Podcasts about Titration

We're taking a break this week, but we'll be back next week with a brand-new episode.  Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  03:22 Case Presentation: Newly Diagnosed Heart Failure 07:26 Using Physical Exam Findings to Guide Diuresis 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy 28:02 Consideration of Other Medications 40:02 Referral to Advanced Heart Failure Specialist 49:11 Optimizing Therapy and Follow-Up 55:33 Conclusion and Book Recommendation Credits Writer and Producer: Deborah Gorth MD, PhD Infographic and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Michelle Kittleson MD, PhD Sponsor: Mint Mobile  Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB. Sponsor: American College of Physicians Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code  CORECS will receive a MKSAP gift pack with their subscription. Sponsor: Panacea Legal Learn more and schedule your free consultation at Panacea.Legal.

Send us a textIn this solo episode, Mike dives into titrations — a method that's still essential across industries like environmental testing, manufacturing, and even winemaking. Learn tips for improving accuracy, from proper burette qualification and indicator usage to endpoint detection techniques like quick drops vs. full drops. Mike also shares common troubleshooting advice for colorblindness in titrations, sliding endpoints, and working with high-concentration samples.

With Henrique Arfsten, Medical University of Vienna, Vienna - Austria and Alexandre Mebazza, Hospital Lariboisiere, Paris - France.  In this episode of HFA CardioTalk, Henrike Arfsten and  Alexandre Mebazaa discuss the importance of rapid initiation and titration of guideline-directed medical heart failure therapy. A focus will be on data from the STRONG-HF trial, which demonstrated safety and efficacy of rapid up-titration following an acute heart failure event. The trial was even stopped early as the benefits of the intensive treatment strategy were overwhelming. Moreover, specific questions are raised, such as the right time to start therapy and how to deal with possible side effects. Mebazaa A, et al. Lancet 2022 Dec 3;400(10367):1938-52 Biegus J, et al. Heart Fail Rev 2024 Sep;29(5):1065-1077 McDonagh TA, et al. Eur J Heart Fail 2022 Jan;24(1):4-131 McDonagh TA, et al. Eur J Heart Fail 2024 Jan;26(1):5-17 This 2025 HFA Cardio Talk podcast series is supported by Bayer AG in the form of an unrestricted financial support. The discussion has not been influenced in any way by its sponsor.

In this episode, we're shifting from learning to experiencing. Last week, we discussed the techniques of resourcing, titration, and pendulation and their importance in trauma healing. Today, I'll guide you through a guided practice, allowing you to feel and embody these practices within your own systel..This gentle, 15-minute practice will help you connect to a sense of safety, ease into challenging sensations, and learn to move between states of comfort and discomfort. By engaging your nervous system in this way, you show your system experientially that it doesn't have to stay stuck in moments of discomfort or activation.Find a quiet, comfortable space, and hit play.If today's session resonates with you, remember that this kind of support is available in our membership and 1:1 coaching programs.Website: https://www.riseaswe.com/podcastEmail: amanda@riseaswe.comInstagram: https://www.instagram.com/amandaontherise/TikTok: https://www.tiktok.com/@amandaontherise

In this episode, we dive into the concept of pendulation, a foundational process in trauma healing, particularly within Somatic Experiencing. We explore how pendulation involves oscillating between states of distress (activation) and calm (regulation), allowing the nervous system to release stored tension without getting stuck.We also discuss two essential techniques that support pendulation:Resourcing: Developing internal or external anchors that evoke safety and calm, serving as a foundation for navigating trauma.Titration: Processing trauma in small, manageable doses to prevent overwhelm and build resilience.Pendulation, the movement between activation and deactivation, teaches the nervous system to flow between stress and calm, helping to reduce hypersensitivity to triggers. It's a practice that rewires the brain and body for greater resilience.Key Takeaways:Retelling trauma without these techniques can be retraumatizing.Reflect on your existing resources that bring comfort and safety.Pendulation allows for processing emotions without getting stuck.For more personalized support, explore our 1:1 coaching program or look for somatic or trauma-trained practitioners familiar with these techniques.Looking for more personalized support?Book a FREE consultation for RESTORE, our 1:1 anxiety & depression coaching program.Join me inside RISE, a mental health membership and nervous system healing space.Order my book, Healing Through the Vagus Nerve today!Want me to talk about something specific on the podcast? Let me know HERE.If you found this episode helpful, be sure to subscribe, leave a review, and share it with someone who might benefit from hearing this!Website: https://www.riseaswe.com/podcastEmail: amanda@riseaswe.comInstagram: https://www.instagram.com/amandaontherise/TikTok: https://www.tiktok.com/@amandaontherise

Kittleson Rules Outpatient Heart Failure Volume 1 Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  03:22 Case Presentation: Newly Diagnosed Heart Failure 07:26 Using Physical Exam Findings to Guide Diuresis 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy 28:02 Consideration of Other Medications 40:02 Referral to Advanced Heart Failure Specialist 49:11 Optimizing Therapy and Follow-Up 55:33 Conclusion and Book Recommendation Credits Writer and Producer: Deborah Gorth MD, PhD Infographic and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Michelle Kittleson MD, PhD Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.  Sponsor: Litter Robot Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB. Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

As part of the August issue, the European Respiratory Journal presents the latest in its series of podcasts. Deputy Chief Editor Don Sin interviews Marianne Baastrup Soendergaard (Department of Respiratory Medicine, Copenhagen University Hospital – Bispebjerg, Copenhagen, Denmark) about the OPTIMAL study: an open-label randomised controlled trial of titration of anti-interleukin-5 biologic therapy in severe asthma.

Audio Commentary by Dr. Valentin Fuster, Emeritus Editor in Chief

Welcome back to The Deep Talk! In this episode, I'm joined by Dr. Danica Harris — therapist, SEP & Somatic Coach & co-owner of Empowered Healing Dallas therapy practice. She is trained in working with trauma of many sorts. This episode is all about somatic work, healing the nervous system & from trauma.  In this episode, we talk about: What somatic experiencing is and the importance of somatic work  Titration and pendulation  How to get out of chronic dysregulation How healing can help us shift unhealthy patterns we have in our lives Why sometimes we feel worse before feeling better when healing How to work with large sensations in the body (ex: panic attacks)  Rebuilding self-trust and body awareness after trauma   AND SO MUCH MORE!  If you liked this episode, share on your IG story and tag me @wellnessmads. I'd love to hear what you learned!  And, don't forget to hit that follow button so you never miss a future episode, and leave a review so I can reach more listeners just like you who are looking to connect deeper with themselves, cultivate authentic relationships, align their careers to their passions and overall, build a big, beautiful life.  CONNECT WITH MADISON: Instagram: https://www.instagram.com/wellnessmads/ Website: https://madisonbrandt.com/ Tik Tok: https://www.tiktok.com/@madison.brandt CONNECT WITH MIKAH Website: https://mikahjonesss.com Instagram: https://www.instagram.com/mikahjonesss/ Tik Tok: https://www.tiktok.com/@seedsxmikah                  

181: In dieser Podcastfolge befassen wir uns mit dem Thema Trauma als Grenzverletzung und wie wichtig es ist, Sicherheit und gesunde Grenzen zu spüren. Warum haben viele von uns Probleme mit ihren Grenzen? Wir sprechen über die Extreme von zu vielen Grenzen (Mauern) und Grenzenlosigkeit und deren Ursachen. Ein weiterer Schwerpunkt ist, wie wir das Gefühl von Sicherheit im Hier und Jetzt wiederherstellen können. Wir erklären die Methode der Titration fürs Nervensystem und warum sie eine entscheidende Rolle in der Traumabewältigung spielt. Fragen, auf die wir in dieser Folge eingehen: - Warum haben viele Menschen Probleme mit ihren Grenzen? - Wie können wir das Gefühl von Sicherheit im Hier und Jetzt wiederherstellen? - Was ist Titration fürs Nervensystem und warum ist sie so wichtig? Hole dir die SQS Übungen: http://survivorqueens.de/sqs-survivor-queen-skills ...

Dr. Gillett And James O'Hara NP, discuss the Semaglutide and Tirzepatide. 00:00 Intro 01:46 Why might we suggest this? 05:20 Titration schedule06:28 Why they designed this study this way 12:04 Ai 15:35 Who should use GLP1s 17:33 Costs of GLP1s 23:35 Closing points Studies/References: ► https://www.epicresearch.org/articles/tirzepatide-and-injectable-semaglutide-correlated-with-greatest-weight-loss-among-glp-1-medications► https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987449/For High-quality labs:► https://gilletthealth.com/order-lab-panels/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#weightloss #podcast #aiAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

CME credits: 0.75 Valid until: 14-06-2025 Claim your CME credit at https://reachmd.com/programs/cme/combination-therapies-approaches-for-getting-to-goal-quickly-vs-titration-over-time/26264/ Explore the future of cholesterol management with cutting-edge pharmacologic therapies and the latest research on lipid-lowering treatments. Understand the transformative impact of AI in primary cardiovascular disease prevention, as highlighted by groundbreaking trials like TRANSFORM. Stay informed on how emerging therapies can help patients achieve optimal LDL-C levels and reduce cardiovascular risks.

Hello my lovely ADHDFest gang ❤️This Bonus episode shares my best tips to reduce those pesky side effects when you first try ADHD medication

In this episode, we navigate the complexities of initiating and optimizing clozapine treatment for patients with treatment-resistant schizophrenia. How do you chart the course for successful clozapine therapy while managing side effects and drug interactions? Join us as Dr. Brian Miller shares his expertise and valuable psychopharmacology pearls. Faculty: Brian Miller, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1.25 CMEs: Clozapine: Management and Challenges Initiating and Optimizing Clozapine

In this episode, we say Hi to all our new listeners after SHM, we are glad you are joining us and hope you stick around! Make sure to follow on your platform of choice. Today we are broadcasting part 1 of an interview with Dr. Marlene Martin, an addiction medicine specialist who works at the SF General. We talk to her about methadone initiation issues including faster initiation, QTc checks, and pain management during an admission. Note: this episode is provided for informational purposes only. We do not directly endorse the use of these discussions, including CAM2038, without proper input from your local addiction medicine consultants. | 00.00 - Episode open: HELLO TO OUR NEW LISTENERS! | | 00.48 -Intro to Dr. Marlene Martin | | 01.53 - Latine v Latinx - ask people how they want to be referred to! | | 03.08- Methadone and checking the QTc | | 09.34 - What happens outpatient with the EKG and the QTc? | | 10.04 - Discussing needs with other groups. Its a team effort! | | 11.14 - Methadone changes and EKG followup | | 12.07 - COMING SOON: FASTER METHADONE TITRATION (spoiler, don't do it yet without addiction medicine guidance) | CAM2038 as a possible depot option. Studies are currently being done | 17.15 - What to do with pain on top of methadone or Buprenorphine | Rapid Clinical Updates: Inpatient Management of Opioids [SHM 2023] Marlene's paper “Inhospital substance use policies” [JAM 2023] | 24.53 - Closing | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness. All information contained in this episode are the opinions of the respective speakers and not necessarily the views their respective institutions or UCSF, and is only provided for information purposes, not to diagnose or treat.] Music by Amit Apte. Cover art organized by Neal Tambe.  

For more information, visit https://thecirsgroup.com   CIRS, or Chronic Inflammatory Response Syndrome, is a chronic illness that affects a quarter of the population (they just might not know it yet). Today, we tackle the very last step of the only clinically proven path to healing CIRS, Shoemaker Protocol, which is Vasoactive Intestinal Peptides, or VIP Spray. VIP Spray is amazing, in that it helps the brain return to normal after inflammation and atrophy caused by CIRS. We dig into the details on how it works, when to use it, and what to expect when using it. This is not medical advice, talk to your doctor to figure out what's right for you. For more information, support, and resources in your own CIRS healing journey, visit TheCIRSGroup.com   TIME STAMPS: 0:00 Intro and disclaimer 1:00 The purpose of VIP Spray within the Shoemaker Protocol 2:17 What is VIP or Vasoactive Intestinal Peptide 2:28 VIP blood test 4:00 Why get a NeuroQuant before and after VIP Spray 5:18 The cost of VIP Spray 6:00 Titration and administration of VIP Spray 7:40 Considerations for storing VIP Spray 8:20 Cheaper option for VIP Spray 8:58 The potential risks of VIP Spray 10:55 Jacie's experience with VIP Spray 13:00 Using VIP to better tolerate the binders 15:20 Barbara's VIP Spray   HELPFUL LINKS: Genie test episode: https://youtu.be/bCNp9qNqWWc?si=WL_s_yXIpEh_f4uj NeuroQuant episode: https://youtu.be/aQyU51D7O-c?si=YkTgroEapsSFWSGw Cheaper option to purchase VIP Spray (to mix yourself): https://www.montroserx.com/   Jacie is a 4 year carnivore, certified nutrition coach, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a coach, facilitator, speaker, 3 year carnivore, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment. Catch Jacie and Barbara on Judy Cho's podcast to learn more about their health journeys and why they started The CIRS Group: When Carnivores are Affected by Mold Illness - Jacie Gregory & Barbara Williams - https://youtu.be/CR8Uj-d_fok

Today I'm inviting you into maple season, exploring the symbolism of tapping the trees and the embodied feeling of hope that it gives me. Join me for a journey into the liminal space between winter and spring, where we find invitations to expand after contraction, opportunities to slow down, and the sweet, earthiness of sweet water. Connect with Sarah Follow Sarah on Instagram Learn more about Sarah's work Join Sarah for 21 Days of Untapped Support

One of the most important skills we can learn is how to regulate ourselves, riding the emotional waves without either ignoring or being overwhelmed by them. Associate therapist Elizabeth Ferreira joins Forrest to explore how we can feel our feelings while staying calm, collected, and in control. They walk through two examples of under- and over-regulation, and Elizabeth offers specific practices that might help in each common situation. You can watch this episode on YouTube. Key Topics: 0:00: Introduction 1:50: Creating safety and connection with a new client 6:30: Therapy as an opportunity for reparative experiences 9:45: Learning to regulate when you have traumatized parts 16:55: What's helped Elizabeth heal patterns of overregulation and dissociation 23:50: A hypothetical dialogue with an overregulated client 29:10: Titration and traumatic release 33:05: Labeling and accepting emotions, and empowering the “wise adult” 40:15: A hypothetical dialogue with an underregulated client  46:30: Celebrating when we notice our patterns 49:30: Movement, tapping, tremoring, journaling, and other practices 53:55: Finding a supportive community 57:10: Being with your body, and following your curiosity 58:55: Recap Forrest is now writing on Substack, check out his work there. Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Trust your gut with Seed's DS-01 Daily Synbiotic. Go to Seed.com/BEINGWELL and use code 25BEINGWELL to get 25% off your first month.  OneSkin focuses on delivering more than superficial results for your skin. Get started today with 15% off using code BEINGWELL at oneskin.co.  Join over a million people using BetterHelp, the world's largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month! Want to sleep better? Try the Calm app! Visit calm.com/beingwell for 40% off a premium subscription. Connect with the show: Subscribe on iTunes Follow Forrest on YouTube Follow us on Instagram Follow Forrest on Instagram Follow Rick on Facebook Follow Forrest on Facebook Visit Forrest's website

In this week's episode, Nina discusses:what titration is in trauma treatment.the importance of titration when providing trauma treatment.three ways to use titration in your trauma treatment.We invite you to:consider joining us for a monthly group consultation.book a training with Nina for your group practice or agency.our FREE online community. search free resources from TTC on our blog/vlog.stay connected and get the monthly blog by signing up here.

As survivors, we understand the experience of being wronged and the desire to make a positive impact in the world. With so much happening at this moment, it can feel overwhelming. However, one effective tool we have in our fight for a better future is activism. By standing up for our values within our local community, we can create meaningful change. In this episode of 'Initiated Survivor', we explore the role of activism in the healing process for trauma survivors. We discuss how engaging in collective actions that align with our personal values can foster a sense of community and serve as a powerful tool for change and recovery. I also provide various strategies for incorporating activism into our recovery journey, such as connecting with long-term goals, emphasizing community-building, and supporting local organizations that make a tangible impact on our daily lives. Watch the Full Video Podcast Here! 00:00 — Introduction 01:37 — The Power of Activism 03:20 — Activism and Emotional Expression 05:00 — AD: Individual Therapy: https://www.drkelseyharper.com/trauma-therapy 05:42 — Mindfulness in Activism 08:42 — Sensory Needs in Activism 09:40 — Titration and Exposure in Activism 11:05 — Emotional Support, Expressive Activities, Self Care 16:20 — AD: Group Therapy: https://www.drkelseyharper.com/dbt-skills-group-for-lgbtq 17:40 — Engaging in Pleasant Activities & Personal Values 19:15 — Different Ways to Engage in Activism 22:23 — Local Organizations 24:50 — Providing Direct Services in Activism 26:01 — Utilizing Personal Skills in Activism 27:15 — Conclusion: The Power of Activism in Healing Trauma Topics/Triggers: · Titrating · Self-care · Community Engagement · Trauma Processing · Self-soothing Habits · Physiological Regulations · Mindfulness · The Power of Activism · Vicarious Trauma · Engaging in Expressive & Pleasant Activities · Our Values & Goals · Abortion Bans · Success Stories Prison Feminism · Supporting NonProfit Organizations · Grassroots Activism · Ask a Psychologist Anything ━━━━━━━━━━━━━━━━━━━ If you took anything away from today's podcast, please share it with someone who may need to hear it. And if you really want to support the podcast please give us a rate/review. If you or anyone you know is suffering through trauma contact the National Sexual Assault hotline at 1-800-656-4673 or online for 24/7 support. (This podcast is not a replacement for psychotherapy or mental health care. You can obtain a referral for mental health care provider from your primary care physician, or search on Psychology Today's Find a Therapist directory) Find more Initiated Survivor content here and on Instagram!

As we navigate the major events happening in our world, it's so important to take moments to celebrate our personal victories and reflect on the progress of our healing journey. In this episode, our guest Michelle Durst shares her story on addiction and codependency recovery. She talks about the valuable lessons she has learned throughout her process that have led her to spiritual strength and support.  In our conversation, we discuss the discomfort of pursuing our desires, how staying in a harmful relationship can reflect our own unwell state, and the importance of self-awareness when making choices. We also touch on managing feelings of regret and transitioning from being a victim to embracing self-love and acceptance. In episode 445 of the Embodied Podcast we discuss: (2:55) Michelle's experience in recovery programs  (7:40) Titration and integration as they relate to a healthy healing process (12:58) Being in a positive relationship after addiction treatment  (17:48) How to determine when to stay or when to leave situations (22:24) The difference between love and codependency (35:49) Regaining a sense of self and recognizing choices  (38:10) Navigating regret and releasing a grip on the past  Resources mentioned in the episode: Elementary Families in Ontario looking for support: kinarkoutdoorcentre.ca  Connect with Michelle  Follow Michelle on Instagram: @michellemarie.wildandfree  Work with me:  NEW! The Body Love + Reverence Course is available Free resources:  AM + PM Embodiment Rituals Stay in touch:  NEW! Join our Free Wild Soul Community on Mighty Networks Subscribe to my Substack  Catch the full show notes for episode 445 here Email us with questions or feedback Don't miss an episode of The Embodied Podcast  

Episode 154: Heart Failure and GDMTDr. Malave explains the four main medications that are part of the guideline-directed medical therapy of heart failure with reduced ejection fraction. Dr. Arreaza added comments and questions.  Written by Maria Fernanda Malave, MD. Edits by Hector Arreaza, MD.  You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Brief introduction: Heart failure (HF) is a common condition that affects about 23 million people in the world, and it is estimated that 50% of cases are due to heart failure with reduced ejection fraction (HFrEF). It is a major public health concern because of the high morbidity and mortality with a 5-year survival rate of 25% after hospitalization due to HFrEF.In recent years, the management of HFrEF has evolved due to increased evidence in favor of certain medications. Guideline-directed medical therapy (GDMT) is the foundation of medical therapy for these patients, and it is the result of multiple randomized controlled trials and reviews favoring four main drug classes: 1. renin-angiotensin system inhibitors (angiotensin-converting enzyme inhibitors -ACEi- and angiotensin receptor blockers -ARB), 2. evidence-based β-blockers, 3. mineralocorticoid inhibitors, and 4. sodium-glucose cotransporter 2 inhibitors -SGLT-2i-. The benefit of this therapy is mostly seen when these four groups of medications are used in conjunction. During this episode, we will provide some key elements about the prescription of these medications, but this is only an overview, and you are invited to continue learning from reputable sources.Definitions: HF is defined as the impairment of the heart to meet the metabolic demands of the body. It can be caused by multiple conditions that interfere with the filling up of the heart or conditions that prevent an effective ejection of blood out of the heart. Classification of HFrEF: Based on the EF by echocardiogram, heart failure can be classified as:Heart failure with preserved ejection fraction (HFpEF) when the EF is 50% or more.Heart failure with mildly reduced ejection fraction when EF ranges between 41-49%.Heart failure with reduced ejection fraction (HFrEF) when EF is 40% or less.GDMT: Once we make the diagnosis of HF, it is key to educate our patients and re-educate them every single visit about the importance of guideline-directed medical therapy (GDMT) and lifestyle modifications, because this can change the prognosis and exacerbation rates. Many patients think that since they are feeling well after starting GDMT they can stop it, but that's going to increase exacerbations, hospitalizations, and decrease quality of life. Key points to discuss with patients.First, discuss that GDMT are disease-modifying drugs that regulate the neurohormonal system to stop the progression of the disease. We should explain to our patients that medications should be taken despite feeling well. Also, patients should be educated about regular follow-ups and medication titration. We can even instruct our patients about increasing their furosemide dose if they observe signs of overload, such as a weight increase of 2-3 kgs in 3-4 days, tight rings, socks or bracelets, also Paroxysmal nocturnal dyspnea, dyspnea on exertion, and more.  Second, lifestyle modifications such as: quit smoking and alcohol. Additionally, in general, water restriction between 1.2-1.5L daily, salt restriction (there is no official recommendation about how many grams, but in general we recommend less than 2g daily). Third, it is highly recommended to do aerobic exercise that produces mild dyspnea since this improves cardiovascular capacity and decreases hospitalization risk. Patients should be encouraged to have their annual influenza vaccine and pneumococcal vaccine according to their own immunization schedule. According to the AFP journal, in September 2022, researchers found a clinically and statistically significant reduction in all-cause mortality for patients who received an influenza vaccine right after an MI, with a number needed to treat of 50, the effectivity of the vaccine may vary by season.GDMT, groups of medications:What are the basic medications any patient with HF should be on? At least, patients should be on angiotensin receptor blockers ARBs/ACEIs and Beta-blockers. Let's keep in mind that beta-blockers should be given cautiously in cases of exacerbation, but in general low doses are safe. We also have the angiotensin receptor/neprilysin inhibitors (ARNIs), a group of medications whose representative is the combination of sacubitril/valsartan, aka Entresto®. This medication should be the target once ARBs/ACEIs are tolerated. ARBs/ACEIs/ARNIs should be discontinued in the setting of advanced CKD, with a GFR of 30 or less. This applies to other medications used in HF such as SGLT-2 and mineralocorticoid receptor antagonist (MRA, such as spironolactone/eplerenone). Remember that SGLT-2 inhibitors should be started regardless diabetes status, and BB are safe in the setting of CKD. We also have other groups that are considered safe in patients with advanced CKD such as hydralazine/isosorbide dinitrate (combined or not), which are used in African Americans whose BP and HF symptoms do not improve with maximally tolerated dose of ARBs/ACEIs + BB.Ivabradine: Let's not forget about ivabradine, which is an SA node inhibitor like BB. Patients need to meet criteria such as a maximally tolerated dose of beta-blocker, heart rate of a least 70 or more and being on normal sinus rhythm to be started on this medication. Ivabradine does not improve survival as BB do, so even though they are not contraindicated in HF exacerbation, BB are still preferred since ivabradine does not decrease mortality.Titration and follow-ups in the HF management:-ARBs/ACEIs/ARNIs should be titrated approx. Q2 weeks until the maximally tolerated dose is achieved, ARNI should be titrated up Q2-4weeks. With these medications, we should monitor BP, potassium levels and Glomerular Filtration Rate (GFR). -BB can also be titrated up Q2weeks until the maximally tolerated dose is achieved. HR, BP and signs of congestion should be observed in patients on BB. Same for hydralazine/isosorbide, with BP follow-up. -MRA, such as spironolactone/eplerenone, these meds can be added in patients who remain symptomatic despite maximally tolerated doses of “ARBs or ACEIs or ARNIs” plus Beta-blockers. For MRA, potassium level, and GFR should be monitored every 2-3 days after initiation, 7 days after titration, monthly for 3 months, and then Q3 months. To start a patient on MRA, K+ must be lower than 5.Patients with HF should be followed up at least in a 2-week interval either via telephone, telemedicine, or clinic visit to assess symptoms, vital signs, bloodwork and to perform a physical exam. Monitoring EF: After 3-6 months of the patient´s stabilization, we should reorder an echo, EKG, BNP and Basic Metabolic Panel. The ejection fraction improves in all patients after GDMT initiation and compliance, and in some patients, this improvement is very significant, so we need to reassess EF after stabilization. Comorbidities: Also, let´s keep in mind that most of the patients have associated comorbidities such as Afib, diabetes, valve disease, or anemia. These comorbidities must be addressed either by starting anticoagulation, adjusting anti-diabetes medications, starting iron, or referring to cardiology if a valve replacement is needed.When to refer to Cardiology? Some patients will qualify for device therapy (ICD) as a primary prevention for ventricular arrhythmias that can degenerate either into torsades or ventricular fibrillation. These patients must be symptomatic, at least in 3 months of maximally tolerated GDMT, and EF between 30-35%. Symptomatic

Mitesh Thakrar, MD is a Clinical Associate Professor at the University of Calgary and the current Deputy Medical Director of the Southern Alberta Transplant Program. In this episode, Dr. Thakrar discusses titration of pulmonary arterial hypertension therapeutics. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com @phacanada  #phawareMD

Over the past few weeks, I've often noticed the part of me that longs for silence, for inner coherence in a fractured world. The part that doesn't want to say a word that could disturb the air, nor add an ounce of the weight in my heart (the inverse of hope, which Emily Dickinson described as “the thing with feathers”) to the too-delicate balance of so many others' hearts.It takes time, integrity, and inner resource to orient toward the din of humanity's anguish and rage. Our prefrontal empathic sensors weren't built for this scale. In some moments, usually toward evening, I've found myself in an inarticulate withdrawal, like a simple sea-thing. I've watched the trees bare themselves to the elements as they curl warmly inward and noticed within myself a seasonal instinct toward self-preservation. “We have seasons when the leaves fall from us, revealing our bare bones,” writes Katherine May.Mary Oliver once wrote, “I hardly move, though really I'm traveling a terrific distance.” At surface, I may appear as though distracted (in fact, I'm accustomed to being interpreted as aloof and have worked with the resulting relational nuances throughout my life). My people, the ones who know me well, have learned over the years to soften toward my tendency to slip into the primordial. They understand the moments when I'm at once far away and too near.These moments might sound unproductive, even myopic — like pressing an ear into the oceanic drone of a shell. But they are really seasons of integration and calibration.Joy Harjo's poem, “For Calling the Spirit Back from Wandering the Earth in Its Human Feet” begins with the indelible imperative “put down that bag of potato chips,” and counsels:“Call upon the help of those who love you. These helpers take many forms: animal, element, bird, angel, saint, stone, or ancestor. Call your spirit back. It may be caught in corners and creases of shame, judgment, and human abuse. You must call in a way that your spirit will want to return. Speak to it as you would to a beloved child.”Stop anesthetizing, the poet says. Call upon the help of those who love you. Call to your spirit as you would to a beloved child.The first of the Four Noble Truths (which meditation teacher Henry Shukman re-phrases as “ennobling tasks”) is the truth of suffering. The truth of suffering is the host who meets us at the door of spiritual practice. To step in, we must allow ourselves to feel — or, in David Whyte's words, to “[turn] down through…black waters to the place we cannot breathe.”**Those who will not slip beneath    the still surface on the well of grief,turning down through its black water    to the place we cannot breathe,will never know the source from which we drink,    the secret water, cold and clear,nor find in the darkness glimmering,    the small round coins,          thrown by those who wished for something else.-David Whyte, “The Well of Grief”**[A disclaimer from your therapist friend here: skillful means are necessary to come into relationship with any “unbreathable” place. Titration helps. For example, we can find internal presence, touch into a feeling briefly, and then guide our attention back outward, noticing light, objects, colors, sensory input, etc. If there's the potential for trauma triggering, practice this with professional support.]As shunya is to purna, emptiness to wholeness, depths of quiet can open us, ultimately, to the great hum of our common wellbeing. In this native place, with its “secret water, cold and clear,” we can offer our broken bits to the healing source. We can learn to drink, to receive.Kintsugi is the Japanese art of mending broken pottery. If a bowl is broken, rather than discarding the pieces, urushi sap is mixed with gold, silver, or platinum and applied to the faults. The wound is tended with lacquer, skill, and utmost care. And thus, wholeness and transformation — a seasoned beauty — is reclaimed.The art of mending pottery symbolizes what David Whyte describes as “find[ing] in the darkness glimmering, the small round coins thrown by those who wished for something else.” It's what Joy Harjo refers to as the practice of “calling the spirit back.” Our task is to listen deeply in order to remember — to piece back together — our willingness to feel and to be felt. The beauty is in finding and being re-found.It's a grace in my life that my people know when to take my hands and call me back. Friends: we must do this, at times, for each other. We must love each other well enough to know, when necessary, how to call each other back. Courage is our sap. Get full access to The Guest House at shawnparell.substack.com/subscribe

September 27, 2023: Titration: A Scientific Exploration into Acid-Base Reactions

September 20, 2023: Understanding Titration | Chemistry in Action

Download my official Android App: djphalanx.com/getitongoogleplay Official Uplifting Trance Sessions Spotify Playlist: spoti.fi/3jyMmX0

Paranormal Activity actors, where are they now? • Why you have to say, “Hey bear!” when you see a bear • Chemistry class titration trauma • Ashton Kutcher is a hero • Too much Kevin Hart

What's the deal with calling the endpoint of your chloride titration? What's the chemistry behind it and why do we need to get it right?

What's the deal with calling the endpoint of your chloride titration? What's the chemistry behind it and why do we need to get it right?

Wouldn't it be nice if there was a way to make the healing journey less, well, HARD? Let's face it, when you decide to really look at your sh*t, things get real, real fast. There are ways to lessen the blow of your trauma, and today I am sharing about two tools I use in breathwork and how they make diving into your dark side that much brighter. Episode details and links When you start exploring healing modalities like Breathwork, the language used to describe techniques and tools used within the work can be daunting.

In this episode of the Smarter Not Harder Podcast, our guest Dr. Janet Schloss joins our host Jodi Duval to give one-cent solutions to life's $64,000 questions that include:   What are some of the intricacies of the endocannabinoid system, and how can it impact our health?  How can medical cannabis be used in the treatment of chronic disease and conditions? What are the challenges of designing research studies around medical cannabis?   Dr. Janet Schloss is the Clinical Research Fellow at the National Centre for Naturopathic Medicine at Southern Cross University. Janet is an accomplished researcher with extensive experience in coordinating clinical trials. In addition to her academic career, Janet is a practicing clinical nutritionist and naturopath with over 20 years of experience. Following the completion of her doctorate in 2015, Janet has focused her research on supporting people who have cancer through studying the use of complementary medicine to assist side effects of cancer treatments. Janet has completed a number of groundbreaking studies and has over 60 publications, and now focuses a lot of her research on medical cannabis.  What we discuss: [00:00] Medical cannabis has gained recognition as a powerful tool in healthcare. [07:03] Researching medicinal cannabis for GBM [13:22] Medicinal cannabis has potential but is not right for everyone [19:15] Understanding the different cannabinoids and their effects [24:59] Medical cannabis has promising applications in chronic diseases, stress, anxiety, and inflammation. [30:42] Exciting opportunities in cannabis research for neurological conditions [36:28] Cannabis products can aid in chemotherapy and adjunct treatment [41:54] Educating patients on medicinal cannabis is crucial [47:24] Titration of cannabis is individualized and requires slow and steady dosing. [52:45] Timing and proper dosage are crucial for effective cannabis treatment [58:36] Antioxidants are not what we think they are Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg   Find out more from Dr. Janet Schloss: https://www.janetschloss.com/ LinkedIn: https://www.linkedin.com/in/janet-schloss-9a30a48/?originalSubdomain=au Get 10% Off Your Purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org   Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com   Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.  

The following question refers to Section 9.3 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure.The question is asked by Keck School of Medicine USC medical student & CardioNerds Intern Hirsh Elhence, answered first by Cedars Sinai medicine resident, soon to be Vanderbilt Cardiology Fellow, and CardioNerds Academy Faculty Dr. Breanna Hansen, and then by expert faculty Dr. Anu Lala.Dr. Lala is an advanced heart failure and transplant cardiologist, associate professor of medicine and population health science and policy, Director of Heart Failure Research, and Program Director for the Advanced Heart Failure and Transplant fellowship training program at Mount Sinai. Dr. Lala is Deputy Editor for the Journal of Cardiac Failure. Dr. Lala has been a champion and role model for CardioNerds. She has been a PI mentor for the CardioNerds Clinical Trials Network and continues to serve in the program's leadership. She is also a faculty mentor for this very 2022 heart failure decipher the guidelines series.The Decipher the Guidelines: 2022 AHA / ACC / HFSA Guideline for The Management of Heart Failure series was developed by the CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees spanning college through advanced fellowship under the leadership of CardioNerds Cofounders Dr. Amit Goyal and Dr. Dan Ambinder, with mentorship from Dr. Anu Lala, Dr. Robert Mentz, and Dr. Nancy Sweitzer. We thank Dr. Judy Bezanson and Dr. Elliott Antman for tremendous guidance.Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. Question #23 Mrs. Hart is a 63-year-old woman with a history of non-ischemic cardiomyopathy and heart failure with reduced ejection fraction (LVEF 20-25%) presenting with 5 days of worsening dyspnea and orthopnea.   At home, she takes carvedilol 12.5mg BID, sacubitril-valsartan 24-46mg BID, empagliflozin 10mg daily, and furosemide 40mg daily.   On admission, her exam revealed a blood pressure of 111/79 mmHg, HR 80 bpm, and SpO2 94%. Her cardiovascular exam was significant for a regular rate and rhythm with an audible S3, JVD to 13 cm H2O, bilateral lower extremity pitting edema with warm extremities and 2+ pulses throughout.  What initial dose of diuretics would you give her? A Continue home Furosemide 40 mg PO B Start Metolazone 5 mg PO C Start Lasix 100 mg IV D Start Spironolactone Answer #23 Explanation The correct answer is C – start Furosemide 100 mg IV. This is the most appropriate choice because patients with HF admitted with evidence of significant fluid overload should be promptly treated with intravenous loop diuretics to improve symptoms and reduce morbidity (Class 1, LOE B-NR). Intravenous loop diuretic therapy provides the most rapid and effective treatment for signs and symptoms of congestion. Titration of diuretics has been described in multiple recent trials of patients hospitalized with HF, often initiated with at least 2 times the daily home diuretic dose (mg to mg) administered intravenously. Titration to achieve effective diuresis may require doubling of initial doses, adding a thiazide diuretic, or adding an MRA that has diuretic effects in addition to its cardiovascular benefits. Choice A is incorrect as continuing oral loop diuretics is not recommended for acute decongestion. Moreover, Ms. Hart has become congested despite her home, oral diuretic regimen. Choice B and D are incorrect as starting a thiazide diuretic or a mineralocorticoid receptor antagonist are not first-line therapy for acute HF. Rather, in patients hospitalized with HF when diuresis is inadequate to relieve symptoms and signs of congestion, it is reasonable to intensify the diuretic regimen using either: a.

Hi My Lovelies, In response to our previous episode (58) with Dana Miranda of Healthy Rich on somatic practice to work with our difficult money stories. I discovered from Bari Tessler's book The Art of Money workbook (from the podcast Inside Job with Nayla Bahri and Eric Johnson).  Tessler does a lot of the practices that I actually detailed in my book but she applies them specifically to our difficult emotions around money, and almost ALL of us have these, no matter how much money we make.  What I love is the 3 step set of practices for our money dates or money clarity sessions as I think of them:  Body Check-in - feel and sense into your body and notice what's happening Resource Ourselves - make adjustments Titration - go slow and take it at your own pace Rather than avoiding bad feelings, it is helpful to lean into them, describe where they appear in our bodies and realize they are not going to harm us. We can physically resource ourselves and make our money clarity session into a comforting ritual can help us approach it more gently.  I actually walk through my own feelings about money regret so you can be with me during one of these practices.  Hope this provides some helpful support to you!  And if my work is helpful to you and you want to send me a birthday gift or make a contribution to support my work at the Somatic Wisdom podcast, my Venmo ID is @Cristy-DeLaCruz. ;-) *** Support for this podcast comes from readers of Unleash, Unlearn, and Enliven, from clients, and from listeners like you. To support my work, you can purchase the audio version of my book here.  To apply for a free audio version of the book, please enter your name and email at this form. For more resources, subscribe to my the Somatic Wisdom Substack newsletter, where much of this content can be found in essay form. To get in contact or look into being a guest, please message me via LinkedIn.  *** Music credit: https://www.melodyloops.com/composers/ihsandincer/ Cover art credit: https://www.natalyakolosowsky.com/          

Moderator: James Rathmell, M.D. Participants: Andrew Bowdle, M.D., Ph.D. and Michael M. Todd, M.D. Articles Discussed: A Dose-Finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis Sugammadex is Not a Silver Bullet: Caveats Regarding Unmonitored Reversal Transcript

Commentary by Dr. Valentin Fuster

Sunday talk given April 16, 2023.

In today's bonus episode and after the BBC's Panorama ADHD clinics programme this week, I wanted to share as much practical and up-to-date information from Vicki George, a clinical specialist nurse, independent nurse prescriber and founder of The ADHD Nurse.Who can diagnose ADHD?How Vicki works as an ADHD clinical and prescriber nurseThe ADHD diagnosis process and the frustration with the NHS waiting listsWhat happens to us with medication and titration after an ADHDThe referral and assessment processGaslighting ourselves with ADHDFears around medication The support we can access from the NHS and privatelyRed flags to look out for if we're questioning an ADHD diagnosis.If you find this podcast a helpful resource and you'd like to see it continue to grow with more guests, solo episodes and further information, I'd love it if you could show your appreciation via this gratitude link. As The ADHD Women's Wellbeing Podcast is entirely self-funded and self-produced with some amazing editing by my editor, Faith - it does take a lot of time, effort, love, hard work and money to ensure a weekly episode comes to you every Thursday. I'd love to bring this podcast to you full of integrity and advert-free to ensure you get the most authentic conversation without listening to adverts you may not be interested in. By showing your appreciation through this link, I can continue to bring you the most up-to-date and relevant information I can and keep helping so many of you. Any support is gratefully received and goes to helping our incredible community become more supported, empowered and educated.https://the-adhd-womens-wellbe.captivate.fm/supportI liked this response from The ADHD Foundation further to the BBC documentary if you're looking for more help. Contact Vicki by email here: vicki@theadhdnurse.co.uk or follow her on Instagram hereIf you enjoy the podcast, why not join Kate's ADHD Women's Wellbeing Collective, where you can access monthly live workshops, exclusive content and new resources specifically for the membership? Click here for all details.Kate Moryoussef is a women's ADHD Lifestyle & Wellbeing coach and EFT practitioner helping overwhelmed yet unfulfilled ADHD women find more calm, balance, health, compassion, creativity and clarity. Have a look at some of Kate's workshops and free resources here.Download Kate's audio course and private podcast, Calmer Days here.Follow the podcast on Instagram hereFollow Kate on Instagram hereHave a...

“I've heard everything at this point, meaning nothing would surprise me. I've heard all sorts of versions of shame, anger, sadness, anxiety, family stories - beautiful and painful, and betrayal and embarrassment.”   Our hosts Stephanie McCullough and Kevin Gaines had a fascinating conversation with Financial Therapist Bari Tessler, founder of The Art of Money, about her unique methodology that integrates financial and emotional literacy. Bari enlightens us on the importance of understanding the connection between our mind and body, and how this knowledge can be applied to our financial well-being. You'll learn about the role of bookkeeping in developing financial intimacy, the concept of money dates to review your finances, and the benefits of breaking down money management into small, achievable goals.   Bari shares her insights on how most people have shame or other difficult emotions around money. This is rarely talked about and not yet taught in school. Stephanie, Kevin, and Bari explore how to find a money management style that works best for you and the importance of self-forgiveness when working with our money stories. Plus, they dive into the idea of inner-child work, a therapeutic technique that helps us better understand our younger selves and the decisions we have made around money.   And be sure to listen to the end where they discuss the art of managing financial decision-making anxiety and aligning your choices with your values. You won't want to miss this enlightening conversation that's sure to help you change your relationship with money and bring you a step closer to financial clarity and happiness.     Key Topics: Financial Therapy and Somatic Psychology (0:02:12) Body Check-In (0:07:11) Shame and Other Difficult Emotions Around Finances (0:10:14) Money Dates (0:17:38) Early Integrations of Financial Therapy and Financial Planning (0:22:05) Titration: Breaking Things Down into Small Steps (0:28:51) Titration and Self-Forgiveness (0:36:27) Renaming Categories and Honoring Life Transitions (0:44:23) Managing Financial Decision-Making Anxiety (0:50:05)     Resources: BariTessler.com The Art of Money: A Year-Long Money School with Bari Tessler The Art of Money (book and workbook) 27 Ways to Make a Money Date Your Own Bari Tessler on Instagram and Facebook Take Back Retirement Episode 32: True Confessions of Two Financial Planners   If you like what you've been hearing, we invite you to subscribe on your favorite platform and leave us a review. Tell us what you love about this episode! Or better yet, tell us what you want to hear more of in the future. stephanie@sofiafinancial.com   You can find the transcript and more information about this episode at www.takebackretirement.com.   Follow Stephanie: Twitter, Facebook, YouTube + LinkedIn.  Follow Kevin: Twitter, Facebook, YouTube + LinkedIn.

Would a slower lamotrigine titration rate decrease the likelihood of developing the dreaded lamotrigine-associated rash? This episode discusses the possible advantages of slower lamotrigine titration rates, tips for managing benign rashes, and when to rechallenge lamotrigine. Faculty: Jim Phelps, M.D. Host: Richard Seeber, M.D. Learn more about our membership here Earn 0.5 CMEs: Quick Take Vol. 44 Impact of Selected Initial Titration Schedules on Safety and Long-Term Effectiveness of Lamotrigine for the Treatment of Mood Disorders

Support the show

Trigger warning Klaxx-ON... due to a mental health issue james is only partly involved in this episode.In Episode 92, The ADHD Adults discuss the process of titrating medication (or effectively getting the dose right).  As usual, the episode includes Alex the Psycho.....education Monkey's vomit-inducing information on the topic, personal reflections from all three ADHD adults (James was up to this bit) about their titration experience and what Mrs ADHD now apparently calls 'wanking' or 'top tips'.  'What has James HISTORICALLY lost, forgotten or mislaid ?" returns, and Alex reads out the usual 'definitely real' correspondence.  No one checks on Alex, James has really bad hair and  Mrs ADHD has a titration 'officer'...Support the showWritten by Alex Conner and James BrownProduced by James Brown and Afatscientist Ltd.Social media contacts: @theadhdadultsMusic by Sessionz

In this meditation, we use our breath to slow down, and then direct our attention, to different places within our bodies.

Dr Gallardo discusses best practice for drip titration.

Dawn started ADHD Medication last month!  in this episode we discuss her experience of Titration so far and look back at Laura's, which began ten months prior.  As ever, our experiences are entirely different, and we were both prescribed different medication. We then dive into the topic of ADHD Activism. We unmask our true intentions of ADHDAF. Nine months ago we cautiously dipped our toes in (THANKS RSD!) but we are finally brave enough to tell the full story and what led us to treading carefully. As discussed in the Emergency Bonus Blether; what we are doing here is 'ADHD Activism in action' - Cat Owens, We Are ADHDAF Community member. The legendary Cat has given us the confidence to really push the survey which will inform ADHD & ASD Diagnosis parliamentary debate on 6th Feb.PLEASE TAP HERE TO ANSWER THE SURVEY! The petitions are closed but YOU CAN MAKE A DIFFERENCE with the survey, THE DEADLINE IS TOMORROW! Wednesday 25th Jan 10am! Cat has also written a template MP letter which you can download and add your details to, with a link to find out who to send it to and how. PLEASE PLEASE PLEASE TAP HERE, WE CAN CHANGE THE SYSTEM! We go onto talk about our new ADHDAF Apparrel, and the first date of our TOO MUCH TOUR! How amazing is this illustration for the Tour by @wispaworksIf you've found this podcast helpful & are in a position to do so, please help us continue to help others by joining our Community. Packages include: vlogs, blogs, live blethers, body doubling and all the chats! If you would prefer you can leave us a tip.MASSIVE thank you to our Patreon pledgers! With more supoport we will be able to continue producing ADHD As Females.  In particular a massive thank you to our Gold Tier Patrons: Claire Turner, Sarah Newell, Ola Czarnecka, Rach, Callan Davy, Rachael Riley, Derec Thompson, Anne Barrow, Leanne Smith, Clare Hale, Michelle Corcoran, Dee Naylor, Samantha Knowles-Owen, Kim Pierpoint, Sinéad McDermott, Amy Davies, Cecilia Leslie, Kelsey Fehlberg, Kate Wilkinson, Alana Pinatiello, Eleanor Macpherson, Katharine Kaufman, Lorna Crowe, N. Scott, Suzanne Tanser, Marianne Stevens, Philippa Pickering, Kate Smith, Jenna King, Lou Young, Jacqueline McGeachie, Lynn McKenna, Bee Wood, Jennifer Wilson, Seonaid Macdonald, Manar, Roz King, Helen McCann, Joanne Eccles, Ali O'Connor, Rachel Stewart, Lauren Mitchell, Claire Turner, Katie Enstone, Lauren Bullen, Annmarie Kemsley, Elizabeth O'Farrell, Heesoo Lee, Ruth Lester, Amanda Thomson, Lizzee Oliver, Allie Warren, Nicola Mackenzie- Cracknell, Michelle Bellyou, Olivia Dyer, Gurjit Thandi, Nicol Dicheva, Yvonne Delaney,  Ailish, Kerrie Challinor, Charlotte Holtom, Nyki McKenzie, Kimi Wright, Rachel Williams, Sahra Zekiri, Lorna Kerr, Ruth Berry, Jody Ellen, Karen McCullough, Chelsie Louise,  Megan Lau, Kirsty Cassell, Susy Putnam, Jackie Allen, Sara Braid, Kerry, Nikol Dicheva,  who have helped make this episode happen; raising much needed ADHD awareness and providing validation and information to those who desperately need it. JOIN US!TW: Strong language, drugs, depression, anxiety, jail, Support the show

  Does your energy follow attention? Maybe you're not sure, and you want to learn more, as it will prove to be an invaluable phrase while you walk your trauma healing path. In this Trauma Healing Learning, you will gain more insight into somatic healing and awakening than ever before. You may even learn how to awaken your “soma.” Join Louise and Marion Gilbert in listening to their bodies, wiggling their toes and coming to groundbreaking realizations about the inner observer, resourcing and titration. These learnings are sure to speak with you, just as your body tries to converse with you everyday. Learn how to tune in to your body by tuning in to this brand-new Trauma Healing Learning. Here we go.   Our theme music is Victoria Vox.   Blink of an Eye Podcast is sponsored by the Blink of an Eye Non Profit: a non-profit created as a national resource to help change the way we respond to Spinal Cord Injury to include trauma healing approaches for families and medical teams across the U.S. Blink of an Eye provides a national team of SCI specialized doctors for expert opinions in the first hours of crisis, a Multidisciplinary Family Support & Navigation Team for SCI families lead by SCI families for the first 30 days of crisis, and a National Resource Library of trauma informed responses for the first hours and days after injury specialized for families, friends and SCI medical staff. Blink of an Eye also offers a Registry of Medically Unexpected SCI Recoveries. Blink of an Eye will host the inaugural symposium The Science of Trauma: Hope for Trauma Healing November 3, 2022. To register or donate and find out more, visit www.blinkofaneye.org   To find out more about Louise and this podcast, visit the websites blinkofaneyepodcast.com, www.BaltimoreMediation.com and www.BeingRelational.com.     To find out more about learning relational mediation skills for navigating hospital and medical conflict and trauma, visit the website BaltimoreMediation.com.     Follow us on Instagram and Facebook @blinkofaneyepodcast. Our Twitter is @blinkofaneyepod. Make sure to subscribe wherever you get your podcasts. You can become a member of our Patreon community and see extra Blink of an Eye content and bonus episodes at: www.patreon.com/blinkofaneyepod.    To find out more about Archer and to see some of Archer's artwork, check out www.slimeyard.com.    #hopeforeverything   #obtaineverything  #lovehealstrauma  #beginagain   Music in this episode is:   Ethereal Meditative Piano by MusicLFiles Link: https://filmmusic.io/song/6292-ethereal-meditative-piano License: https://filmmusic.io/standard-license   Ambient Suspenseful Calm by MusicLFiles Link: https://filmmusic.io/song/8563-ambient-suspenseful-calm License: https://filmmusic.io/standard-license   Placid Ambient by MusicLFiles Link: https://filmmusic.io/song/6189-placid-ambient License: https://filmmusic.io/standard-license   Calm Reflective Piano by MusicLFiles Link: https://filmmusic.io/song/8022-calm-reflective-piano License: https://filmmusic.io/standard-license   Background Calm Sentimental Positive Piano by MusicLFiles Link: https://filmmusic.io/song/8672-background-calm-sentimental-positive-piano License: https://filmmusic.io/standard-license   Dream Culture by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/3675-dream-culture License: https://filmmusic.io/standard-license   Soft Interlude by Alexander Nakarada Link: https://filmmusic.io/song/7766-soft-interlude License: https://filmmusic.io/standard-license   Cinematic Background Sad by MusicLFiles Link: https://filmmusic.io/song/8181-cinematic-background-sad License: https://filmmusic.io/standard-license   Horizon Flare by Alexander Nakarada Link: https://filmmusic.io/song/4837-horizon-flare License: https://filmmusic.io/standard-license   Relaxing Meditation by Liron Link: https://filmmusic.io/song/7891-relaxing-meditation License: https://filmmusic.io/standard-license   Peppers Theme by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4998-peppers-theme License: https://filmmusic.io/standard-license

In this episode, Kyle interviews Dr. Jennifer Montjoy: psychiatric nurse practitioner specializing in ketamine-assisted psychotherapy, and Medical & Research Director at TRIPP; a 501(c)(3) psychedelic training organization. www.psychedelicstoday.com

Episode Description:Somatic Practices for Healing Trauma Part I: Practices You Can Do on Your Own is Part I of a two-part series on somatic therapies for healing trauma. Somatic therapy is based on more recent research and generally more effective than talk therapy for healing trauma. It's basically another name for body work (AKA Somatic Experiencing®), or connecting with the body's sensations and resources to heal trauma stuck in the body so it can release through your neural network. This two-part series covers practices you can do on your own or with a professional. Part I discusses how somatic therapy works, explains five somatic practices you can do to heal trauma, and includes resources that can help you dig further into these practices. Part II will cover practices you can do with a professional.Breakdown of Episode3:18 Introduction to the Series, Episode, and Topic6:55 What Is Somatic Therapy?12:14 How Can It Help Me Heal Trauma and Why Is It Effective?18:08 Can I Do Somatic Practices on My Own?21:53 Intro to Five Somatic Practices23:29 Body Sensation Awareness Through Body Scan30:41 Grounding and Centering41:29 Resourcing and Visualization45:58 Self-Regulation54:29 Titration and PendulationBulleted List of Resources4 Somatic Therapy Exercises for Healing Trauma in Psych Central by Susan Aybar discusses what somatic therapy is, whether you should do it on your own, and four somatic practices you can use to heal trauma. 10 Somatic Interventions Explained in Integrative Psychotherapy by Esther Goldstein describes ten somatic interventions in detail that you can use to help you heal trauma. How Somatic Experiencing Can Help You Process Trauma in Healthline by Crystal Raypole explains how somatic therapy can help you heal trauma and physical symptoms of trauma, as well as what some important somatic practices are you can do.Somatic Experiencing Therapy: Ten Exercises and Examples by Daniela Rimerez-Duran PhD in Positive Psychology goes the most in depth of all the articles here, and it includes a more detailed breakdown of Somatic Experiencing® practices, focusing especially on Peter Levine's work. It links to a lot of good videos, books, and tools. Podcast Website, subscribe to podcast, email list. https://christianemotionalrecovery.comFree visual ACORN resource healing difficult emotions and subscribe for updates https://christianemotionalrecovery.com/Subscribe to YouTube channel for exclusive videos and free meditations https://www.youtube.com/channel/UC4a5jGXZ0-qzPINAspnLwPwTo join free Facebook community  https://www.facebook.com/groups/christianemotionalrecoverySubscribe to Instagram for weekly encouragement: https://www.instagram.com/christianemotionalrecovery/ Like Facebook Page for free weekly encouragement: https://www.facebook.com/stopstrivingandstartthriving  

The topic of titration has been circling around in my brain for the past few weeks. When my nurse practitioner used the term regarding my ADHD medication, it stuck in my head. I knew I would receive more context around it, and I sure did! Titration is the process of finding the right dosage of a medication for your body. You start out with a low dose to see how you react to it, and gradually increase it if you do not achieve the desired effect.  There are times that we are experiencing symptoms and need to change parts of our lives to determine what is causing them. When we are trying a new medication, monitoring side effects over a period of time allows you to see if your body adjusts to it or if it is not the right medication/dose. Feeling stagnation, discomfort or pain can also be a sign that something in your life needs to change. You may be unfulfilled or uninspired by your work, relationships or hobbies. You can implement a titration process by gradually adding or removing activities or people. Start doing a sketch a day, or taking one client a week.  Starting with the maximum dose or going cold turkey can shock our systems and drive us back to our comfort zone instead of moving toward our desires. Titration is a way to test the waters and decide for yourself how much of an increase you can handle at each step. What are you trying to add to your life?   My Leo season forecast will be coming, along with my Leo season newsletter. Sign up with the link below to receive energy themes, journal prompts, a creative prompt, and more!  

This is the show that many people have been waiting for…   I get hundreds of messages a day asking me if I've ever “treated X disease,” or help someone “recover from X symptoms…”   After 250,000+ client appointments the answer is always the same, however what people really need to understand is the “why” behind how to get well when nothing works…   I will teach you exactly what you need to do and how to control variables & titrates on today's #CabralConcept 2279 - Enjoy the show and let me know if you have any questions! - - - For Everything Mentioned In Today's Show: StephenCabral.com/2279 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!