Podcasts about subtype

Commercial real estate just hit an all-time high at $129 per square foot median price, however the pricing records mask stark divergences in property transaction patterns; Multifamily buildings are 23% smaller than 2019 yet selling for record prices. Older stock is outpricing newer product. Deal sizes are hitting all-time highs while building sizes shrink. The team breaks down the Q1 2026 Investment and Transactions Quarterly report to surface these inversions, and why CRE pricing showed surprising resilience through Q1's macro shocks.Key moments01:31 What is the US CRE Investment and Transactions Quarterly report?03:05 National activity trends04:58 Deal size and property age07:01 Pricing headlines by sector12:05 Subtype pricing winners and losers17:14 Pricing by property vintage22:09 Building size and deal size records26:34 Large deal share by sector32:34 Key surprises and takeaways35:35 Inflation-adjusted deal analysis38:57 Where to find the reportResources mentionedUS CRE Investment and Transactions Quarterly Report – Q1 2026 -https://www.altusgroup.com/featured-insights/cre-transactions/

If you missed this the first time, you don't want to miss it again. This episode will explain everything about how your instinctual stack works. It is sooooo much more important than you think! Check out The Coven Try the Free Enneagram Quiz!!!! Message me on Instagram @Angie.Alchemist and ask all your Enneagram questions! OR email me at angiealchemy@gmail.com Check out more at AngieAlchemist.com

Study Guide: Surgical Management of Female Neonatal Anorectal AnomaliesGeneral Principles and Initial EvaluationPerform a meticulous perineal exam on every newborn to identify the exact position of openings and meconium 11.Systematic evaluation is required for any neonate failing to pass meconium within 24 hours 12.Associated VACTERL anomalies are the rule rather than the exception 12.Mandatory screening includes renal ultrasound, spinal imaging, and an echocardiogram 12, 18, 55.Delay radiographic imaging for 16 to 24 hours to allow gas or meconium to descend 12, 61.Triage is dictated by counting the visible perineal orifices: 1, 2, or 3 54, 61.Subtype 1: Anterior Ectopic Anus / Perineal Fistula (Functional Low Lesion)Clinical Presentation: The perineum looks grossly normal but the anus is positioned significantly anterior near the vaginal fourchette 1, 15, 51.Physical Findings: There are 3 distinct orifices present (urethra, vagina, and displaced anus) 54, 62.Symptoms: Often presents later in infancy with persistent crying, straining, and passing ribbon-like stools 1, 15, 50.Management: Initiate aggressive medical therapy with stool softeners and laxatives first 4, 15, 51.Surgical Intervention: Posterior anoplasty is strictly reserved for cases refractory to medical management after 3 to 6 months 4, 15, 56.Subtype 2: Rectovestibular Fistula (Classic Mid-Lesion)Clinical Presentation: This is the most common form of anorectal malformation in females 5, 16.Physical Findings: A flat perineum with no anal opening but meconium is seen oozing from the vaginal vestibule 5, 16, 50.Differentiation: Two orifices are visible (urethra and fistula); a separate, normal urethral opening above the fistula rules out a cloaca 6, 16, 52.Surgical Strategy: This is a favorable lesion typically managed with a primary Posterior Sagittal Anorectoplasty (PSARP) without a neonatal colostomy 6, 7, 56.Timing: Definitive repair is performed electively between 1 and 3 months of age 7, 16, 61.Subtype 3: Cloacal Anomaly (Complex Multi-Organ Emergency)Clinical Presentation: The rectum, vagina, and urethra fail to separate and join into a single common channel 8, 53.Physical Findings: A single perineal orifice passes both urine and meconium; a featureless perineum is common 8, 16, 50.Critical Risks: High risk for obstructive uropathy, renal dysplasia, and hydrocolpos (distended, fluid-filled vagina) 9, 30, 53.Emergency Management: Immediate damage control includes a diverting colostomy and vaginostomy tube placement to decompress the system 10, 11, 17, 61.Diagnostic Standard: A cloacagram is essential to assess common channel length and vaginal anatomy 10, 18, 55.Definitive Reconstruction: Total urogenital mobilization (TUM) is a major operation typically delayed until 3 to 12 months of age 10, 17, 53.The 3cm Rule: A common channel less than 3 cm is approachable via a standard sagittal route, while greater than 3 cm requires complex abdominal or laparotomy approaches 17, 59, 61.Post-Operative ImperativesA structured anal dilation program is mandatory for at least two months post-surgery to prevent anal stenosis 38.Long-term functional outcomes depend on the ARM type; vestibular fistulas have an 80 percent normal bowel function rate while cloacas average 50 percent 46.Saved responses are view only

AI Collaborative Simulated Case Discussions on ARM in Male Neonates.Study Guide: Surgical Management of Anorectal Anomalies in Male NeonatesGeneral Principles and Initial Evaluation✔️Anorectal anomalies occur in approximately 1 in 5,000 live births and are driven by ectopic positioning of the anal opening.✔️The VACTERL complex is a common finding, making associated anomalies the rule rather than the exception.✔️Every patient requires a systemic evaluation including renal ultrasound, spinal imaging, and an echocardiogram .✔️A meticulous perineal exam must be performed on any neonate failing to pass meconium within 24 hours .✔️Radiographic imaging should be delayed for 16 to 24 hours to allow gas to descend to the rectum.✔️A cross-table lateral X-ray classifies lesions as low, intermediate, or high based on gas position relative to the PC and I lines.Subtype 1: Perineal Fistula Low LesionClinical Presentation: Meconium is typically visible on the perineum through a tiny, pinpoint midline opening .Physical Findings: The abdomen is usually soft and non-distended with no meconium found in the urine .Surgical Management: These cases are managed with a primary anoplasty or mini-posterior sagittal anorectoplasty PSARP in the neonatal period .Staging:A colostomy is not required for this type of anomaly .Functional Outcome: Prognosis is excellent, with 90 percent of patients achieving normal bowel function by puberty .Subtype 2: Rectobulbar and Rectoprostatic Urethral Fistula Intermediate to High LesionClinical Presentation: This is the most common form of anorectal malformation in males 8.Pathognomonic Sign: The presence of murky, greenish urine indicates meconium in the urinary tract.Initial Management: A staged repair is mandatory to avoid high sepsis risks associated with primary neonatal pull-throughs .Emergency Phase: An emergent dividing sigmoid colostomy is performed within 24 to 48 hours to divert the fecal stream .Definitive Repair: A high-pressure distal colostogram is used to map the fistula before a definitive PSARP is performed at 6 to 8 weeks of age.Functional Outcome: Normal bowel function at puberty is expected in 70 percent of bulbar and 50 percent of prostatic cases .Subtype 3: Rectovesical Fistula Highest and Most Complex LesionClinical Presentation: This rare but severe anomaly represents less than 15 percent of cases and presents as a life-threatening emergency.Critical Symptoms:Neonates show severe abdominal distension, respiratory compromise, and septic shock.Immediate Action:Management starts with NICU resuscitation and broad-spectrum intravenous antibiotics .Surgical Intervention: Damage control involves an immediate laparotomy for a divided sigmoid colostomy and a suprapubic catheter for urinary diversion.Long-term Plan: Definitive reconstruction is delayed for 3 to 6 months .Functional Outcome: Only 10 percent of these patients are expected to have normal bowel function at puberty .Post-Operative Imperatives ✔️Long-term mechanical maintenance via a structured anal dilation program is mandatory for at least two months post-surgery.✔️Failure to follow dilation protocols invariably leads to severe anal stenosis and secondary bowel obstruction.

In this episode, Trissell Hutchinson discusses exercise cueing strategies tailored to different subtypes of dementia. The conversation covers the four most common subtypes: Alzheimer's disease, vascular dementia, Lewy body dementia, and frontotemporal dementia. Each subtype is explored in terms of its characteristics, symptoms, and specific cues that can enhance patient care and therapy outcomes. The importance of understanding these differences is emphasized to provide effective support for individuals with dementia.   00:00Understanding Dementia: An Overview 02:23Alzheimer's Disease: Key Characteristics and Cues 04:46Vascular Dementia: Variability in Symptoms and Cues 06:11Lewy Body Dementia: Processing and Emotional Support 11:49Frontotemporal Dementia: Behavior and Language Variants   Original published on PTonICE Jan 21 2026 

In this episode, Kimberley breaks down why OCD themes shift so quickly and teaches you how to generalize your ERP skills so you can respond effectively—no matter what obsession shows up.

This groundbreaking episode unveils Stanford Professor Michael Snyder's revolutionary research published in Nature Biomedical Engineering revealing that type 2 diabetes and insulin resistance aren't single diseases but four distinct metabolic subtypes requiring personalized fasting and nutrition strategies. The hosts decode how muscle insulin resistance demands early time-restricted eating with 18:6 or OMAD plus resistance training, beta cell dysfunction requires gentle 16:8 fasting while avoiding extended fasts to prevent pancreatic burnout, impaired incretin effect needs pre-meal walking with fermented foods to enhance gut hormone signaling, and liver glucose dysregulation necessitates 30-36 hour fasts weekly to reset hepatic insulin resistance and stop the liver's continuous glucose output. Dr. Scott and Tommy explain why A1C measurements provide almost no insight into underlying mechanisms, with individuals showing normal A1C yet severe insulin resistance while others display pre-diabetic A1C with preserved insulin sensitivity, making traditional one-size-fits-all weight loss recommendations fundamentally flawed. The episode introduces at-home oral glucose tolerance testing to decode personal glucose curves and identify specific pathology, while emphasizing foundational recommendations—early meals, resistance training, post-meal walks, protein prioritization, sleep protection, and stress management—move the needle for most people regardless of subtype, with personalized optimization becoming critical for those stuck despite consistent effort. ⁠⁠⁠⁠⁠Take the NEW FASTING PERSONA QUIZ! - The Key to Unlocking Sustainable Weight Loss With Fasting!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Resources and Downloads: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SIGN UP FOR THE DROP OF THE ULTIMATE GUIDE TO BLOOD SUGAR CONTROL⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠GRAB THE OPTIMAL RANGES FOR LAB WORK HERE! - NEW RESOURCE! ⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠FREE RESOURCE - DOWNLOAD THE NEW BLUEPRINT TO FASTING FOR FAT LOSS!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SLEEP GUIDE DIRECT DOWNLOAD⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠DOWNLOAD THE FASTING TRANSFORMATION JOURNAL HERE!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partner Links: Get your⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ FREE BOX OF LMNT⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ hydration support for the perfect electrolyte balance for your fasting lifestyle with your first purchase⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ here!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠25% off a Keto-Mojo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ blood glucose and ketone monitor (discount shown at checkout)! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click here!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Our Community: Let's continue the conversation. Click the link below to JOIN the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fasting For Life Community⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a group of like-minded, new, and experienced fasters! The first two rules of fasting need not apply! If you enjoy the podcast, please tap the stars below and consider leaving a short review on Apple Podcasts/iTunes. It takes less than 60 seconds, and it helps bring you the best original content each week. We also enjoy reading them! Article Links: https://www.nature.com/articles/s41551-024-01311-6

Welcome to nuts for Naranjo! This is a journey into enneagram psychology. Today we are discussing the generic overview of enneagram 2 core, the semantics of typology, and the self preservation subtype (or as Naranjo calls it: the conservation subtype). Please enjoy this podcast! Another big shoutout to The Barrcast for being my biggest inspiration for starting a podcast in the first place.

Dr. Mitra Afshari chats with Dr. Jung Hawn Shin, one of this year's MDS Congress Junior Awardees. Together they discuss his career path and what lead him to studying, and ultimately deciphering specific neuronal cell-types within the subthalamic nucleus (STN) that could be responsible for anti-parkinsonian motor benefits, and potentially non-motor side effects, of stimulation using optogenetic technology in Parkinsonian mice.

In this episode of The Ask Dr. Ernst Show, Dr. Aaron Ernst reveals the four overlooked types of hypothyroidism—Autoimmune (Hashimoto’s), Reverse T3 Dominance,Toxin-Induced, and Neurogenic—and how each requires a different root-cause approach for healing. If you’re tired, cold, foggy, and frustrated with“normal”labs and zero results,this show will open your eyes to what your doctor’s missing and how you can finally heal your thyroid—naturally.See omnystudio.com/listener for privacy information.

What is a subtype stack? It's a little complicated and a lot helpful to know. Check this episode out to figure out what your stack is. Check out The Coven Try the Free Enneagram Quiz!!!! Message me on Instagram @Angie.Alchemist and ask all your Enneagram questions! OR email me at angiealchemy@gmail.com Check out more at AngieAlchemist.com Enneagram University: Kristi's episode link here Here is the link to Enneagram University

Did you know there are actually 27 different Enneagram types? If you don't know your subtype, you need to listen to this 10 part series. This overview will set the stage for some SERIOUS aha moments! Check out The Coven Try the Free Enneagram Quiz!!!! Message me on Instagram @Angie.Alchemist and ask all your Enneagram questions! Check out more at AngieAlchemist.com

In this episode of Get to Know OCD, we dive deep into the complexities of scrupulosity, a form of OCD that intertwines with one's values, morals, or religious beliefs. Featuring Dr. Jed Siev, a licensed clinical psychologist and faculty member at Swarthmore College, this discussion sheds light on how OCD latches onto the things we care about most — faith, morality, or even our natural desire to be a “good” person. Drawing from his extensive research and clinical experience, Dr. Siev unpacks how scrupulosity manifests in different faiths, from Jewish rituals to Christian doctrines. Learn how to differentiate between genuine faith practices and OCD-driven rituals, and discover ways to reclaim a values-driven life.Are you or a loved one struggling with OCD? We're here to help. Visit us at https://learn.nocd.com/YT to learn about our best-in-class treatment options. Show notes:0:00 Intro1:18 Jed's background2:37 The rise of climate anxiety 10:20 How Jed's interest in scrupulosity started11:51 How religion and scrupulosity intersect 15:52 Telling apart religious and compulsive rituals18:31 “Am I a bad person” self-talk21:57 Accepting uncertainty 23:39 How sin is viewed now vs. then25:57 Teaching faith leaders about OCD33:00 Explaining scrupulosity to someone's support system39:30 OCD doesn't know how to move on43:37 Jed's advice to those needing help45:30 What Jed is up toFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

Enneagram teacher and psychotherapist Beatrice Chestnut has a rich conversation interviewing an Enneagram Social Four, Elizabeth Cotton. As a SO4, Lizzy shares her experience using the Enneagram with her clients as a psychotherapist and how she sees the power of this ancient tool, especially when working with couples. She also opens up about how understanding her own Enneagram subtype helps her dissolve her attachment to sadness and reside in her deeper nature of pure joy.  You can learn more about the 27 Enneagram subtypes. https://cpenneagram.com/subtypes Like learning about the Enneagram from Bea and Uranio? Join a community of Enneagram enthusiasts and participate in live monthly webinars and Q&As with Bea and Uranio. Sign up for a FREE trial of CP Online membership at ⁠⁠⁠⁠⁠⁠https://learn.cpenneagram.com⁠⁠⁠⁠⁠⁠⁠ Want to discover which Enneagram type you could be? Visit our webpage ⁠https://cpenneagram.com/compass ⁠to learn about the Enneagram test they created, CPS Enneagram Compass. Please subscribe and share this podcast with others. It will help us out a lot! Subscribe to our Youtube channel: ⁠https://www.youtube.com/@ChestnutPaesEnneagramAcademy⁠ Follow us on Instagram: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/cpenneagram/⁠ Sign up for our newsletter ⁠https://cpenneagram.com/newsletter⁠ Questions? ⁠hello@cpenneagram.com⁠

Oligoarticular JIA is the most common subtype of juvenile arthritis. Children with oligo have 4 or fewer joints involved in the first 6 months of disease. The biggest complication that requires monitoring for is chronic uveitis which is asymptomatic but ultimately vision threatening if not controlled.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)  

Today, our interview is with Jennifer Culverhouse, a Sexual Three. During the interview, Beatrice Chestnut and Uranio Paes pointed out patterns in her personality that are common among SX 3s, which helps in understanding key differences between the three subtypes of Type Three. Like learning about the Enneagram? Join a community of Enneagram enthusiasts and participate in live monthly webinars and Q&As with Bea and Uranio. Sign up for a FREE trial of CP Online membership at ⁠⁠⁠⁠⁠⁠https://learn.cpenneagram.com⁠⁠⁠⁠⁠⁠⁠ If you want to discover which Enneagram type you could be, visit our webpage ⁠https://cpenneagram.com/compass⁠ to learn about the Enneagram test they launched, CPS Enneagram Compass. Please subscribe and share this podcast with others. It will help us out a lot! Check out our Calendar of Events ⁠⁠⁠⁠⁠⁠⁠https://cpenneagram.com/live-courses⁠⁠⁠⁠⁠⁠⁠ to study with Bea and Uranio directly!  Subscribe to our Youtube channel: ⁠https://www.youtube.com/@ChestnutPaesEnneagramAcademy⁠ Follow us on Instagram: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/cpenneagram⁠⁠⁠⁠⁠⁠ Sign up for our newsletter ⁠https://cpenneagram.com/newsletter⁠ Questions? ⁠hello@cpenneagram.com⁠

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This is a fantastic interview with Milton Stewart, a SP 7. He shares how he discovered the Enneagram and the ways he used this powerful tool to understand himself and help others better their lives. He discussed stories of overcoming his growth challenges as a Self-Preservation Seven. During the interview, Beatrice Chesnut and Uranio Paes pointed out patterns in his personality that are common among SP 7s, which helps understand key differences between the three subtypes of Type Seven. Milton is on the board of directors of the International Enneagram Association and hosts a podcast, Do It For The Gram: https://open.spotify.com/show/2UpiP5GetqwuR4NwAKEg3M. You can learn more about the work he does using the Enneagram here: https://kaizencareers.com/ Like learning about the Enneagram? Join a community of Enneagram enthusiasts and participate in live monthly webinars and Q&As with Bea and Uranio. Sign up for a FREE trial of CP Online membership at ⁠⁠⁠⁠⁠https://learn.cpenneagram.com⁠⁠⁠⁠⁠⁠ If you want to discover which Enneagram type you could be, visit our webpage https://cpenneagram.com/compass to learn about the Enneagram test they launched, CPS Enneagram Compass. Please subscribe and share this podcast with others. It will help us out a lot! Check out our Calendar of Events ⁠⁠⁠⁠⁠⁠https://cpenneagram.com/live-courses⁠⁠⁠⁠⁠⁠ to study with Bea and Uranio directly!  Subscribe to our Youtube channel: https://www.youtube.com/@ChestnutPaesEnneagramAcademy Follow us on Instagram: ⁠⁠⁠⁠⁠https://www.instagram.com/cpenneagram⁠⁠⁠⁠⁠ Sign up for our newsletter https://cpenneagram.com/newsletter Questions? ⁠hello@cpenneagram.com⁠

Accent Group Limited is an Australia-based digitally integrated retailer and distributor of footwear. The Company operates approximately 786 stores and approximately 35 Websites across different retail banners, and distribution rights for 17 international brands across Australia and New Zealand. The Company's geographical segments include Australia and New Zealand. The Company's banners and brands include The Athlete's Foot (TAF), Platypus Shoes, Hype DC, Skechers, Merrell, CAT, Vans, Dr. Martens, Saucony, Timberland, HOKA, Superga, Kappa, Palladium, Supra, Subtype, The Trybe, Stylerunner, Glue Store, Autry, and UGG. Its subsidiaries include The Athlete's Foot Australia Pty Ltd, RCG Brands Pty Ltd, RCG Retail Pty Ltd, TAF eStore Pty Ltd, Accent Store Development Pty Ltd, Hype DC Pty Ltd, Subtype Pty Ltd, Accent Active (NZ) Limited, TAF Hornsby Pty Ltd, and Accent Lifestyle (NZ) Limited.Shares for Beginners and Stockopedia proudly present "Weekend Watchlist". Each week we dissect a company using Stockopedia's Factor driven analysis process. Go to https://why.stockopedia.com/sfb/ for your free trial and special discount offer. Why not join Stockopedia today and take advantage of this special offer of 10% off the first year of membership and see for yourself why Stockopedia is the essential tool for every serious DIY share investor. 14-day free trial included, then a no-quibble 30-day money back guarantee. https://why.stockopedia.com/sfb/ Find out more about Stockopedia by going to my review: https://www.sharesforbeginners.com/stockopedia-aunz-reviewDisclosure: The links provided are affiliate links. I will be paid a commission if you use this link to make a purchase. You will receive a discount by using these links/coupon codes. I only recommend products and services that I use and trust myself or where I have interviewed and/or met the founders and have assured myself that they're offering something of value.Shares for Beginners is a production of Finpods Pty Ltd. The advice shared on Shares for Beginners is general in nature and does not consider your individual circumstances. Shares for Beginners exists purely for educational and entertainment purposes and should not be relied upon to make an investment or financial decision. If you do choose to buy a financial product, read the PDS, TMD and obtain appropriate financial advice tailored towards your needs. Philip Muscatello and Finpods Pty Ltd are authorised representatives of Money Sherpa PTY LTD ABN - 321649 27708, AFSL - 451289. Hosted on Acast. See acast.com/privacy for more information.

This is a rich interview with Nancy Hunterton exploring the experience of being a Sexual Four as a child, a mother, and a grandmother. During the interview, Beatrice Chesnut and Uranio Paes pointed out patterns in her personality that are common among Sexual Fours. Nancy shared stories, including the time she was in elementary school and stood up to her disrespectful teacher saying “Why don't you pick on someone your own size?” Join a community of Enneagram enthusiasts and participate in live monthly webinars and Q&As with Bea and Uranio. Sign up for a FREE trial of CP Online membership at ⁠⁠⁠⁠⁠https://learn.cpenneagram.com⁠⁠⁠⁠⁠⁠ If you want to discover which Enneagram type you could be, visit our webpage ⁠⁠⁠⁠⁠⁠https://cpenneagram.com/compass to learn about the Enneagram test they launched, CPS Enneagram Compass. Please subscribe and share this podcast with others. It will help us out a lot! Check out our Calendar of Events ⁠⁠⁠⁠⁠⁠https://cpenneagram.com/live-courses⁠⁠⁠⁠⁠⁠ to study with Bea and Uranio directly!  Subscribe to our Youtube channel: https://www.youtube.com/@ChestnutPaesEnneagramAcademy Follow us on Instagram: ⁠⁠⁠⁠⁠https://www.instagram.com/cpenneagram⁠⁠⁠⁠⁠ Sign up for our newsletter https://cpenneagram.com/newsletter Questions? ⁠hello@cpenneagram.com⁠

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BPD Quiet Discouraged Subtype Specific Traits and Shocking DiscardsThe quiet Borderline subtype known and described as the Discouraged Borderline. A look at this presentation and manifestation of Borderline Personality Disorder.The specific Quiet BPD subtype traits are discussed as well as the reasons why a Discouraged Borderline's shocking discard is one of the most painful relationship endings. Cold discards by the Quiet Borderline that are not your fault.https://ajmahari.ca/sessions

Enneagram type 1,2,3,4,5,6,7,8 & 9 ENFJs compare and contrast their experiences. ☆Check out Denzel  @DeezyRYG  !☆ ☆Check out what I'm up to!☆ Hi there! I'm Joyce, a certified MBTI® Master Practitioner, Enneagram Coach, Jungian Typology Expert, Master NLP Practitioner, and Gallup® CliftonStrengths Coach. WONDERING WHICH ONE OF THE 16 PERSONALITY TYPES YOU ARE? Book a session to get my take on your type. I'd love to help guide you on your type-discovery journey! Here is my scheduling link to arrange a time with me: https://calendly.com/joycemengcoaching I charge $85 for a typing session. Another colleague of mine certified by Personality Hacker will work alongside me and we will give you our independent assessments of you. Want to go deeper? For $97, you can purchase a typing session with 1 hour of additional coaching with me. Or maybe you know your personality type already and are seeking some type-based coaching? As a trained coach, I can help you apply type concepts to all areas of your life for lasting change. :) By purchasing a session, you will help support the Type Talks channel and gain personalized mentorship and guidance from an experienced industry expert with over 12 years of experience. If you'd like to get in touch, you can email me at joycemeng22@gmail.com For those of you who are interested, I am also launching a website and releasing a typology book next year! Here's a link to my coaching website if you'd like to learn more about me and the services I offer: https://www.joycemengcoaching.com/ Connect with me on Twitter: https://twitter.com/JoyceMeng22 Like the show? Buy me a coffee! (it means the world to me): https://ko-fi.com/joycemeng Show your support by becoming a monthly patron! https://ko-fi.com/joycemeng/tiers Want to know when the next Type Talks video is premiering? Join our Discord community for the latest updates! https://discord.gg/ksHb7fmMcm #ENFJ #16types #Enneagram #enneagram1 #enneagram2 #enneagram3 #enneagram4 #enneagram5 #enneagram6 #enneagram7 #enneagram8 #enneagram9 #enneagramtypes #mbti

Bea and Uranio interviewed Trent Thornley, a Self-Preservation Six, to find out what helped him in his growth journey and to learn about how he experiences his Enneagram type and subtype. He talks about how he came to the Enneagram. He discussed how the Enneagram gave him Ah ha moments as well as uh oh moments. Trent discussed that all nine types have needs, it's just that there is an over-functioning or over-dependency on the needs of each Enneagram type. He shared there is a false sense of security in the act of doubting. There is an unconscious idea that constant doubting will bring the Self-Preservation Six to a conclusion that will bring the truth of the matter and more importantly, security. How does he work through this false idea? This is a powerful interview with many insights for those who are Self-Preservation Six subtypes or have Self-Preservation Six subtypes in their lives. Trent served as President of the International Enneagram Association in 2022 and 2023. He is the Executive Director and Director of Clinical Pastoral Education at the San Francisco Night Ministry and an ordained Buddhist Dharma Leader in the Nyingma lineage. Trent is also an ordained minister in the Metropolitan Community Churches, a progressive Christian denomination with an outreach to the LGBTQ+ community. To learn more about his ministry, visit https://sfnightministry.org/ Join a community of Enneagram enthusiasts and participate in live monthly webinars and Q&As with Bea and Uranio. Sign up for a FREE trial of CP Online membership at ⁠⁠⁠⁠⁠https://learn.cpenneagram.com⁠⁠⁠⁠⁠⁠ If you want to discover which Enneagram type you could be, visit our webpage ⁠⁠⁠⁠⁠⁠https://cpenneagram.com/compass⁠⁠⁠⁠⁠⁠ to learn about the Enneagram test they launched, CPS Enneagram Compass. Please subscribe and share this podcast with others. It will help us out a lot! Check out our Calendar of Events ⁠⁠⁠⁠⁠⁠https://cpenneagram.com/live-courses⁠⁠⁠⁠⁠⁠ to study with Bea and Uranio directly! And follow us on Instagram: ⁠⁠⁠⁠⁠https://www.instagram.com/cpenneagram⁠⁠⁠⁠⁠ Questions? ⁠hello@cpenneagram.com⁠

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Each Enneagram type has unique paint points. These struggles show us where we need to set goals. This 2 part series will prepare you to set goals for the new year! Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Each Enneagram type has unique paint points. These struggles show us where we need to set goals. This 2 part series will prepare you to set goals for the new year! Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Antibody against the GABA-A receptor is a biomarker of autoimmune encephalopathy that occurs across the lifespan, and disproportionately affects children. In this test-specific episode of the "Answers From the Lab" podcast, Andrew McKeon, M.B., B.Ch., M.D., explains how Mayo Clinic Laboratories' GABA-A receptor antibody assay aids diagnosis of this serious but treatable condition.Show notes(00:32) Could you provide a little information on your role here at Mayo Clinic? (01:11) Can you give an introduction as to how GABA-A is important as the field of autoimmune neurology develops? (02:15) What type of methodology are we using in this assay? (03:17) Will there be a reflex to confirm positivity, or is that captured in that initial test? (04:22) Is either CSF or serum specimen preferable, or do we recommend both for this biomarker? (05:09) In combination with what phenotypes should this biomarker be considered? (05:37) Should a physician consider adding a GABA-A receptor standalone test to our encephalopathy, epilepsy, or pediatric evaluations, to be sure they're doing a comprehensive review? (06:25) Can you give us a little background on why this test is being launched by itself? Is Mayo Clinic Labs changing its stance on whether comprehensive evaluations are the most appropriate method? (07:30) Why has it taken so long to bring this assay live? (08:14) For exactly what type of patients should physicians consider this testing? (10:21) Should physicians add our encephalopathy evaluation every time they order GABA-A? Is the presentation you just described common or a subset? (11:24) Does that recommendation change in pediatric patients? (12:20) What does a positive result tell physicians? (12:57) Does GABA-A have a high-risk oncological association? (13:18) What does GABA-A tell a pediatric neurologist if the test comes back positive? (14:14) Should a positive GABA-A test lead a physician to a certain treatment option? (15:24) What are you most excited about in relation to the launch of this new test? (16:48) Is there anything else you'd like to add about this test?

There are many parts of our personality that we are unaware of. This episode explores the things we don't even know we are doing. You may find yourself saying "I don't do that." Keep an open mind and you will learn a lot from this episode. Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Let's celebrate all the Enneagram types! In this episode, I'm going to tell you everything I love about all the types. Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Does your Enneagram type come from nature or nurture? Probably a little bit of both. Find out more by listening to this episode. Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Other podcast episodes I mention: How to Discover Your Partner's Enneagram Type Therapy for Each Enneagram Type Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

What's stressing you out? In part 1 of a two-part series, I'll tell you the common stressors for each type. In this episode, I discuss types 4,5,6 and 7. Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

In today's episode I answer several questions sent into the podcast phone line, included but not limited to "How do I find my subtype?" -- Thank you to this week's podcast sponsor - Notion! Try Notion AI for free when you go to Notion.com/egram Enneagram University ( bonuses available when you sign up through my link ) - https://www.theenneagramuniversity.com/?ref=6708b5 FREE coaching business roadmap: https://sarajane-case-3grp.squarespace.com/freecoachingroadmap Notion Templates here - www.sarajanecase.com/shop  Enneagram Coffee here - https://www.summitcoffee.com/sarajanecasestore Call/text your enneagram questions to (828) 338-9127 Grab a copy of my books at www.thehonestenneagram.com & www.theenneagramletters.com Check out my YouTube channel: www.youtube.com/sarajanecase Learn more about your ad choices. Visit megaphone.fm/adchoices

What's stressing you out? In part 1 of a two-part series, I'll tell you the common stressors for each type. In this episode, I discuss types 9,8,1,2 and 3. Try the Free Enneagram Quiz!!!! Here is the link for the Core Motivation Cheat Sheet Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

This episode is all about figuring out Enneagram types. It's not just for your partner, it can help with friends, family, or coworkers. Here are the steps I outline in the podcast Step 1: Narrow it down. Figure out 4 or fewer types that fit by looking at the Core Motivation Cheat Sheet Step 2: Look at the Wings. If any of the types you have on your list are touching (like 1 and 9 or 3 and 4) then take an extra look. Touching types mean you have a type and a wing. Step 3: Look at childhood. Often, experiences or relationships we have in childhood shape our Enneagram type. If you were bossy you may be an 8 or a 1. If you felt like an outsider you might be a 4 or 5. Think about how the core motivation was shaped in childhood. Step 4: Look at shadow qualities. Each type has a high and low side. The shadow is the low side of the type. I discovered my type only when I saw my shadow side. ⚖ 1- Judgemental

Most people are not utilizing their wings to their full potential. Each core type has two wings. If you know what your wings are, it's time to make the most of them. Each wing has a high and a low side. If you are intentional, you can transform yourself for the better. If you are just going through the motions, you're missing out on some really great growth opportunities. This is part 3 of a three-part series on wings. Try the new Free Enneagram Quiz!!!! Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Most people are not utilizing their wings to their full potential. Each core type has two wings. If you know what your wings are, it's time to make the most of them. Each wing has a high and a low side. If you are intentional, you can transform yourself for the better. If you are just going through the motions, you're missing out on some really great growth opportunities. This is part 2 of a three-part series on wings. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Most people are not utilizing their wings to their full potential. Each core type has two wings. If you know what your wings are, it's time to make the most of them. Each wing has a high and a low side. If you are intentional, you can transform yourself for the better. If you are just going through the motions, you're missing out on some really great growth opportunities. This is part 1 of a three-part series on wings. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

This week we are revisiting the most popular episode. This is an introduction to all the enneagram types. This Re-air is a great episode to compare and contrast all the types. It also is the perfect episode to introduce your friends and family to the Enneagram. Feel free to share! Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Core motivation holds the key to why we act the way we act, why we can't seem to change bad habits, and why we struggle to feel confident. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

There are many reasons why people mistype themselves or are mistyped by a professional. One of the big ones is that there is so much crossover in the Enneagram. In the podcast episode this week, I will tell you about the most common mistypes. We get clarity on our own personality when we see how it compares and contrasts with other people's. So even if you know your type for sure, it is helpful to know how you are similar and different from other types. Here is a list of all the tye types I compared in the episode: ⚖

This episode is for types 1-9. Thanks to social media there are so many misconceptions of each Enneagram type out there. Maybe you think 8's are compulsively controlling or 5's have no emotions, or maybe there you have a misconception of your own type. This episode will help you! Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com Here are the episodes I mentioned in this podcast: Type 6 episode Subtypes episode

This episode is for types 1-9. Some types are really lit up by socializing, while other types dread it. Human interaction is a basic need. So why is it so damn difficult? On this week's podcast episode I go into detail about each type's social struggles. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

This episode is for types 1-9. Each Enneagram type has a part of their personality that we call unseen. It means you have behaviors that you don't even notice. Sometimes these behaviors can benefit you, sometimes they can harm you. This episode will tell you things you don't know about yourself, and give you tips on how to make the best of your personality traits. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place for you. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com Here is the link to the episode I mentioned about therapy.

Did you know I used to be a Career Coach... This is part 3 of a three-part series on Enneagram types and careers. This week focuses on the heart triad (2,3,4) I understand how scary it is to make a career change. But the truth is you have options. And now you have something you didn't have before. You have knowledge of the Enneagram! This episode can help you realize your priorities and if you are in the right job. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Did you know I used to be a Career Coach... This is part 2 of a three-part series on Enneagram types and careers. This week focuses on the head triad (7,6,5) I understand how scary it is to make a career change. But the truth is you have options. And now you have something you didn't have before. You have knowledge of the Enneagram! This episode can help you realize your priorities and if you are in the right job. Download the Core Motivations Guide because I made it just for you! No more Google searching each type individually. I put it all in one place. Message me on Instagram @Enneagram_Guide and ask all your Enneagram questions! Sign up for a Typing Session if you want to confirm your enneagram type or Subtype with me. This is best for the person who wants to use the enneagram to quit ghosting their goals and find a personalized growth path. Check out more at AngieMeyerCoaching.com

Patients with elevated LDL or "bad" cholesterol face even greater risk if their levels of small dense LDL cholesterol are also high. Vlad Vasile, M.D., Ph.D., and Leslie Donato, Ph.D., explain how Mayo Clinic Laboratories' sdLDL-c assay measures concentrations of the small dense LDL subtype, to better guide clinical care.(00:32) Could you both tell us a little about yourselves and your backgrounds? (01:24) Could you tell us a little bit about small dense LDL cholesterol and why it is an important marker for helping a physician understand a patient's risk for coronary heart disease? (03:22) Could you describe the types of patients who could benefit from having a better understanding of their sdLDL-c levels? (04:36) Could you help us understand other tests or methodologies that are currently used to assess cardiovascular risk? (06:13) Could you describe Mayo Clinic's new assay for sdLDL-c cholesterol and how it will benefit physicians managing CVD patients?

Dr. Richard Webby, faculty member at St Jude Children's Research Hospital and global expert on influenza viruses, joins Drs. Mike Brasher, Karen Waldrop, and DU staff for a look back on the 2022 Avian Flu outbreak. In this science-heavy episode we ask where it came from, is it here to stay, and what can we expect going forward? We also learn why it is showing up in mammals and what this means for our pets. Also, will mutations increase the human health risk and are waterfowl hunters at higher risk?www.ducks.org/DUPodcast

SUMMARY: Not having a subtype makes it hard to get diagnosed with OCD  Not fitting into a subtype can make you doubt having OCD.  When you don't see other examples, you can feel like an outsider in the OCD community.  All the subtypes seem to have their “people.”   The doubt can make you feel that it really is about the content, not OCD.  What if I don't fit into a typical OCD Subtype Examples:  What if I picked the wrong name for my baby?  Obsessions about the weather and whether you will enjoy the weather?  This nail color makes me feel strange.  What if I don't remember this the way it was?  What if my partner cheats on me? What if my child suffers?  What if my taxes were not correct?  How will I know when it is time to stop therapy?  General Anxiety Vs Ocd? Dimensional Obsessive COmpulsive Scale (Jon Abramowitz)  Concerns about germs and contamination Concerns about being responsible for the harm. Injury, Bad luck  Unacceptable thoughts  Concerns about symmetry, completeness, and the need for things to be “Just right.”  Does ERP work for these obsessions?  Does the process of treatment work any differently than it would with a “subtype”?   Ideal Treatments for OCD ERP  ACT SC MINDFULNESS Links To Things I Talk About: ERP School (An online course for OCD) https://www.cbtschool.com/erp-school-lp Dimensional Obsessive COmpulsive Scale (Jon Abramowitz) http://www.jabramowitz.com/uploads/1/0/4/8/10489300/docs.pdf Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety...If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION What If I Don't Fit Into The Typical Ocd Subtypes? Welcome back, everybody. Thank you so much for joining me. I know your time is so valuable, and so I am so honored to spend this time with you to talk to you about today common question that I get asked. Well, actually, no, it's not a common question, but it has been a question that I have been asked over the years by clients and followers, and listeners. And I was proposed with this idea as something that we really need to address. And so, here I am. And my goal is to always address the things that maybe aren't getting addressed if possible. And so, today we are going to talk about, what if I don't fit into the typical OCD subtype? So, what if my obsessions don't line up with the typical classifications and categories that we have for OCD? Ocd Subtypes So, for those of you who maybe are new to this idea, we have OCD as a general diagnosis. And then under that umbrella of the diagnosis, we have-- over the years, the clinical and OCD community have created subtypes of OCD to help us, number one, categorize different groups of obsessions so that we can then direct the treatment to being very specific. We also do that to build a sense of community so that you feel less alone. Let's say you have a harm obsession that can be very stigmatizing and feel very, very overwhelming, and you can have a lot of guilt and judgment about that for yourself. So, knowing you're in a category, in a group with other people can actually soften the blow of the stigma and the judgment around that obsession. Same goes for sexual obsessions, pedophilia obsessions, and so forth. Again, as a clinician, as I'm training my therapist, these subtypes are actually helpful so that we can help the newer therapists have a treatment plan specific to that person's obsession. However, what about the group of people who don't line up perfectly in those groups? And so, in today's episode, we're going to talk about what to do if that is you, what to do if you're a therapist and you're dealing with this, some skills that you might use, and maybe a few shifts and reframes here, I'll use some clinical research that may help you shift the way you look at this problem. And maybe we can even stop calling it a problem. We could actually not address it as a problem and actually move through that together. Okay?  Before we do that, let's get straight to the “I did a hard thing.” I haven't even read this hard thing you guys, so I'm as excited as can be. This one is from Hannah, and this is what Hannah had to say: “Earlier this year, I suffered a debilitating OCD episode that focused on harm OCD,” so, there we are, we have a subtype already explained, “Specifically the fear of sleepwalking or going crazy and harming my family. At the time, I had no idea I had OCD as I had always been told I was just an anxious person. So, this well and truly threw me to the point that I couldn't get off the couch, take my daughter to and from school or be alone. I wanted to admit myself into a mental health facility for fear that I was a real danger to my family and my daughter in particular. Long story short, after weekly ERP with a therapist and starting an SSRI, I did a very hard thing by being at home alone with my daughter for a whole weekend while my husband went away for work. I don't think I'd be able to do it and I had been feeling anxious for months prior to knowing it was coming. But I did it and I actually ended up enjoying our time together despite some fairly consistent rumination.” Hannah, oh my gosh, this is so good. You are such a walking billboard for how effective ERP and medication can be. I love that you did this. This is so good. And so, congratulations. I am so honored that you shared that with us. And look at you go. Look at you go. All right. Again, quickly, let's do the review of the week. This one is from Austin-mang, and they said: “I finally did it and signed up for therapy. My session is this Friday. I've been doing my best to prepare and was uncertain about what to expect my first session. This show helped me to know exactly what to expect and gave me some great mindset tools going in. Thank you!” Austin-mang, it sounds like you did a hard thing too. This is so wonderful. So, thank you guys for sharing your hard thing, and thank you so much for leaving a review. It does help me immensely build trust for those who are new to the show.  All right, let's get to it.  A Common Question: “I Dont Fit Into A Typical Ocd Subtype?” So, let's backtrack to the main concern here, which is what if I don't fit into a typical OCD subtype. Now, this is a hard thing for people, because not falling into that subtype can make it hard to be diagnosed. I was just thinking about this yesterday. Ten years ago or longer when I first started treating OCD – it's been nearly 15 years now – if you typed into Google “What if I harm my baby,” maybe one or two articles would come up, but you would find an article about OCD and then you would slowly, if you're able, get to treatment. Remember, our mission here is to reduce the amount of time it takes someone with OCD to get diagnosed and treated. Right now, it's seven to 14 years, which is absolutely horrendous, but we're getting better. We're getting better.  So, if you typed in “What if I harm my baby” or “What if I sinned,” you would probably come to an article that may lead you to, you may have OCD. What if I get sick and die? If you typed your what-if thought into Google, you'd probably find an article somewhere. But there are a group of people who if they typed their fear in, OCD would never come up. It would never show up on a Google search. If you told your doctor, they might not be able to identify this as OCD, because as far as we've come with educating, these subtypes have actually helped us educate doctors, nurses, teachers, and caregivers so that they can be more likely to pick up on children's and young adult's OCD. As much as we've done this, if you don't have those specific subtypes, it can make it very difficult to get diagnosed. The next piece here is a lot of people, and this is what I really hear a lot in my community online, on Instagram – if you follow me on Instagram, it's @YourAnxietyToolkit – is some people will say, “Because I don't fit into this subtype, I have a lot of doubt that I have OCD at all.” We know OCD is a doubting disorder, but often people with OCD even doubt, even if they fit into a subtype, they doubt that they have OCD. But if you don't fit into one of these categories that we've put, these loose categories that we've put, that can make it even harder to really double down with your treatment and feel confident in your provider and feel confident in your diagnosis and so forth.  There is a lot of times when people don't talk about their specific obsession, when it doesn't fall into that subtype in fear that someone would say, “You don't have OCD. You don't follow any of the subtypes.” And I'm sure maybe even some uneducated clinicians have shared that with their clients like, “No, you don't meet criteria because you don't meet a subtype.” And hopefully today we can actually get rid of that and hopefully resolve that issue. And what really comes and becomes apparent is, as we were talking before, let's go to the “I did a hard thing.” They said they had harm OCD. And as I said before, it can feel really validating to know you have your community like, “Oh, I have perinatal OCD.” So, you have your little-- you can find a group of people who have the same obsessions, and that can be really validating. It can be very, very comforting to feel like you have that community. But for those who don't feel like they fall into a subtype, they may actually feel quite isolated and alone, like unseen. And that doubt can really make it really difficult.  And what I thought was really interesting is somebody said to me, the doubt can make you feel that it really is about the content, not the OCD. So, remember, we're always talking about like, it's not about the content. The content doesn't matter. And in this case, they were saying, no, it really does feel like the content matters because if your content is within a category, well then you get that community, you get that reassurance. Not compulsive reassurance, but you get a little reassurance like, “This is OCD, you're on the right track, keep going.” So, I have such compassion. If you are somebody or your client is somebody who has an obsession that doesn't fall into these categories, let's really make sure we validate them. Let's really make sure we slow down to understand what that is like for them. Examples Of Ocd That Do Not Fit Into Traditional Subtypes Let's talk about some examples of what this might look like. So, examples of what it might look like if you don't fit into a typical OCD subtype might be: What if I picked the wrong name for my baby? Some people could go, “Oh, that's just a normal concern. Let's come up with a solution.” You know what I mean? That would be probably, “Let's work at making the right choice.” And I have had clients in the past who've gone as far as changing their baby's name multiple times. I've seen this case multiple times, trying to just figure out the solution. But you can see here, it's not a general fear. It's something that is repetitive and they can't seem to get rid of that uncertainty. And even if they do change it, the uncertainty still returns and it's very urgent. Again, we can really see that's OCD. Clear and clean OCD. It's got the obsession, it's got an urgent compulsion that is repetitive, that causes distress. It doesn't line up with their values. So typically OCD. Some people have obsessions about the weather and whether they'll enjoy the weather. And you might immediately think, well, again, that doesn't sound like OCD. But again, let's look, it doesn't matter about the content, it matters on the process. Is this person ruminating about this a lot? Are they stuck on trying to find the correct answer or the answer that resolves their uncertainty? Is there an incredible amount of distress? Are they trying to solve this with urgency? If that is the case, we have a very clean and clear case of OCD.  I've had clients who've spent a lot of time obsessing and compulsing over the nail color that they picked or whether nail-- simple things like things they've chosen for their body – tattoos and so forth. And again, we could say that's a generalized anxiety or that's a common concern, but if it's done repetitively and urgently and it's causing them an extreme amount of distress, and it's often targeted around uncertainty or anxiety or disgust, clean and clear OCD.  Some clients I've had have said, “What if I don't remember something the way that it actually was? What if I can't remember it the exact way that it was? What if I lose a part of the memory?” Now, this might show up around, let's say the loss of a loved one. What if I don't remember them? And we might say that is a total normal stage of grief, except this person is trying to solve this memory issue repetitively, urgently over and over again, struggling in massive amounts of distress. The uncertainty of this is really destroying them. And again, clean and clear case of meeting criteria for OCD, but they don't seem to make these into these categories. They don't seem to slide into a category.  I've had patients have obsessions about whether their partner cheats on them, and we could say, “Oh, well, they were probably--” in some cases, they have been cheated on before and we go, “That makes complete sense that they would worry about that. That's not OCD.” But we look at the presentation and it goes far beyond generalized anxiety. It goes far beyond daily normal anxiety concerns for that situation. Again, it could become massive amounts of reassurance-seeking, rumination, avoidance, compulsions, self-criticism, self-punishment. And we can see that the way these compulsions are playing out meet criteria for OCD. And you might even say there, “Well, that's kind of relationship OCD.” But that fits into the category. And we could argue that maybe you're right, but I really wanted to highlight how often. Let's say, if the partner had cheated on them and they're having this obsession, usually, people would not put it in the category of relationship OCD because the partner had cheated on them or because a family member had cheated on their partner and they were somewhat traumatized by that event. We can sometimes miss cases because it doesn't fall into a category.  I've had people and clients who've worried obsessively and compulsively about their thought, what if my child suffers? What if my child goes through hard times? And again, we would go, “Oh, that makes complete sense. Every parent feels that. Every parent worries about that.” But then again, it crosses a line into massive amounts of rumination, massive amounts of checking, massive amounts of reactivity. It might not even be that it's the typical compulsions. It might be just a great deal of reactivity done because the uncertainty of this is so overwhelming.  I've had patients have obsessions about their taxes. What if they weren't done correctly? They go back and they check them and then they go back and have a second opinion, and then they-- and again, we could say, “Well, isn't that kind of like a bit of a moral obsession?” But when we ask the patient, they might say, “No, it's not about that. It's just about the fact that it's uncertain.” Again, doesn't fit into a typical subtype. One other example I have is a lot of patients I've had have had the obsession, how will I know when it's time to stop therapy? Now that's a common rational concern. That's actually a really good question to ask. Well, how will I know? But again, the obsession is excessive and causing them great distress. They spend a lot of time trying to figure it out. They can't figure it out. There is no solution. The uncertainty is so overwhelming and overbearing and painful, they end up doing a lot of compulsions.  And so, there we have all of these examples, and I'm sure you probably have more of where your obsession doesn't fit into a typical subtype but is so clearly OCD.  So, here is what I want to offer you. In this case, I'm going to give you the answer up front, and then we're going to work through it together. The truth is, the subtypes really don't matter. The only reason they matter is they help with treatment and they help with validation in helping people to feel not alone. But we must remember that nowhere in the criteria for OCD does it say you have to have a subtype. The only criteria you need to have is to have an obsession, a repetitive thought, feeling, sensation, urge, or image. And that obsession has to create a lot of distress in your life and can impact your functioning. Not always, but it can. And then must contain compulsions. And the compulsions are either covert or overt, meaning they're behavioral, they're physical, or they're mental. They must cause a lot of distress in your life. They must take a certain amount of time. And if you meet that criteria, that's all we really need for you to move forward with your recovery, and I want to encourage you to move forward as fast as you can. Try not to get caught up. Remember the subtypes. Just think about me being a therapist who trains staff. I have ERP School, which is our online course. That is for people who don't have face-to-face therapy, who don't have access to therapy, who want to learn how to structure ERP for themselves. I talk a lot about subtypes there, but only because it's an education tool to help people get direction for their treatment. But if you don't meet that criteria, that means nothing about whether you can recover or not. So, that's the main point, and now we're going to talk about how we can do this. Now, first, before we do this, I actually want to introduce to you something that is a science-based measurement tool we use for OCD that may be very validating to you folks if you don't have a specific subtype that you fall into that category. Dimensional Obsessive Compulsive Scale (Jon Abramowitz)  Now, Jon Abramowitz and his team has created what he calls the Dimensional Obsessive-Compulsive Scale. If you Google it, it should come up. I will do my best to link it in the show notes. And this ultimately doesn't have anything about subtypes. It really just has four categories of concerns that people with OCD have. And what I found so wonderful about that is if we throw out all the subtypes and we just look at the symptoms, we look at the process that someone with OCD goes through, you'll probably find you fall into one of these categories. If you don't, still don't worry because-- but I think that this is-- I love the way that they've really put this together because it simplifies everything. It makes it a whole lot less confusing. So, let's go through them together.  Number one, category 1 is concerns about germs and contamination, and they go through to explain that. If you download it, you'll get more information about this.  Category 2 - concerns about being responsible for the harm, injury, or bad luck. And so, for that one, that includes harm OCD, it includes religious obsessions, self-harm OCD, moral obsessions. A lot of those subtypes can fall into these little categories, but I like that these are really basic.  The third is simple, unacceptable thoughts. And in these cases of people with OCD that don't fit into the subtypes, we could easily just say, “You fall into the unacceptable thoughts category, that these thoughts are unacceptable to you. The uncertainty is unacceptable to you.”  And then the fourth category is concerns about symmetry, completeness, and the needs for things to be just right. And what I think is so helpful about that is so often these cases where they don't fall into these more typical subtypes, I find often they do fall into somewhere around this idea of the need for things to be completed or just right or resolved. Hopefully, this Dimensional Obsessive-Compulsive Scale helps catch a net underneath all of these subtypes that can validate you, that you still fall under the category of having OCD, that you can still move forward with your treatment. You go full fledged into your ERP and move forward ultimately.  Ocd Vs General Anxiety Disorder (Gad)  Now, that being said, we also need to look at the overlap, or maybe we should actually say the spectrum of where generalized anxiety can meet OCD. Some of these, as we said, some of these obsessions fall under maybe that's more generalized anxiety, but we know that you could have generalized anxiety fears. But if they're presenting with obsessions and compulsions, we're actually going to treat it like OCD. And some people – I've actually really loved the OCD community – are now arguing that general anxiety and OCD are the same thing, just on a spectrum, from not so severe to very, very severe. And they're doing that. People with generalized anxiety are doing obsessions, having obsessions, and doing compulsions. The biggest one being mental rumination and avoidance.  So, let's round this out by talking about what to do now. So, if this is you, here is what I want you to remember. At the end of the day, and this is what I say to my clients, at the end of the day, it doesn't matter what we call this. We could call your set of symptoms bibbidi-bobbidi-boo, and we would still use the same tools to get you effective results because what do we know? It doesn't matter. Whatever the content is, what do we know is the problem that you're struggling to manage the uncertainty that you're having, that you're having a great deal of distress and discomfort, and we need tools to be able to manage and ride that out.  So, again, if we call it this specific subtype, we call it OCD, we call it generalized anxiety, we call it bibbidi-bobbidi-boo, at the end of the day, they all require us to stop trying to suppress the thought because we know suppressing the thoughts make it worse. And then we can practice exposing ourselves to the situations where those thoughts come up without doing those compulsions. So, if you've taken ERP School or you're interested in taking ERP School, we go thoroughly through what ERP is, which is exposure and response prevention. What it is, is that we expose you to the thought and fear and the obsession that you're having. And then we practice, slowly but surely, reducing – this is called response prevention – reducing the compulsive behaviors that you do that reinforce that fear and obsession. That's ERP. It's actually pretty structured. We walk you through it in ERP School, but if you have an ERP therapist, they're going to walk you through identifying your obsession, even if it doesn't meet those categories, identifying what is your fear, and then practicing, exposing you to the life that you want to live, whether that fear shows up or not, and then practicing reducing those compulsions. The process of treatment is the same, disregarding the subtype, whether you have a subtype that you fall into or not. It is effective either way.  Ideal Treatments For Ocd And so, what I'm going to encourage you to do, and I'm just going to think of this as me finishing out the podcast, but giving you some direction, is if you meet criteria for OCD, and that involves doubting your disorder-- I remember once John Hirschfeld when I was training to become an OCD therapist. He said to me, if he had his way, he would add to the criteria for OCD that you must doubt your disorder because it's so common for people with OCD to doubt whether they have the disorder. So, here we want to do is we want to have a plan where ERP is the meat and cheese of your treatment. And what you can do then is supplement treatment with either acceptance and commitment therapy, self-compassion, mindfulness. Sometimes people use DBT. There are new supplements coming to treatment all the time, which is wonderful, but the meat and cheese is to make sure you're doubling down on that exposure and then the reduction of those compulsions. Okay?  My message to you is you can still 100% recover from this disorder. Look at the “I did a hard thing” today and look at the review even, talking about the benefits of practicing ERP. So, that's what I want you to focus on.  If you don't have access to an ERP therapist, we have a course available to you. It's $197, which is actually less than one session with any of my staff or most ERP therapists. That is about seven hours long and will walk you through this process. So, if you're interested, head over to CBTSchool.com. The course is called ERP School and hopefully, it will give you the tools and the education you need to feel like you can get the ball going here, even if you don't fit these typical subtypes.  Okay, that's all I have to say about that. I hope that this has been absolutely jam-packed with helpful skills for you to learn. I hope it absolutely validated your concern if, in fact, this is a concern that you have, and it is my honor to be on this journey with you.  So, as I always say at the end of almost every episode, it is a beautiful day to do hard things. Thank you so much again for supporting me. I just adore sending out these free resources for you and hopefully filling up your cup if your cup is feeling very empty. Please also, one thing I should have said, be gentle guys. OCD and anxiety in general can be a mean beast in our minds. And one of the best antidotes to that can be kindness, gentle self-care, loving, nurturing presence. And so, I hope that's what I am for you and I hope that is what you are for you as well.  Have a wonderful day, everybody.