Podcasts about Take Charge

  Episode: 140 Taking Charge After Stroke: Self-Determination and Recovery with Vivian Fu   In this episode you will discover: ● The Conversation Is the Intervention — A structured, facilitated conversation that centers a person's identity, hopes, and vision for their best day produces measurable improvements in quality of life and independence a year after stroke. Connection isn't soft — it's evidence-based. ● Reframe the Expert in the Room — Take Charge asks clinicians to resist offering advice, validation, or direction — and to trust that the person with stroke already holds the wisdom they need. The hardest part of the facilitator role is staying out of the way. ● Self-Determination Is Not a Luxury — When people with stroke are supported to set their own direction, outcomes improve, costs decrease, and the effects last for years. Building systems that protect that autonomy isn't idealistic — it's what the data demands.   Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong from Central Michigan University and a member of the Aphasia Access Podcast Working Group, a community dedicated to supporting better aphasia care.   Today I'm speaking with Dr. Vivian Fu, a stroke neurologist living and working in Kelowna, British Columbia, the unceded territories of the Syilx / Okanagan people. Vivian trained in Aotearoa New Zealand, where she completed her PhD running the Taking Charge After Stroke trial. Take Charge showed that people with stroke who were supported to follow their own self-determination had much better quality of life and independence a year after their stroke. The second Take Charge RCT showed that two sessions about six weeks apart produce better outcomes than one session. Vivian strives to embed the Take Charge philosophy in her daily practice, and is focused on improving access to high quality stroke care for rural, regional, and underrepresented populations.   I have been looking forward to this conversation. What drew me to Take Charge was how it reframes the question entirely — from what does the clinician do for this person to what does this person want for their own life. That shift is deceptively simple, and as you'll hear, the evidence behind it is anything but.   Let's get into it.   Katie Strong:  Welcome, Vivian. Vivian Fu: Thank you so much for having me, Katie. I'd like to start off with my Pepeha. This is an introduction in Te Reo Māori, which is the indigenous language of the people of Aotearoa New Zealand, and I'll just translate each line. Nō Hong Kong ōku tīpuna. My ancestors come from Hong Kong. I tipu ake au ki Aotearoa. I grew up in Aotearoa, New Zealand. E noho ana au ki Ki-Low-Na. I live in Kelowna, British Columbia. Ko tēnei taku mihi ki ngā tāngata whenua o te rohe nei. I like to pay my deepest respects to the first peoples of this land. I live on the unceded territories of the Syilx and Okanagan peoples. Ko tēnei taku mihi ki ngā maunga, ki ngā awa, ki ngā roto, ki ngā Papatuānuku, o te rohe nei. I'd like to pay my deepest respects to the mountains, rivers, and the lakes, and to Mother Earth. All these important landmarks that have been here for millennia. Nō reira, tēna koutou, tēna koutou, tēna koutou katoa. Therefore, hello, hello, hello, Ko Vivian Fu tōku ingoa. Lovely to be here. Katie Strong:  Well, I'm so glad you're here. And I wanted to start off today asking about the Take Charge program that you've been working with, and talk to me about how that began. What was the origin of that? Vivian Fu:  Sure, so really this work began in probably the late 90s early 2000s when clinicians in Aotearoa New Zealand realized that there were different outcomes for people who were Māori compared with non-Māori, and I guess an important point to illustrate is that in Aotearoa society we view things in a very bicultural lens, and by that I mean Tangata Whenua, who are the people of the land, so indigenous people of the Māori and Tangata Tiriti, so everyone else are people of the treaty. It doesn't really matter where you come from, but you are a person of the treaty if you live in Aotearoa, and so it's a bicultural lens, and so we always look at things in that way, and that's how our kind of entire society is grounded upon that. And so when we look at health outcomes, what we could see back then, and unfortunately what we, in a way, still see now is that Māori were experiencing a stroke at about 20 years younger than non-Māori, and they were more likely to die from their stroke, and also more likely to be severely disabled. And so there was a difference in life expectancy, a difference in overall rehabilitation access, difference in overall outcomes, and so it started off with Professor Matire Harwood's work. She is Tangata Whenua, and in her PhD, she was looking at why there were these differences in outcomes and wanting to address them. And so that started off with the Māori and Pacific Stroke Study, which was essentially conducted in just Māori and Pacific people in Aotearoa, New Zealand, out of many different centers around the country. It was a four arm study.. It was a randomized control trial, and it looked at a conversation, which was labeled as the "Take Charge" session, but it was, it was really a connection and a conversation versus a professionally made DVD from the New Zealand Stroke Foundation about people's experiences and stories after stroke. And then the fourth arm of the trial was getting both of those interventions, and there was a control group. So there were three active groups in one control group. And what the researchers basically found was that anybody who had received this session of discussion and connection did much better a year after stroke in terms of quality of life, independence, and caregiver strain. And so that was the first sort of indication that there was something in that conversation that was really important. Unfortunately, it didn't really take off in terms of being able to be implemented, and so then Dr. Harry McNaughton, who was Dr. Harwood's supervisor wrote multiple grants and tried to get this session into much more of a bigger trial with some some type of implementation, and that's where I came along and we essentially did two things. We operationalized the intervention into something that had a bit of a framework, so with a bit of a booklet and a bit of a structure to follow. Really looking into what was it about that conversation that was so powerful and made such a difference to people, and tried to put those things into practice. Then, secondly, to conduct a second trial in New Zealand out of seven centers for people with stroke who were non-Māori and non-Pacific, because the struggle that we came across was that it was only shown to be effective in a small group of people, but not in everybody, and so we had to do things backwards. And so that was really where it all began, from these principles of self-determination, so Tino Rangatiratanga, which is a really important principle in Te Ao Māori, and in the world of Māori, but also knowing that Māori and a lot of indigenous peoples, we think of health as this concept called Te Whare Tapa Whā, for example, which is the house with four walls. So a person is never just their body and their physical health, there are other walls that keep the house upright. So mental health, spiritual health, and family health, whānau is so important, and feeling as though you have strong foundations in where you belong is also really important. So it's that really holistic look at health of an individual and how we can address all of those things in an intervention is really where it all came from. Katie Strong:  Thank you for sharing. I appreciate the backstory, and also just the idea of what you're thinking about from a holistic health standpoint. I know our listeners are probably curious, some of them might not have heard about Take Charge before, so this is the first time of them hearing about this, and so I was hoping, Vivian, you could give us an overview of what the intervention is, and then maybe walk us through what a session actually looks like in practice. Vivian Fu: Yeah, absolutely. So I'll talk you through the session in the way that it was done in the larger Take Charge trial. So this was done in 400 non-Māori, non-Pacific people with stroke, and our trial there had three arms. So there was a control group, there was a group that received just one session, and then there was a group that received two sessions six weeks apart roughly. The sessions were provided by a trained facilitator, and they were timed roughly somewhere between three to 18 weeks after stroke. So quite a large window, really, depending on when the person with stroke was ready to receive it. So the short version of what it looks like is it's based off the booklet and it's done face to face. It's a conversation and the facilitator is trained at the beginning to really try and establish a relationship…to build a relationship. There's a concept in Te Ao Māori called Whakawhanaungatanga, which is really sort of seeking another person's identity, recognizing who they are as a person, and trying to build connections. And so I guess in English, we think of that as building rapport, building trust. And so it in our trial was done face to face. We have also looked at ways of doing this via telehealth as well, which is, you can imagine, is a little bit different. But that step is really important, and we knew that it was important also in the initial Māori and Pacific trial, because the facilitators who were trained were actually ethnicity matched. So that's something where I think it came quite naturally in that trial, but in the second trial we really wanted to ensure that a relationship was built, and then there are three pages, initial pages in the booklet that look at different things. So the first page is looking at how the person has been affected by the stroke, and then asking them to think about actually who they really are as a person. It's a very simple concept, and a very sort of simple question, but for many people that's the first time they've really been asked that and have had to think about that. So anything that comes to mind that they can relate to, you know, who they are. An individual, and what it is that they love, so for example, for me, I would say, "I'm a mum, and I'm, I'm a stroke neurologist, I am a painter, I'm a poet, I'm someone who loves going for walks in hikes," and, you know, so those kinds of things, and it, and it kind of really builds on on that person's identity and who they are in the world. And so that's that sort of page one. It's really about establishing identity and sense of self. And then the second page is talking then about my hopes and fears. And that might be a tricky one, really, for a lot of people to start talking about and thinking about. They may not want to express that, they may not have been asked that. Sometimes it brings out a lot of emotion, and that's why that initial beginning part of establishing trust and in a kind of a psychological safety space is really important. And then the third page is imagining or envisioning what my best day looks like. And you can be as wild and fantastical about that as you like. When we train our facilitators, we asked them to do these exercises as well themselves, so they can get a really good sense of what that's like, and I had a lovely training session with community health workers from Tanaha First Nation in Cranbrook, BC, and one of one of the attendees in the group said she'd love to have breakfast with a Sasquatch, and so that was absolutely, you know, it was so culturally relevant, so important. Katie Strong:  That makes my Pacific Northwest roots just smile there! Vivian Fu: Exactly! Just so unique to that individual and to where they are in the world. And it's not something you can, you can pluck out of a textbook or pluck out of anything, right. It's where they are. I love that activity. It's quite magical what comes out. And then after those three pages are done, then there are some pages that are specifically related to goal setting, which may or may not be relevant to the person in front of you, things like a physical page, emotional, social, financial, health management type pages. And that really is a way to think about or encourage the person to think about, or we know what are the things that do matter to you, and and what are the things you would like to achieve in the long run, and what are some ways you might be able to break that down into achievable steps that you would personally want to do. But the session in practice can look like anything out of that. It can look from a person at session one being completely clammed up about not wanting to dig deep or not not being ready to engage in that. Or just kind of being, you know, keeping it all to themselves, and thinking about it, and ruminating about it, and then session two, looking very different after they've had that six weeks to think about it themselves. It can look like blank pages, or it could look like a person coming up with all sorts of brilliant ideas. Hopefully, you know, we always encourage if they can write the person with stroke as the one who is writing in the notebook. They keep it. They stick it on their fridge. They do whatever they like with it. They write in it in their own time, but it's completely fine to have blank pages. It's completely fine to have nothing come out of that conversation, nothing verbal, but it's just a space to an invitation to dig deep, and if there's something to say to feel heard. And I guess there was another question. I think that's quite important with regards to what the facilitator is doing, what are they not doing, and the facilitator is trained specifically to listen and ask questions and reflect the ideas that are being expressed by the person with stroke, but what they're not doing is they're not offering any advice or suggestions or pathways forward or how abouts or what abouts. They are not, and this is probably the hardest part. They're not passing any judgment, and that includes good judgment. So, by saying something like, "oh, that sounds like a really good idea", which seems like a really normal response from most people, it kind of implies that there are other ideas that are less good. Or the person with stroke might feel as though they are needing to have that kind of external validation, that external approval, and, and what we don't want is to for them to feel like they're doing this or saying this or thinking these things for the facilitator. We want them to think about it for themselves. And so all we encourage people to respond, is "oh, so you'd like to ride your bike, that's really interesting. How, how do you think you'll, you'll go about doing that?" You know, it's, it's much more neutral, but reflective way of speaking and listening, I guess. Katie Strong:  I am curious, how long is the training, or you know, what kinds of.. what we didn't talk about this, but I know people are going to want to know. So, what does it take to be trained? Vivian Fu: This is quite funny. This is a thing that sort of been on my mind ever since we've started implementation around the world, and I have this ultimate goal of operate like actually making the training have some type of qualification and fidelity, and some structure. There is structure, but it's essentially myself or Harry doing a Zoom with people, and it takes maybe say four hours. But ideally, what we'd love to do is to have sort of recorded videos, and then we'd have live sessions, and then we'd have assessments, and then you get a certificate at the end. I have neither the budget or the… Katie Strong: There's always the next step, for sure. Vivian Fu: I'd love to be for people to be able to say, "Oh, I'm Take Charge trained" and for them to be able to like "Look, I've got this qualification, I'm Take Charge trained, I know how to do this," and especially for if we were thinking about doing it in more clinical trial settings, I think that's really important, but also, you know, for people, you know, to have on their CV, if they're moving between jobs and things, I think it's so useful. But yeah, basically people get in touch with myself or Harry and say, "Hi, we'd like to be trained, can you fit us in?" And we just do it for free. Katie Strong:  Lovely, I love it. And the other question I had as you were talking was how long is a typical session or or is there is there length? Vivian Fu: So in the trial what our facilitators did was they because it was face to face and they had to drive between people's houses, they booked in the session, usually at 10:30 in the morning, and then another session, I think, if I remember correctly, either maybe it was 1:30 in the afternoon. And so you can probably surmise that for people with stroke, usually the 10:30 slot is the most popular. And you know, some people would would prefer to wake up earlier and be ready earlier, so they might ask for something like 9 o'clock and then they might usually go for about an hour and a half to two hours if it's a good going session, and they're really digging deep, and there's a lot to say. And often you know that first half an hour is, "Here's a cup of tea and a biscuit. Let's get to know each other. Tell me all about what happened with your stroke." That kind of stuff, so that listening and connecting stuff actually takes takes a while to establish, and I think people just allowed for that time. Then they'd do a second session in the afternoon again. There are lots of things, you know, cognitive problems, fatigue is a big one. So, if people felt like they couldn't keep going, the facilitator would say , "That's totally fine, we'll book in for, you know, do the rest of this another time, is that okay?" It was fine to really just, you can truncate it and break it up as much as the person really wants. Katie Strong:  Thank you. I appreciate the extra information. You had a recent publication in 2025 with some colleagues that looked at this work from a qualitative lens.  You came up with some themes about doing things my way, coming to my own wisdom, and they're just so deeply related to identity, and what struck me was the contrast participants drew between Take Charge care and standard care, where they described being put in a box receiving scripted advice that had really nothing to do with who they were as a person. And when someone gets to tell the story of who they are to a genuinely good listener, something shifts. I was just curious, if you could think about what you think is happening there, or what you found in your study. Vivian Fu: Well, I think for the most part, as a, you know, as a clinician, if we think about from the moment the person has a stroke, they disempowered from that very moment.  Something happens where they just aren't themselves, and they are brought into a merge. A bunch of things happen to them that they can't really even speak up about. You know, they're popped in a scanner. They might get thrombolised, you know, all these things are happening. And the person doesn't really know what's going on. There are a lot of important qualitative studies that have been done, looking at that element of feeling disempowered, and what somebody in New Zealand study described as feeling gut-wrenchingly emotional. You know, experiences that that aren't heard and aren't ever expressed to to anyone in the healthcare side and aren't dealt with, and so, if you think about that, just that trauma of having a stroke and then going through all of that stuff, and you know, ending up in a bed somewhere on a ward with strangers on the other side of a curtain, and it's really pretty traumatic. And so I think what was powerful with Take Charge was it's an it's an opportunity for someone to finally tell their story and feel heard and for all that stuff to just come out. And a lot of the time you know people might say, "Oh, well, you could talk to your family, you can talk to your kids, or, you know, whatever. Once you get home" but actually, a lot of people don't feel like talking to those who are closest to them about how much it affected them, and there is still an element of stigma. There's still an element of, "Oh, you know, you look great physically, you to someone we know having had a big health scare, and then kind of coming back into that. But there's there's a real dissonance between what is going on inside a person and and how other people are reacting to them coming back into "normal spaces". And so I think the ability to tell your story from the very get go. You know, all of the messiness of it. All the things that went wrong, and then to have somebody listen to that really gives meaning to it and makes it real, but it also helps that person really reestablish their sense of power to regain some power from that that they had lost. And there's a lot of power in story, and I think the kind of, you know, lovely thing about it is that sort of all indigenous cultures sort of be like, you know, First Nations, Māori, Gaelic, a lot of cultures really put a lot of value in the power of storytelling. And that is how historically things were really passed down, and so I think it's through that ability to be able to feel heard and to tell your story that then the person who is speaking can actually hear themselves say things out loud for the first time. And then understand the power and the value and the worth in their words and their experience, and that is that process of coming to my own wisdom, is "Oh, actually, you know, I do know about my body. I am, I am the expert, not these people in their white coats, or you know, with their expertise, I am the expert. I know what I need. I can plan my rehabilitation. I can go back to the things that I want to do, and this is how I'm going to do it." And it's that, that kind of reestablishment of confidence and strength and hope that is so powerful. I think. Katie Strong: I agree. I agree, Vivian. As you know, our listeners are primarily speech language pathologists working with people with aphasia. We also have people with aphasia that are listening, and researchers as well. But you know, the capacity for language being disrupted by aphasia. I was just curious, with Take Charge, as you've studied it, is you know, really a talking therapy with writing, and, and those sorts of things, and so I was just curious, you know, what would it take to extend this kind of intervention to people with aphasia, and what principles would you want to most preserve in the adaptation. Vivian Fu: Yeah, thank you. That's such an important question. We certainly, in the Take Charge trial, included people with aphasia in the trial, and the way that we sort of just included them was if they could understand or the consent form and could mark an "x" on the form, we'd be happy to to have them included, and so we had people with mild to moderate and moderate to severe aphasia in the trial. And we hadn't made any specific changes or tweaks to the intervention, the facilitator just did what they could with what we had. But I think what has come out of reviews of the implementation of Take Charge now in New Zealand is that it is really important for us to look at how we can adapt the intervention for people with aphasia. I think for the facilitators in the trial, what they did was they allowed a lot more time, so the usual two and a half hours became three and a half hours, and that was fine if the person could continue. But also I think from the report we need to look at alternative ways of how we can complete some of these activities, whether it's providing images where people can point, whether it's a lot more inclusion of their family, their whānau important people to them who can help with, you know, subtle guidance, and, and, and having sort of lived with the person now, can read their non-verbal expressions a lot better than a stranger, a facilitator can and can help with the guidance of participating. And really, while Take Charge has been translated, I think, now into seven or eight different languages, we really need to adapt Take Charge to other communication needs and other languages, but what I.. so my role.. sorry, I didn't.. I'd actually say this, but my role in the in the large trial was as the blinded outcomes assessor, so I went around at one year after stroke. I traveled around to the 400 or so different other people, participants' homes around the country, and I sat in their living rooms, and I listened to their stories again. And then I did all of their outcome instruments and got all of their outcomes done, but I did not know which group they were allocated to. And then I locked all the data, and then I'd say, "Hey, so which group did you get Take Charge or not?" And it was really, it was good. I think out of the 400 there were only two people who, when I turned up, actually had the booklet on the table, and so you know, I just ignored it, and then, but yeah, it was, it was really good in terms of sort of blinding and masking, and then sort of having a guess as I was going through and checking where things were at. It was such a privilege for me to, as a stroke doctor, I think you know people don't usually get to do this as a physician, but to, to meet so many different people with so many different stories, and a number of people who still had moderate to severe aphasia, and and were telling me about the impacts of that on their life. But we were still able to communicate a year after stroke, and so I think it is so important that we don't exclude people with cognitive and communication difficulties. We have to adapt the things that we have to make it work for them. What I'd love is to be able to have some kind of focus group with people with aphasia, and, and show them Take Charge, and realize, oh, what can we do? How would this work better for you? Katie Strong:  I love that, and well. Well, and we haven't talked about the materials yet, but I do have to say they're so accessible, or they're very accessible from a visual standpoint as well. Vivian Fu: Thank you. Yes, we are actually modifying them and making the font bigger and having better graphics. We started off with stick figures that Harry drew, and then I think we're actually making them a lot nicer in terms of the graphics, but what we do have at the moment is actually available online for free, and you can just download them as a package. It's if you Google it, it's the Medical Research Institute of New Zealand, or www.mrinz.ac.nz  and then under programs, and we spell that as p r o g r a m m e s, and then under programs slash forward slash stroke, I think is where it lives, and at the bottom of the page you should be able to download, a training package and the booklet itself. Katie Strong: Yes, lovely, and we'll have the links on our show notes as well, so you can check those out, listeners, if you're interested. So, thank you. You have two randomized controlled trials that you've talked a little bit about, and a cost effectiveness analysis and qualitative work, all pointing in the same direction that the cost data suggests that Take Charge actually might save money, and that is remarkable, and lots of evidence showing that, but still, it's a challenge in implementing into standard practice, and I was curious if you could talk with us about what you think stands between what the evidence shows and what actually gets implemented. Vivian Fu: Sure, gosh, I love this question. It's it applies for so many interventions, I think, specifically for Take Charge, it's a number of things. So definitely the stuff that affects other interventions being implemented, but for Take Charge itself, it started off with a huge amount of disbelief bias, so people, you know, even after I presented the main results of the second trial at the European Stroke Conference in gosh, when was that? 2019 pre-COVID in Milan. So this is a huge international stroke conference, and this was a plenary session. People stood up and took photos of the results and went, you know, there was this collective gasp throughout the audience of 6000 odd people, but there's just this disbelief that something as simple as a conversation can make a difference to people's objective quality quantitative outcomes, like the, you know, Bartel or the FIM, what they, you know, what their physical outcomes are like at a year. And what their quality of life is like. I think for people who are stroke researchers, a lot of the focus is on that initial 24 to 48 hours after stroke. And you know, that that's kind of where that's kind of where all the funding goes, isn't it? So it's the pre-hospital stuff, and then the interventional things you can stick catheters into and thrombolysis, and you know that's, and that's all great. You know, I, as a stroke physician, I love that part of stroke as well, but to think that you could possibly do something at three to 18 weeks after stroke that could change a person's outcome by a year, and actually we've got a long-term follow-up study now that says that those those same magnitude of changes are still present at five years between the groups is, you know, kind of gobsmacking. And people just go, surely you've fudged this, or surely this can't be true. And so there's this huge disbelief bias that stopped us from being able to publish initially, and it was only after I presented the results in Milan that that we got accepted into a journal. And we'd been trying for about a year beforehand, and, and so there's, there's that disbelief. But also in the way that it has to be provided, you know, it's probably considered quite labor intensive. You know, one on one home visits, and that's why people of other researchers who do believe in Take Charge are now looking at providing take charge in different ways. Like I did a telehealth trial in Canada, in southern Alberta, when I was there as a fellow in Calgary, and there's potential other work that's being. Done in Australia with Take Charge, looking at providing it by computer avatars, by even maybe even AI, and maybe in a larger sort of telehealth format. And so you know other ways of doing it, but I think ultimately it's kind of cultural inertia, because you know, "We've never done this, this is not part of who we are. Why would we need to start something new?" There's probably kind of an established way of thinking about clinician and, and patient, rather than person with stroke, in still in how we practice, and this idea that the therapist and doctor are experts. And so I think it really challenges that dogma and challenges clinician's role, and therefore there's a resistance to accept that this is something that is useful and helpful, and actually doesn't, you know, you don't need to take it personally. You're still doing great work. Take Charge is just a tool that helps supplement everything else that's going on, and so there's a lack of time, and I think we also get quite, as practicing clinicians, we get quite tunnel visioned into this, you know, hamster wheel of go to work, treat all these people, go home. We just keep doing it. Hoping that things will get better for them, but, you know, we, it's only when we start looking at alternative interventions and alternative things that work and start trialing them and being open to that, that I think things will really start to change. We've certainly had interest from random little parts around the world. I think it's been translated into Latvian. I've got people from Sweden who are interested. A little hospital in Germany, and then parts of it's been trialed in pilot studies in the UK. And Harry and I last year trained a whole bunch of occupational therapists in Hong Kong, so you know it is, it is kind of picking up, slowly but surely. Katie Strong: Well to me, you know, most stroke survivors, or people with stroke, as you're referring to them, have chronic challenges, and so all of the early intervention, while important, doesn't necessarily help somebody navigate that longer term change. And so I love that this is just such an empowering way of putting that power back into the person's life, which it seems like it is showing up n in the results that you're sharing. Vivian Fu: Oh, absolutely. I mean, if we think about it, if we just think about thrombectomy and thrombolysis, somewhere between five to 15% of all people with stroke are eligible, and then receive the treatment. That leaves what?, 85 to 95% of people who don't get to receive that. And even after they receive the treatment, there are consequences of stroke that are beyond the physical that don't you know don't have any other thing to address them apart from our routine care, so I completely agree with you. Katie Strong: Well, thinking about what clinicians might be able to do tomorrow or you know, in the near future, for our speech-language pathologists or other practitioners who are listening today and are feeling the pull of this work, and you know, really encouraged by it, but are you know working in an embedded productivity driven impairment focused system, what's one thing that they could do differently in the very next clinical encounter that they have? Vivian Fu:  We have a paper, I think it's written. Oh gosh, where did it.. where did it get published? I think it was published in Practical Neurology. It's titled something, something intrinsic motivation. I should know better. Katie Strong: I'm going find out, and I don't think I read that one, so I'm gonna find it, and I'll put the link in the show notes for everybody. Vivian Fu: Sorry,Harry about the promo, but yeah, I'll send it to you, but essentially it's written to give some guidance on how you can embed Take Charge into your daily clinical practice. And it's written for neurologists, but honestly it applies to everybody.  One of the key things is when you have that next encounter, obviously you know therapists do this a lot better than doctors do, but they ask a lot about, you know, what's outside of the person's life and what's important to them, but maybe move away just, you know, from the very practical questions like "How many steps do you have going in and out of your house?, and How do you hang up your washing?", or whatever, but it's, you know, really much less functional, but more, "Who are you? Tell me a bit more about yourself. What do you love doing? What gets you out of bed?" You know, if I might, the one that I like to use a lot on my ward rounds is, "If you weren't in this hospital bed right now, where would you rather be? What would you rather be doing?", and I do that on my rounds, and it's incredible, because you know, I'll hear all sorts of things, "I'll, you know, be on my boat fishing out on the lake", or I think this lady was like 84 or something. "I'll be with my girlfriends, we'll be having coffee at Tim Hortons", you know, and it's just, I don't know, it's something so unique to that person that I could never, you know, they're in their hospital pajamas with a whole bunch of stuff stuck to them, and I can't envisage them doing that, and yet I'm like, I want you to imagine yourself there. Where would you rather be? Okay, so everybody, that's our goal. It's not to get her home or to get her walking again. Our goal is to get her back in Tim Hortons with her eight friends, having coffee, like that is what this person loves to do. And I think that you know that inquiry, that it shows you care, it shows you see them as an individual, and I think it completely shifts your rehab focus, and then you can ask more questions about that, and they, you know, then you have this whole conversation about about what their life is like. And I think that part of being seen, even if it's only within 60 seconds, makes such a difference to that person. So that's one thing. The second thing I'd be, you know, doing is I'm trying to involve family as much as possible, as much as the person wants, and basically, just seeing them as an individual makes a huge difference already to the way you practice, that would be what I'd focus on. Katie Strong: Agreed, agreed. Well, Vivian, is there something you wish people asked you about this work that they rarely do, something about Take Charge or stroke recovery more broadly that you think the field hasn't quite caught up to yet. Vivian Fu:  Oh gosh, this is a tricky one. I think one thing we ought to recognize is that everybody is doing the best that they can with what they have. And you know, we're not as clinicians on the ground on the front line, we're not involved with funding decisions, and what projects get funded and which ones don't. And there will be the ambitious amongst your listeners, who I really hope will be like, "Oh my gosh, I can apply for this little grant, and I'm going to pilot this, and I think we should give this a go with our people." and I think that is absolutely a great idea to have. And, and I would, myself and Harry will do everything that we possibly can to help support such projects from where we are. I think the important thing to think about is that every little bit that you do makes a difference, and to not feel as though, because you know your funding runs out, or you don't get it, or the world is such a bleak place that you know it's not worth continuing to try. Because people with stroke who see you do this work, they will be grateful for it. And also the patient partners I've met that I've spoken with, and all of the people whom I've interviewed with the qualitative work, they're also happy to be part of something like this. And so even if it's a pilot project. Even if it's, you know, something that may not last, you'd be so surprised at how much momentum you can build with a movement of people who see the value in this and then take it further and further, And that's what I've been really impressed by, and kind of stunned by in all these different locations around the world who have contacted me. I've just been like, "Wow, can't believe [this]." There's this wonderful group in Hunter Medical Research Institute down in Australia, who basically took Take Charge back to their own unique Aboriginal community, the Gamilaroi peoples of that particular area of Australia. They have, like Canada and like the States, they have 1000s of tribes and lots of different groups that all speak completely different languages, but they took it to their local group, and they broke down, take charge into little bits, and then rebuilt it into an intervention that just works for them, and it's called "Yarning Up after Stroke", because what they do is they have a yarn. They yarn, and that's the way they tell their stories. It's yarning, and so you know, I just think it's incredible. Like, they got funding for it, they did it, and now it's an ongoing project that just keeps on in the community being provided to their people, and it's fantastic. So, I think it'll evolve. I love to see how it evolves, and I certainly don't think of, you know, this isn't the kind of intervention that we go around patenting and making a ton of money out of. It's the kind of intervention that everybody makes their own, and hopefully with a lot of input by people with stroke, Katie Strong: I love it. Thank you. Thank you so much for being our guest today, and sharing about Take Charge, and your generosity in sharing about the intervention, and if people are interested in reaching out to contact you, so thank you so much, Vivian. Vivian Fu:  Thank you so much for having me. I hope I haven't spoken too long. Katie Strong: Oh no, it's perfect. Vivian Fu: I'm always happy to be contacted, and yeah, very happy to support anyone who'd like to explore this further. Katie Strong: Thanks so much. On behalf of Aphasia Access, thank you for listening. For references and resources mentioned in today's show, please see our show notes, available on our website at www.aphasiaaccess.org. There you can also become a member of our organization, browse our growing library of materials, and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, here at Central Michigan University in the Strong Story Lab, I'm Katie Strong. Dr. Fu's Email  dr.vivianfu@gmail.com  Resources and Readings Fu, V. (2019). Taking Charge After Stroke: A novel, community-based intervention to improve the lives of people with stroke. https://www.semanticscholar.org/paper/Taking-Charge-After-Stroke:-A-novel,-intervention-Fu/3bc1dbb271f425c72e146510088856e3aad8683e  Fu, V., Fernando, K. M., Bright, F., Riley, J., McPherson, K., & McNaughton, H. (2025). Coming to my own wisdom: A qualitative study exploring the role of the Take Charge intervention in stroke recovery. Clinical Rehabilitation, 39(3), 377–387. https://doi.org/10.1177/02692155241310770 Fu, V., Weatherall, M., McPherson, K., Taylor, W., McRae, A., Thomson, T., Gommans, J., Green, G., Harwood, M., Ranta, A., Hanger, C., Riley, J., & McNaughton, H. (2020). Taking Charge after stroke: A randomized controlled trial of a person-centered, self-directed rehabilitation intervention. International Journal of Stroke, 15(9), 954–964. https://doi.org/10.1177/1747493020915144 Fu, V., Thompson, S., Kayes, N., & Bright, F. (2025). Supporting long-term meaningful outcomes in stroke rehabilitation. Current Neurology and Neuroscience Reports, 25, 17. https://doi.org/10.1007/s11910-025-01403-z Harwood, M., Weatherall, M., Talemaitoga, A., Barber, P. A., Gommans, J., Taylor, W., McPherson, K., & McNaughton, H. (2011). Taking charge after stroke: Promoting self-directed rehabilitation to improve quality of life - a randomized controlled trial. Clinical Rehabilitation, 26(6), 493-501. https://doi.org/10.1177/0269215511426017  Te Ao, B., Harwood, M., Fu, V., Weatherall, M., McPherson, K., Taylor, W. J., McRae, A., Thomson, T., Gommans, J., Green, G., Ranta, A., Hanger, C., Riley, J., & McNaughton, H. (2022). Economic analysis of the 'Take Charge' intervention for people following stroke: Results from a randomised trial. Clinical Rehabilitation, 36(2), 240–250. https://doi.org/10.1177/02692155211040727 McNaughton, H., & Fu, V. (2023). Intrinsic motivation. Practical Neurology, 23(6), 489-492.  https://pn.bmj.com/content/23/6/489  McNaughton, H., Gommans, J., McPherson, K., Harwood, M., & Fu, V. (2023). A cohesive, person-centric evidence-based model for successful rehabilitation after stroke and other disabling conditions. Clinical Rehabilitation, 37(7), 975-985. https://doi.org/10.1177/02692155221145433   Medical Research Institute of New Zealand. (n.d.). Take Charge rehabilitation resources. https://www.mrinz.ac.nz/take-charge-rehabilitation-resources World Stroke Organization. (n.d.). Taking Charge after stroke: A person-centred approach to life after stroke [Webinar]. https://www.world-stroke.org/what-we-do/education-and-research/education/webinars/taking-charge-after-stroke-a-person-centred-approach-to-life-after-stroke  

Why is it you get stuck on what should be unimportant things that your children, co-workers or partner seem to inflict on you day after day? Why you can't be "mature" and just let them go? Maybe it's because you haven't taken charge of your Reticular Activating System (RAS) — the part of your brain that determines what's important and what's not. In this podcast, discover what your RAS is and how to take charge of it, finally!

7/24: Hosts Josh Silver & Larry Hott Max Page, Former President of the Massachusetts Teachers Association: Billionaire tax and newly freed up millions for public education, but when will it get to the schools? David Bollier, Author of the book “How to Think Like a Commoner”. The commons, a parallel social economy helping millions take charge and escape the predatory state order. Abbe Spector & Jess Dawson of the Northampton Information Hub: Get real, honest, true, fact-checked information on everything to do with Northampton's Government. Evan Goodchild: Tells prospective podcasters all they need to know to record, produce, & reach millions of listeners with a compelling show. Artbeat w/ Donnabelle Casis: Nikki Bassette & Dan Jones owners of Abracadabra Film Lab & Trevor Powers Artist and wrestling fan and the return of analog photography.

SpeakersMatthew McConaugheyhttps://www.instagram.com/officiallymcconaughey/https://www.facebook.com/MatthewMcConaughey/https://twitter.com/McConaugheyGreenlights book: https://amzn.to/2YinBAMJordan Petersonhttps://www.youtube.com/user/JordanPetersonVideosLes Brownhttps://lesbrown.com/Get Les Brown's free 30-day challenge at lesbrown.comAlex Hormozihttps://www.instagram.com/hormozi/via: https://www.youtube.com/@ChrisWillxMarcus TaylorYouTube: http://bit.ly/38FUFoSInstagram: http://bit.ly/3aLfu3PWebsite: https://unlockelevation.com/Douglas Murray'https://www.instagram.com/douglaskmurray/Eric ThomasYouTube: http://bit.ly/2ua2os4http://etinspires.com/Jocko Willinkhttps://www.instagram.com/jockowillink/via: https://www.youtube.com/@ChrisWillxCoach PainYouTube: http://bit.ly/2LmRyeaWebsite: http://bit.ly/2YTgWvqBook Coach Pain: http://bit.ly/2JMefFuJoin the Coach Pain Academy: http://bTim Groverhttps://www.instagram.com/timgrover/Susan David https://www.susandavid.com/via Impact Theory: https://www.youtube.com/@TomBilyeuMusic licensed from:AudiojungleEpidemic SoundChasing Daylight' by Scott Buckley - released under CC-BY 4.0. www.scottbuckley.com.auhttps://www.youtube.com/watch?v=msnp0pmvJQQTwelve Titans - Ascend The Starless Sky, Finding Hope, Indestructablehttps://www.youtube.com/channel/UCDhAPVW3Pt4pPAeUNbddgGwhttps://www.instagram.com/twelvetitansmusic/Audiomachine - No Matter Whatcode: sharp-stings-victor-rhumbaReally Slow Motion Buy their music:Amazon : http://amzn.to/1lTltY5iTunes: http://bit.ly/1ee3l8KSpotify: http://bit.ly/1r3lPvNBandcamp: http://bit.ly/1DqtZSo Hosted on Acast. See acast.com/privacy for more information.

Counter-terrorism police have taken charge of the investigation into the suspected murder of Anne Whittacombe, as former Met detective Peter Bleksley slams Devon and Cornwall Police's handling of the case and warns Britons must now take responsibility for their own safety. Attorney General Lord Hermer faces backlash after mocking ECHR critics in a bizarre Instagram video. Elsewhere, Taxpayers' Alliance chief John O'Connell warns of the dangers of Ed Miliband becoming Chancellor, tax hikes on wealth creators, and a growing two-tier Britain after benefits claimants were exempted from hosepipe bans.Duncan Barkes is sitting in for Julia Hartley-Brewer. Julia Hartley-Brewer broadcasts on Talk from Monday to Thursday, 10AM to 1PM. Available on YouTube and streaming platforms, along with DAB+ radio and your smart speaker. Hosted on Acast. See acast.com/privacy for more information.

Charge F Rebecca Leslie on making the CTC the teams new home, FanDuel and the Blue Jays

1.If you are a jobseeker or if you are not, please pass on this information to someone who is looking as all who are unemployed absolutely should subscribe to my YouTube jobsearch page by clicking this link. Just go to   " https://www.youtube.com/@JobSearchHelpRightNow " & watch my videos & shorts which are constantly updated based on market conditions & new information. Listen to my listed audio podcasts on that page as well. There is a paid level for even more tips and tools if you want to signup for that as well. Please remember to set your notifications so that you are alerted when I put new content up. All of my items are now organized into playlists that allow you to easily access my video or audio episodes based on your needs and media preference. Check it all out today & get your jobsearch moving quickly. Then I ask that you please spread the word to anyone who could use this information so that I can help as many people as possible. There are many people out there that are hurting terribly & I want to help as many as I can with my tips and tools, so please spread the word. 2.Get even more jobsearch tips by joining my jobsearch private 'extra help' level YouTube page. Just sign up here. https://lnkd.in/epu2dP4J 3. Get you job search flying. Jamie Edwards is a voice & advocate for jobseekers who offers USA an Canada job searching advice & paid, hands on 1-on-1 coaching. He offers many job search services at very cheap prices. Sign up for a FREE 15-minute discovery call go to https://lnkd.in/eftnjMPa and get your FREE discussion scheduled. Please tell him that I sent you. 4. Join my FREE LinkedIn Jobsearch Group here. https://www.linkedin.com/groups/6691390 5. Jobseekers, get jobs emailed to you. Join this newsletter by emailing ChrisGrasso@gmail.com 6. Check out all my free podcasts here. https://patron.podbean.com/Ahines1 7. You can also purchase my ebook on Amazon. Check it out and learn how to TAKE CHARGE of your job search by going to https://lnkd.in/e85PzKq 8.Newly revised list of top job boards could be the key to unlocking your next career move.Here's what makes this list stand out:        102 curated job            boardOrganized by industryOptimized for maximum impact. Want to supercharge your job search? Check out this post here: https://lnkd.in/g-gavJts.  9.The link below is to a real & absolutely free #LinkedInLive event for all jobseekers to get some help & is not a scam. Hope you can attend. Please add to your calendar so you will be reminded & not miss this. Please also repost &  advise your network so that other jobseekers can attend and then they & you can get their next great job .Thanks & seeya then. You will not be sorry. https://www.linkedin.com/events/easytoimplementsecretstohelpyou7362080936382844928/theater/ Remember, Over the last 14 years, I have done everything I can to help as many #jobseekers as possible via Powerpoint presentations, documents , speaking engagements and now LinkedIn presentations that LinkedIn promotes for me. I also, whenever possible, scroll down my feed and every time I see a person that is #opentowork, I drop an invite to my next #LinkedInLive event or if I am not having one my #YouTube page that has hundreds of videos and audio events. I know that I have helped thousands of people in some way to get out of the canyon called #Unemployment and back into the job world. I could've charged a lot of money to a lot of people over the years because my stuff works and it works fast if you are someone that goes and attacks challenges. I don't charge people a lot of money because they need their money to eat and pay their rent and provide for their family when they are unemployed because they don't know when that nightmare will end. That is why I don't make it a giant moneymaking endeavor. I do this from the heart because I never forget how bad it felt to be unemployed and how awful every day was until I knew what my next job was. That said, I cannot believe when someone is offered free help from someone who has been doing it for as long as I have that they would ignore my invite and not come to the event. All I will say is here is an invite to my next event and if you are a #jobseeker you should come because something I say will help you to get in next great opportunity. It's different for every person, but something will resonate. With all of the people being mistreated and ghosted and punched in the face on this platform by people who have no interest in helping, I offer all I can give you to help you get back on your feet.

1.If you are a jobseeker or if you are not, please pass on this information to someone who is looking as all who are unemployed absolutely should subscribe to my YouTube jobsearch page by clicking this link. Just go to   " https://www.youtube.com/@JobSearchHelpRightNow " & watch my videos & shorts which are constantly updated based on market conditions & new information. Listen to my listed audio podcasts on that page as well. There is a paid level for even more tips and tools if you want to signup for that as well. Please remember to set your notifications so that you are alerted when I put new content up. All of my items are now organized into playlists that allow you to easily access my video or audio episodes based on your needs and media preference. Check it all out today & get your jobsearch moving quickly. Then I ask that you please spread the word to anyone who could use this information so that I can help as many people as possible. There are many people out there that are hurting terribly & I want to help as many as I can with my tips and tools, so please spread the word. 2.Get even more jobsearch tips by joining my jobsearch private 'extra help' level YouTube page. Just sign up here. https://lnkd.in/epu2dP4J 3. Get you job search flying. Jamie Edwards is a voice & advocate for jobseekers who offers USA an Canada job searching advice & paid, hands on 1-on-1 coaching. He offers many job search services at very cheap prices. Sign up for a FREE 15-minute discovery call go to https://lnkd.in/eftnjMPa and get your FREE discussion scheduled. Please tell him that I sent you. 4. Join my FREE LinkedIn Jobsearch Group here. https://www.linkedin.com/groups/6691390 5. Jobseekers, get jobs emailed to you. Join this newsletter by emailing ChrisGrasso@gmail.com 6. Check out all my free podcasts here. https://patron.podbean.com/Ahines1 7. You can also purchase my ebook on Amazon. Check it out and learn how to TAKE CHARGE of your job search by going to https://lnkd.in/e85PzKq 8.Newly revised list of top job boards could be the key to unlocking your next career move.Here's what makes this list stand out:        102 curated job            boardOrganized by industryOptimized for maximum impact. Want to supercharge your job search? Check out this post here: https://lnkd.in/g-gavJts.  9.The link below is to a real & absolutely free #LinkedInLive event for all jobseekers to get some help & is not a scam. Hope you can attend. Please add to your calendar so you will be reminded & not miss this. Please also repost &  advise your network so that other jobseekers can attend and then they & you can get their next great job .Thanks & seeya then. You will not be sorry. https://www.linkedin.com/events/easytoimplementsecretstohelpyou7362080936382844928/theater/ Remember, Over the last 14 years, I have done everything I can to help as many #jobseekers as possible via Powerpoint presentations, documents , speaking engagements and now LinkedIn presentations that LinkedIn promotes for me. I also, whenever possible, scroll down my feed and every time I see a person that is #opentowork, I drop an invite to my next #LinkedInLive event or if I am not having one my #YouTube page that has hundreds of videos and audio events. I know that I have helped thousands of people in some way to get out of the canyon called #Unemployment and back into the job world. I could've charged a lot of money to a lot of people over the years because my stuff works and it works fast if you are someone that goes and attacks challenges. I don't charge people a lot of money because they need their money to eat and pay their rent and provide for their family when they are unemployed because they don't know when that nightmare will end. That is why I don't make it a giant moneymaking endeavor. I do this from the heart because I never forget how bad it felt to be unemployed and how awful every day was until I knew what my next job was. That said, I cannot believe when someone is offered free help from someone who has been doing it for as long as I have that they would ignore my invite and not come to the event. All I will say is here is an invite to my next event and if you are a #jobseeker you should come because something I say will help you to get in next great opportunity. It's different for every person, but something will resonate. With all of the people being mistreated and ghosted and punched in the face on this platform by people who have no interest in helping, I offer all I can give you to help you get back on your feet.

Emmy- and Artios-nominated casting director Wendy S. Kurtzman joins us to discuss her book, Acting is Your Business: How to Take Charge of Your Creative Career. With over 35 years of experience in film, television, and theater, Wendy shares actionable strategies to help actors take control of their careers, position themselves as CEOs of their own creative businesses, and build lasting professional relationships. This episode offers practical insights into navigating the entertainment industry, from connecting with working professionals worldwide to leveraging tools, worksheets, and insider advice for emerging and seasoned actors alike. Learn more about your ad choices. Visit megaphone.fm/adchoices

If you're struggling with fertility, you have options. This week's guest is here to provide them. Dr. Jaime Knopman is a double board-certified OB/GYN and reproductive endocrinologist who serves as the National Director of Fertility Preservation for CCRM Fertility of New York and the Medical Director of The Chick Mission, a nonprofit supporting young adult cancer patients facing fertility challenges. She's also the author of Own Your Fertility: From Egg Freezing to Surrogacy, How to Take Charge of Your Body and Your Future. Hear how egg freezing technology & surrogacy have advanced in recent years, the history of egg freezing, what the costs look like for egg freezing & surrogacy, whether we can extend the life of ovaries, and the age she recommends freezing eggs. Tune in to this episode to help more mothers navigate fertility and benefit from egg freezing & surrogacy.   Learn more: Dr. Jaime Knopman CCRM Fertility of New York The Chick Mission   Today's Hot Flash and other stats from: Johns Hopkins Bloomberg School of Public Health

SpeakerTu Lam https://www.youtube.com/@ronintacticsinchttps://www.instagram.com/ronintactics/https://www.ronintactics.com/MusicEpidemic Sound Hosted on Acast. See acast.com/privacy for more information.

In this episode of Health Gig, Doro and Tricia welcome Dr. Stacy Sims, an exercise physiologist and nutrition scientist, to talk through the complex questions women face about their health, particularly as it relates to aging and menopause. These topics range from the importance of understanding hormonal differences and the significance of strength training, to the evolving perspectives on hormone replacement therapy and women's health studies in general. Dr. Sims advocates for the necessity of personalized approaches to treatment and the ongoing research in women's health. She leaves listeners with the charge to take the lead on their health and well-being practices. This is the second of a two-part conversation. Listeners will receive 15% off Dr. Sims' online courses at https://www.drstacysims.com/product_guide using the code DRSTACYSIMS15OFF

Have you ever caught yourself thinking, "I should be over this by now"? Maybe an old fear or insecurity shows up, and instead of just feeling it, you feel bad about feeling that way. Most of us were taught that hard feelings — shame, envy, anger, boredom — are problems to be solved or character flaws to fix. And when they don't go away, we pile on a second layer of distress. But my guest today says that's exactly where we go wrong. The goal isn't to get rid of hard feelings. It's to get more curious about them. My guest is Daniel Smith, a writer turned therapist whose new book is called Hard Feelings. Some of the things we discuss are: Why hard feelings aren't problems to solve — and what happens when you stop trying to optimize them away Why shame is the master uncomfortable emotion, and how it often gets passed down through families in silence The trap of asking "why do I feel this way?" — and the better question that actually helps Why decades of personal work doesn't make old anxieties disappear The hidden cost of the positivity industry — and how well-meaning advice can become unintentionally shaming What boredom, envy, and even anger are trying to teach you if you're willing to listen The difference between sitting with a feeling and needing to shift one — and how to know which moment calls for which The Therapist's Take: My top three strategies for getting curious about hard feelings starting today Related Episodes ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 224 - 8 Myths About Feelings That Can Sabotage Your Emotional Intelligence ⁠148 — How to Take Charge of Your Feelings Links & Resources Hard Feelings Connect with the Show Buy a copy of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠13 Things Mentally Strong People Don't Do⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Amy on Instagram —⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@AmyMorinAuthor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Visit my website —⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠AmyMorinLCSW.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sponsors Helix Sleep —Go to ⁠⁠⁠⁠helixsleep.com/STRONGER⁠⁠⁠⁠ to get 20% off sitewide   AirDoctor — Head to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠AirDoctorPro.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and use promo code STRONGER to get UP TO $300 off today! One Skin — Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠oneskin.co/STRONGER⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code stronger to get up to 30% off your first 3 subscription orders Quince — Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Quince.com/stronger⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for free shipping on your order and 365 day returns! Flamingo — Get a $7 starter set at ⁠⁠⁠⁠⁠⁠⁠ShopFlamingo.com/STRONGER⁠⁠⁠⁠⁠⁠⁠ Subscribe to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Mentally Stronger Premium⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for exclusive content like weekly bonus episodes, mental strength challenges, and office hours with me. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Health Gig, Doro and Tricia welcome Dr. Stacy Sims, an exercise physiologist and nutrition scientist, to talk through the complex questions women face about their health, particularly as it relates to aging and menopause. These topics range from the importance of understanding hormonal differences and the significance of strength training, to the evolving perspectives on hormone replacement therapy and women's health studies in general. Dr. Sims advocates for the necessity of personalized approaches to treatment and the ongoing research in women's health. She leaves listeners with the charge to take the lead on their health and well-being practices. This is the first of a two-part conversation. Listeners will receive 15% off Dr. Sims' online courses at https://www.drstacysims.com/product_guide using the code DRSTACYSIMS15OFF

Larry Anderson joins Ike, Spike, and Fritz to break down the Phillies' recent offensive explosion and the inconsistency seen across Major League Baseball. They analyze Jesús Luzardo's performance under the pitch clock and debate whether Bryce Harper needs to take a more vocal leadership role within the clubhouse. Fritz also vents his frustrations regarding the universal designated hitter rule and shares a story about a legendary caller. 01:10 - Larry Anderson Interview 04:24 - Jesús Luzardo Analysis 08:11 - Orion Kerkering Performance 14:21 - Bryce Harper Leadership 18:33 - MLB Strategy Talk

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

This sermon will give you a lot of information you have probably never heard of. Pastor Scott will answer questions like: What are monitoring spirits and how do they operate? How to you conquer satan through the year by connecting to the rhythm of heaven? How do we set patterns daily, weekly, monthly, and yearly that keep us in sync with the Lord? What are some keys to victory throughout the year? What does it mean to get your seed in the ground? This sermon will truly equip you to walk in victory over satan throughout the year!

EVEN MORE about this episode!Have you ever wondered why the same challenges, relationships, or lessons keep showing up in your life?In this episode, Julie Ryan and Vish Chatterji explore karma, past lives, Vedic astrology, soul purpose, and the hidden patterns influencing your journey.The conversation dives into reincarnation, intuition, karma, chakras, sacred sound, meditation, and practical daily practices that help quiet the mind and strengthen your connection to inner wisdom. Vish also shares how he transitioned from corporate leadership to spiritual teaching and why aligning with your soul's purpose can transform every area of life.Whether you're curious about past lives, searching for deeper meaning, or looking for tools to navigate life's challenges with greater clarity, this episode offers profound insights and practical wisdom for your spiritual journey.Guest Biography:Vish Chatterji is an executive coach, author, and entrepreneur who blends Eastern wisdom with Western achievement strategies to help people find greater balance, purpose, and success in life and work. With degrees in Mechanical Engineering and Business, and years of study in traditional Himalayan teachings and the Chopra lineage, Vish integrates yoga, meditation, Ayurveda, Jyotish (Vedic Astrology), and mindful leadership into his coaching. He is the author of The Business Casual Yogi, Take Charge of Your Body, Mind & Career, and Astrology Decoded: The Secret Science of India's Sages, and is passionate about helping others align their inner and outer worlds.Episode Chapters:(0:00:00) - Leadership as Spiritual Practice(0:04:52) - Karma and Past Life Patterns(0:16:38) - Vedic Astrology vs Western Astrology(0:32:15) - Ancient Knowledge Systems and the Rishi(0:42:47) - Intellect, Intuition, and the Planetary Archetypes(0:52:30) - Daily Practices for Spiritual Alignment➡️ Subscribe to Ask Julie Ryan YouTube➡️ Julie's Intuitive Trainings✏️ Ask Julie a Question!

Did you know that by age 32, women may have already lost up to 90% of their eggs? For decades, women have been told they can “have it all” — career success, love, family, and freedom. But few are told how fertility and biology truly fit into that equation.In this powerful and eye-opening episode of Women Road Warriors, Shelley Johnson and Kathy Tuccaro welcome leading reproductive endocrinologist Dr. Jaime Knopman, Director of Fertility Preservation at CCRM New York, and co-author of the new book Own Your Fertility: From Egg Freezing to Surrogacy, How to Take Charge of Your Body and Your Future.Dr. Knopman breaks down what every woman needs to understand about fertility, infertility, egg freezing, delayed motherhood, reproductive health, and the biological clock. She challenges the myths and misinformation surrounding women's fertility and explains why understanding your options earlier can empower women to make informed decisions without fear, shame, or regret.A nationally recognized fertility expert, cancer survivor, and mother of two, Dr. Knopman has been featured in Oprah Daily, Vogue, Women's Health, Wired, NBC News, and more.In this episode, learn: • Why fertility is not fair to women • What causes infertility • The myths surrounding infertility and egg freezing • What women should know before delaying motherhood • The reality of the biological clock • Fertility preservation and reproductive options• Workplace options that may pay for the freezing of eggs• The emotional and cultural pressure surrounding “having it all” • Why women deserve honest fertility education earlier in lifeIf you are thinking about motherhood now or in the future or simply want honest information about women's health and fertility, this conversation could change the way you think about your future.www.drjaimeknopman.comwww.womenroadwarriors.comwww.womenspowernetwork.net#Fertility #EggFreezing #Infertility #WomensHealth #BiologicalClock #ReproductiveHealth #DelayedMotherhood #FertilityAwareness #DrJaimeKnopman #ShelleyJohnson #KathyTuccaro #WomenRoadWarriors

Welcome to Daily Faceoff Live!Today we break down another huge night in the Stanley Cup Playoffs as the Carolina Hurricanes complete their second straight sweep and punch their ticket to Round 3.They also discuss whether the Minnesota Wild showed enough to believe in a comeback, what the Chicago Blackhawks absolutely must accomplish this offseason, and Montreal's statement response after their Game 1 loss. Plus: Cole Caufield, Lane Hutson shine!

Monique and Kevin sit down with Kendall Qualls, founder of Take Charge, homeschool dad, and Republican candidate for Governor of Minnesota. Kendall shares his remarkable journey from Harlem housing projects and fighting in the streets to corporate success, a 40-year marriage, and raising five children. He delivers a bold, unfiltered diagnosis of the real crisis facing the Black community. Kendall also exposes how many Black pastors, the NAACP, and political leaders prioritize power and votes over families, while pushing Marxist ideologies that keep communities dependent and divided. This conversation challenges the status quo of the narrative in the black community. Take Charge https://www.takechargeus.com Episode 76, S5E6

We could read it, we could love it and leave it be; but what if we grabbed ahold of it and made it our own? Well that makes the 23rd Psalm come alive, and our prayer lives too!

Susan Wise Bauer is a prolific author, former instructor at the College of William and Mary, and classical education expert. Her books include, The History of the World series, The Well-Educated Mind: A Guide to the Classical Education You Never Had, Rethinking School: How to Take Charge of Your Child's Education, and most recently, The Great Shadow: A History of How Sickness Shapes What We Do, Think, Believe, and Buy. Susan and Greg discuss the mismatches between institutional schooling and how kids learn, the historical context in which the U.S. education system was created, and practices for cultivating deeper learning, whether it be in a homeschool environment or reading for enjoyment. They also dive into Susan's latest book, The Great Shadow, and explore how historical experiences of sickness have shaped daily life, persistent health beliefs, and current tensions between vaccines and wellness rhetoric. *unSILOed Podcast is produced by University FM.* Episode Quotes: The education system mismatch 04:49: The thing about this system is it actually worked really, really well. It did what it was supposed to do for over a hundred years, which was assimilate immigrant children, teach them how to speak English, teach them how to read, teach them how to write, teach them civic virtues, teach them the Pledge of Allegiance, all of these American things. The problem is that, you know, a hundred, 150 years on, 200 years on, that regimented system simply doesn't suit a good number of the students who are sort of marshaled into it and run through it anymore than every 18-year-old would do well in Army basic training. Some of them would do great, but some of them, it's just not going to fit. And that's the challenge that we now face with our current K-12 system. Books makes us human 25:26: If we lose books, we are going to lose part of what makes us human and what has made us human since the invention of writing. We're going to lose a huge element of our evolution as people if we lose books. We need to create space where reading is just for fun 32:22: So I do see parents wanting to push kids into harder reading too early, without them realizing that if they want kids to enjoy books, then they have got to make a space in the kid's life to read things that are too easy, because that's when we enjoy ourselves—when we're doing something that is not straining every mental muscle that we have. So we do need to create also this space where reading is just for fun. Show Links: Recommended Resources: Montessori education Mortimer J. Adler  Spontaneous generation Wishbone (TV series)  Miasma theory Guest Profile: Professional Website Profile on Instagram Guest Work: The Great Shadow: A History of How Sickness Shapes What We Do, Think, Believe, and Buy  The History of the World Series  The Well-Educated Mind: A Guide to the Classical Education You Never Had  The Well-Trained Mind: A Guide to Classical Education at Home  Rethinking School: How to Take Charge of Your Child's Education Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

My site:https://SemperFryLLC.comEiffel 90: https://eiffelhealth.com Call and use ext. 101Join Dr. Glidden's Membership site here:https://leavebigpharmabehind.com/?via=pgndhealth⁠Code: baalbusters for 25% OFFMake Dr. Glidden Your DoctorUse Your Code, BB5 here:https://www.azurestandard.com/shop/brand/azurewell/2326The Azure 90 are 1. Whole Food Multivitamin, 2. Alaskan Cod Liver Oil, 3. Fulvic-Humic Energy Blend, 4. IP6 Supreme. Use code BB5 for your discount.Become a supporter of this podcast: https://www.spreaker.com/podcast/ba-al-busters-broadcast--5100262/support.

Tom & Dunny recap Manchester City's crucial win over Arsenal, why the Gunners are crumbling again, Rayan Cherki's fairytale moment, Donnarumma's issues playing the ball out of the back, the Haaland v. Gabriel battle, Doku & O'Reilly's fantastic performances, Tottenham dropping more points in the relegation race, Chelsea fans being fed up with BlueCo, where Andoni Iraola should go after leaving Bournemouth, Dunny's MLS Headlines & more! Sorry Tim. Follow Week in the Tackle on ⁠Twitter⁠ and Instagram and be sure to subscribe to our ⁠YouTube⁠ channel to get full episodes and clips of the show! Follow Tom Rennie on ⁠Twitter⁠ and ⁠Instagram⁠. Follow Brian Dunseth on ⁠Instagram⁠. Follow Tim Horsey on ⁠Twitter⁠ and ⁠Instagram⁠. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Football Pod has landed and we've been given our first shock of the championship, Westmeath dumping their neighbours Meath out, they'll face Kildare next. Dublin survive a mighty Wicklow effort, and get set to take on Louth. We're looking at the Ulster ties and next weekends Football too.Chapters(01:00) - Westmeath dump Meath out of Leinster; Freedom, Defending, Intent.(14:00) - Louth smash Wexford; eyeing-up Dublin, Devlin influence and depth.(22:00) - Dublin survive in Wicklow; missed chances, Small influence, Dubs worries.(37:00) - Derry and Monaghan get the job done, six big games coming next weekend.Thank you for tuning in, we'll be back next Monday after another weekend of Championship football.

The post How to Take Charge When You're Not in Control appeared first on Point Harbor Church.

Scott Solarick is a therapist who works with patients, many who have a history of trauma, either Big T or small t trauma, which we have talked about it prior episodes. Unresolved trauma can impact our present lives in negative ways, which could show up in the form of not following through with healthy lifestyle behaviors resulting in weight gain or regain. Scott emphasizes how important the relationship with a therapist can be in working through issues that interfere with you living your healthiest life. Scott and I had such a relaxed conversation. I know you will find him to be as engaging as I did!The Weight Loss Winformation Podcast gives you essential psychological information to help you lose weight and more importantly, to help keep you at a healthy weight for your body! No matter how you are working to lose weight and no matter how much weight you want to lose, Weight Loss Winformation will keep you moving in a positive direction. Let's get started because well… Why Weight? (get it? Pun intended… )?Resources:·      BariAfterare: www.bariaftercare.com·      Connie Stapleton PhD website: www.conniestapletonphd.com·      BariAftercare website: https://www.conniestapletonphd.com/bariaftercare·      BariAftercare Facebook page (for members only): https://www.facebook.com/groups/BariAftercare·      Kevin Stephens: Your Bariatric Buddy   https://www.facebook.com/groups/yourbariatricbuddy/people·      Instagram: @ (Caleshia Haynes)·      Instagram: @therealbariboss (Tabitha Johnson)·      Instagram @drsusanmitchell (Dr. Susan Mitchell)·      Instagram: @lauraleepreston (Laura Preston)·      ProCare Vitamins (10% off with code ConnieStapleton)·      Rob DiMedio: https://www.busybariatrics.com/·      Dr. Joan Brugman: drjbrugman@outlook.com·      Scott Stolarick LinkedIn: https://www.linkedin.com/in/scott-stolarick-lcpc-cctp-298734252/·      Scott Stolarick Mosaic Pathway Counseling https://www.mosaicpathwaycounseling.org/

Induction has quietly become one of the most common interventions in childbirth—so common that many parents assume it's inevitable or automatically safer. In this episode, we slow the conversation way down and take a careful, evidence-based look at how induction became routine, what the research actually shows, and why so many families are encouraged to induce without hearing the full story. With clarity, depth, and decades of expertise, Henci Goer helps listeners untangle fear from fact and reclaim informed choice in one of the most consequential decisions of the childbearing year. About Henci Goer   Henci Goer is an award-winning author, medical research analyst, and longtime advocate for maternity care reform. Known for making complex research accessible and usable, Henci has spent decades reviewing, synthesizing, and translating evidence so pregnant people and birth workers can make truly informed decisions. She is the author of multiple books, including Labor Induction: Why, When, and How and the Take Charge of Your Birth series, and the creator of a widely used online resource library for evidence-based maternity care. At the heart of her work is one guiding belief: every parent deserves accurate information, meaningful choice, and agency in their birth experience. Listen & Learn:  Why induction rates have climbed to nearly half of all labors, driven not only by medical need but by a growing category of "precautionary" inductions How induction shifted from convenience to perceived necessity, reframing healthy pregnancies as problems to be managed or prevented Why suspected big babies, overdue dates, and ruptured membranes are often misused as reasons for induction, despite research showing limited benefit and increased risk What the ARRIVE trial really found—and what it didn't, including how study conditions differ from everyday hospital practice How induction can disrupt the natural hormonal processes of labor, affecting pain tolerance, bonding, breastfeeding, and postpartum recovery Why informed consent, agency, and good questions matter more than ever, and how parents can use tools like BRAIN to make decisions aligned with their values Resources & Mentions:   Henci Goer's website, including the Research Library referenced in the podcast Related Products from InJoy:   Understanding Birth Curriculum Natural Birth & Beyond: Teaching Essentials for Independent Educators Video Library Understanding Natural Childbirth Techniques eClass Related InJoy Podcasts   Season 9 Episode 1: Preparing for Low-Intervention Birth with Sarah, the "Labor Junkie RN" Season 9 Episode 6: When Pregnancy Becomes "High-Risk": An Educator's Guide to Maternal-Fetal Medicine (MFM) Care  Season 6, Episode 7: Safely Preventing Primary (NTSV) Cesarean Delivery—A Conversation with David C. Lagrew Jr. M.D.

Pre-order ⁠⁠The Mental Strength Playbook⁠⁠ and get access to exclusive pre-order bonuses! What if everything you believe about making big changes in your life is wrong? What if rather than a huge transformation, you're better of taking a series of small steps toward a new life? My guest today is Eric Zimmer, a behavior change expert, host of the award-winning podcast The One You Feed, and author of the new book How a Little Becomes a Lot. Some of the things we discuss in this episode are: Eric's story of change and what helped him along the way. The number one thing you should do when you get off track with your goals. Why treating change as a character flaw guarantees failure—and how to treat it as a learnable skill instead. The powerful parable of two wolves and how it dictates your daily choices. How to use the "80% rule" to extract maximum benefit from your new habits. Why planning for the exact moments your routine will break is crucial for your success. How to take action even when the voice of self-doubt is screaming in your ear. The exact approach to use when there isn't a clear roadmap for improving your mental health. Why committing to just three minutes of daily practice is far better than aiming for thirty. Subscribe to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Mentally Stronger Premium⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for exclusive content like weekly bonus episodes, mental strength challenges, and office hours with me. Related Episodes ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠226 — Why Life Feels Out of Control (And 5 Steps to Take Charge) ⁠134 — How to Change Your Life in 30 Days Links & Resources ⁠⁠How a Little Becomes a Lot Connect with the Show Buy a copy of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠13 Things Mentally Strong People Don't Do⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Amy on Instagram —⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@AmyMorinAuthor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Visit my website —⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠AmyMorinLCSW.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sponsors AirDoctor — Head to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠AirDoctorPro.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and use promo code STRONGER to get UP TO $300 off today! OneSkin — Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠oneskin.co/STRONGER⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code stronger to get up to 30% off your first 3 subscription orders Fast Growing Trees — Get an additional twenty percent off better plants at ⁠⁠⁠⁠⁠⁠FastGrowingTrees.com ⁠⁠⁠⁠⁠⁠using the code STRONGER at checkout Learn more about your ad choices. Visit megaphone.fm/adchoices

When a woman asks a male partner to "be more assertive in bed," those words are typically landing differently than she intends — and differently than he's hearing them. This is a gendered language problem, and it's causing real confusion, frustration, and disappointment in real relationships.There is a real vocabulary mismatch about "dominance" and "assertiveness" rooted in how men and women are socialized differently as children around anger, aggression, and sexuality — and once you see it, you can't unsee it.In this episode, you'll learn:Why "assertive" and "dominant" mean different things depending on how you were socialized — and why that gap is doing damageThe five things women typically mean when they ask for more assertiveness in bed — for women who want to understand how to ask more effectively, and for the partners trying to meet itWhy aggression shuts desire down at the nervous system level — and what works insteadWhat "attuned confidence" actually means and how to build itWhat the masculine/feminine polarity content getting popular right now is actually teaching — and why it's harming real libidosSimple scripts for both of you: how to say what you actually mean, and how to ask what your partner actually meansMost couples are having the wrong conversation about this. This episode gives you the right one.Send us Fan MailGet my free guide: Get Out of Your Head: A Starter Guide to Releasing the Pressure, Shame, and "Shoulds" Around Intimacy at https://laurajurgens.com/guideFind out more about my offerings and read the blog: https://laurajurgens.com/Go to my calendar to book a consultation here.  Copyright notice: All content in this podcast is copyrighted and copying, scraping, data mining, or using the content to train AI is prohibited. 

Dr. Jett Stone, clinical psychologist and author of Quiet Your Mind: A Men's Guide, joins me to talk about paternal mental health and the invisible emotional load modern fathers are carrying, many without language, models, or permission to talk about it.   Together we explore:   -Why millennial dads often feel like they're parenting without a blueprint. - How intergenerational patterns and "boyhood rules" shape the way men show up as fathers. - Why so many dads feel like the "secondary parent" and how mothers can invite fathers in without diminishing their own needs or experiencing resentment. - The tension between wanting authority and wanting connection with your child (and how to hold both). - Why secure attachment with dads doesn't have to look exactly like secure attachment with moms. - How doing your own reflective work as a parent can transform the entire family system.   This conversation will help you understand the emotional lives of fathers with more compassion and clarity. Because when dads feel supported, included, and emotionally resourced, the whole family benefits.   Whether you're a parent, a partner, or a therapist working with families, this episode will expand the way you think about modern fatherhood.     LEARN MORE ABOUT MY GUEST:

North Carolina completed an 18-0 home slate on Tuesday night with a 67-63 win over Clemson on Senior Night. While Seth Trimble struggled in his last game in the Smith Center, his other teammates stepped up to provide enough for the Tar Heels to get by the Tigers and set themselves in good position for a double-bye in next week's ACC Tournament.  Luka Bogavac banged in six three-pointers on his way to 20 points and Jarin Stevenson grabbed a career high ten rebounds in the winning effort. Inside Carolina's Sherrell McMillan and Tommy Ashley discuss the win and the play of multiple Heels including Derek Dixon and Henri Veesaar. McMillan highlights the group effort aspect of Hubert Davis's team in the absence of Caleb Wilson and how game to game, a different player rises up to provide enough firepower for winning basketball.  McMillan and Ashley close the show taking an early look at Saturday's Carolina/Duke matchup and discuss what UNC will need to do to have a chance to take down the Devils in Durham.   **Call to Action:** **Subscribe:** Follow 'Inside Carolina' wherever you get your podcasts to never miss an episode  **Review:** Leave us a 5-star review on Apple Podcasts or Spotify to help us reach more Tar Heel fans  **Visit:** Explore http://www.InsideCarolina.com for breaking news, recruiting updates, and expert commentary on all things UNC sports.     This show is brought to you by Inside Carolina, the No. 1 site for UNC sports coverage and community. Visit http://www.InsideCarolina.com   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dan Dicks just obliterated the veil on this show—Canada's forcing SOGI gender perversion on kindergarten babies, mutilating confused kids through affirmation mills, then herding the broken straight into MAiD government-assisted suicide with over 100,000 already executed since 2016 in this demonic harvest.  

Gareth Icke rips into the Epstein files leak as elite mockery—Jewish-linked globalists parading taped child rape, torture, cannibalism, sacrifices, and transhuman experiments, daring us to either submit or end them for defiling our children.   BitChute's Ray Vahey details dodging Jewish-led globalist assaults—debanked in Europe, slammed by regimes, NGOs, and blacklists—delivering censorship-free video since 2017 with spy-free ops, honest trending, auto-monetization for creators, and a $10K shadowban bounty untouched.

Jake GTV joins Stew Peters live from Puerto Vallarta at Anarchapulco ripping open the Epstein files that nail Bill Gates in direct collusion with Jeffrey Epstein—the pedo financier who bankrolled the entire COVID bioweapon operation—complete with pre-planned depopulation, white fibrous clots yanked from corpses, and skyrocketing deaths that prove this was mass murder, not a pandemic. Max Igan live from Anarchapulco Genesis in Puerto Vallarta dropping hard truth: Trump was Epstein's best buddy sharing the Talmudic, Star of Moloch child-sacrifice fetish of the elite Jewish network running blackmail-free pedo rings, while Rothschild central banks control compliant governments and depopulate the world through wars for Greater Israel.

How much of fertility is truly in your hands and how much comes down to age and genetics? Reproductive endocrinologist Dr. Jaime Knopman joins us to break down egg freezing, IVF, embryo preservation, and what actually impacts fertility (hint: it's not just your lifestyle). We also talk about guilt, stigma, perimenopause, and why informed choice matters more than blame. An honest, empowering conversation about what it really means to own your fertility at any stage of life. Find Dr. Knopman: Own Your Fertility: From Egg Freezing to Surrogacy, How to Take Charge of Your Body and Your Future - out now, everwhere books are sold! instagram.com/drjaimeknopman Find Stacy: ⁠⁠⁠⁠⁠⁠⁠realeverything.com⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠instagram.com/realstacytoth⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠missionmakersart.com⁠⁠⁠ ⁠⁠⁠missionalchemists.com⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Marking 5 months since Charlie Kirk's execution on Sept 10, 2025, at Utah Valley University, Stew dismantles the Zionist cover-up shielding his killers. JD Sharp joins Stew to discuss the illusion of American democracy exposed by the latest Epstein files drop. Trump shows up over 38,000 times, linked to unspeakable crimes against kids, with survivors naming him directly in assaults.  

Trump's named 38,000+ times in the Epstein files he swore to release—yet he lies, obstructs, attacks Massie, and buries millions more pages to hide his pedophile accomplice role. Full truth exposes the child-sacrifice network he protects at all costs. They murdered Charlie Kirk with a military-grade exploding lavalier mic rigged by insiders who sold him out for rejecting Israel's blood money – forget the 30-06 fairy tale, John Bray is dismantling it piece by piece with motion mapping, explosive gas analysis, shrapnel forensics, and custom ballistic dummies that replicate the exact brain-stem-killing blast.  

Tonight on The Stew Peters Show, Jeff Berwick joins me to expose how Bill Gates, Epstein, and their demonic cabal plotted pandemics since 2011 for trillion-dollar profits, laundered billions through the Gates Foundation, obsessed over gene-editing Africans while testing deadly jabs on black kids, and engineered COVID as a global blood sacrifice ritual. Joining me tonight is E. Michael Jones to blow the lid off the Zionist Super Bowl psyop that's erasing the Epstein files proving our leaders are kid-eating pedophiles dragging us into nuclear war for Israel against Iran, ready to wipe out our troops. Epstein's alive, still eating child jerky in hiding. Files prove PizzaGate, Zorro Ranch kid farms, human jerky shipments, and acid baths—this cannibal network runs bolder than ever.

Owen Benjamin joins Stew to discuss Charlie Kirk's betrayal and murder, linking it to the Epstein files cover-up by elite international pedophiles.

Owen Benjamin joins Stew to discuss Charlie Kirk's betrayal and murder, linking it to the Epstein files cover-up by elite international pedophiles.

Gia Santos joins Stew to dismantle the myth of Trump's mass deportations. Over a year into his second term, less than 350,000 illegals deported in 2025—far from the promised 50 million. Instead, DHS, ICE, and Border Patrol, backed by Palantir, are building a facial recognition dystopia to track Americans. Jake GTV exposes Trump's sellout betrayal, buried Epstein child rape tapes, and the AI surveillance grid Talmudic perverts are forcing on Americans to destroy us while pushing Netanyahu's Iran war.

Fresh DOJ/FBI docs unleash nightmare: Epstein's trafficked teens strangled by Robin Leach during taped orgies, with bodies sold to cartels via Ghislaine Maxwell and buried at Trump's LA golf resort. EJ Prior tears apart Utah's sham trial: Rifle DNA hits 5 strangers (not Tyler), prosecutor's daughter is an eyewitness, and Erika Kirk's Epstein-linked lawyer rams fake speedy trial.

Trump dominates Epstein docs with 4,500+ hits—flight logs, assault claims, elite dirt—tied to the depraved Zionist Jewish rulers using child rape and sacrifices to control U.S. gov and military. Dr. Michael Rectenwald exposes it all. Ryan Matta breaks down the massive Epstein release—millions of pages exposing Jeffrey as Mossad's blackmail kingpin targeting politicians, tech giants, and fueling regime shifts like Ukraine 2014 to back Israel's wars and expansions. John Jubilee from Energized Health is dropping truth bombs today, revealing how inner cellular hydration reverses heart damage, gets patriots off dozens of deadly meds, and rebuilds real health from the cells up. Go to energizedhealth.com right now, smash the red Cellular Health Training button for the free live class this February, register, and arm yourself with the knowledge to survive their attack!