Podcasts about ucsf osher center

Host Dr. Nate Pennell and his guest, Dr. Chloe Atreya, discuss the ASCO Educational Book article, “Integrative Oncology: Incorporating Evidence-Based Approaches to Patients With GI Cancers,” highlighting the use of mind-body approaches, exercise, nutrition, acupuncture/acupressure, and natural products. Transcript Dr. Nate Pennell: Welcome to ASCO Education: By the Book, our new monthly podcast series that will feature engaging discussions between editors and authors from the ASCO Educational Book. We'll be bringing you compelling insights on key topics featured in Education Sessions at ASCO meetings and some deep dives on the approaches shaping modern oncology.  I'm Dr. Nate Pennell, director of the Cleveland Clinic Lung Cancer Medical Oncology Program as well as vice chair of clinical research for the Taussig Cancer Institute. Today, I'm delighted to welcome Dr. Chloe Atreya, a professor of Medicine in the GI Oncology Group at the University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center, and the UCSF Osher Center for Integrative Health, to discuss her article titled, “Integrative Oncology Incorporating Evidence-Based Approaches to Patients With GI Cancers”, which was recently published in the ASCO Educational Book. Our full disclosures are available in the transcript of this episode.  Dr. Atreya, it's great to have you on the podcast today. Thanks for joining me. Dr. Chloe Atreya: Thanks Dr. Pennell. It's a pleasure to be here. Dr. Nate Pennell: Dr. Atreya, you co-direct the UCSF Integrative Oncology Program with a goal to really help patients with cancer live as well as possible. And before we dive into the review article and guidelines, I'd love to just know a little bit about what inspired you to go into this field? Dr. Chloe Atreya: Yeah, thank you for asking. I've had a long-standing interest in different approaches to medicine from global traditions and I have a degree in pharmacology, and I continue to work on new drug therapies for patients with colorectal cancer. And one thing that I found is that developing new drugs is a long-term process and often we're not able to get the drugs to the patients in front of us. And so early on as a new faculty member at UCSF, I was trying to figure out what I could do for the patient in front of me if those new drug therapies may not be available in their lifetime. And one thing I recognized was that in some conversations the patient and their family members, even if the patient had metastatic disease, they were able to stay very present and to live well without being sidelined by what might happen in the future. And then in other encounters, people were so afraid of what might be happening in the future, or they may have regrets maybe about not getting that colonoscopy and that was eroding their ability to live well in the present.  So, I started asking the patients and family members who were able to stay present, “What's your secret? How do you do this?” And people would tell me, “It's my meditation practice,” or “It's my yoga practice.” And so, I became interested in this. And an entry point for me, and an entry point to the Osher Center at UCSF was that I took the Mindfulness-Based Stress Reduction Program to try to understand experientially the evidence for this and became very interested in it. I never thought I would be facilitating meditation for patients, but it became a growing interest. And as people are living longer with cancer and are being diagnosed at younger ages, often with young families, how one lives with cancer is becoming increasingly important.   Dr. Nate Pennell: I've always been very aware that it seemed like the patients that I treated who had the best quality of life during their life with cancer, however that ended up going, were those who were able to sort of compartmentalize it, where, when it was time to focus on discussing treatment or their scans, they were, you know, of course, had anxiety and other things that went along with that. But when they weren't in that, they were able to go back to their lives and kind of not think about cancer all the time. Whereas other people sort of adopt that as their identity almost is that they are living with cancer and that kind of consumes all of their time in between visits and really impacts how they're able to enjoy the rest of their lives. And so, I was really interested when I was reading your paper about how mindfulness seemed to be sort of like a formal way to help patients achieve that split. I'm really happy that we're able to talk about that. Dr. Chloe Atreya: Yeah, I think that's absolutely right. So, each of our patients is more than their cancer diagnosis. And the other thing I would say is that sometimes patients can use the cancer diagnosis to get to, “What is it that I really care about in life?” And that can actually heighten an experience of appreciation for the small things in life, appreciation for the people that they love, and that can have an impact beyond their lifetime. Dr. Nate Pennell: Just in general, I feel like integrative medicine has come a long way, especially over the last decade or so. So, there's now mature data supporting the incorporation of elements of integrative oncology into comprehensive cancer care. We've got collaborations with ASCO. They've published clinical practice guidelines around diet, around exercise, and around the use of cannabinoids. ASCO has worked with the Society for Integrative Oncology to address management of pain, anxiety, depression, fatigue – lots of different evidence bases now to try to help guide people, because this is certainly something our patients are incredibly interested in learning about. Can you get our listeners up to speed a little bit on the updated guidelines and resources supporting integrative oncology? Dr. Chloe Atreya: Sure. I can give a summary of some of the key findings. And these are rigorous guidelines that came together by consensus from expert panels. I had the honor of serving on the anxiety and depression panel. So, these panels will rate the quality of the evidence available to come up with a strength of recommendation. I think that people are at least superficially aware of the importance of diet and physical activity and that cannabis and cannabinoids have evidence of benefit for nausea and vomiting. They may not be aware of some of the evidence supporting these other modalities. So, for anxiety and depression, mindfulness-based interventions, which include meditation and meditative movement, have the strongest level of evidence. And the clinical practice guidelines indicate that they should be offered to any adult patient during or after treatment who is experiencing symptoms of anxiety or depression. Other modalities that can help with anxiety and depression include yoga and Tai Chi or Qigong. And with the fatigue guidelines, mindfulness-based interventions are also strongly recommended, along with exercise and cognitive behavioral therapy, Tai Chi and Qigong during treatment, yoga after treatment.  And some of these recommendations also will depend on where the evidence is. So, yoga is an example of an intervention that I think can be helpful during treatment, but most of our evidence is on patients who are post-treatment. So, most of our guidelines separate out during treatment and the post-treatment phase because the quality of evidence may be different for these different phases of treatment.  With the pain guidelines, the strongest recommendation is for acupuncture, specifically for people with breast cancer who may be experiencing joint pain related to aromatase inhibitors. However, acupuncture and other therapies, including massage, can be helpful with pain as well. So those are a few of the highlights. Dr. Nate Pennell: Yeah, I was surprised at the really good level of evidence for the mindfulness-based practices because I don't think that's the first thing that jumps to mind when I think about integrative oncology. I tend to think more about physical interventions like acupuncture or supplements or whatnot. So, I think this is really fantastic that we're highlighting this.  And a lot of these interventions like the Qigong, Tai Chi, yoga, is it the physical practice of those that benefits them or is it that it gives them something to focus on, to be mindful of? Is that the most important intervention? It doesn't really matter what you're doing as long as you have something that kind of takes you out of your experience and allows you to focus on the moment. Dr. Chloe Atreya: I do think it is a mind, body and spirit integration, so that all aspects are important. We also say that the best practice is the one that you actually practice. So, part of the reason that it's important to have these different modalities is that not everybody is going to take up meditation. And there may be people for whom stationary meditation, sitting and meditating, works well, and other people for whom meditative movement practices may be what they gravitate to. And so, I think that it's important to have a variety of options. And one thing that's distinct from some of our pharmacologic therapies is that the safety of these is, you know, quite good. So, it becomes less important to say, “Overall, is Tai Chi better or is yoga better?” for instance. It really depends on what it is that someone is going to take up. Dr. Nate Pennell: And of course, something that's been really nice evidence-based for a long time, even back when I was in my training in the 2000s with Jennifer Temel at Massachusetts General Hospital, was the impact of physical activity and exercise on patients with cancer. It seems like that is pretty much a universally good recommendation for patients. Dr. Chloe Atreya: Yes, that's absolutely right. Physical activity has been associated with improved survival after a cancer diagnosis. And that's both cancer specific survival and overall survival.  The other thing I'll say about physical activity, especially the mindful movement practices like Tai Chi and Qigong and yoga, is that they induce physiologic shifts in the body that can promote relaxation, so they can dampen that stress response in a physiologic way. And these movement practices are also the best way to reduce cancer-associated fatigue. Dr. Nate Pennell: One of the things that patients are always very curious about when they talk to me, and I never really feel like I'm as well qualified as I'd like to be to advise them around dietary changes in nutrition. And can you take me a little bit through some of the evidence base for what works and what doesn't work? Dr. Chloe Atreya: Sure. I do think that it needs to be tailored to the patient's needs. Overall, a diet that is plant-based and includes whole grains is really important. And I often tell patients to eat the rainbow because all of those different phytochemicals that cause the different colors in our fruits and vegetables are supporting different gut microbiota. So that is a basis for a healthy gut microbiome. That said, you know, if someone is experiencing symptoms related to cancer or cancer therapy, it is important to tailor dietary approaches. This is where some of the mindful eating practices can help. So, sometimes actually not just focusing on what we eat, but how we eat can help with symptoms that are associated with eating. So, some of our patients have loss of appetite, and shifting one's relationship to food can help with nutrition. Sometimes ‘slow it down' practices can help both with appetite and with digestion. Dr. Nate Pennell: One of the things that you said both in the paper and just now on our podcast, talking about how individualized and personalized this is. And I really liked the emphasis that you had on flexibility and self-compassion over rigid discipline and prescriptive recommendations here. And this is perhaps one of the real benefits of having an integrative oncology team that can work with patients as opposed to them just trying to find things online. Dr. Chloe Atreya: Yes, particularly during treatment, I think that's really important. And that was borne out by our early studies we called “Being Present.” So, after I was observing the benefits anecdotally among my patients of the ability to be present, we designed these pilot studies to teach meditation and meditative practices to patients. And in these pilot studies, the original ones were pretty prescriptive in a way that mindfulness-based stress reduction is fairly prescriptive in terms of like, “This is what we're asking you to do. Just stick with the program.” And there can be benefits if you can stick with the program. It's really hard though if someone is going through treatment and with GI cancers, it may be that they're getting chemotherapy every two weeks and they have one week where they're feeling really crummy and another week where they're trying to get things done. And we realized that sometimes people were getting overwhelmed and feeling like the mindfulness practice was another thing on their to-do list and that they were failing if they didn't do this thing that was important for them. And so, we've really kind of changed our emphasis. And part of our emphasis now is on incorporating mindfulness practices into daily life. Any activity that doesn't require a lot of executive function can be done mindfully, meaning with full attention. And so, especially for some of our very busy patients, that can be a way of, again, shifting how I'm doing things rather than adding a new thing to do. Dr. Nate Pennell: And then another part I know that patients are always very curious about that I'm really happy to see that we're starting to build an evidence base for is the use of supplements and natural products. So, can you take us a little bit through where we stand in terms of evidence behind, say, cannabis and some of the other available products out there? Dr. Chloe Atreya: Yeah, I would say that is an area that requires a lot more study. It's pretty complicated because unlike mindfulness practices where there are few interactions with other treatments, there is the potential for interactions, particularly with the supplements. And the quality of the supplements matters. And then there tends to be a lot of heterogeneity among the studies both in the patients and what other treatments they may be receiving, as well as the doses of the supplements that they're receiving.  One of my earliest mentors at Yale is someone named Dr. Tommy Chang, who has applied the same rigor that that we apply to testing of biomedical compounds to traditional Chinese medicine formulas. And so, ensuring that the formulation is stable and then formally testing these formulations along with chemotherapy. And we need more funding for that type of research in order to really elevate our knowledge of these natural products. We often will direct patients to the Memorial Sloan Kettering ‘About Herbs, Botanicals, and Other Products' database as one accessible source to learn more about the supplements. We also work with our pharmacists who can provide the data that exists, but we do need to take it with a grain of salt because of the heterogeneity in the data. And then it's really important if people are going to take supplements, for them to take supplements that are of high quality. And that's something in the article that we list all of the things that one should look for on the label of a supplement to ensure that it is what it's billed to be. Dr. Nate Pennell: So, most of what we've been talking about so far has really been applying to all patients with cancer, but you of course are a GI medical oncologist, and this is a publication in the Educational Book from the ASCO GI Symposium. GI cancers obviously have an incredibly high and rising incidence rate among people under 50, representing a quarter of all cancer incidence worldwide, a third of cancer related deaths worldwide. Is there something specific that GI oncologists and patients with GI cancers can take home from your paper or is this applicable to pretty much everyone? Dr. Chloe Atreya: Yeah, so the evidence that we review is specifically for GI cancers. So, it shows both its strengths and also some of the limitations. So many of the studies have focused on other cancers, especially breast cancer. In the integrative oncology field, there are definitely gaps in studying GI cancers. At the same time, I would say that GI cancers are very much linked to lifestyle in ways that are complicated, and we don't fully understand. However, the best ways that we can protect against development of GI cancers, acknowledging that no one is to blame for developing a GI cancer and no one is fully protected, but the best things that we can do for overall health and to prevent GI cancers are a diet that is plant-based, has whole grains. There's some data about fish that especially the deep-water fish, may be protective and then engaging in physical activity.  One thing I would like for people to take away is that these things that we know that are preventative against developing cancer are also important after development of a GI cancer. Most of the data comes from studies of patients with colorectal cancer and that again, both cancer specific and overall mortality is improved with better diet and with physical activity. So, this is even after a cancer diagnosis. And I also think that, and this is hard to really prove, but we're in a pretty inflammatory environment right now. So, the things that we can do to decrease stress, improve sleep, decrease inflammation in the body, and we do know that inflammation is a risk factor for developing GI cancers. So, I think that all of the integrative modalities are important both for prevention and after diagnosis. Dr. Nate Pennell: And one of the things you just mentioned is that most of the studies looking at integrative oncology and GI cancers have focused on colorectal cancer, which of course, is the most common GI cancer. But you also have pointed out that there are gaps in research and what's going on and what needs to be done in order to broaden some of this experience to other GI cancers. Dr. Chloe Atreya: Yeah, and I will say that there are gaps even for colorectal cancer. So right now, some of the authors on the article are collaborating on a textbook chapter for the Society for Integrative Oncology. And so, we're again examining the evidence specifically for colorectal cancer and are in agreement that the level of evidence specific to colorectal cancer is not as high as it is for all patients with adult cancers. And so even colorectal cancer we need to study more.  Just as there are different phases of cancer where treatments may need to be tailored, we also may need to tailor our treatments for different cancer types. And that includes what symptoms the patients are commonly experiencing and how intense the treatment is, and also the duration of treatment. Those are factors that can influence which modalities may be most important or most applicable to a given individual. Dr. Nate Pennell: So, a lot of this sounds fantastic. It sounds like things that a lot of patients would really appreciate working into their care. Your article focused a little bit on some of the logistics of providing this type of care, including group medical visits, multidisciplinary clinics staffed by multiple types of clinicians, including APPs and psychologists, and talked about the sustainability of this in terms of increasing the uptake of guideline-based integrative oncology. Talk a little bit more about both at your institution, I guess, and the overall health system and how this might be both sustainable and perhaps how we broaden this out to patients outside of places like UCSF. Dr. Chloe Atreya: Yes, that's a major focus of our research effort. A lot of comprehensive cancer centers and other places where patients are receiving care, people may have access to dietitians, which is really important and nutritionists. In the article we also provide resources for working with exercise therapists and those are people who may be working remotely and can help people, for instance, who may be in, in rural areas. And then our focus with the mind-body practices in particular has been on group medical visits. And this grew out of, again, my ‘being present' pilot studies where we were showing some benefit. But then when the grant ends, there isn't a way to continue to deliver this care. And so, we were asking ourselves, you know, is there a way to make this sustainable? And group medical visits have been used in other settings, and they've been working really well at our institution and other institutions are now taking them up as well. And this is a way that in this case it's me and many of my colleagues who are delivering these, where I can see eight or ten patients at once. In my case, it's a series of four two-hour sessions delivered by telehealth. So, we're able to focus on the integrative practices in a way that's experiential. So, in the clinic I may be able to mention, you know, after we go over the CT scans, after we go over the labs and the molecular profiling, you know, may be able to say, “Hey, you know, meditation may be helpful for your anxiety,” but in the group medical visits we can actually practice meditation, we can practice chair yoga. And that's where people have that experience in their bodies of these different modalities. And the feedback that we're receiving is that that sticks much more to experience it then you have resources to continue it. And then the group is helpful both in terms of delivery, so timely and efficient care for patients. It's also building community and reducing the social isolation that many of our patients undergoing treatment for cancer experience. Dr. Nate Pennell: I think that makes perfect sense, and I'm glad you brought up telehealth as an option. I don't know how many trained integrative oncologists there are out there, but I'm going to guess this is not a huge number out there. And much like other specialties that really can improve patients' quality of life, like palliative medicine, for example, not everyone has access to a trained expert in their cancer center, and things like telemedicine and telehealth can really potentially broaden that. How do you think telehealth could help broaden the exposure of cancer patients and even practitioners of oncology to integrative medicine? Dr. Chloe Atreya: Yes, I think that telehealth is crucial for all patients with cancer to be able to receive comprehensive cancer care, no matter where they're receiving their chemotherapy or other cancer-directed treatments. So, we will routinely be including patients who live outside of San Francisco. Most of our patients live outside of San Francisco. There's no way that they could participate if they had to drive into the city again to access this. And in the group setting, it's not even safe for people who are receiving chemotherapy to meet in a group most times. And with symptoms, often people aren't feeling so well and they're able to join us on Zoom in a way that they wouldn't be able to make the visit if it was in person. And so, this has really allowed us to expand our catchment area and to include patients, in our case, in all of California. You also mentioned training, and that's also important. So, as someone who's involved in the [UCSF] Osher Collaborative, there are faculty scholars who are at universities all over the US, so I've been able to start training some of those physicians to deliver group medical visits at their sites as well via telehealth. Dr. Nate Pennell: I'm glad we were able to make a plug for that. We need our political leadership to continue to support reimbursement for telehealth because it really does bring access to so many important elements of health care to patients who really struggle to travel to tertiary care centers. And their local cancer center can be quite a distance away.  So, sticking to the theme of training, clinician education and resources are really crucial to continue to support the uptake of integrative oncology in comprehensive cancer care. Where do you think things stand today in terms of clinician education and professional development in integrative oncology. Dr. Chloe Atreya: It's growing. Our medical students now are receiving training in integrative medicine, and making a plug for the Educational Book, I was really happy that ASCO let us have a table that's full of hyperlinks. So that's not typical for an article. Usually, you have to go to the reference list, but I really wanted to make it practical and accessible to people, both the resources that can be shared with patients that are curated and selected that we thought were of high-quality examples for patients. At the bottom of that table also are training resources for clinicians, and some of those include: The Center for Mind-Body Medicine, where people can receive training in how to teach these mind-body practices; The Integrated Center for Group Medical Visits, where people can learn how to develop their own group medical visits; of course, there's the Society for Integrative Oncology; and then I had just mentioned the Osher Collaborative Faculty Fellowship. Dr. Nate Pennell: Oh, that is fantastic. And just looking through, I mean, this article is really a fantastic resource both of the evidence base behind all of the elements that we've discussed today. Actually, the table that you mentioned with all of the direct hyperlinks to the resources is fantastic. Even recommendations for specific dietary changes after GI cancer diagnosis. So, I highly recommend everyone read the full paper after they have listened to the podcast today.  Before we wrap up, is there anything that we didn't get a chance to discuss that you wanted to make sure our listeners are aware of? Dr. Chloe Atreya: One thing that I did want to bring up is the disparities that exist in access to high quality symptom management care. So, patients who are racial and ethnic minorities, particularly our black and Latinx patients, the evidence shows that they aren't receiving the same degree of symptom management care as non-Hispanic White patients. And that is part of what may be leading to some of the disparities in cancer outcomes. So, if symptoms are poorly managed, it's harder for patients to stay with the treatment, and integrative oncology is one way to try to, especially with telehealth, this is a way to try to improve symptom management for all of our patients to help improve both their quality of life and their cancer outcomes. Dr. Nate Pennell: Well, Dr. Atreya, it's been great speaking with you today and thank you for joining me on the ASCO Education: By the Book Podcast and thank you for all of your work in advancing integrative oncology for GI cancers and beyond. Dr. Chloe Atreya: Thank you, Dr. Pennell. It's been a pleasure speaking with you. Dr. Nate Pennell: And thank you to all of our listeners who joined us today. You'll find a link to the article discussed today in the transcript of the episode. We hope you'll join us again for more insightful views on topics you'll be hearing at the Education Sessions from ASCO meetings throughout the year and our deep dives on approaches that are shaping modern oncology. Disclaimer: The purpose of this podcast is to educate, educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:    Dr. Nathan Pennell   @n8pennell  @n8pennell.bsky.social  Dr. Chloe Atreya  Follow ASCO on social media:    @ASCO on X (formerly Twitter)    ASCO on Bluesky   ASCO on Facebook    ASCO on LinkedIn    Disclosures:   Dr. Nate Pennell:       Consulting or Advisory Role: AstraZeneca, Lilly, Cota Healthcare, Merck, Bristol-Myers Squibb, Genentech, Amgen, G1 Therapeutics, Pfizer, Boehringer Ingelheim, Viosera, Xencor, Mirati Therapeutics, Janssen Oncology, Sanofi/Regeneron      Research Funding (Institution): Genentech, AstraZeneca, Merck, Loxo, Altor BioScience, Spectrum Pharmaceuticals, Bristol-Myers Squibb, Jounce Therapeutics, Mirati Therapeutics, Heat Biologics, WindMIL, Sanofi   Dr. Chloe Atreya: Consulting or Advisory Role: Roche Genentech, Agenus Research Funding (Institution): Novartis, Merck, Bristol-Myers Squibb, Guardant Health, Gossamer Bio, Erasca, Inc.

Pulitzer Prize finalist Louise Aronson returns to the Commonwealth Club World Affairs stage to discuss the enduring themes of her New York Times bestselling book, Elderhood, and what to expect in the aftermath of the 2024 presidential election. What are the practical and existential implications of aging in a political era defined by polarization and increasing instability? How can individuals look out for their health and families regardless of the election outcome? Aronson is joined by fellow writer Jenara Nerenberg, in a follow-up conversation from their first lively event together five years ago. Nerenberg is the celebrated author of Divergent Mind and a forthcoming book on the psychology of groupthink. About the Speakers Louise Aronson, MD MFA, is a leading geriatrician, writer, educator, professor of medicine at UCSF and the author Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life. A graduate of Harvard Medical School, Dr. Aronson currently runs the integrative aging practice and age self-care integrative medical group visit program at the UCSF Osher Center for Integrative Health. She has received the Gold Professorship in Humanism in Medicine, the California Homecare Physician of the Year award, and the American Geriatrics Society Clinician-Teacher of the Year award. Her writing credits include The New York Times, The Atlantic, The Washington Post, JAMA, Lancet, and the New England Journal of Medicine, and her work in aging has been featured on NPR, NBC, CBS, and The New Yorker. Jenara Nerenberg is the bestselling author of Divergent Mind, hailed as "extraordinary, jaw-dropping" by Library Journal; she is an Aspen Ideas Brave New Idea speaker and the author of a second forthcoming book on the psychology of groupthink. A celebrated writer covering the intersection of psychology and society, Jenara's work has been featured in the UC Berkeley Science Center's Greater Good magazine, Fast Company magazine, CNN, NPR, BBC and elsewhere. Nerenberg speaks widely on social science topics, including at universities, libraries, companies and organizations around the world. She is a graduate of UC Berkeley and the Harvard School of Public Health; she grew up in San Francisco and, as a millennial, can now be found on Instagram. Organizer: Denise Michaud   A Grownups Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. This program contains EXPLICIT language.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Today on the Sauna Talk podcast we welcome Ashley Mason. Ashley Mason, earned her PhD in clinical psychology from the University of Arizona. She is an Associate Professor of Psychiatry in the Weill Institute for Neurosciences and the UCSF Osher Center for Integrative Health. Ashley is a clinical psychologist and directs behavioral treatment for insomnia at the UCSF Osher Center Clinic. She is Director of the UCSF Sleep, Affect, and Eating (SEA) Lab. Ashley is the Co-Director of the UCSF Center for Obesity Assessment, Study, and Treatment (COAST). She is primarily a researcher but also treats patients for insomnia within the Osher Center Sleep Clinic. Whole body hyperthermia In our chat today, you'll learn about her work surrounding “whole body hyperthermia.” Her 2023 BrainMind Summit presentation touches upon sauna and how heat treatment may have a positive impact on depression by regulating body temperature. Reintegrating thermal stress could be an effective approach to treating some individuals with depression.   Heat treatment and antidepressant effects There is correlation between core body temperature and depression. Editing thermal stress out of our lives (air conditioning, climate controlled indoor living has put is in “the narrow band.”, when all along, acute heat stress could help us! Especially when the idea of an ice cold lake plunge after sauna is about the best idea we've ever heard! I'm pleased to welcome Ashley Mason to Sauna Talk.

This Shine podcast interview kicks off Season 6.  The number 1 priority for HR in 2023 and 2024 is leadership and manager effectiveness.  The current and future talent are assessing companies differently than before.  People and especially high performers are looking at a company's commitment to diverse leadership, how the senior leadership is walking their talk, psychological safety, professional development, and continued growth opportunities within the company.   A company's continued relevance, success, and expansion will be based on the consciousness of the leaders it grows and retains.  In this podcast, learn how you can prioritize and design a learning and leadership strategy for long game success.  We talk about the successful learning and leadership program results I have directed and why I am your next great leadership hire. Experience a powerful awareness practice you can use to foster greater well being, inclusion and belonging in yourself, your relationships and at work. This inspiring episode will support you to advocate for learning and leadership development as a must have, rebuild the manager pipeline, and skill up the next generation of leaders to create a purposeful and healthy organization that is thriving.      Episode Links: Athena salon- Becoming a Conscious Leader: The Skills You Need to Create a healthy organization in 2024.  LinkedIn SHINE Links:  Thank you for listening. Want to build a high trust, innovative, and inclusive culture at work? Sign up for our newsletter and get the free handout and be alerted to more inspiring Shine episodes  Building Trust Free Gift Carley Links: LinkedIn Consultation Call with Carley Book Carley for Speaking Leading from Wholeness Learning & Development Carley's Book Executive Coaching with Carley  Well Being Resources: Inner Game Meditations  Inner Game Leadership Assessment   Social:  LinkedIn IG Website Shine Podcast Page   IMPERFECT SHOW NOTES Hi, my name is Carley Hauck and I am host of the shine podcast. This podcast has been flickering strong since May 2019. I began the podcast due to all the research I was conducting. In interviews with organizational leaders, lead scientists, academic researchers and spiritual teachers for my new book shine, ignite your inner game to lead consciously at work in the world. I wrote my book to inspire a new paradigm of conscious leadership and business that was in service of higher purpose to help humans flourish, and regenerate our planet. The podcast focuses on the science and application of conscious inclusive leadership, the recipe for high performing teams and awareness practices that you can cultivate to be the kind of leader our world needs now. I will be facilitating two to three episodes a month. And before I tell you about the theme of our season, please go over to Apple podcasts, hit the subscribe button on shine or go to your favorite podcast platform carrier. That way you don't miss one episode. Thank you. This season is going to be focused on what leadership skills are most needed to create a healthy organizational culture.    Leadership and manager effectiveness has been deemed the number one priority for HR in 23. And every person listening, whether you have a formal leadership title, or not, you are a leader. We all have the responsibility to lead around something that we care about whether it's at home with our family, and our communities, and or in the workplace. I believe in you. And I am so delighted to share with you such an incredible group of people and interviews that I have gathered for this season. I handpick every single guest based on their embodiment of conscious, inclusive leadership and the positive impact they're making. I am delighted you are here. And onto the podcast.   Currently, I'm really excited to be interviewing you today. I think it's fabulous for the podcaster to be the podcast it and and I know I suggested the idea that I that I interview you for your beautiful podcast, largely because I believe in you and I'm excited about you and your future and, and so much of what you do and what you're talking about is resonates tremendously with what we do at Athena and what I'm all about. So I'm just by way of introduction, I'm the I'm the founder and CEO of Athena Alliance, which is an amazing community of over 1200 senior women leaders who are building a portfolio of impact, who are lifelong learners who are invested in learning agility, who are building the next paradigm for what it means to be a leader. So so many of the things that we're doing resonate with what you do. Thank you. And I'm delighted to be a member of Athena, and so touched by your sponsorship and your own leadership.    Well, let's get started. So Carley, maybe you can tell us a little bit about who you are. Thank you. So I wear many different roles and identities like many people, but I'll start with I'm a daughter, proud, auntie, a sister, climate leader, a book mama. And I'm also a founder of a leadership and development consultancy. And I started this business which is more important for the conversation we'll have today. So I'll speak a little bit more about it, leading from wholeness. I began in 2010. And I have worked not only as the founder, but then the director of learning leadership and organizational development. And this consultancy empowers people with the skills to create flourishing and human centered organizations that are aligned with a deeper purpose about caring for people and planet. Not I just profit. And in the last decades and starting this business, I have had the great privilege to exclusively partner with internal senior stakeholders. Top companies like LinkedIn, Capital One Asana, think to the west. I've been an adjunct instructor at Stanford for over nine years. I've also served adventhealth, Pixar, Clif Bar Genentech, and so many other incredible leaders and companies, on the cutting edge of everything, I mean, these are truly transformative companies too. And here you are in the middle of transformation. Currently, you have worked with so many incredible companies over the 12 years that you've been building up your practice and your confidence and what you bring to this world of learning and development and evolution of senior leadership. Why? Why take that and move it into one company? Now? What? Why not keep experiencing all of these different companies?   Thank you so much for the question. One of the things that I've been really noticing about my, my journey, as a, as a founder and CEO of my consultancy is I have really thrived when I've been able to exclusively partner with one senior leadership team and one company. And for example, I worked in an exclusive partnership with Bank of the West for three and a half years. And the impact that I was able to make across the 9000 person company from the leaders to, you know, individual contributors was incredible. I mean, I know that I impacted 3500 people that I got to meet, you know, and had some real experience and learning and leadership with them. And that's where I felt the best. And I have been really excited for this opportunity to create even more impact, because there are certain roadblocks that you have when you're external. And I knew after that experience that I wanted to be internal. And the other pieces that I have noticed about my personality that I'm much more of a chief people person, you know, supporting the senior leadership team, the greater strategy, the business objectives, but also really making sure that the culture is thriving. And that's being part of the team versus kind of being outside of the team and influencing the team. And I think that my experience and learning and team and leadership development could translate into a director or above role. I also think once I'm inside, I would likely want to explore moving into a chief people officer or chief learning officer role. I also feel that my skill sets could translate into being a chief of staff working alongside either the CEO, the chief people officer, or the chief learning officer helping with strategy, supporting the executive leadership team, executive summits, you know, putting my coaching hat on to help with collaboration. So that's, that's the reason and that's what I'm really excited about in this next professional step.   I love that. What do you love about your work? Well, I, I love learning. And I'm always learning in this role. I've worn every single, you know, hat I can imagine around learning and leadership development. But the other thing that I've learned about myself is that I'm I'm really here for transformation. And so I love being able to inspire and ignite the potential in people, teams and culture that really supports the greatest and highest good. And so just to give a quick example, I am working in the hat of a team coach right now for a really wonderful senior leadership team. And they are in the forming so the beginning stages of a team. And like most teams, even though they've they've been working as a team for the last several months. They just jumped right into the deliverables, the business objectives, but they didn't really create the foundation for team effectiveness for you know, what are agreements for communication, how are we going to navigate conflict Are we even creating a Are we even creating a space where we feel safe to speak up to challenge one another. And so, trust was really low, and accountability was really low. And their collective well being was really low, because they're not being very effective with their time. And they haven't set up these really core foundations. But at the end of our very first session, the trust was there, you know, they were creating agreements for psychological safety, and they were starting to get really clear on how they could team best with one another. And so just within 90 minutes, I was able to see them shine, I was able to see the transformation and that is what just makes me feel alive. And and I know that I'm doing the right work.   I resonate with that so much. I have been in that leadership team. I have led that team, you know, so I, I get exactly what you're talking about. And it is, all the early days a bit lost in translation, not understanding how one part one person interprets versus another, and even probably more challenging and difficult when it's when we're less likely to be in person to have any unstructured time together. Mm hmm. Yeah,  the navigation of distributed remote teams is is a whole other challenge that leaders, I don't think have really been trained in how to navigate. Okay, use that word twice. But there it is. Yeah, what? It's a good one, what can you bring to a leadership role? And what problems can you solve?    My expertise lies in the strategy, human centered design, the direction and facilitation of employee engagement, you know, delivering dei initiatives, team and leadership development programs that really are aligned with the business objectives, but also in supporting a healthy organizational culture. And I have several years of experience designing, building, delivering scaled programs, including in person experiences, virtual learning, incorporating the diagnostics, and the metrics so that we know what outcomes are actually happening as a result of these programs. It also includes executive coaching, group coaching, community building, and then also, you know, partnering with internal stakeholders, and potentially even outside vendors to really support the overall learning and leadership development. I've also directed and managed a team of learning professionals, which might include facilitators, you know, more junior coaches, project managers, instructional designers, I love facilitation, I have over 10,000 hours of facilitating, it's just been one of the gifts I was given when I, you know, got here on this planet, and I love facilitating different courses and team development sessions, and also supporting other facilitators to really step into their strengths as facilitators. And I have also really enjoyed developing and leading efforts to help the company Hone, what kind of culture do we want to build here? And what are the values of the company that we can actually bring into leadership capabilities, so that the people that are leading are actually exemplifying those values and that culture and what they say and what they do, that's really important to me. I also feel like what I can bring to a role is to, you know, be able to share some of the metrics that we're seeing, you know, analyzing participant feedback, program evaluations, looking at the data to identify gaps and make recommendations for program enhancements.    I have been a lead consultant for three different NIH funded clinical trials. And so I'm a bit of a leadership nerd, but all So a data nerd. And I just think it's always important to be looking at the baseline of where you are, and then measuring over time, qualitatively and quantitatively, what impact these programs these initiatives are actually having. And not just, you know, saying, Oh, we just we just gave a psychological safety keynote. But how is that actually impacting people? How is that creating a sustainable part of the culture where, where people actually feel like they're equipped to have conversations that have a foundation of psychological safety, I think the other thing that I bring is I am a connector, I love people. And so it's been actually really easy for me to connect with C suite leaders, senior stakeholders, I'm always invited in by those people to help solve people problems. And I think influencing those leaders to do what's best for people in the company is something that comes naturally to me, and I've had a lot of success that that was a bit of a mouthful, but I've been doing this work for a long time. But that's what I feel confident I can bring.   Yeah, and clearly engendering a lot of trust, in part because it's illustrated in how you're talking to me now. You're just such a very thoughtful person in all of these things that you've endeavored to do. And you take it extremely seriously. Tell me about it. Tell me about the most successful or I don't know one of the most successful l&d programs that that you've run that you're really excited and proud about.   Wonderful. Well, this was a program that I delivered last year, and it's one of the many, but this one had just some incredible impact. And I was invited to develop a conscious leadership program based off my book, which has a wonderful framework on how to be a conscious, inclusive leader. And my sponsor at Capital One for this program, had met me during my book launch in 2001, and really loved my book. And then we developed this great relationship. And so this particular program was a pilot. I'm a big fan of piloting, we want to pilot to make sure that we see success. And then from there, we can refine, and reiterate and scale. But this was brought to 40 directors and senior directors amidst a really big reorg. So this, in many ways, was the first time that these directors and senior directors were working together. And they were across three different business functions. So tech, product and design, the task of this particular development program was to one kick off the program in a way that senior stakeholders were invested to really make sure that I was coordinating with the, you know, internal Chief of Staff's the program managers, and the communications team so that there was an efficient delivery of the information and also the right leaders were being picked for this program. There was also, you know, different metrics and team assessments and individual assessments. So all of those things needed to go out at the beginning, and to really, again, align with those internal folks to make sure that this program was really seamless. And then the program itself actually was delivered to cohorts of 13 to 14, I find that intimacy in groups is really what creates more impact and lasting change. So you know, less is more.    And this these cohorts of leaders were high potentials. And they, they were sponsored for the program, but they were also being given the opportunity, you know, to opt out if, it didn't work for them at that time. I think it's really important that people feel like they can say no, even if their company is investing in their learning and leadership. And so essentially what the program look like it was over six months, it included bi weekly group facilitation, coaching, asynchronous learning, with videos, audios, pure exercises, and then there were 12 different modules that included knowledge, practice feedback, or flexion. And this is all to support integration and habit formation. And the results of the program were really astounding, I was taking, you know, again, baseline, and then we had a mid assessment. And then we had the assessment at the very end to see what the impact was. All participants increased four out of nine important leadership competencies, which is incredible, because they were only asked to invest in one to two. And each person kind of knew their ranking on where they were high and where they were low in these nine leadership competencies that I've done a lot of research around to know that these are the skills that actually support leaders to be conscious, inclusive leaders and therefore create high performing teams trust, psychological safety, all these wonderful things that we all need and want. At the end of the program, there was a 47% increase in psychological safety, there was a 25% increase in effective decision making, there was a 74% increase in empathy, which is huge, because that's something that most of us need more support in, there was a 59% increase in self awareness and resilience, there was a 20 to 30% increase in employee engagement. And then at the end of the program, we were able to see 20 to 30% increase in career mobility. So that is a program I feel really proud of.   That's amazing. Tell us if so I think I missed the part. But tell us what are the skills and competencies you mentioned? There are nine, what are the skills and competencies leaders need to succeed at the intersection of people culture and strategy? Well, the the nine that I've researched, and I wrote about in my book shine, are really focusing on what we are cultivating on the inside, because what we're cultivating on the inside shows up on the outside. In other words, the inner game rules, the outer games. And not only what I found in this program, but what I feel is really relevant for what leaders need now is I'll just kind of quickly go into the nine but then I'll bring in some of the research and what I what I think companies could really benefit from investing in right now. And so self awareness is key self management, empathy, resilience, which is having that growth mindset. I'm a big believer in well, being psychological and physical well being are two of those nine conscious leadership capabilities, humility, self belonging, and some folks might not know what that means.    But self belonging was four different aspects of belonging to the self, which is self forgiveness, self love, self acceptance, self compassion, because if we're not able to give those to ourselves, and we can't give it to others, and then we tend to be more reactive, impatient, you know, aggressive leaders versus conscious and inclusive. And then lastly, mindfulness, which really allows us to pay attention to the present moment. And that supports us in having effective decisions and looking at the consequences of our actions, not for the short term, but the long game. And so those those are the nine.   Let's see incredible. What are the skills and competencies that you feel leaders need now to succeed at the intersection of people culture and strategy? This is such a great question. One of my favorite things to speak about. So before I answer in full, I'm just gonna share a little bit of research on some of the trends that I've been looking at in learning in HR. So the first one is that the number one priority for HR in 2023 is manager and leadership effectiveness. But as we know, this won't be solved in 2023, especially that we're in September of 2023. Because it's a really hard nut to crack. And I believe that it's going to be a long game solution. And additionally, LinkedIn found research that 94% of employees say that they would invest and stay at a company longer if it was prioritizing learning and leadership development. So I need both of those because I think what is so important and vital is that LMD has sometimes been kind of a niche business unit, you know, sometimes lumped in with HR sometimes standing on its own, but I believe that all companies from now until At the end of need to prioritize, and really commit to investing in learning and leadership development, so that businesses are able to succeed in creating healthy organizations. And the reason for that is that we are living in a time of increasing complexity and disruption, and the skills and aspects of leadership from the past, they really don't align with the future of work or more human centered workplace. You know, the command and control authority or authoritarian leader is not going to support what young workers want. And it's not going to support this more compassionate, empathetic workplace, that so many Chief People officers are speaking to.    I mean, I've heard everywhere from, you know, the Chief People Officer pay Powell to the Chief People Officer at Microsoft to Satya Nadella at Microsoft empathy is one of the number one people skills that we need. So therefore, we have to develop a different set of skills. And the other thing that's really important for companies to succeed in culture is that young people really want to work for a company that has purpose, in other words, where the company, and the outcome that they're making in the world is about healing, not about harming. So when we even look at a company like Patagonia, where, you know, earlier this year, the CEO said, we're giving away you know, every profit that Patagonia makes, is going to plan it now, that is showcasing a really strong consciousness at the leadership level. And I don't expect that all companies will be able to follow in those footsteps, but it is definitely a North Star. So the other thing that I would say, to answer that question of, you know, what are what are the skills needed? Well, the leaders are the custodian of culture. So again, going back to what we're cultivating on the inside is showing up on the outside. So people are going to follow the leaders example. And therefore we need to prioritize the focus of inner development of people leaders.    And I would say across the board, you know, even individual contributors need to learn a basic foundation of self awareness, self management, social awareness, relationship skill, so that they can listen, they can empathize with one another, they can collaborate, they can communicate. So I would say to create a really thriving culture, we need to invest in the leaders, but we also need to give a basic level of people skills to the whole company, and that's going to support a thriving culture. Managers need to have, I think, a basics in coaching foundations, you know, working as an executive and team coach, I just think it's so vital that people know and have positive experiences, having difficult conversations, you know, having healthy conflict conflict is going to happen, can we create healthy conflict is the question, hold people accountable compassionately. And lastly, instill psychological safety in their one on ones in their team culture. And if the senior leadership and manager is not able to do these basic aspects of leading, then I don't believe that the deliverables of the business are going to be solved. And at the end of the day, the organization is not going to be healthy. One of the very first things that I often will assess for is the presence or the absence of psychological safety. And if that isn't there, which in most teams and greater organizations, there are some ranges of where it's present and where it's not. It's really hard to implement change. And it's really hard to innovate.    And so I'll just kind of leave it at that early, you clearly have so much to offer and have been a deep student of your space. Nothing superficial here at all in your 12 years. Um, outside of organizations while being inside, I think is been a tremendous value to your ability to Research to not just develop your platform and your ideas and not just ideas, but your confidence in, in, in what you know, comes from insights that you have developed through working with many, many, many different teams as opposed to one or two over those years, it's clear that you will bring a ton to the internal role you're looking for. In wrapping this all up, how, how do we learn more about you?   Well, you can reach out to me on LinkedIn, I'm always open to new conversations, opportunities, if anybody, you know, would love to talk to me about a role that they're hiring for, or they're thinking of hiring for I would love to create some time, before we come to an end of this podcast episode, wanted to ratchet the energy down and in with an awareness practice that will serve you to be the best person that you can be. Every podcast episode, I like to bring in practices that we can utilize right away in our life. And only you have control over your response, your behaviors, and how you show up with yourself, then, is transmitted to every other person that you encounter in your life. As you heard, in my conversation with cocoa, I spoke about nine different inner game leadership skills. And they start with each of us. And this framework was developed because of my own deep practice. In these leadership competencies, I started a meditation practice when I was 19. And I spent 13 years with two to three weeks of silence a year. And at the end of last year on my sabbatical, I spent a month in silence. And I share this with you because it is called a practice because it's a constant practice. And I can't stop practicing and expect to continue to be the kind of person that I want to be unless I'm committed to the refining, the learning the growing the healing, because as the world becomes complex, and things keep changing, we need these practices even more. So this particular practice, is one that's going to take about six or seven minutes.    So if you can't listen to it right now, go ahead and speed up to the end so that you don't miss out on the special resources that I leave at the end. And you can always come back to this later. And if you have time to even just get a sneak peek, you can continue to listen. This is a cleansing practice for the mind and heart. It is a practice for reconciliation, healing and forgiveness. And just to share some of the research behind it. I've been part of several NIH funded clinical trials at UCSF Osher Center for Integrative Medicine. If we want to really create a workplace where there can be healing and care and belonging, then it starts right here. Begin by taking a slow breath through your nose and a slow exhale out. Let's do that a couple times together. Breathing in, breathing out. Breathing in. Breathing out. Do any movement to help you come more and more into your body. And bring your attention to your heart. As you breathe in. Feel the heart opening as you breathe out. Feel the heart healing. Breathing in opening, breathing out healing breathing in opening Breathing out, healing, breathing in, opening, breathing out healing bring to mind any instance that occurred in the last few hours or day in which you were hard on yourself. You were critical. You were unkind to yourself and words and actions and self care. You might not have honored a boundary, you might have not honored your truth.   This is a practice I am inspired to share based on Ho oponopono which is a very old indigenous practice that has been practiced for a long time and the Hawaiian Islands. And it begins like this. saying this to yourself. I am sorry. I forgive myself. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. I am sorry. I forgive myself. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. Just notice what's arising in the heart in the body. Now bring this practice to someone in your life that you are having challenge or friction with. I am sorry. Please forgive me. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. Breathing in opening, breathing out, healing, breathing in opening, breathing out. Healing. Now let's bring our practice to Mother Earth. Sweet Mother Earth and all aspects of this planet. The mountains, water, soil, all the beings who inhabit this earth, the plants aquatic life, land life, every aspect of the earth that you have found refuge in enjoyment, sustenance, shelter, place one hand on your heart and up to the sky. And say I am sorry. Please forgive me. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. I am sorry. Please forgive me. Thank you. I love you. Long, deep inhale and exhale. letting that go. And lastly, bringing your hands to a part of your body that would benefit from healing touch the back of the neck, the forehead, the cheek, the belly, the heart, anywhere. Breathing in opening, breathing out healing and say these words silently to yourself. This is bringing in a sense of self belonging. I forgive myself I care for my challenges. I love and accept myself as I am. I forgive myself, I care for my challenges. I love and accept myself as I am. I forgive myself, I care for my challenges. I love and accept myself just as I am. And as we come to a close, reminding yourself that you are strong, and courageous, and resilient, and mind, body and spirit. You are strong, courageous, resilient, and mind, body and spirit. And by you prioritizing and committing to your inner growth, you will have such a tremendous positive impact on everyone in your life and the world. Be the light, and shine. And the other thing that I'm feeling very excited about is that some of what we talked about today, what are the skills needed now, to really have people succeed in culture and strategy and leadership is an upcoming workshop and salon that I'm having with you Coco at Athena, and it is called Becoming a conscious leader the skills you need to create a healthy organization in 2024. And we will be offering this for for free to Athena members, but I'll also create a link in the show notes with the discount code shine and capital letters, so that you can attend if you're available on September 28. From noon to one Pacific Standard Time. We'd love to have you join us.   Well, thank you for letting me sort of be the host of your podcasts so that I could interview you for one of your episodes. This was so much fun. Thank you so much Coco, I am delighted to have your sisterhood and your support today. Wow, that was such a treat to be interviewed by Coco Brown. A leader I respect admire so much. Coco is going to be a future guest this season. And I am so excited to share that interview with you. Plus, Don't you just love her name. I haven't told this to Coco, but she's gonna hear it now. I feel like she has this inner rock star diva that is just waiting to come out. I can't wait for that. Listening is one part of learning. But then we need to create practices to instill what we hear into powerful action. So on that note, do you want to grow your inner game so that you can be a conscious leader at work life and in the world? Here are three ways all the links will be in the show notes. One use this podcast. It is a wealth of learning and development and in fact for a lot of the learning and leadership development programs I have offered. I actually resource this podcast as part of the learning the asynchronous learning.    So there are some incredible leaders and all you have to do is go back to our previous episodes. Go get my book shine. It has been voted one of the best books the top 10 In fact by mindful magazine that you should read in 2022 it is in hard copy and audiobook and it's my voice so if you are resonating with my voice now you might love the audiobook and I would love to hear your reaction of the book. I have not received one bad review and I am grateful. Come for a deeper dive with me and cocoa on September two 28 with our salon that we are offering on becoming a conscious leader. This is through the Athena Alliance membership, but you are going to get a free admission. If you put in the discount code shine in all caps. You can join us on September 28, noon to one Pacific Standard Time and get a sneak peek of what Athena is about and actually meet some of the other incredible powerhouse women that are part of this network. And then a personal ask for me. As you heard, I am so excited and ready to step into a director above level internal role bringing my gifts and passion for culture, and for leadership. I'm currently interviewing with some great companies.    And as you know, it's all about the network. If you know of someone I should meet, please connect us with us short intro or reach out to me on LinkedIn. If you are aware of opportunities that you think would be a great fit, please send them my way and reach out on LinkedIn. And if I can support you in any of your leadership challenges, please reach out. I love to help people with resources, connections, and deep listening. If you have any questions, comments or topics that you would like me to address, please email me at support at Carly help.com I would love to hear from you. And if you enjoyed this episode, please share it with friends, family or colleagues. We're all in this together and sharing is caring. Thank you for tuning in being part of this community. And until we meet again, my friend, be the light and shine your light

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams talks about what he looks for on food nutrition labels. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38817]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Dr. Abrams says you can never overstate how important the food we eat is to our health. In this excerpt Dr. Abrams discusses the role body fat plays in the production of insulin. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38815]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

What we eat -- and don't eat -- is directly related to our health. Poor diets lead to poor health outcomes, including cancer. Dr. Donald Abrams, integrative oncologist at UCSF Osher Center for Integrative Medicine, is an expert on nutrition and cancer. Here Dr. Abrams discusses the issue of fruit juices. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 38816]

This season is focusing on topics related to optimizing how we live, work, and play with science, real tips that you can practice daily, as well as ideas on how we can design a workplace culture that works for everyone, and is optimizing for the well being of ourselves, our co-workers, our communities and the planet. The topic of today's solo episode is the powerful link between psychological safety, our stress response, telomeres, and workplace well being.   In this episode, I will share with you the links between psychological safety, our stress response, telomeres, attachment styles, and the opportunity to design for happy healthy teams and workplace well being. I will share the scientific literature that links all of these subjects together and have some specific calls to action and daily practices that you can implement to create and sustain greater performance, collaboration, resilience and confidence in the midst of stress and or a lack of psychological safety.   SHINE Links:   Thank you for listening. Want to build a high trust culture and psychological safety at work? Sign up for our newsletter and get the free handout and be alerted to more inspiring Shine episodes   Building Trust Free Gift — https://www.leadfromlight.com   Carley Links   Book Carley for Speaking — https://carleyhauck.com/speaking Leading from Wholeness Learning & Development — https://carleyhauck.com/learning-and-development Carley's Book — https://carleyhauck.com/shinebook Executive Coaching with Carley — https://carleyhauck.com/executive-coaching Contact Carley — https://carleyhauck.com/contact   Links: SHINE Podcast Episode 51 — Cultivating a High Trust Culture with Susan Campbell — https://carleyhauck.com/podcast/51-cultivate-a-high-trust-culture-with-susan-campbell Carley's Patreon Page https://www.patreon.com/carleyhauck   Well Being Resources:   Inner Game Meditations — https://carleyhauck.com/meditations Doterra — https://www.doterra.com/US/en/site/carleyhauck 4 Sigmatic — 15% Discount code Shine — https://us.foursigmatic.com/?rfsn=4405553.d15cc7&discount=SHINE   Social:   LinkedIn — https://www.linkedin.com/in/carley-hauck/ IG — https://www.instagram.com/carley.hauck/ Website — https://www.carleyhauck.com Newsletter — https://www.leadfromlight.com Shine Podcast Page — https://carleyhauck.com/podcast   The Imperfect Shownotes   0:01 Carley Hauck   Hi, welcome to the SHINE podcast. My name is Carley Hauck. I am your host, I am so happy you're here.   This podcast focuses on the science spiritual perspective, an application of conscious, inclusive leadership, the recipe for high performing teams and awareness practices so that you can cultivate the skills on the inside to be the kind of leader our world needs now. I facilitate two to three episodes a month.   And before I tell you about our topic today, please go over to Apple podcasts, hit the subscribe button so you don't miss any of our new incredible interviews. We are in season six of the SHINE podcast.   Wow-wee! It's been a few years now. And we're still going strong. And this season is focusing on topics related to optimizing how we live, work, and play with science, real tips that you can practice daily. And also ideas on how we can design a workplace culture that works for everyone, and is optimizing for the well being of ourselves, our co-workers, our communities and the planet.   Today's episode is with me. And it is on the powerful link between psychological safety, our stress response, telomeres, and workplace well being.   Have you ever felt tormented about saying something to advocate for your feelings and needs, but you didn't speak up, because you were afraid that this might create conflict?   This is normal.   And it's frankly a big problem in our workplace and in the greater world due to many of us having negative experiences when we spoke up. And then it creates some kind of broken connection or conflict. In the past in our home life or at work with friends, this can often erode our sense of psychological safety, confidence. And thus diminish our greatest creative contributions to our teams in our life.   In this powerful episode, I will share with you the links between psychological safety, our stress response, telomeres, attachment styles, and the opportunity to design for happy healthy teams and workplace well being. I will share some simple daily practices that give you a look at the scientific literature that links all of these subjects together and have some specific calls to action so that you can create and sustain greater performance, collaboration, resilience and confidence in the midst of stress and or a lack of psychological safety.   Carley Hauck 3:46   So I've broken this episode up into a couple parts. Let's start off with stress resiliency, which is something I've been diving deeply into writing about facilitating doing research on so I have a lot to say.   Let's begin with our perception of what is stressful or difficult. So bring to mind a situation that is quite challenging, and is ongoing in your life. When you think about dealing with the situation, do you feel a sense of hope and confidence? Or do you feel fear and anxiety? How much are you ruminating? And having repetitive thoughts about this situation in your life? On a daily basis? How much do you avoid thinking about it or pushing away feelings associated with this situation? And how much does this situation negatively affect your self esteem? In other words, do you feel critical of yourself based on this experience? Is there shame or blame?   I asked these reflective questions to build your self awareness, but also to see that the way that we perceive stress really impacts the mind, the body, and thus, how we react or we respond. This internal narrative about what or who is safe can either grow our resilience to stress, or it can diminish it. But first we need to understand how the mind, emotions and body are all connected. And I also want to talk about how our stress response and our nervous system relates to psychological safety at work.   So before I do that, for those folks who aren't familiar with the term psychological safety, let me define it. psychological safety is the belief that one will not be punished, criticized, excluded or humiliated for speaking up with ideas, questions, concerns or mistakes. It is interpersonal risk taking. It has been documented by the research literature to be the number one predictor of high performance, inclusion, innovation and trust at work.   Dr. Amy Edmondson, who I am honored to call a friend and mentor, is a distinguished professor at Harvard Business School, and is author of the fearless organization. She has spent over 25 years of her life researching the concept of psychological safety. And her servant leadership has helped leaders in business prioritize changing structures and systems to create spaces where everyone can feel safe and bring their whole selves to work.   Carley Hauck 7:04   Here's the connection between stress and psychological safety. People experience stress in many different ways. And I will share some of the research that I was a part of around increasing our resilience to stress. While working as an organizational and leadership consultant, I had the wonderful opportunity and privilege to be a lead consultant for two NIH funded studies at UCSF Osher Center for Integrative Medicine.   These studies were looking at the long term benefits of mindfulness and meditation, contemplative practices, on our resilience to stress, emotional well being and the prevention of disease. I have been a long time meditator and was teaching on various forms of meditation and contemplative practices in community centers, with leaders and businesses as a way to enhance resiliency, distress, well being at work, empathy, emotional intelligence, and effective communication. And I was invited to bring this expertise to these studies. And one of these studies, ironically, was called shine, which is also the name of my new book. And I'll speak to that a little bit later. But the shine study had the principal investigator of Dr. Elissa Epel. Elissa is one of the premier researchers on telomeres, and more on telomeres and just a little bit, but this context is relevant.   The brain scans for threats more than five times per second, and responds in about 15 milliseconds with a whole series of physiological changes. And when the stress response is on high alert, the body produces stress hormones called cortisol and epinephrine. The heart rate is faster, the blood pressure increases. The vagus nerve, which helps to modulate our response to stress, withdraws its activity. This is why it's more challenging to breathe because our body is preparing to fight, to flee, to freeze, or to fawn in the presence of perceived danger. This is also why it's more difficult to believe that even though we're just having a perceived difficult conversation with a coworker, our body is actually saying alert, alert, alert. It's not safe. And when you suffer from chronic stress. These responses are on a low but constant alert keeping you in a state of physiological vigilance and hyper arousal.   So what does it feel like for different people when they're under this level of stress?   Well, these are some responses I've heard. My heart feels like it's going to come out of my chest, I can't sit still, I want to run out of the room. I freeze and my hands get sweaty and I can't take a deep breath. These examples are showcasing what happens in our physical bodies when we perceive an experience as stressful.   Carley Hauck 10:47   Let's talk about telomeres. It's been found that people that were exposed to more hardship trauma, prolonged stress at a young age, and or currently have had long exposures to stress have shorter telomeres or less telomere race. For example, caregivers have been found to have shorter telomeres due to the ongoing burden of stress in their lives. In addition to those that have had more trauma, they have also been associated with shortened telomeres.   So when we think about folks that have repeatedly felt excluded, and have been navigating, for example, systemic racism, they are likely carrying more trauma and have been under prolonged periods of stress.   And why does telomeres and our stress response matter?   Well, let's think about workplace well being and having a flourishing happy life, which a lot of businesses are prioritizing more now than ever since the pandemic and the rise of mental health issues.   So a telomere and telomerase are most associated with cell renewal. Our cells are always renewing, and telomeres protect our chromosomes and our genetic DNA. A telomere protects the chromosome during the process of cell division. In other words, it absorbs the hardest blow when our cells divide. And this is important because as cells divide and renew, they need their chromosome cargos, which are essentially the genetic instruction manuals, or genes to be delivered intact. For example, how else would a child's body know it was going to be tall and strong and specific to that child's unique DNA if the telomeres didn't keep the DNA protected.   As we get older, our telomeres shorten. And our cells experience more and more divisions. Folks who have longer telomeres are living longer into their 80s and 90s. And typically have the lowest risk of death from cancers, heart disease and other immune system related problems. Those folks who have shorter telomeres have weakened immune systems and are prone to more health problems in cancer.   Why this matters is that the more chronic stress burnout, toxic work environments, trauma, or even the environmental health problems that we're all navigating due to a warming climate. This puts more stress on our bodies. And then we have the real or perceived narrative that ‘I am not safe'.   If there is, for example, a wildfire like many have experienced in places or a shortage of water in the world due to climate change. This is a real threat to our survival. But we can similarly feel the same bodily experiences of arousal when speaking to a challenging coworker or parent. If we are aware of a state of fear, when our autonomic nervous system is threatened, we really struggle to access our creativity, innovation or focus to be inclusive, collaborative or high performing.   I myself have had long periods of chronic stress as an entrepreneur because there's just so much up and down risk taking the first couple years in a startup or a new business. You're working insane numbers of hours. And on top of that my childhood was also very challenging, and it didn't feel psychologically safe.   So, at an early age, I had the wisdom to get into my body to start learning ways to regulate my response to stress. I began a yoga practice at 17. And I began meditating at 19. And this was all through just reading books because yoga and meditation where I lived was not the norm. This was a healthy adaptation to stress, and it did support greater resiliency in my mind, in my body, but also recovering telomere length.   Carley Hauck 15:54   There are many research proven practices that I will share, to support you to create greater resilience and well being in your teams and workplaces. And these skills have everything to do with bringing our best and wholesales to work, leading consciously building trust, and high performing healthy and happy teams. I will get to these skills soon. For now I want to geek out a bit on the neurobiology of stress and our nervous system. I'm going to share the three parts of the nervous system. And the third part is often not talked about, but it has everything to do with psychological safety at work.   The central nervous system, this nervous system relays our sense of safety. It is like the main switchboard of our body. The nervous system is the command center of all our other systems, our digestion, or circulatory system, etc. It gives us information about what to move towards and away from through sensation, nerve activation, neurotransmitters and other signals. It transmits and relays our sense of safety of our own body and externally to other bodies, and other human nervous systems. It's also bi directional, breathing, awareness, healthy diet, self regulation, movement, sleep, these can all influence the way our nervous system responds.   For example, caffeine, too much technology, not enough sleep will heighten our levels of sympathetic nervous system arousal. Well, drinking chamomile, practicing meditation, deep breathing, gratitude or loving kindness practice may ramp it down.   The polyvagal theory speaks to the brain, the throat, the face, the heart and the abdomen. And it has a much more critical place in the nervous system than originally thought. Most of us have heard of the autonomic nervous system as being two branches, which is the sympathetic nervous system and the parasympathetic nervous system. But there is another nervous system which I will speak to.   The sympathetic nervous system under stress has a fight, flight freeze, fawn response, and the parasympathetic nervous system at ease has a rest and digest response. At ease, the parasympathetic nervous system drives us to move and act and we need this energy to wake up to have focus. And it allows us to slow down, rest, sleep and digest when it is at ease. You can think of the sympathetic nervous system as what it takes to get up the hill if we were in a car. And the parasympathetic nervous system is what takes us down the hill. When we move towards the threat response, this is known as the fight response. And the moving away from the threat is the flight response.   If for any reason our system feels overwhelmed to navigate the situation in front of us, our parasympathetic nervous system will go into a low level freeze response. And the freeze response can manifest as an inability to move to speak or to act. We become the deer in the headlights and we can even collapse, dissociate, get dizzy, some people even lose their ability to control their bowels.   Talking about our nervous system makes me feel like I want to take a deep breath with everyone. Let's just pause, take a deep breath in, let the belly rise and take a deep breath out letting it fall, two more times, breathing in, breathing out, breathing in and out.   What I'm about to highlight is very important.   The threat that people experience in their nervous system is not proportional to the actual threat. From the outside, you can't accurately assess the threat that an individual is experiencing. For example, if I was bitten by a German Shepherd as a kid, and my body is holding the implicit and explicit memory of this trauma, and I see a German Shepherd on a walk, who may be showcasing calmness, friendliness, he's not the least bit aggressive. But my body on the inside is responding on high alert, because of my past experience. And that is now impacting my current experience, even though it's not logical in the current moment.   This is why the perception of what we believe is a stressor is so important, and so unique to each of us. Essentially, our cells are talking to our nervous system. So when your system is under stress, you don't decide how to react, your body is automatically reacting to the stressor. And its response, to fight to flee, to freeze, or to fawn is a response in the moment based on past conditions and experiences. What was modeled to you as a child, what you have tried that worked or didn't work, and where you've gotten stuck.   There is nothing wrong with your reaction.   You aren't stronger or weaker based on how you react to stress. Your nervous system is healthy. And you have the ability to learn, adapt and become more resilient to stress, which is what we will continue to speak to. So both the sympathetic and the parasympathetic nervous system are imperative to our flourishing and both are needed.   But as I've been referring to there is one nervous system that has been left out. The social nervous system is the most modern part of the nervous system and it influences the autonomic nervous system. The social nervous system is specific to mammals, you and me, this new realization came about from the polyvagal theory. Our first level of detection of safety comes from the social nervous system, because we look to other people to know if we are safe or not safe. We're often scanning facial responses of people to know if they are safe.   And during the pandemic, most of our faces in public have been covered with masks. So it's made it even more challenging to understand who is safe, and who can we move towards. Our biological imperative is togetherness and physical proximity, not social distancing. Our autonomic nervous system responses include fight, flee, freeze, but in our social nervous system, we have the other F, which is known as fitting in or fawning, where we may overly please overly help so that we can feel included and are not excluded and our sense of safety remains intact.   Carley Hauck 24:37   Our social nervous system is here to help us create a sense of safety and belonging. It evolved because mothers needed to take care of their young by way of facial responses and appropriate actions to meet the baby's needs. And this would allow more loyalty from the mother to child and thus the baby's survival. It was really imperative to our flourishing. The social nervous system is primed first through the mother or the person who fed us but then to the rest of the family.   The social nervous system holds the primary signal. Is it safe, do we belong? Do we not belong? It also influences a person's experience of trust. The bond between the mother and child in a secure and safe way in the early years is so vital to the integration of the nervous system. The assessment of safety will look different for each individual and is determined by inner factors and outward factors, like your gender and race. Psychological and physical safety is not just perceptual, but actually different depending on these unique factors.   So are you following me so far? We began with talking about our perception of stress, and how our bodies can adapt in a healthy way, or an unhealthy way, which in the research I was part of showcased more chronic illness, shortened telomeres, and a lowered immune response. I've also gone over the three different nervous systems, and how this impacts our ability to feel psychologically safe.   But there's another component, which is also really important. And it refers to our attachment system. Our attachment system and style impacts our experience of psychological safety, and how we interact and relate in our adult relationships, including intimate partnerships, work relationships, and parenting caregiving dynamics. And for those of you that have listened to the podcast before, because I'm always talking about how we bring our whole selves to work, and home to work. This is important.   My master's degree was in Organizational Psychology, but I also worked as a therapist. And I have been serving individuals and teams as an executive coach for over a decade while working in leadership and organizational development. Due to my interest in trying to understand what supports thriving workplaces, leaders and teams, and my own interest in how I connect, or feel disconnected to the people in my life, I have dived deep into the science, and topic of attachment styles and theory.   Carley Hauck 27:53   This field is intrinsically tied to the social nervous system and how we relate to one another. My colleagues and fellow Sounds True authors like myself, Dr. Steven Taktin, and Dr. Diane Poole Heller, have contributed greatly to my knowledge of this subject, how it relates to relationship building. And guess what business is all about the relationship. I will be having another podcast episode to go more deeply into the attachment styles and its relationship to psychological safety. But for today, I wanted to just give you a quick overview.   So again, our attachment style influences how we form relationships, how we communicate, and how we express and respond to caring behaviors. Unfortunately, attachment styles may also generate an assortment of unhealthy habits and behaviors that impede our ability to lead our teams well, feel safe, connected, valued and joyful.   So our attachment system is an innate behavioral system that influences and even dictates how we bond with others. from infancy or even in utero, we depend on our caregivers to respond to our connection cues. Again, this relates to the social nervous system that I spoke about earlier. If for example, an infant cries out and a caregiver responds to his, her or their needs reliably and consistently, they will feel safe, cared for and wanted and they will likely approach the world primed for secure, healthy attachment. When we develop secure attachment in this way, we grew up believing the world is generally a safe place, and that others can and will be there for us, but when our needs at this vital and young part of our lives are not met, or we get inconsistent, confusing or even frightening responses from our caregivers, we may respond by adapting with insecure styles of attachment.   This means that our brains develop as a way of coping with less than ideal circumstances to help us survive. This is really important to remember, most people who exhibit insecure attachment patterns did not grow up in a supportive, validating or consistent environment. And these adaptations only developed to keep us safe and alive.   Carley Hauck 30:55   This can help you have self compassion and forgiveness for yourself. If you yourself came from one of those home environments, or if you discover that some of your colleagues or teammates, or friends or community have also. You see, our attachment system is our original blueprint for how we perceive and relate to others in the world around us. It colors many of our current interactions, often unconsciously. When we have developed insecure adaptations, it can make it difficult to feel safe to trust and to feel like we can get our physical and emotional needs met. And this has everything to do with psychological safety at work.   But the good news is we are all wired for secure attachment; we are biologically predisposed to be securely attached to caregivers, and later to loved ones, friends, colleagues and community.   But I do want to talk a little bit about trauma and attachment. Because trauma has been acknowledged more and more in our world in our workplace since the pandemic, which I experience as an opportunity for learning and growth and healing. It may seem surprising that attachment and trauma would be interconnected. But once we understand more about the attachment system, it makes perfect sense.   Attachment trauma can be thought of as a broken connection with someone. In a previous podcast I interviewed a mentor and friend Dr. Susan Campbell on her recent book, and we speak a lot about attachment trauma, and how it impacts a high trust culture. The link is in the show notes if you want to listen.   We all have attachment trauma. Trauma can overload the nervous system making it more difficult to stay regulated. emotional regulation is the ability to stay present and connected even in the face of hard feelings, experiences or triggers. It also helps us cope with the difficulties and the joys of life. Emotional regulation is a skill that is taught, learned and practiced. And people with secure attachment learned this skill through their early interactions with their caregivers.   There was a self regulation and a co-regulation that was wired into the brain as a natural response to stress and trauma because they felt safe and secure with this caregiver. In insecure attachment, children experience overwhelm and lack of safety with others and they struggle to self and CO regulate their nervous systems, which creates a state of high alert hyper arousal or shut down hypo arousal in the brain and the nervous system.   When we experience a situation which could be perceived as trauma, stress, or a trigger that reminds us of an earlier experience in life. The brain and body default to a fight flight freeze fawn pattern of arousal, making emotional regulation more difficult. And then imagine how easily we can erode high performance inclusion, innovation and effective communication normally goes out the window.   Carley Hauck 34:55   So, just briefly, I will talk about the five attachment styles. And I invite you to listen to a future episode that I will be recording On the subject of attachment style and its relationship to psychological safety, but for right now, I'd love to just give you the five names and you can investigate on your own. If you feel more intrigued on this topic.   Secure, avoidant, anxious, ambivalent, and disorganized.   So now I've unpacked the connection and link between our stress response, our nervous system, how it impacts our immune system, our well being, attachment style, trauma, and psychological safety. There are six inner game skills that I have done a lot of research on and application with hundreds of leaders and many organizations in the last 10 years and I write extensively about in my new book Shine: Ignite Your Inner Game to Lead Consciously at Work and In the World.   I have seen again and again that the integration of these skills are essential for creating happy healthy teams, psychological safety at work, inclusion, innovation, and high performance.   Self awareness is number one, get to know your thoughts, your feelings, motivations, physical sensations, arising and passing in the body. Meditation has been found to be one of the most effective ways to increase your self awareness. It is also associated with increased telomere length, lower rates of depression, long term reduction of body fat because we're lowering our arousal. When we have heightened arousal, we have more cortisol, cortisol tends to have us retain belly fat. And there are just so many incredible health and mind and heart benefits to meditation.   There are a couple practices in chapter one of my book on starting a meditation practice, but also on the important practice of unity tasking.   Number two, emotional intelligence. This includes self awareness, self regulation, which leads to social awareness, what's happening for the other person right now? What are they feeling in meeting and relationship mastery, a practice that is imperative towards creating more psychological safety and trust is understanding your triggers. Right?   So if there is an experience that keeps happening, for example, in your team, or this one person does or says something that you just react in this more heightened or agitated way, this is an opportunity for you to look at that. Is this something in my past that is impacting this current experience? Or what responsibility can I take to calm down to pause so that I can come from a wise and loving place, not a reactive place. There is a lot of support in chapter two of my book on practices related to triggers. And I give trainings on these subjects all the time for teams, and in larger leadership programs. So reach out if you'd like more support. I've also written a couple free articles and there is a free practice on my website, in the resources section on a trigger practice.   Number three, resilience. Resilience is determined by your thoughts, your ability to self regulate your emotions, how you are taking care of this body. And what has been found to really increase your resilience to stress is what you're thinking about the stressor. If you can orient towards a growth mindset, which might sound something like this-   Well, this really stinks. But how can I see this as a challenge as something for me versus against me?   If you can change your mind to see even the most difficult things in your life is a challenge you will be more resilient. And so will your telomeres. Research is found. There are many practices in chapter three of my book on growing your resilience.   Number four, well being. How are you taking care of your body? Are you making time for breaks, movement, nature time yoga, healthy plant based diet, sleep? Well, if not, it's time my friend. Prioritize it. Because the more balanced and healthy your body is, the more healthy coping mechanisms you will have for the ups and downs of life.   Carley Hauck 41:01   Number five, leading from love. Are you leading yourself from love, compassion, forgiveness. If not, this is going to make such a difference in how people perceive you and connect to you. The more you can turn these qualities of love, compassion and forgiveness towards yourself, the more loving and forgiving you can be towards everybody else, and their experience.   It's hard to be human. We all have such sensitive nervous systems as you've learned. And we're constantly navigating complex changes that we often don't have any control over. So be kind to yourself, be kind to others.   And number six, authenticity. This is about knowing yourself, being aware of your feelings, your sensations, your motivations, your needs, and, most importantly, your boundaries. When you can communicate from a clear indirect way, your authentic truth that's direct yet caring, you can build bridges versus break them down. This is the opposite of the fight flight freeze or fawn response under stress. And there's a lot of tools in chapter six of my book as well.   Lastly, I'd love to give you high performers, one bonus skill, conscientiousness. When we have a greater sense of concern for others, and a deeper purpose in our lives to be in service of the greatest good. There has been a lot of scientific literature that says this increases our longevity and stress response. If you want some role models of conscientious, conscious, inclusive leaders that are rocking it for people and planet, this is in chapter eight of my book.   I know that this was a lot to unpack, but I feel so passionate about all of these subjects. And because I'm a systems thinker, I look at the systems that inherently are intersectional and intrinsically influencing one another.   Carley Hauck 43:20   If this podcast interview resonated for you, I would love to support you. Book a free consultation with me to assess the psychological safety in your culture, leadership or your team. I walk through what the process looks like in my learning and development page. The link is in the show notes.   Sign up for my free gift, which highlights psychological safety daily practices for individuals, teams and leaders, go to leadfromlight.com. And when you sign up, you'll also be alerted to the latest podcasts of SHINE, or book me as a speaker to create a customized workshop for your team or your entire organization to create happy, healthy teams and build psychological safety at work.   I feel delighted that I was able to give a large talk to many Capital One employees on building trust and psychological safety at work a few weeks ago, and it was very well received.   Thank you so much for your attention, your time. The SHINE podcast has been self sponsored since May 2019. It is freely offered for my heartfelt desire to be in service in support of a workplace in a world that works for everyone and is living in greater harmony with the planet. I would love and appreciate your support so that I can continue to foster wonderful interviews with inspiring leaders bringing the science tips and evidence base to these important skills and practices. You can donate and support me by going to my Patreon page at www.patreon.com/carleyhauck, the link is in the show notes. Your generosity helps so much.   If you enjoyed this episode, please share it with friends, family or colleagues. We're all in this together and sharing is caring. If you have questions, comments or topics you would like to address on the podcast, email me at support@carleyhauck.com. I would love to hear from you. I have many more incredible interviews coming this season and ongoing. So until we meet again, be the light and shine the light my friend.

Dr. Ashley Mason is an Associate Professor of Psychiatry at the UCSF Osher Center for Integrative Health. She directs the Sleep, Eating, and Affect, or “SEA” laboratory, is the co-director of the Center for Obesity Assessment, Study, and Treatment (COAST), and is core research faculty in the Osher Center research program. In her clinical role, she directs the Osher Center Sleep Group, wherein she provides cognitive behavioral therapy for insomnia for patients with tough to treat insomnia. Lab Website:  Sealab.ucsf.eduWe will be looking for a volunteer and hiring in the coming year.Instagram @ash_e_masonTwitter @DrAshleyMason Summer Tomato Farmers Market Updates:TucsonMountain View Fats:AMA (with Kevin Rose) Paper that had me digging into cooking oils: https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/s12986-019-0383-2On smoke point: https://www.aboutoliveoil.org/evoo-most-stable-cooking-oilGrapeseed oil: https://www.nutritionadvance.com/grapeseed-oil/Avocado oil: https://www.nutritionadvance.com/avocado-oil-nutrition/Peanut oil: https://www.nutritionadvance.com/is-peanut-oil-healthy-for-frying/Oxidative stability of selected edible oils: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100155/Evaluation of chemical and physical changes in different commercial oils during heating: https://actascientific.com/ASNH/pdf/ASNH-02-0083.pdfHow to make cauliflower taste as good as French fries Mindful Eating:Some of my earlier work on reward-driven eating / mindful eating:https://pubmed.ncbi.nlm.nih.gov/26867697/https://link.springer.com/content/pdf/10.1007/s10865-015-9692-8.pdfSandra Aamodt, Ph.D TED talk: Why dieting doesn't usually workMindful Meal Challenge Insomnia:Why We Sleep, by Matt WalkerBasic CBT bookCommon cognitive distortions worth working with: https://arfamiliesfirst.com/wp-content/uploads/2013/05/Cognitive-Distortions.pdfNice review of CBT-I: https://www.acpjournals.org/doi/full/10.7326/M15-1782Favorite CBT-I book (includes thought record)Stimulus control instructions, original paper: https://link.springer.com/chapter/10.1007/978-1-4757-9586-8_2Progressive Muscle Relaxation research: https://www.tandfonline.com/doi/abs/10.1300/J137v13n03_04Progressive Muscle Relaxation (PMR) recordings https://students.dartmouth.edu/wellness-center/wellness-mindfulness/mindfulness-meditation/guided-audio-recordings/progressive-muscle-relaxationDirect link to try PMR: https://students.dartmouth.edu/wellness-center/sites/students_wellness_center.prod/files/p_muscle_relax.mp3Finding a CBT-I practitioner: https://www.behavioralsleep.org/index.php/united-states-sbsm-membersEight Sleep mattress cooler Sauna:2016 paper – Janssen et al. https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2521478This is the medical hyperthermia device that I do NOT use: https://www.heckel-hyperthermia.com/index.php/wbhen01This is the commercially available sauna dome that I DO use: https://infraredsauna.com/curve-sauna-dome/2021 UCSF sauna paper: https://www.tandfonline.com/doi/full/10.1080/02656736.2021.19910102013 paper – Hanusch et al. (single arm, indwelling rectal probe): https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2013.12111395Research on temperature elevations in depression: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0447.1999.tb10864.xTemperature regularizes upon successful antidepressant treatment: https://www.sciencedirect.com/science/article/pii/S0006322397000462Exercise works for depression: https://onlinelibrary.wiley.com/doi/full/10.1002/da.22842Literally, I bought friends these thermomenters: https://www.walgreens.com/store/c/walgreens-30-second-digital-thermometer/ID=prod6367272-productThe rectal probe we use in the study: https://www.medwrench.com/equipment/2206/mindray-ipm-9800Longer time to get to high temperature associated with larger antidepressant response: https://www.tandfonline.com/doi/10.1080/02656736.2019.1612103Example of a possible sauna that people could use at home to extend treatmentRhonda Patrick  on sauna use to extend healthspan: https://www.sciencedirect.com/science/article/pii/S0531556521002916   

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

A panel of leaders in mental health and science discuss combatting pandemic fatigue, share short meditations, and revisit their previous discussion on personal and communal lessons and hopes for rejuvenating our lives, science and healthcare, self-care, and our earth. Panelists: Elizabeth Blackburn, PhD, Professor Emeritus, UCSF Dept. of Biochemistry and Biophysics; Eve Ekman, PhD, teaching faculty, UCSF Osher Center for Integrative Medicine; Trudy Goodman, PhD, founder, InsightLA; Jack Kornfield, PhD, founder, Spirit Rock Meditation Center; Dan Siegel, MD, Clinical Professor of Psychiatry, UCLA School of Medicine; founder, Mindsight Institute. Moderated by Elissa Epel, PhD, Vice Chair for Adult Psychology, UCSF. Series: "Emotional Well-Being in Times of Crisis" [Health and Medicine] [Show ID: 37476]

Rev angel Kyodo williams invites the listener to get curious about starting a mindfulness practice. To help start the journey, Rev sits down with Dr. Helen Weng and Dr. Clifford Saron to introduce the theory and science of mindfulness, against the backdrop of their personal practices and research.Dr. Helen Weng is an Assistant Professor Psychiatry and Behavioral Sciences at the University of California San Francisco. She is a faculty member at the UCSF Osher Center for Integrative Medicine and an affiliate faculty member of the Neuroscape Center. For more on Dr. Weng's research, click here.Clifford Saron, PhD is a Research Scientist at the Center for Mind and Brain and MIND Institute at the University of California at Davis and has had a long-standing interest in the effects of contemplative practice on physiology and behavior. Dr. Saron directs the Shamatha Project, a multidisciplinary longitudinal investigation of the effects of intensive meditation on physiological and psychological processes central to well-being. For more on Dr. Saron's research on meditation, COVID-19 stress, and telomere length, click here. Check out his research lab website here.

Dr. Zieve discusses new directions in cancer care with Dr. Donald Abrams, Director of Integrative Oncology Research at the UCSF Osher Center for Integrative Medicine. Donald Abrams MD is the current Vice-President of the Society for Integrative Oncology, Professor of Clinical Medicine at the University of California San Francisco, Chief of Hematology/Oncology at San Francisco General Hospital and Director of Integrative Oncology Research at the UCSF Osher Center for Integrative Medicine. He is a member of the UCSF Comprehensive Cancer Center Executive Committee and co-chairs the Center's developing program in Symptom Management, Palliative Care and Survivorship. He co-edited the textbook Integrative Oncology with Dr. Andrew Weil, published by Oxford University Press. Read more at http://www.osher.ucsf.edu/bios/abrams.html. If you cannot see the audio controls, your browser does not support the audio element

Dr Zieve discusses the medical use of cannabis with oncologist Dr Donald Abrams, author with Dr of Integrative Oncology.Donald Abrams MD is Professor of Clinical Medicine at the University of California San Francisco and Chief of Hematology/Oncology at San Francisco General Hospital. He provides Integrative Oncology consultations at the UCSF Osher Center for Integrative Medicine. He provides consultation to people living with and beyond cancer at the UCSF Osher Center for Integrative Medicine. He has co-edited an Oxford University Press textbook in Integrative Oncology with Andrew Weil, MD. Read more at osher.ucsf.edu. If you cannot see the audio controls, your browser does not support the audio element

Dr Zieve talks with Donald Abrams, MD about the current state of integrative medicine in the U.S. Donald Abrams, MD is Professor of Clinical Medicine at the University of California San Francisco and Chief of Hematology/Oncology at San Francisco General Hospital. He provides Integrative Oncology consultations at the UCSF Osher Center for Integrative Medicine. He provides consultation to people living with and beyond cancer at the UCSF Osher Center for Integrative Medicine. He has co-edited an Oxford University Press textbook in Integrative Oncology with Andrew Weil, MD. Read more at www.osher.ucsf.edu If you cannot see the audio controls, your browser does not support the audio element

Join Dr. Donald Abrams, an integrative oncologist at the UCSF Osher Center, as he discusses the science and uses of cannabis in cancer patients. Dr. Abrams is a former past president of SIO and co-author of the book, “Integrative Oncology”, with Dr. Andrew Weil. He is an expert on cannabis and cancer, a researcher and frequent lecturer on this topic.

In this wonderful interview, I have the once-in-a-lifetime privilege of interviewing the world’s foremost expert on the science of coping with stress, Dr. Susan Folkman.  Susan has a wealth of wisdom to share in this interview, which I hope you enjoy as much as I did.   More About Dr. Folkman (from UCSF website) Dr. Susan Folkman was the first full-time director of the UCSF Osher Center for Integrative Medicine. Appointed in 2001, she retired in 2009. From 1994 to 2001 she was co-director of the UCSF Center for AIDS Prevention Studies. After receiving her PhD from UC Berkeley in 1979, she remained there as a research psychologist until moving to UCSF in 1988. She joined the UCSF faculty in 1990 as a professor of medicine. Dr. Folkman is internationally recognized for her theoretical and empirical contributions to the field of psychological stress and coping. Her 1984 book with Richard S. Lazarus, Stress, Appraisal, and Coping, is considered a classic that helped shape the field. From 2000 to2004, she served on the National Advisory Mental Health Council, and in 2010 she was appointed to the National Advisory Council for the National Institutes of Health (NIH) and the National Center for Complementary and Integrative Health. She has chaired or been a member of various NIH review committees and task forces, served on National Academy of Medicine and NIH workgroups, and was co-chair of the American Psychological Association task force on ethics in research with human participants. She was also the chair of the Consortium of Academic Health Centers for Integrative Medicine from 2005 to 2007. In 2010, the California Psychological Association awarded Dr. Folkman its Lifetime Achievement Award. She is a Fellow of the American Psychological Association and the Association for Psychological Science.

“If there is one medicine you can recommend that will take care of pain, nausea, appetite, sleep, [and] anxiety instead of writing prescriptions for five different medicines that all might interact with each other or the chemotherapy, or whatever cancer treatment the patient is getting, I think it's a useful drug." -Dr. Donald Abrams, M.D.  Dr. Donald Abrams, M.D. is an integrative oncologist at the UCSF Osher Center for Integrative Medicine, Professor of Clinical Medicine at the University of California San Francisco, and was chief of the Hematology-Oncology Division at Zuckerberg San Francisco General Hospital from 2003-2017. He became a fellow in Hematology-Oncology at the UCSF Cancer Research Institute in 1980 during the time the first cases of AIDS were being diagnosed. He was one of the original clinician/investigators to recognize many of the early AIDS-related conditions. He conducted numerous clinical trials investigating conventional as well as complementary therapies in patients with HIV including therapeutic touch, Traditional Chinese Medicine interventions, medicinal mushrooms, medical marijuana and distant healing. It was his work with these patients that brought Dr. Abrams into the world of using cannabis for medicinal purposes. Since completing a Fellowship in Integrative Medicine at the University of Arizona, Dr. Abrams has been providing Integrative Medicine consultation to people living with and beyond cancer at the UCSF Osher Center for Integrative Medicine. He co-edited the textbook Integrative Oncology with Dr. Andrew Weil, M.D. Our discussion includes: Does cannabis cure cancer? Cannabis (also known as Marijuana) key terms and historical context Pros and cons of cannabis for cancer patients and survivors Symptoms cannabis can be used for Optimal methods of consumption Is it bad for you or dangerous? Research and evidence See the show notes and links at www.cancercan.blog

Join host Elise Marquam Jahns as she chats with Dr. Donald Abrams, an Integrative Oncologist at the UCSF Osher Center for Integrative Medicine. Dr. Abrams, who has been in the forefront of HIV/AIDS research and treatment, stepped down from the HIV Clinic at San Francisco General Hospital in August 2006 to devote more time to integrative medicine and oncology. His interest in botanical therapies led him to pursue a two-year Fellowship in the Program in Integrative Medicine at the University of Arizona, which he completed in December 2004. His particular passion in the field involves nutrition and cancer. Since completing his Fellowship, Dr. Abrams has been providing integrative medicine consultation to people living with and beyond cancer at the Osher Center. To learn more, visit Osher Center for Integrative Medicine.   Learning Well is sponsored by the Integrative Health Education Center of Normandale Community College. Thank you for your interest in the Edge! Please go to edgemagazine.net to view the latest issue of the Edge. For information on advertising in the Edge please contact Cathy Jacobsen at 763.433.9291. Or via email at Cathy@edgemagazine.net For article submission please contact Tim Miejan at 651.578.8969. Or via email at editor@edgemagazine.net And for further information regarding the Edge Talk Radio contact Cathryn Taylor at 612.710.7720 or via email at Cathryn@EFTForYourInnerChild.com

For the past several years, UCSF Osher Center for Integrative Medicine Research Fellow Dr. Eve Ekman has been collaborating with her father, Dr. Paul Ekman, and the Dalai Lama on their “Atlas of Emotions” project, based on a survey of 248 leading emotion researchers and their consensus about five universal emotions: enjoyment, sadness, disgust, anger, and fear. The Drs. Ekman present their findings on this groundbreaking project. Series: "Integrative Medicine Today" [Health and Medicine] [Show ID: 31210]

For the past several years, UCSF Osher Center for Integrative Medicine Research Fellow Dr. Eve Ekman has been collaborating with her father, Dr. Paul Ekman, and the Dalai Lama on their “Atlas of Emotions” project, based on a survey of 248 leading emotion researchers and their consensus about five universal emotions: enjoyment, sadness, disgust, anger, and fear. The Drs. Ekman present their findings on this groundbreaking project. Series: "Integrative Medicine Today" [Health and Medicine] [Show ID: 31210]

How does mindfulness and meditation improve health? Helen Weng, UCSF Osher Center for Integrative Medicine, explains that training our internal mental lives can have positive effects on our minds, health, and relationships. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 31008]

How does mindfulness and meditation improve health? Helen Weng, UCSF Osher Center for Integrative Medicine, explains that training our internal mental lives can have positive effects on our minds, health, and relationships. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 31008]

Does the science live up to the hype? Dr. Rck Hecht, the director of research at the UCSF Osher Center for Integrative Medicine looks at the effects of meditation on health and behavior. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 31006]

Does the science live up to the hype? Dr. Rck Hecht, the director of research at the UCSF Osher Center for Integrative Medicine looks at the effects of meditation on health and behavior. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 31006]

Margaret Chesney, the Director of the UCSF Osher Center for Integrative Medicine, explores how to recognize the signs of stress overload and strategies for managing it using integrative techniques. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 29276]

Margaret Chesney, the Director of the UCSF Osher Center for Integrative Medicine, explores how to recognize the signs of stress overload and strategies for managing it using integrative techniques. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 29276]

Margaret Chesney, the Director of the UCSF Osher Center for Integrative Medicine, explores how to recognize the signs of stress overload and strategies for managing it using integrative techniques. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 29276]

Donald Abrams, MD, and Clint Werner Marijuana: Is It Medicine Yet? Please join us for a science-based talk and conversation with Donald Abrams and Clint Werner on the medicinal uses of this ancient herbal remedy. Donald Abrams, MD Don is one of the world’s foremost experts on the medicinal uses of marijuana, especially for cancer. He is professor of clinical medicine at the University of California, San Francisco, and chief of hematology/oncology at San Francisco General Hospital. He provides integrative oncology consultations at the UCSF Osher Center for Integrative Medicine. Clint Werner Clint is author of Marijuana: Gateway to Health: How Cannabis Protects Us from Cancer and Alzheimer’s Disease, which Andrew Weil, M.D., says “should be required reading for all medical professionals, elected officials, and everyone interested in health and wellness.” He has worked in preventive health for more than 25 years. Find out more about The New School at tns.commonweal.org.

Margaret Chesney, Director of the UCSF Osher Center for Integrative Medicine, explores the role women can play in maintenance of optimal well-being. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 21979]

Margaret Chesney, Director of the UCSF Osher Center for Integrative Medicine, explores the role women can play in maintenance of optimal well-being. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 21979]

Margaret Chesney, Director of the UCSF Osher Center for Integrative Medicine, explores the role women can play in maintenance of optimal well-being. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 21979]

Judy Moskowitz, stress and coping researcher at the UCSF Osher Center for Integrative Medicine, discusses the relationship between positive emotions and health. She explores positive practices from mindfulness exercises to gratitude journals, as a means of coping. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 17629]

Judy Moskowitz, stress and coping researcher at the UCSF Osher Center for Integrative Medicine, discusses the relationship between positive emotions and health. She explores positive practices from mindfulness exercises to gratitude journals, as a means of coping. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 17629]

The wide array of mind-body therapies has been reported to positively influence physical health. Dr. Kevin Barrows is founder and director of mindfulness programs at the UCSF Osher Center for Integrative Medicine, where he helps patients to cope with the stress of everyday life and the stress of illness. He explores the art and science of mind-body medicine. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 17627]

The wide array of mind-body therapies has been reported to positively influence physical health. Dr. Kevin Barrows is founder and director of mindfulness programs at the UCSF Osher Center for Integrative Medicine, where he helps patients to cope with the stress of everyday life and the stress of illness. He explores the art and science of mind-body medicine. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 17627]

The National Center of Excellence in Women's Health and Osher Center for Integrative Medicine at UC San Francisco present lectures to provide practical, easy ways to be proactive with your health. In this episode, Susan Folkman, Director of The UCSF Osher Center, talks about learning ways to manage and cope with stress. Series: "Healthy Living" [Health and Medicine] [Show ID: 16562]

The National Center of Excellence in Women's Health and Osher Center for Integrative Medicine at UC San Francisco present lectures to provide practical, easy ways to be proactive with your health. In this episode, Susan Folkman, Director of The UCSF Osher Center, talks about learning ways to manage and cope with stress. Series: "Healthy Living" [Health and Medicine] [Show ID: 16562]