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Grandparents Raising Grandchildren: Nurturing Through Adversity
Are you a grandparent stepping into the role of raising grandchildren, questioning how to build a sanctuary out of chaos—especially when trauma lingers in your family's story? Do legal barriers, relentless exhaustion, or the stigma of addiction leave you feeling stranded, yearning for guidance grounded in real science rather than just willpower? If you've ever wished you could pause the world for a moment of rest or clarity, you are not alone.I'm your host, and for decades, I've worked alongside families like yours—those who've faced down disaster, addiction, and loss while showing up, day after day, for their grandchildren. I know firsthand how shame and blame can seep into the fabric of kinship care, convincing us that struggling means failing. But what if true recovery starts by honoring our limits and building supportive connections, not just for the children in our care but for ourselves?Welcome to "Grandparents Raising Grandchildren." Here, you'll meet experts like Dr. Cristal Bador, a trauma researcher and clinician who translates clinical breakthroughs into kitchen-table strategies for rural caregivers. You'll hear candid conversations about turning exhaustion into resilience, shifting from a narrative of moral failure to systemic recovery, and confronting hard realities like substance use disorder—with dignity and hope.Join our community as we uproot outdated stigmas, spotlight rural wisdom, and gather practical, evidence-based tools to nurture your family through adversity. Together, we'll turn pain into power, redefining what's possible for you and your grandchildren—one informed, compassionate step at a time.Send us Fan MailRethink the child welfare system—what if the real issue isn't funding, but the questions we ask? If you're passionate about social justice, child welfare, or systemic reform—this episode will challenge your perspective and inspire new ways to advocate for change. Join us in shifting the focus from crisis management to family-centered solutions. Reshape the future of child welfare—listen now. In this special pre-roll segment, I'm sharing a moving letter from a member of our community, Laurel. Her story of loss, resilience, and raising her grandson after the unthinkable is a raw reminder that none of us are walking this path alone.We want to hear from you. If Laurel's story resonates with you, or if you have a journey of your own to share, join our private community. Your story might be the exact lifeline someone else needs to hear today. Thank you for tuning into today's episode. It's been a journey of shared stories, insights, and invaluable advice from the heart of a community that knows the beauty and challenges of raising grandchildren. Your presence and engagement mean the world to us and to grandparents everywhere stepping up in ways they never imagined.Remember, you're not alone on this journey. For more resources, support, and stories, visit our website and follow us on our social media channels. If today's episode moved you, consider sharing it with someone who might find comfort and connection in our shared experiences.We look forward to bringing more stories and expert advice your way next week. Until then, take care of yourselves and each other.Want to be a guest on Grandparents Raising Grandchildren: Nurturing Through Adversity? Send Laura Brazan a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/grgLiked this episode? Share it and tag us on Facebook @GrandparentsRaisingGrandchilden Love the show? Leave a review and let us know!CONNECT WITH US: Website | Facebook
Addiction affects millions of people, yet stigma and misunderstanding often prevent people from seeking help. In this episode of Health Matters, host Courtney Allison speaks with Dr. Jonathan Avery, an addiction psychiatrist at NewYork-Presbyterian and Weill Cornell Medicine, about the realities of addiction and recovery. Dr. Avery explains that addiction is more than a problem of willpower. Drawing on research and clinical experience, he discusses how genetics, mental health, trauma, social factors, and brain chemistry all play a role in the development of substance use disorders and behavioral addictions. The conversation examines how addictive behaviors, from alcohol use and opioid dependence to gambling and social media use, affect the brain's reward system and why quitting can be so difficult. Dr. Avery also shares how newer treatments, including medications and emerging research on GLP-1 medications, are changing the landscape of addiction care. Finally, Dr. Avery discusses the importance of reducing stigma, building supportive communities, and recognizing that recovery is possible. He offers practical advice for people who may be struggling themselves as well as guidance for supporting loved ones with compassion and understanding. Chapters 00:00 – What Is Addiction? Why addiction is more than a substance, the role of trauma and mental health, and what happens in the brain 05:05 – Gambling, Screens, and Modern Addictions How behavioral addictions affect the brain and why smartphones have changed the landscape 09:00 – Treatment, Recovery, and New Hope Available therapies, medications, emerging GLP-1 research, and why most people do get better 11:30 – Breaking Stigma and Supporting Recovery Why connection matters, how addiction overlaps with mental health, and ways to support loved ones Key Topics Covered Addiction Recovery Substance use disorders Alcohol use disorder Opioid addiction Fentanyl epidemic Behavioral addictions Gambling addiction Social media addiction Gaming addiction Nicotine and vaping Dopamine and reward pathways Withdrawal Mental health and addiction Trauma and addiction Addiction stigma Recovery support Community and connection Addiction treatment Medication-assisted treatment GLP-1 medications Self-medication hypothesis Depression and addiction Anxiety and addiction Addiction psychiatry Key Takeaway Addiction is a complex health condition influenced by brain biology, mental health, life experiences, and environment, not simply a lack of willpower. While quitting can be challenging, effective treatments, supportive communities, and growing understanding of addiction are helping more people achieve lasting recovery. Reaching out for help is often the first and most important step. Bio: Jonathan Avery, M.D., is an addiction psychiatrist at NewYork-Presbyterian/Weill Cornell Medical Center and vice chair of addiction psychiatry, a professor of clinical psychiatry, and the Stephen P. Tobin and Dr. Arnold M. Cooper Professor in Consultation-Liaison Psychiatry at Weill Cornell Medicine. He is the program director for the addiction psychiatry fellowship at NewYork-Presbyterian and Weill Cornell Medicine. He also serves as the medical director of the NBA's Anti-Drug Program. Dr. Avery graduated from the New York University School of Medicine and completed his psychiatry residency at New York-Presbyterian/Weill Cornell Medical Center. During residency, he was selected as a Group for the Advancement of Psychiatry Fellow, served as co-chief resident in his final year, and received several awards for his clinical and academic work. He then completed a fellowship in addiction psychiatry at the New York University School of Medicine before joining the faculty at Weill Cornell Medicine. Dr. Avery has published widely in addiction psychiatry, with work spanning clinician attitudes toward patients with addiction, treatment approaches for substance use disorders, and the intersection of mental illness and addiction. He is the founder of the NewYork-Presbyterian and Weill Cornell Medicine Program for Substance Use and Stigma of Addiction, and his research on stigma has been supported by multiple national grants and awards. He has served on the editorial board for the DSM-5 Clinical Cases book and is the editor and author of more than 10 books, including Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment and The Stigma of Addiction: An Essential Guide. His forthcoming book, Thriving with Addiction: A New Roadmap for Lasting Recovery and Health (Prometheus Books, 2026), explores how recovery can become a pathway to improved brain and physical health. Dr. Avery is also the host of the Thriving with Addiction podcast, where he interviews leading researchers, clinicians, athletes and public figures about addiction, recovery and behavior change. He has received numerous awards for his clinical and academic work, including the American Board of Psychiatry and Neurology Faculty Innovation in Education Award and the Outstanding Faculty Member Award from the New York County Psychiatric Society.
What happens when the person who's supposed to be saving lives is quietly fighting to save his own? This week, we're revisiting one of our most powerful conversations with Dr. Jason Giles, whose story takes us behind the white coat and into the realities of addiction, burnout, recovery, and redemption. While training in anesthesiology, Jason found himself caught in a devastating fentanyl addiction. From the outside, he was a successful physician-in-training. Behind the scenes, he was struggling to survive. Then came a moment that changed everything. In this deeply personal conversation, Jason shares the events that led to his addiction, the pager message that helped save his life, and the long road toward rebuilding his health, identity, relationships, and medical career. We also dig into a side of addiction that often gets overlooked: it isn't always simply about chasing a substance. Sometimes it's about escaping pressure, pain, exhaustion, or a life that has become impossible to sustain. In This Episode: How the pressures of medical training contributed to Jason's downward spiral His experience with fentanyl addiction while in anesthesiology residency The moment that became a turning point in his life Why high achievement can hide serious dysfunction The connection between physician burnout, identity, and addiction Why addiction is more complicated than physical dependence What recovery taught Jason about surrender and asking for help Rebuilding a career and life after addiction Why saying “yes” can completely change the trajectory of your life Hope, redemption, and the possibility of creating something meaningful after your darkest chapter Jason's story is raw, uncomfortable, hopeful, and a reminder that even the people who appear to have everything together may be fighting battles no one else can see. If you missed this conversation the first time around—or need to hear it again—this one is worth revisiting. CONNECT WITH BS FREE MD Stay connected with Drs. May and Tim Hindmarsh for more raw, real, and BS-free conversations about medicine, healthcare, and life.
Mental health care is HIV care! It is reasonable and feasible to screen for and treat mild to moderate cases of substance use disorder, depression, and anxiety in HIV primary care. Featuring audio from a live webinar presented by experts Kathleen Page, MD, and Glenn Treisman, MD, PhD, this case-based virtual Grand Rounds series explores practical strategies for integrating mental health care into routine HIV clinical practice. Visit the program page to follow along with the downloadable slides and to view other related activities. Topics covered include: Strategies for screening for mental health conditions as part of HIV care Deciding when to continue management vs refer Actionable ways to support engagement in care and ART adherence Get access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenters: Kathleen Page, MD Professor of Medicine Division of Infectious Diseases Johns Hopkins School of Medicine Baltimore, Maryland Glenn J. Treisman, MD, PhD Eugene Meyer III Professor of Psychiatry and Medicine Departments of Psychiatry and Behavioral Sciences and Internal Medicine Johns Hopkins Hospital Baltimore, Maryland Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Substance use disorder rarely begins with the substance itself.Long before addiction develops, many individuals are navigating a complex combination of chronic pain, mental health challenges, trauma, and other life circumstances that increase their risk. Understanding those connections helps us recognize substance use disorder earlier and respond more effectively.In this episode of Drug Diversion Insights, Terri welcomes back Dr. Paul Lynch, anesthesiologist and CEO of US Pain Care, along with his father, Larry Lynch, a licensed clinical social worker. Together, they combine medical and behavioral health perspectives to explore why treating pain, mental health, and substance use disorder as separate conditions often falls short.In this episode, we discuss:The relationship between chronic pain and substance use disorderHow mental health influences both pain and addictionThe concept of the tri-diagnosis: pain, mental health, and substance use disorderExpanding to the quad-diagnosis, incorporating homelessness as another critical factorThe challenge of determining whether pain or mental health issues come firstWhy integrated, whole-person care leads to better outcomesThe importance of reducing stigma surrounding substance use disorderHow earlier intervention can improve both patient care and long-term recoveryWhether you're a physician, pharmacist, nurse, behavioral health professional, addiction specialist, healthcare leader, or simply interested in understanding the complexity of substance use disorder, this episode offers valuable insight into the factors that exist long before addiction becomes visible.By looking upstream, we can better understand the root causes of substance use disorder and create opportunities for earlier intervention, more compassionate care, and better outcomes for patients.More from Rxpert Solutions
ABM protocolAcademy of Breastfeeding Medicine Clinical Protocol #21: Breastfeeding in the Setting of Substance Use and Substance Use Disorder (Revised 2023)Infant Risk CenterTennessee Breastfeeding Hotline at 1-855-4BF-MOMS (1-855-423-6667)Post Partum Support InternationalBreastfeeding is not contraindicated for mothers in stable medication-assisted treatment; modern ABM protocols support initiation with appropriate multidisciplinary follow-up including SUD care, lactation, and mental health services.Breast milk's unique benefits for opioid-exposed infants—including colostrum's protective properties and comfort during withdrawal—make it particularly valuable; however, exclusive breastfeeding may not be realistic given these infants' high metabolic needs, requiring planned supplementation.The amount of MAT transferred through breast milk is negligible and not bioavailable; educating mothers and families on this fact directly counters the primary misconception preventing breastfeeding initiation.Perinatal mood and anxiety disorders require careful assessment; breastfeeding can support recovery or worsen mental health depending on individual circumstances—flexible, individualized approaches prioritize maternal wellbeing as essential to infant wellbeing.Accessible resources (Infant Risk Center, Tennessee Breastfeeding Hotline, LactMed, insurance-covered in-home lactation visits) enable clinicians without IBCLC support to make evidence-based decisions; establishing hospital protocols and escalation pathways prevents outdated blanket restrictions.Quotable Moments"My main goal is helping women to be the best mother that they can be. I want to decrease stigma and definitely improve child outcomes.""Breast milk is what will comfort those symptoms. That in the early days, that colostrum is such a protective factor. It's thick, it's rich, it coats the intestine, and it's so easy to digest that it requires less work of the gut.""You can't give from an empty cup. And you've got to take care of yourself and your baby needs a completely healthy mom, mentally and physically.""Addiction is a disease, not a moral failing... MAT allows these women to lead normal, happy lives. It's what helps them be a good mother."Show Notes by BarevalueNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
We are excited to kick off season 5 of the Just Us: Before, Birth, and Beyond podcast with two peer support extraordinaries, Cassie York and Cassie Burleson. This episode dives deeply into what it means to be a peer support specialist, discussing the unique role they fill in supporting people through recovery. Listen in to learn about how the Cassies' lived experience has allowed them to be such incredible advocates for their patients, processes for becoming a peer support specialist, and more! Resources: North Carolina Certified Peer Support Specialist Program https://www.ncdhhs.gov/cpssapplicationprocess20240425/open North Carolina Certified Peer Support Specialist Program: https://pss.unc.edu/ Scannell C. (2021). Voices of Hope: Substance Use Peer Support in a System of Care. Substance abuse : research and treatment, 15, 11782218211050360. https://doi.org/10.1177/11782218211050360 Center for Health Care Strategies (Jan 2026). Peer Recovery Support Services in Substance Use Treatment. Retrieved from https://www.chcs.org/resource/peer-recovery-support-services-in-substance-use-treatment/ Eddie, D., O'Connor, J.B., George, S.S. et al. Peer Recovery Support Services and Recovery Coaching for Substance Use Disorder: A Systematic Review. Curr Addict Rep 12, 40 (2025). https://doi.org/10.1007/s40429-025-00645-8We would love your feedback on our podcast! Please take our listener survey to provide your comments. Music credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
Photo by Marlon Lara on Unsplash Stigma surrounding substance use disorders (SUD), including addictions, is a major barrier to people seeking treatment. Many healthcare providers can also consciously or unconsciously contribute to the stigma that people with SUDs may feel, including through the language they use, images, and how they treat their patients. Addictions are physiological states, not flaws in one’s character. While we seldom treat people with insulin-dependent diabetes with disdain, we are not as likely to try to rid ourselves of stigmatizing language or behaviors when working with people with SUDs. HealthCetera producer and host, Diana J. Mason, RN, talks with Beth Rutkowski, an Epidemiologist and Director of Training for the UCLA Integrated Substance Use and Addiction Programs, and Co-Director of the Pacific Southwest Addiction Technology Transfer Center, about the evidence confirming that stigma around SUD is prevalent and harmful, as well as how to help clinicians, family members, friends, healthcare providers, and even the people with SUDs themselves to reduce and eliminate stigma. This interview first aired on HealthCetera in the Catskills on WIOX Radio on July 8, 2026. The post Stigma Surrounding Substance Use Disorders appeared first on HealthCetera.
Listen without ads on patreon at: www.patreon.com/dopeypodcast SUMMARY: This week on Dopey, Dave marks eight years since the death of his original co-host and close friend, Chris O'Connor. After celebrating members of Dopey Nation—including brothers Brian and Matt, Laren, Steve Schneider and Jessica—Dave reflects on recovery, character defects and the strange experience of hearing Chris again every week through the Total Dopey Replay. The heart of the episode is an intimate conversation with Chris's former fiancée, Annie, who is now a surgeon, a wife and the mother of two young children. Annie looks back on finding Chris after his fatal overdose, the trauma that followed and the years it took before that memory stopped feeling frightening and became simply, painfully sad. Dave and Annie discuss the life Chris never got to live, whether he wanted children, the secrecy surrounding his relapse and the possibility that nobody close to him knew he was using. Annie explains why she ultimately walked away from a planned career treating substance use disorder and why Dopey may offer comfort to some people while remaining too painful for members of Chris's family. Annie shares a powerful analogy she received shortly after Chris died: in the beginning, grief is the only room in the house. As life continues, you add new rooms—relationships, children, work, friendship and purpose. The grief room never disappears, but it is no longer the only place you can go. That realization leads Dave and Annie to an unexpected connection: recovery from addiction can also be a form of grief. You may never erase the loss or forget the feeling you once chased, but you can build a life large enough that it no longer consumes everything. PLease listen to this very special ChrisMiss Episode. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Thank you for joining ACOEM for another episode of OccPod. In this timely conversation, host Dr. Ismail Nabeel is joined by Dr. Dominik Dabrowski to discuss substance use disorder in the workplace. Dr. Nabeel is a Professor in the Department of Environmental Medicine and the Department of Artificial Intelligence and Human Health at the Icahn School of Medicine at Mount Sinai.Dr. Dabrowski is the Medical Director at the Naval Nuclear Laboratory, with a background in both occupational and addiction medicine — he completed his occupational medicine residency at HealthPartners and an addiction medicine fellowship at Rutgers University Behavioral Health Care, and most recently served as an attending physician at Mount Sinai Health System.In this episode, Drs. Nabeel and Dabrowski discuss emerging synthetic opioids – including fentanyl analogs, xylazine, and Medetomidine – and what occupational medicine physicians, MROs, and DOT providers need to know about detection, treatment, and the evolving landscape of substance use in the workplace.
In this episode of the Love Mia Vita podcast, host Gerianne DiPiano sits down with licensed therapist and sex expert Dr. Juliana Hauser to examine the rising prevalence of substance use disorder (specifically alcohol use) among women. The conversation sheds light on the often-ignored sex-based and biological differences in how female bodies absorb alcohol, particularly during life transitions like perimenopause and menopause. They explore the psychological drivers that lead women to self-medicate for anxiety or life overload, how to honestly evaluate your own relationship with drinking, and the critical need to destigmatize the disease of addiction. Finally, the duo highlights pathways to recovery, emphasizing the profound benefits of combining medical detox and counseling with modern support systems like recovery coaching to build essential life skills and reclaim control. To connect with Dr. Juliana Hauser visit https://dr-juliana.com/ For more information on women's health advocacy, visit the FemmePharma website www.femmepharma.com
WHO THIS EPISODE HELPSAnyone grieving the loss of a child, supporting someone through addiction, living with complicated grief, carrying guilt after loss, or struggling with the silence and stigma surrounding substance use disorder. This episode is also for parents, caregivers, healthcare professionals, and anyone searching for hope after unimaginable loss. WHAT LISTENERS WILL GETA deeply honest conversation about losing a child to addiction, breaking through shame, learning to carry grief instead of outrunning it, and discovering that healing doesn't mean forgetting. Katie shares practical ways she's survived the darkest days through community, creativity, movement, vulnerability and continuing her relationship with her son, Nicholas. DESCRIPTIONBefore there was addiction, there was Nicholas.That simple truth becomes the foundation of one of the most honest conversations ever shared on Grief Is Not A Dirty Word.Katie Rizzo joins Nick Gaylord to tell the story of her son Nicholas—not as an addict, but as a shy, funny, athletic young man who loved soccer, superheroes, his brothers, and his family. Together they explore the devastating reality of addiction, the stigma families face after an overdose, and why addiction should be treated as a medical condition instead of a moral failing.Katie speaks openly about the six-year battle to save her son, the day everything changed forever, the crushing weight of parental guilt, and how she's slowly learned to give herself the same grace she so freely gives other grieving parents.The conversation also explores Katie's powerful "Trimesters of Grief" framework, why movement and creativity became essential to her healing, the importance of continuing to say a loved one's name, and how grief doesn't have to disappear in order for hope to exist.This is a conversation about love, addiction, shame, resilience, and learning that the people we lose never stop being part of our lives.THIS EPISODE ANSWERS How do you survive losing a child to addiction? Why is addiction a disease instead of a moral failure? How do parents cope with guilt after losing a child? Why do grieving families need us to continue saying their loved one's name? Can grief and joy exist at the same time?THIS EPISODE ANSWERS How do you survive losing a child to addiction? Why is addiction a disease instead of a moral failure? How do parents cope with guilt after losing a child? Why do grieving families need us to continue saying their loved one's name? Can grief and joy exist at the same time?KATIE'S LINKSWEBSITE: https://www.katierizzo.comCONTACT: https://www.katierizzo.com/contactINSTAGRAM: https://www.instagram.com/katierizzo007/Support the showGIVE THE SHOW A 5-STAR RATING ON APPLE PODCASTS! FOLLOW US ON APPLE OR YOUR FAVORITE PODCAST PLATFORM! BOOKMARK OUR WEBSITE: www.griefisnotadirtyword.com FOLLOW OUR DEAD DADS ON SOCIAL MEDIA: Facebook: https://www.facebook.com/griefisnotadirtyword Instagram: https://www.instagram.com/griefisnotadirtyword TikTok: https://www.tiktok.com/@griefisnotadirtywordYouTube: https://www.youtube.com/channel/UCmmv6sdmMIys3GDBjiui3kw LinkedIn: https://www.linkedin.com/in/nick-gaylord/
Tom Viola brings fun and humor to the subject of licit and illicit drugs. What is being bought at the corner market that is more dangerous than we realized. Resources: Youtube: @chairsideconfidential Email: tom@tomviola.com Website: tomviola.com
This year, West Virginia lawmakers made significant changes to drug and alcohol treatment programs funded by Medicaid, which many people use. The new legislation ties Medicaid payments to patient outcomes rather than the number of patients served.The Mountain State has the nation's highest overdose rates, and overdose death rates among Black residents exceed those of any other group. In this episode of Us & Them, host Trey Kay learns how Medicaid funding supports organizations working in recovery and what that work looks like on the ground.This episode of Us & Them, recently honored with a Regional Edward R. Murrow Award for Excellence in Diversity, Equity and Inclusion, is presented with support from The Greater Kanawha Valley Foundation.
A UC clinic is embedding addiction treatment into primary care to address substance use disorders.
FILM FESTIVAL TICKETS: https://buytickets.at/thedopeyfoundation/2216905 PATREON: www.patreon.com/dopeypodcast Summary On this Dopey Monday Total Replay, Dave looks back at Dopey Episode 28, one of the strangest and creepiest early episodes of the show. It features Dave, Chris, and graphic-design Ryan — the guy who made the original Dopey logo — talking through old Lower East Side drug energy, the first major Dopey fan emails, weird ego stuff, drug stories, recovery, Rob Reiner, Nick Reiner, and a whole lot of eerie foreshadowing. Dave reflects on how painful it is to hear Chris again, knowing he died in 2018, and uses the episode to make a simple but brutal point: if Chris had stayed in recovery, he probably wouldn't have died. The replay itself is classic early Dopey: messy, funny, dark, uncomfortable, and weirdly prophetic. Ryan tells a story about refusing to leave a drug pickup even after a guy puts a gun to his head. Chris talks about addiction, genetics, rats drinking heroin water, and recovery. Dylan randomly calls in right as Dave is talking about Dylan from 90210, which feels like Dopey synchronicity. The episode also includes the first big fan email from Tina in Philadelphia, Dave getting wounded by being called “Dan,” and a long, now-haunting conversation about Rob Reiner and Nick Reiner before Nick ever appeared on Dopey. It's funny, painful, and very Dopey. PLUS Drugs, addiction and dumb shit on the new/old 10 year anniversary of this episode!(of Dopey) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.