the U.S. Supreme Court's decision in Atkins v. Virginia, diminish moral culpability and render the death penalty unconstitutional for individuals with such disabilities. They emphasize that these deficits have been present since early childhood and persist into adulthood, affecting Kohberger's adaptive functioning despite his high intelligence quotient (IQ). The defense references the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), noting that individuals with ASD may exhibit a substantial gap between intellectual abilities and adaptive functioning, leading to challenges in daily living, self-care, socialization, and communication. ​to contact me:bobbycapucci@protonmail.comsource:Ty ABecome a supporter of this podcast: https://www.spreaker.com/podcast/the-epstein-chronicles--5003294/support.

In this episode, we sit down with Daniel Dickson, PhD who is a clinical psychologist. We discuss the complexities of sleep from insomnia to common sleep disturbances and mental health conditions, such as anxiety and depression, that can impact one's sleep. Dr. Dickson also shares practical advice for those looking to improve their sleep habits and overall well-being. Talk to a health coach individually or sign up for group coaching today by calling 800-821-6591 Sign up for MeQ at www.webmdhealth.com/wellwisconsin and complete a short questionnaire to begin your personalized experience. Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) End the Insomnia Struggle: A Step-by-Step Guide to Help You Get to Sleep and Stay Asleep by Colleen Ehrnstrom PhD ABPP The information in this podcast does not provide medical advice, diagnosis, or treatment. It should not be used as a substitution for healthcare from a licensed healthcare professional. Consult with your healthcare provider for individualized treatment or before beginning any new program. 

Read the full transcript here. How were decisions made about which treatments to trust before the advent of "evidence-based" medicine? How strong are biological arguments for or against various treatments? When did the Evidence-Based Medicine (EBM) movement begin? How did the EBM movement overcome initial resistance among medical professionals? What resources do doctors have at their disposals to find up-to-date information about treatment efficacies? Why is the pharmaceutical industry allowed such influence over information about treatments? What is the GRADE approach to EBM? What does EBM have to say about the role of patient preferences and values? How bad is being overweight? What are "surrogate" or "substitute" outcomes? How rigorous is the Diagnostic and Statistical Manual of Mental Disorders (DSM)? How often do treatments suffer from a lack of high-quality evidence of an effect versus plenty of high-quality evidence of a lack of an effect? What's the state of evidence about the placebo effect? What are the most exciting current initiatives in EBM?Gordon Guyatt is a McMaster University Distinguished Professor. His work has focused on Evidence-Based Medicine and promoting high-quality healthcare without financial barriers for all Canadians. His Order of Canada citation acknowledges both contributions. He has been honored as a Canadian Institute of Health Research Researcher of the Year and a member of the Canadian Medical Hall of Fame. Learn more about Gordon and his work at clarityresearch.ca.Further reading"This is why you shouldn't believe that exciting new medical study" by Julia Belluz @ Vox StaffSpencer Greenberg — Host / DirectorJosh Castle — ProducerRyan Kessler — Audio EngineerUri Bram — FactotumWeAmplify — TranscriptionistsMusicBroke for FreeJosh WoodwardLee RosevereQuiet Music for Tiny Robotswowamusiczapsplat.comAffiliatesClearer ThinkingGuidedTrackMind EasePositlyUpLift[Read more]

Episode Summary:  Seasonal Affective Disorder (SAD) is a subtype of depression characterized by recurrent episodes that occur at specific times of the year, most commonly during the fall and winter months. It is officially classified as a type of major depressive disorder with seasonal pattern in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). If you struggle with seasonal depression during the winter months, know that you aren't alone, and there is help. In this episode, Jessica and I discuss managing seasonal affective disorder: what it is, how to recognize it, and practical strategies to cope with it. Quotables from the episode: Seasonal Affective Disorder is a mental health concern that typically shows up in the colder, darker winter months, linked to seasonal changes. Up to 3% of the general population is prone to Seasonal Affective Disorder. But those who are prone to depression are 10-20 times more likely to experience Seasonal Affective Disorder. Some common symptoms of seasonal affective disorder include fatigue or exhaustion, feelings of sadness, increased loneliness, discouragement, lack of motivation, decreased interest in previously enjoyable activities, change in appetite, and/or change in sleep patterns. If you've experienced more than a couple of these for more than a few weeks, you might be struggling with Seasonal Affective Disorder. There are many contributors to seasonal affective disorder: Biologically, studies have proven that the changes in the amount of sunlight significantly impacts our hormones and our mood. There are psychological contributors to seasonal affective disorder: we have just come off the holidays where there's so much to do that it's difficult to maintain a consistent schedule. Often we skimp on eating nutritionally, we skimp on sleep because we need more time to get everything done. Then come January 2nd, we wonder “what now? What do I have to look forward to now?” Seasonal affective disorder can impact our ability to hear God's voice. There are examples in the Bible that if we were to apply current clinical diagnostic criteria 2000 years ago, there are several who probably would have been diagnosed with depression: Jeremiah, Job, David. The winter months look so barren. Everything appears dead, but it's not. It's a season of wintering. If the land doesn't have winter rest, the soil gets depleted. If we can look at SAD as a time of wintering and hold on to the fact that God does a mighty work even in the winter, it can give us hope and it can build our faith even when we are struggling with SAD.” During the wintering months, God is doing something even our outside environment looks like it's dead. If we focus on the fact that life feels really dark when you struggle with seasonal affective disorder, but God is our light. John 1:5 “The light shines in the darkness and the darkness has not overcome it.” But when we're struggling with seasonal affective disorder, it can feel like darkness has overcome us. For many who struggle with seasonal affective disorder, a light therapy lamp can be helpful because it mimics the sunshine we don't get enough of during the winter months. You can sit in front of that light for 10-30 minutes a day while you're reading, while you're doing your quiet time in the morning, or have it next to you in the kitchen where you're fixing a meal. Because seasonal affective disorder can have an impact physiologically on our body, it's important during the winter months that we are still getting time outside, even when it's not sunny. Research has shown that just taking a walk for 10-15 minutes outside significantly elevates mood. When it's too cold to get outside, you can move with the sun through your house. Sit near a sunny window. During the winter months, it's important to make sure you are getting enough vitamin D. During winter months, consider taking up a new hobby that would bring you joy. When I have too much time alone, I find myself in this weird cycle of knowing that I need to do, which is to go be by people, but not having the energy or motivation to go be by people. During the darker winter months, my daughter and I plan Saturday fun days. We made a list of things that we could do each Saturday through January and February so we'd have something to look forward to. They don't have to cost any money. One Saturday it was “Let's stay in our pajamas and watch morning movies.” One Saturday we did painting. You may not feel like you have the energy to exercise, so start small. Set a small goal of just 5 minutes, and over time you will find that that will give you more energy to exercise longer two or three days later. If you are suffering, cling to the Lord. He will guide your steps. He will walk you through this darkness. In part 2, we will be offering more practical strategies to help you cope with seasonal affective disorder. Scripture References: John 1:5 “The light shines in the darkness and the darkness has not overcome it.” Isaiah 43:1-3 ““Do not fear, for I have redeemed you; I have summoned you by name; you are mine. When you pass through the waters, I will be with you; and when you pass through the rivers, they will not sweep over you. When you walk through the fire, you will not be burned; the flames will not set you ablaze. For I am the Lord your God, the Holy One of Israel, your Savior.”   Recommended Resources:  Reframing Rejection: How Looking Through a Different Lens Changes Everything By Jessica Van Roekel Sacred Scars: Resting in God's Promise That Your Past Is Not Wasted by Dr. Michelle Bengtson  The Hem of His Garment: Reaching Out to God When Pain Overwhelms by Dr. Michelle Bengtson YouVersion 5-Day Devotional Reaching Out To God When Pain Overwhelms   Today is Going to be a Good Day: 90 Promises to Start Your Day Off Right by Dr. Michelle Bengtson, winner of the AWSA 2023 Inspirational Gift Book of the Year Award, the Christian Literary Awards Reader's Choice Award in four categories, and the Christian Literary Awards Henri Award for Devotionals YouVersion 7-Day Devotional, Today is Going to be a Good Day YouVersion 7-Day Devotional, Today is Going to be Another Good Day Breaking Anxiety's Grip: How to Reclaim the Peace God Promises by Dr. Michelle Bengtson Breaking Anxiety's Grip Free Study Guide Free 7-Day YouVersion Bible Reading Plan for Breaking Anxiety's Grip Hope Prevails: Insights from a Doctor's Personal Journey Through Depression by Dr. Michelle Bengtson, winner of the Christian Literary Award Reader's Choice Award Hope Prevails Bible Study by Dr. Michelle Bengtson, winner of the Christian Literary Award Reader's Choice Award Trusting God Through Cancer 1 Trusting God Through Cancer 2 Revive & Thrive Women's Conference Subdue Stress and Anxiety: Fifteen Experts Offer Comprehensive Tools in Ten Minutes a Day. Use my link plus discount code BENG99 to save $90 on course (course will be $99.) Free Download: How To Fight Fearful/Anxious Thoughts and Win   Social Media Links for Host and Co-Host: Connect with Jessica Van Roekel: Website / Instagram / Facebook For more hope, stay connected with Dr. Bengtson at: Order Book Breaking Anxiety's Grip / Order Book Hope Prevails  /  Website  /  Blog  /  Facebook / Twitter (@DrMBengtson)  /  LinkedIn  /  Instagram / Pinterest / YouTube Co-Host: Jessica Van Roekel is a worship leader, speaker, and writer who believes that through Jesus, personal histories don't need to define the present or determine the future. She inspires, encourages, and equips others to look at life through the lenses of hope, trust, and God's transforming grace. Jessica lives in rural Iowa surrounded by wide open spaces which remind her of God's expansive love. She loves fun earrings, good coffee, and connecting with others.   Hosted By: Dr. Michelle Bengtson Audio Technical Support: Bryce Bengtson  

The difference in diagnosing a delusion or deception is in discerning the distress. The history and differential associated with gender dysphoria. Criteria: Gender Dysphoria in Adolescents and Adults 1 A marked incongruence between one's experienced/expressed gender and assigned gender, of at least six months' duration, as manifested by at least two or more of the following: • A marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics) • A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics) • A strong desire for the primary and/or secondary sex characteristics of the other gender • A strong desire to be of the other gender (or some alternative gender different from one's assigned gender) • A strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender) • A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender) The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. Caveats • The Gender Dysphoria diagnosis functions as a double-edged sword. It provides an avenue for treatment, making medical and surgical options available to TGNC people. However, it also has the potential to stigmatize TGNC people by categorizing them as mentally ill. • The ultimate goal would be to categorize TGNC treatment under an endocrine/medical diagnosis. • In the past, TGNC patients were disproportionally diagnosed with psychotic/mood disorders to explain their gender variance. Because of this, many in the community are understandably skeptical of mental health and psychiatric care. • There are some genetic explanations for gender dysphoria, categorized in DSM–5 by using the diagnostic specifier “with a disorder of sex development.” Parents and physicians of these patients are typically aware of the genetic anomaly from birth, with treatment beginning in childhood. Ruling out Psychiatric Illness • It is common for TGNC people who have grown up in an unsupportive environment to express symptoms characteristic with personality disorders. Impulsivity, mood lability, and suicidal ideation occur commonly. This does not necessarily qualify them for a personality disorder diagnosis because personality disorders are typically lifelong and pervasive. TGNC people typically show a reduction or disappearance of these symptoms once they are in a supportive gender-affirming environment. • There are no studies indicating that psychiatric illness causes gender dysphoria as a consistent condition over time, although delusions or unstable personality characteristics may manifest as intermittent thoughts or feeling of gender incongruity. Additionally, TGNC people can have other psychiatric disorders (e.g., psychotic, bipolar, depressive, substance use disorders) just as anyone else that is not related to their gender variance. • Gender dysphoric symptoms may be the primary focus of treatment, but don't overlook the possibility that other psychiatric symptoms may need to be treated first depending on severity. • TGNC people can have psychiatric symptoms of psychotic, anxiety, and mood disorders just like any other part of the population. References 1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing Life lived is life learned.  Every experience has facts, concepts and applications.  These arestories from the eclectic life of Lonnie Jones.

In this episode, we dive into the unique experience of living with AuDHD by exploring its strengths and challenges, as well as practical strategies for navigating life in a way that works for you. From creativity and hyperfocus to sensory sensitivities and executive dysfunction, we unpack how these traits present differently in each individual and offer actionable solutions tailored to diverse needs—including no-cost or low-budget options. We also address the critical issue of burnout and how to prevent it by structuring your work and life to align with your neurodivergent brain.Whether you're looking to embrace your unique strengths, find strategies for daily challenges, or simply feel seen and understood, this episode offers fresh insights and encouragement for the AuDHD community.Sources Referenced in This Episode: 1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). 2. Mindful Neurodivergence. (2024). “Mindfulness Practices for Emotional Regulation in Neurodivergent Adults.” 3. Neurodivergent Perspectives Quarterly. (2024). “Understanding Sensory Overload in AuDHD.” 4. ADDitude Magazine. (2024). “Preventing Burnout in ADHD and Autism.” 5. Autism Research Institute. (2024). “Burnout in Neurodivergent Adults: Causes and Strategies.” 6. The Journal of Neurodivergent Creativity. (2024). “Harnessing Creativity in ADHD and Autism.” 7. Camilleri, J. A., et al. (2023). “Cold water therapy for emotional regulation: Impacts on the nervous system.” Journal of Behavioral Science. 8. Focusmate. (2024). “How Body Doubling Increases Productivity in Neurodivergent Individuals.”Tune in to learn how to recognize your unique strengths, overcome challenges, and build a life that celebrates your neurodivergence. You've got this!

After a year-long hiatus, we're back with a fresh format and a renewed focus! In this first episode of the new season, we're finally diving into the topic that lies at the heart of this podcast: AuDHD. What exactly does it mean to live with the dual diagnosis of Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder?Join me as we unpack the unique challenges and strengths of AuDHD, explore why it's often misunderstood or missed, and discuss practical strategies for thriving. Whether you're living with AuDHD, supporting someone who is, or simply curious about this intersection of neurodivergence, this episode is your ultimate guide to understanding what makes AuDHD so special.Citations and References​ American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).​ Kutscher, M. L. (2008). Kids in the Syndrome Mix of ADHD, LD, Autism Spectrum, Tourette's, Anxiety, and More!​ Attwood, T. (2007). The Complete Guide to Asperger's Syndrome.​ ADHD Foundation. “ADHD and Autism: Common Co-Occurring Conditions.” Retrieved from ADHD Foundation​ Autism Speaks. “Understanding Co-Occurring Autism and ADHD.” Retrieved from Autism Speaks​ Russell, G., & Norwich, B. (2012). “Difficulties in diagnosing co-occurring ADHD and autism spectrum disorders.” Journal of Autism and Developmental Disorders, 42(5), 1136–1146.​ Happe, F., & Ronald, A. (2008). “The ‘fractionable autism triad': A review of evidence from behavioral, genetic, cognitive, and neural research.” Neuropsychology Review, 18(4), 287–304.​ Women and ADHD. (2022). “Gender Differences in ADHD Diagnosis.” Retrieved from Women and ADHD​ National Institute of Mental Health. “Autism Spectrum Disorder.” Retrieved from NIMHADDitude Magazine. (2022). “ADHD and Autism: Understanding the Overlap.” Retrieved from ADDitude

In this second part of our discussion on 'Biblical Counseling and Mental Disorder Diagnosis' Dr. Jenn Chen and Dr. Ernie Baker join Anthony Russo to further evaluate the DSM (Diagnostic and Statistical Manual of Mental Disorders) from a biblical perspective, exploring its cultural and clinical implications. The conversation delves into how biblical counseling addresses issues of mental health differently than secular psychology, emphasizing the sufficiency of Scripture and the transformative power of the gospel. This episode provides practical advice for pastors, biblical counselors, and Christian parents, encouraging them to stay rooted in biblical truths while addressing modern mental health challenges.00:50 Discussing the DSM and Cultural Implications01:16 Addressing Gender Identity and Paraphilic Disorders02:51 Biblical Counseling vs. Secular Therapy03:35 The Role of Parents in Protecting Children04:56 The Importance of a Biblical Worldview08:58 Information, Interpretation, and Intervention15:20 Encouragement for Biblical Counselors18:39 The Power of the Gospel in Counseling22:06 Concluding Thoughts and ResourcesFollow Shepherd Press on social media for more insights:Facebook: @shepherdpressInstagram: @shepherdpressincGrab a copy of 'Biblical Counseling and Mental Disorder Diagnosis': https://www.shepherdpress.com/products/biblical-counseling-and-mental-disorder-diagnosis/

Did you know that the diagnostic criteria for borderline personality disorder (BPD) has remained the same since it was officially added to the third edition of the Diagnostic and Statistical Manual for Mental Disorders in 1980? Forty years later, BPD remains deeply misunderstood by the public and isolating for those who live with the condition. On this episode of Transforming Trauma, host Emily Ruth chats with Mark L. Ruffalo, MSW., D.Psa., about his extensive work in the field of BPD. The pair discuss the history of BPD, its symptoms and characteristics, and overlap with C-PTSD.  About Mark L. Ruffalo: Mark L. Ruffalo, M.S.W., D.Psa., is a psychotherapist in private practice in Tampa, Florida, and serves as Assistant Professor of Psychiatry at the University of Central Florida College of Medicine and Adjunct Instructor of Psychiatry at Tufts University School of Medicine. He has broad clinical experience in the psychoanalytic treatment of a range of psychiatric conditions with particular interest in the psychotherapy of schizophrenia and borderline personality disorder. During his training at the University of Pittsburgh, Mark worked with severely ill patients in long-term psychotherapy, an area in which he has developed significant expertise.  He has published previously in the American Journal of Psychotherapy, Psychoanalytic Social Work, Psychiatric Times, and the Journal of Nervous and Mental Disease. He currently serves as Co-Director of the Psychotherapy Track at the UCF/HCA Orlando Psychiatry Residency Program and is the Founding Editor of The Carlat Psychotherapy Report. Mark's current research interests include the object relations theory of borderline personality disorder; communication dilemmas, paradoxes, and double binds in personality pathology; and deficits in logical reasoning in psychotic and borderline states. Learn More: Website To read the full show notes and discover more resources, visit https://complextraumatrainingcenter.com/transformingtrauma SPACE: SPACE is an Inner Development Program of Support and Self-Discovery for Therapists on the Personal, Interpersonal, and Transpersonal Levels offered by the Complex Trauma Training Center. This experiential learning program offers an immersive group experience designed to cultivate space for self-care, community support, and deepening vitality in our professional role as therapists. Learn more about how to join *** The Complex Trauma Training Center: https://complextraumatrainingcenter.com View upcoming trainings: https://complextraumatrainingcenter.com/schedule/ The Complex Trauma Training Center (CTTC) is a professional organization providing clinical training, education, consultation, and mentorship for psychotherapists and mental health professionals working with individuals and communities impacted by Adverse Childhood Experiences (ACEs) and Complex Trauma (C-PTSD). CTTC provides NARM® Therapist and NARM® Master Therapist Training programs, as well as ongoing monthly groups in support of those learning NARM. CTTC offers a depth-oriented professional community for those seeking a supportive network of therapists focused on three levels of shared human experience: personal, interpersonal & transpersonal.  The Transforming Trauma podcast embodies the spirit of CTTC – best described by its three keywords: depth, connection, and heart - and offers guidance to those interested in effective, transformational trauma-informed care. We want to connect with you! Facebook @complextraumatrainingcenter Instagram @complextraumatrainingcenter LinkedIn YouTube    

What if our current understanding of mental health is merely a brief moment in the vast history of human knowledge? In this episode, we explore how the introduction of the Diagnostic and Statistical Manual of Mental Disorders has dramatically changed the way we talk about and understand mental health. We dive into both the benefits and drawbacks of our current diagnostic system, and we challenge the false divide between "mentally ill" and "mentally well.” We unpack our culture's reliance on prescription medication without providing the education or support needed to resolve underlying issues. Ultimately, our discussion underscores the need for empathy and a nuanced understanding of mental health, acknowledging that everyone experiences fluctuating mental states and that a growth mindset is key to wellness. Show notes: ●      Challenges in Primary Care Mental Health Management ●      Evolution and Implications of Psychiatric Diagnoses ●      The Role of Medications in Mental Health Treatment ●      Cultural Influences on Mental Health Perceptions ●      The Importance of a Growth-Oriented Mindset ●      Labels, Stigma, and Empathy in Mental Health ●      Advanced Treatments and Psychedelic Therapy ●      Societal Impacts How you can help others in a big way... If you enjoy the Higher Practice Podcast, please leave a quick review on the Apple Podcast app. It makes a big difference in getting the word out to other people who will benefit from this podcast. Simply, click on the show on your podcast app>scroll down to the bottom of the episodes>click the ratings and reviews section>tap stars to rate>click write a review. To learn more, visit: https://psychiatryinstitute.com/ Interested in providing psychedelic therapy? Download our free ebook, Getting Started With Psychedelic Therapy: https://bit.ly/3NjBW9k Struggle with mental health? Download our free guide, 10 Must Know Supplements For Optimal Mental Health: https://bit.ly/4feDMob.  And when you download our free guide, you'll also get our bi-weekly newsletter Mind Matters, where we share great tips on how to optimize your mental health.

Send us a textWhat freedom could we offer one another as humans if we weren't so stuck on the treadmill of achievement and quantified learning? Pepper Stetler, PhD, is the author of A Measure of Intelligence: One Mother's Reckoning with the IQ Test. She joins Amy Julia Becker on the podcast to share her personal journey navigating the world of IQ testing with her daughter Louisa, who has Down syndrome. Amy Julia and Dr. Stetler explore: the historical roots of these intelligence assessmentsIQ testing's societal implicationsthe ethical dilemmas the tests present for parents and educatorshow IQ tests shape our understanding of intelligence and the pursuit of a fulfilling lifeways to challenge conventional notions of achievement and success_Noonday Lucky Few bracelet (in celebration of Down Syndrome Awareness month): https://noondaycollection.com/products/lucky-few-bracelet_On the Podcast:A Measure of Intelligence: One Mother's Reckoning with the IQ Test by Pepper Stetler Alfred BinetDSM (Diagnostic and Statistical Manual of Mental Disorders)Henry Goddard_Connect with Dr. Stetler on her website (pepperstetler.com) or X (@PepperStetler)._Watch this conversation on YouTube by clicking here. Read the full transcript and access detailed show notes by clicking here or visiting amyjuliabecker.com/podcast.Connect with me: Instagram Facebook YouTube Website Thanks for listening!