Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
About Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Thoughts on Record is the podcast of the Ottawa Institute of Cognitive Behavioural Therapy (OICBT) located in Ottawa, Ontario, Canada. Each week we explore topics relevant to clinicians and mental health consumers from a cognitive behavioural perspective; however, if you’re generally interested in psychology, psychotherapy, evolutionary psychology, mental health, the brain, dynamics of human behaviour, creativity, wellness & performance then this podcast will certainly be of interest to you. Thoughts on Record is hosted by OICBT clinical psychologist Dr. Pete Kelly, C. Psych. Dr. Kelly is a Clinical Professor in the School of Psychology at the University of Ottawa and Adjunct Research Professor in the Department of Neuroscience at Carleton University. In addition to his clinical work, Dr. Kelly is actively involved in directing speciality programming at OICBT, teaching and supervision, providing workshops to mental health professionals and is a frequent speaker to organizations around the impact of stress on well-being. Email the show: firstname.lastname@example.org. You can visit the OICBT at www.ottawacbt.ca. Original theme music courtesy of OPK5, outro music courtesy of Baldhero & Van Whelan https://baldherovanwhelan.bandcamp.com
At the moment there is no more talked about neurotransmitter than dopamine. Our collective obsession with dopamine has led to a huge amount of content generated around so-called “dopamine fasts”, how to leverage dopamine for motivation, worries about dopamine-driven addiction to devices, pornography, food etc. In addition, there is a tremendous amount of confusion and misunderstanding around what dopamine actually does within the brain, especially with respect to the experience of pleasure. Professor, psychiatrist and author, Dr. Daniel Z. Lieberman, joins us for a discussion of the major themes explored in his and Michale E. Long's book, The Molecule of More. In this conversation we cover: why Dr. Lieberman wanted to write this book what dopamine is, its function in the brain and the structures that regulate its function a comparison of the dopamine system with neurotransmitter systems that are thought to be more related to "here and now" psychological experiences (e.g., serotonin, oxytocin, endorphins etc.) the neurobiology & genetics of “dopamine-driven” personalities vs. more “here and now” personalities/temperaments and the benefit of having a diversity of personalities in society, the workplace, a relationship etc. how the information and/or goals pointed to by dopamine can be integrated into one's values to generate actionable wisdom, especially around long-term goals the connection between dopamine and mental disorders with a special focus on ADHD, including the effective treatment of ADHD with compounds that promote the release of dopamine within the brain the potential for our society to create challenges with attention & concentration given the infinite potential for dopamine-driven distraction how we can learn to be a responsible steward of our dopamine system in a world where there is increasingly unlimited access to food, sex, pornography, information, news, visual stimulation (YouTube, TikTok etc.) how to create a sense of future & achievement without falling prey to immediate gratification Dr. Lieberman's view of so-called "dopamine fasting" and his own self-compassionate journey with respect to managing various pulls related to dopamine whether “healthy” psychological processes can become addictions through the lens of dopamine (e.g., entrepreneurship, starting companies, forming/beginning relationships) the fascinating relationship between testosterone & dopamine Bio: Daniel Z. Lieberman, MD is a Clinical Professor of Psychiatry and Behavioral Sciences at George Washington University, where he has earned awards for both teaching and research. He studied the Great Books at St. John’s College and attended medical school at New York University. He is the coauthor of the international bestseller The Molecule of More, which has been translated into 20 languages, and the author of the recently published, Spellbound: Modern Science, Ancient Magic, and the Hidden Potential of the Unconscious Mind. Dr. Lieberman has published extensively in peer-reviewed journals and leading psychiatric textbooks, and has provided insight on psychiatric topics for the US Department of Health and Human Services, the US Department of Commerce, and the Office of Drug and Alcohol Policy. https://www.danielzlieberman.com
Imposter syndrome combined with the somewhat curious & paradoxical phenomenon of over-identification with being a clinician is a familiar combination for many psychotherapists. Drs. Melissa Tiessen & Karen Dyck of the Intentional Therapist join us for a discussion of these important barriers to clinician well-being. In this conversation we cover: imposter syndrome & ill-suited syndrome the rigours of the profession vs. the personal and coping resources the majority of clinicians are able to bring to bear to manage these demands dangers of unaddressed imposter syndrome in clinicians both related to the delivery of clinical services as well as the management of private practices internal and external factors that drive imposter syndrome in clinicians over-identification with being a clinician - signs, symptoms and coping finding a balance between the very real competency based demands of being a clinician (e.g., continuing education, requirements of regulatory bodies) and sustainable self-care that does not become avoidance Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news Please come join us! Dr. Karen Dyck completed her doctoral degree in clinical psychology at the University of South Dakota and currently works in private practice in Oakbank, Manitoba. She is also presently the Executive Director of the Manitoba Psychological Society. Before shifting to private practice, Karen spent the bulk of her career working within the Rural and Northern Psychology Program at the University of Manitoba’s Department of Clinical Health Psychology, and is a former chair of the Rural and Northern Psychology Section of the Canadian Psychological Association. Dr. Melissa Tiessen completed her doctoral degree in clinical psychology at McGill University and currently works in private practice in Ottawa, Ontario. Melissa also previously worked in the Rural and Northern Psychology Program at the University of Manitoba, as well as has served as the Education Director for the CPA, overseeing the organization’s accreditation and continuing education activities. Karen and Melissa both have a longstanding interest in self-care and workplace wellness initiatives. Recognizing that there are so many female mental health professionals, like themselves, who are trying to balance careers with additional caregiving roles, in 2019 Karen and Melissa co-founded Intentional Therapist. Their mission is to help female mental health professionals stay healthy and happy through intentional, creative, and playful self-care. https://www.intentionaltherapist.ca/
Given that mental health treatment outcomes have not improved dramatically over time despite a wealth of research, novel psychotherapies and pharmaceutical compounds, it is important that new theories around mental disorders continue to be identified and explored. Harvard psychiatrist & researcher, Dr. Chris Palmer, joins us for a discussion of some of the core themes in his new book Brain Energy, which paints the picture of a potential “unifying” underlying metabolic mechanism with respect to mental disorders that might allow better understanding and treatment of brain illness. In this conversation we cover: the client journey that led Dr. Palmer to want to write this book an overview of Dr. Palmer's conceptualization of mental disorders, including differenting between expected and adaptive responses to stressors vs. true brain disorders a review of some of the findings that have suggested a link between metabolic processes and the evolution & maintenance of mental disorders and how this model accommodates comorbidity the importance of neuronal activation - both over- and under-activation - in Dr. Palmer's model the risk factors that contribute to developing a metabolic disorder within the brain implications of the Brain Energy model with respect to why established pharmacotherapy (or even psychotherapy) might actually work medical & self-help treatments that this model suggests might be helpful, including the role of supplements & medications which impact upon metabolism Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news Please come join us! Dr. Christopher M. Palmer is a Harvard psychiatrist and researcher working at the interface of metabolism and mental health. He is the Director of the Department of Postgraduate and Continuing Education at McLean Hospital and an Assistant Professor of Psychiatry at Harvard Medical School. For over 25 years, he has held administrative, educational, research, and clinical roles in psychiatry at Harvard. He has been pioneering the use of the medical ketogenic diet in the treatment of psychiatric disorders—conducting research in this area, treating patients, writing, and speaking around the world on this topic. Most recently, he has proposed a comprehensive theory of what causes mental illness, integrating existing theories and research into one unifying theory—the brain energy theory of mental illness. https://brainenergy.com/
Evidence-based, psychological models & treatments for chronic pain are an exciting development in the understanding and management of non-structural chronic pain. Director of the documentary This Might Hurt, Kent Bassett, and Dr. Lilia (Lily) Graue join us for a discussion of the psychological treatment of chronic pain. In this episode we cover: an overview of This Might Hurt and why Kent wanted to make this documentary, including his personal journey with chronic pain the kinds of precautions and relationship building that had to be put in place to make a film within a health care setting response to the film from both consumers and medical professionals a review of neuroplastic chronic pain/symptoms with a significant contribution from central sensitization what the standard medical model has wrong about the treatment of pain navigating the perception among clients that they are being told “it’s all in their heads" tell-tale patterns in symptom presentation that typically suggest that pain is of a psychogenic, rather than structural origin the urgency to integrate this framework into common interventions for chronic pain, including CBT a brief overview of the interventions typically employed within psychological treatments for chronic pain the role of medication including antidepressants but also opioids etc.in the treatment of chronic pain Listeners of Thoughts on Record can access This Might Hurt for free for two weeks beginning February 6, 2023 by visiting (use the password: tor2023): https://www.thismighthurtfilm.com/thoughts Dr. Lilia (Lily) Graue is a physician, psychotherapist, coach, and grief tender in Mexico City, where she's practiced, lectured, and mentored for over 20 years in both Spanish and English. Her approach is collaborative, trauma sensitive, healing centered, and mindfulness and compassion based. She brings together radical care approaches to foster healing, and mentors healthcare professionals in engaging critical and feminist perspectives to promote justice and equity in medicine and healthcare. In addition to her work in chronic pain recovery, Dr. Graue has extensive experience in the fields of eating disorders and medical family therapy. She is a Clinical Advisor for Lin.Health and part of the Medical Advisory Board for The Better Mind Center. https://liliagraue.com/ Kent Bassett is an Emmy-nominated editor and filmmaker from Arizona. He directed This Might Hurt, a feature documentary about a radical treatment for chronic pain that premiered at the Austin Film Festival. Once on the fringes, the brain-retraining paradigm explored in the film, Emotional Awareness and Expression Therapy (EAET), has been proven effective in randomized controlled trials and is now listed by the HHS as a “best practice” to combat the opioid crisis. His most recent editing work is the Hulu documentary Not Going Quietly, a profile of activist Ady Barkan as he fights for universal healthcare in the wake of an ALS diagnosis. In addition to film work, Kent serves as a pain recovery coach and he draws frequently from his personal experience with tendonitis and repetitive stress injury. https://www.thismighthurtfilm.com
Psychological suffering appears to be greatly facilitated by unfavourable comparisons that we make between ourselves and others in many domains of life. However, there are surprising dynamics (and even upsides) to these comparisons or modelling depending on the context. Entrepreneur & author, Mr. Luke Burgis, joins us for a discussion of the themes in his widely acclaimed book Wanting - The Power of Mimetic Desire in Everyday Life. In this discussion we cover: important experiences in Luke's journey that led to him to want to write the book “Wanting” the difference between wanting vs. liking a brief summary of René Girard’s theory of “mimetic desire”—that is, the idea that most human wanting comes from imitating the desires of others and that each of us is surrounded by people who generate, shape, and manipulate our desires a consideration of the common challenges (and upsides) of mimetic desire embedded in everyday life, including of identity formation dynamics related to whether the “model” of imitation is near (a next door neighbour) or far (a celebrity) and how this distance influences whether a model of imitation will spark desire/inspiration vs jealously/conflict the delicate dance that leaders must manage with respect to inspiring but also not inciting jealously & conflict exploration of the notion that scapegoating & blame are common, but pathological ways of stopping the cycle of mimetic conflict consideration of the impact of social media on psychological well being through the lens of mimetic desire "thin" vs. "thick" desires and the implications for meaningfulness in life how to foster motivation, move humanity forward and pursue excellence/achievement without unleashing cycles of mimetic desire that lead to competition and conflict Comments or feedback? Email the show @ email@example.com. Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news Please come join us! Bio: Luke Burgis has co-created and led four companies in wellness, consumer products, and technology. He’s currently Entrepreneur-in-Residence and Director of Programs at the Ciocca Center for Principled Entrepreneurship where he also teaches business at The Catholic University of America. Luke has helped form and serves on the board of several new K-12 education initiatives and writes and speaks regularly about the education of desire. He studied business at NYU Stern and philosophy and theology at a pontifical university in Rome. He’s Managing Partner of Fourth Wall Ventures, an incubator that he started to build, train, and invest in people and companies that contribute to a healthy human ecology. He lives in Washington, DC with his wife, Claire. https://lukeburgis.com/ @lukeburgis
Effective coping almost always hinges on an accurate appraisal of the stressful event that is being navigated, particularly with respect to what can be controlled versus not. In this 3rd annual Fireside Chat, the host of Thoughts on Record, Dr. Pete Kelly, C.Psych, shares some observations on the relationship between truth, control & coping and why it is often so hard to see things as they are (and not as we wish them to be) and how this can at times sabotage our efforts at managing situations that come up in our lives. In this discussion we cover: a practical and workable definition of "truth" within psychotherapy common reasons why it is difficult for us to embrace the truth of what is going on in our lives the unintended consequences of emotional avoidance on the coping strategies selected the two main categories of coping - problem-focused & emotion-focused coping and when they are best deployed an overview of the likely emotional outcomes when there is a mismatch between the demands of the situation and the category of coping used and how to use your emotional reaction to tell if you are on the right track or not Comments or feedback? Email the show @ firstname.lastname@example.org. Host note: Thanks to everyone for the support this year! Just a quick note to say that we will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news Please come join us!
Generalized anxiety disorder (GAD) can at times be difficult to differentiate from the anxious distress that can accompany depression, health anxiety, some presentations of OCD and even social anxiety. As well GAD, is often treated as a “catch-all” diagnosis that is applied to any client expressing distress. One of Canada's leading voices in the understanding and treatment of GAD, Dr. Melisa Robichaud joins us for an extensive discussion of GAD with respect to: Generalized anxiety disorder (GAD) from a diagnostic lens uncertainty as being a key challenge within the context of GAD the developmental experiences & biological factors that might predispose someone towards developing GAD whether anxiety disorders in childhood reliably predict GAD in adulthood the evolution of GAD over the developmental lifespan and whether GAD gets worse with age useful features of GAD to be aware of that do not necessarily fall within the diagnostic framework but that would nonetheless be useful for clinicians to keep in mind differentiating between GAD and the “anxious distress” that can so frequently accompany an episode of major depression applicability of ACT and other 3rd wave CBT therapies to GAD the vital importance of psychoeducation and pacing of therapy in the treatment of GAD the role of medication in the treatment of GAD Comments or feedback? Email the show: email@example.com Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news. Dr. Melisa Robichaud received her Ph.D. in clinical psychology at Concordia University in Montreal. She is currently an adjunct faculty member in the Department of Psychology at the University of British Columbia (UBC), a clinical instructor in the UBC Department of Psychiatry, and a clinical associate in the Department of Psychology at Simon Fraser University (SFU). She is also certified as an expert in cognitive-behavioural therapy by the Canadian Association of Cognitive and Behavioural Therapies (CACBT). Dr. Robichaud worked in the former Anxiety Disorders Clinic of UBC Hospital, where she provided assessment and treatment to anxiety disorder patients. She also trained and supervised psychiatry and psychology residents in how to assess, diagnose, and treat anxiety disorders. Dr. Robichaud has been actively involved in non-profit organizations dedicated to the dissemination of best practice treatment for individuals struggling with anxiety disorders. She is a former President of CACBT (2016-2019), and is on the CACBT Certification Task Force. She also served on the Board of Directors of Anxiety Canada (formerly AnxietyBC) from 2006 to 2010, was the Director of Programs (2007-2010), and is currently on the Anxiety Canada Scientific Advisory Board. Dr. Robichaud’s area of specialization is cognitive-behaviour therapy (CBT) for anxiety disorders. She has established expertise in treating generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), health anxiety (also called illness anxiety or hypochondriasis), panic disorder, social anxiety disorder, body-focused repetitive behaviours (e.g., hair pulling, skin picking), and post-traumatic stress disorder. Dr. Robichaud’s particular area of expertise is CBT for GAD. She ran the GAD treatment program at the former Anxiety Disorders Clinic of UBC Hospital, and has provided workshops to professionals internationally on how to recognize and treat GAD. She has published numerous scientific articles and book chapters on the subject, as well as co-authoring several books on the treatment of GAD.
As is the case in many areas of life, for those who are perfectionistic, sex and sexual expression can be areas where emotional over-control & cognitive/behavioural inflexibility can impair pleasure, erode intimacy and create anxiety. International trainer, educator, couples and sex therapist & author, Dr. Tom Murray joins us for a discussion of core themes of his new book Making Nice With Naughty: An Intimacy Guide for the Rule Following, Organized, Perfectionist, Practical and Color-Within-The-Lines-Types. In this discussion we cover: why Dr. Murray wanted to write this book why he built his book on a strong Radically Open DBT (RO DBT) framework but with the addition of many other strategies drawn from within CBT (ACT, REBT etc) the four features of being emotionally “over-controlled” (or OC) why the over-controlled temperament might hold special concern within the context of sex examples of challenges emblematic of the problems that an OC might report in the content of sex therapy the impact that perfectionism might have in the context of sex (either towards the self or towards the partner) how OC coping strategies around threat reduction can backfire specifically in the context of sex starting points for OC clients who want to step into and/or reclaim (or even just claim!) their sexuality the conundrum of waning desire within long-term relationships, with a focus on the potential origin of gender differences helping clients to become comfortable first with their own inner experience through fantasy etc before perhaps being vulnerable with another Dr. Murray's reflection on the experiential aspect of being a sex therapist Feedback or comments? Email the show at firstname.lastname@example.org Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news. Dr. Tom Murray, an international trainer, educator, and couples and sex therapist, is a widely sought-after expert in sexuality and intimate relationships. He authored the 2022 book, Making Nice with Naughty: An intimacy guide for the rule-following, organized, perfectionist, practical, and color-within-the-line types. Dr. Murray has appeared in numerous venues, including the Huffington Post and The Daily Mail, as well as radio, television and podcasts, including the Practice of Being Seen and Shrink Rap Radio. He’s a highly acclaimed presenter at local, regional, and national conferences on various mental health and relationship topics. Dr. Murray has published numerous articles in professional journals and has faculty affiliations with UNC Greensboro, Walden University, and Lindsey Wilson College. He currently teaches at Northwestern University’s Family Institute. In addition to his couples and sex therapy practice, Dr. Murray is passionate about Highly Sensitive Persons, artists, actors, dancers, musicians, and other creative types. With nearly a decade of experience as the director of a counseling center for one of the premier art conservatories in the nation, Dr. Murray integrates knowledge from business, positive psychology, sports psychology, mindfulness, and performance optimization to manifest creative aspirations. Dr. Murray lives in Greensboro, NC, along with his two sons. In addition to his strong passion for sex-positive, clinical practice, and advocacy, Dr. Murray enjoys writing jokes, taking comedy improv courses, cooking and baking, singing, and participating in his faith community. https://drtommurray.com/forensic-services/
Music has a unique ability to evoke emotion and articulate a feeling or sentiment where words can fail. Moreover, much like a romantic attachment, many of us form an intense connection to a specific song, genre or band but are never really sure why or where our specific attraction or pull comes from. Professor, author, producer (Barenaked Ladies) & audio engineer (Prince), Dr. Susan Rogers, joins us for a discussion of some of the core themes in her wonderful new book, This is What it Sounds Like - What the Music You Love Says About You. In this discussion we cover: why Dr. Rogers wanted to write this book theories on why humans have the capacity to create and enjoy music the relationship between emotions and music music as special form of touch (and not just as a metaphor) the neuroscience underlying music and emotional memories how are musical preferences are formed from a brain/psychological lens how melody is experienced in the brain and the mixed emotions that a single melody can evoke why the applications of various audio effects (reverb, echo, delay) can so greatly influence and enhance the listener's emotional experience a consideration of the at times "culturally bound" nature of music e.g., why is it that a band can be incredibly popular in one country while only enjoying limited success in another country (often for subtle or unknown reasons)? the science behind what makes some music universally loved music vs. being more of a niche preference how the quality of creativity may ebb and flow across the developmental lifespan a brief reflection by Dr. Rogers' on Prince around the intersection of his talent with his work ethic Comments or feedback? Email the podcast: email@example.com. Enjoying the content? Please consider providing a rating or review! Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news. Dr. Susan Rogers holds a doctorate in psychology from McGill University, where she studied music cognition and psychoacoustics under researchers Daniel Levitin and Stephen McAdams. Her research focuses on auditory memory, the perception of musical signals, and the influence of musical training on auditory development. For two decades prior to her science career, Rogers was one of the world's few women known for her work as a record producer, engineer, mixer, and audio electronics technician. Career highlights include years (1983–1988) as staff engineer for recording artist Prince and working with such diverse artists as Barenaked Ladies, David Byrne, Tricky, and Tevin Campbell. Rogers is the director of the Berklee Music Perception and Cognition Laboratory. Her new book ‘This is What it Sounds Like - What the Music You Love Says About You” co-authored with Ogi Ogas was released in the fall of 2022. https://www.thisiswhatitsoundslike.com
In a world in which we are increasingly wary of quick dopamine "hits" that frequently lead to feelings of emptiness, meaninglessness & dissatisfaction, it has become unclear how one could or should relate to joyful obsessions that reflect a fuller expression of the self, that could hold great personal meaning. Author, Tabitha Carvan, joins us for a discussion of her new book "This Book is Not About Benedict Cumberbatch" in which she explores the notion of a joyful obsession and the value that it can bring to one's life. Host note: My hope is that we made this pretty clear in the conversation; however, just so there is no ambiguity - in this conversation we are discussing joyful obsessions that lead to an enhanced sense of self, meaning & well-being - this, of course, would be in contrast to an addiction in which there is an erosion in one's self of self, functioning & psychological well-being. With that out of the way, enjoy the episode! In this conversation we cover: the core concept of the book and why it is, in fact, really not about Benedict Cumberbatch the vulnerability that Tabitha felt in writing this book and why she feels this vulnerability was ultimately critical to having the book translate to, and resonate with readers the reception the book has received so far and whether Benedict Cumberbatch has heard of and/or seen the book the potential psychological function, role & utility of joyful obsession & fantasy in one's life Tabitha's reflection on the function of her joyful obsession with Benedict Cumberbatch and why it presented itself to her at the time in her life that it did an in-depth consideration of the way in which women's joyful obsessions/passions are denigrated & trivialized in a way that men's are not the very specific overlay of motherhood in the context of women's joyful obsessions/passions examples of women highlighted in the book who were able to engage in meaningful, life-affirming change by leveraging the energy & perspective drawn from a joyful obsession a discussion of the health of the average individual's fantasy life and what might be getting left on the table for those not engaging in this important exploration of the self do's & don'ts for exploring the integrating of a joyful obsession into one's life Comments or feedback? Email the show: firstname.lastname@example.org. Enjoying the content and/or finding it is adding value to your life or practice? A rating (or even a review) on Apple podcasts would be greatly appreciated! Tabitha Carvan has written for publications such as The New York Post, Australian Geographic, Overland, Offbeat Home, The Outline, AsiaLIFE, and MamaMia, focusing on issues of identity, family, and pop culture. This Is Not a Book About Benedict Cumberbatch is her first book. http://www.tabithacarvan.com @tabithacarvan
Complex post-traumatic stress disorder (CPTSD) & borderline personality disorder (BPD) are often confused and sometimes used interchangeably when, in fact, they are separate diagnoses with distinct underlying core etiology and symptomatology. Clinical Psychologist & Professor, Dr. Julian Ford, joins us for a conversation around defining & differentiating CPTSD & BPD. In this conversation we cover: the adequacy of current conceptualizations of trauma the origin of the diagnostic construct of complex PTSD (CPTSD) and why it was proposed as an alternative to borderline personality disorder (BPD) where CPTSD and BPD overlap, and where they differ the special role that interpersonal trauma, attachment injury & especially victimization play with respect to development of CPTSD and BPD differentiating between CPTSD & BPD from a neuroscience lens differentiating between CPTSD & BPD from the lens of emotion dysregulation (i.e., the types of emotion dysregualtion typically experienced within each diagnosis) considering CPTSD & BPD from an assessment & diagnostic perspective, with some suggestions for clinicians "gold-standard" treatment approaches for CPTSD & BPD Developmental Trauma Disorder (DTD) - why it was developed, the essential features of DTD and implications for diagnosis, assessment & treatment of trauma in children Comments or feedback? Email the show: email@example.com. Enjoying the content? We would be very grateful receive a rating (or even better a review!) on Apple Podcasts. Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news. Dr. Julian Ford is a Professor in the Department of Psychiatry at the University of Connecticut School of Medicine and Director of the National Child Traumatic Stress Network Center for Trauma Recovery and Juvenile Justice. Dr. Ford developed the evidence-based TARGET CT recovery model that has been implemented in all sectors of the workforce in juvenile justice, child welfare, and residential treatment settings. He has authored or edited 10 books and more than 200 articles and chapters in the traumatic stress field, and co-developed the Traumatic Events Screening Inventory for Children (TESI). Dr. Ford co-leads the NCTSN DTD initiative.
Prolonged Exposure (PE) therapy is among the most effective, empirically supported treatments for posttrauamtic stress disorder. Importantly, there is a growing literature around the neuroscience of PE which has important implications for the delivery of PE. Drs. Sheila Rauch & Carmen McLean, join us for a review of some of the core themes in their book Retraining the Brain: Applied Neuroscience in Exposure Therapy for PTSD. In this discussion we cover: why Drs. Rauch & McLean wanted to write this book a brief overview of Prolonged Exposure (PE) therapy comparing & contrasting the theoretical mechanism underlying PE vs. research findings considering the window of tolerance in PE through the lens of applied neuroscience impact of length of session on treatment from a brain lens the relative (and interactive) impact of in vivo &. imaginal exposure whether tailoring the clinical approach (e.g., PE vs CPT) is necessary depending on the client’s presentation the potential utility for PE in addressing moral injury a consideration of whether PE could be experienced differently within the brain depending on the client’s stance to the treatment i.e., high vs. low willingness the provision of PE through virtual platforms best practices around combining medications with PE Psychedelic/MDMA assisted psychotherapy - caveats and opportunities novel augmentation methods for PE avoiding clinician burnout/vicarious traumatization in the context of PE Comments or feedback? Email the show: firstname.lastname@example.org. If you are finding value in the podcast, please leave us a rating (or even better, a review!) at Apple podcasts. Thank you! Sheila A.M. Rauch, Ph.D., ABPP, is Deputy Director of the Emory Healthcare Veterans Program and Director of Mental Health Research and Program Evaluation at the Atlanta VA Healthcare System. She has published scholarly articles, chapters, and books on anxiety disorders and posttraumatic stress disorder (PTSD) focusing on neurobiology and factors involved in the development, maintenance, and treatment of anxiety disorders, psychosocial factors in medical settings, and the relation between physical health and anxiety. She is an author of the second edition of the Prolonged Exposure manual and patient workbook as well as the PE for Intensive outpatient programs manuals. She is a fellow of the Association of Behavioral and Cognitive Therapy (ABCT), was granted membership in the American College of Neuropsychopharmacology, and serves as a member of the Board of Directors and Scientific Council of the Anxiety and Depression Association of America. Dr. Carmen McLean is a licensed clinical psychologist and researcher with the Dissemination and Training Division of the National Center for PTSD at the Palo Alto VA Health Care System and a Clinical Associate Professor (Affiliate) at the Department of Psychiatry and Behavioral Sciences at Stanford University. Her research examines ways to increase the reach of exposure therapy for PTSD by addressing implementation barriers and testing eHealth interventions. She is currently Co-PI of a DoD-funded study testing a tailored process improvement approach to increasing the use of evidence-based treatment for PTSD in the U.S. military health system. She is PI of a FEMA-funded trial testing an intensive, integrated treatment for PTSD, insomnia, and nightmares in firefighters. Dr. McLean serves on several journal editorial boards and is currently Associate Editor of the Journal of Anxiety Disorders and Cognitive and Behavioral Practice. She has over 125 scholarly publications including a book on applied neuroscience in exposure therapy for PTSD co-authored with Dr. Sheila Rauch and published by APA.
Many of those who work in mental health services are personally connected to challenges related to mental health and many have been clients of mental health services. OICBT clinical psychologist Dr. Stacey Kosmerly joins us for a discussion of the the very important topic of mental health service providers seeking out mental health services themselves. In this conversation we cover: the gift of personal development that can often come with providing therapy a brief review of rates of psychopathology among mental health providers discriminating between mental health challenges experienced by providers owing to an underlying vulnerability vs. being directly precipitated by providing psychotherapy and how the two interact reflections on problematic interpersonal patterns that can emerge in therapy - especially early in one’s career bearing our responsibility as therapists compassionately as well as through a lens of radical acceptance the benefits and insights that can come from being a client with respect to the provision of your own services to clients reasons why those providing therapy might be especially likely to benefit from therapy themselves (activation of attachment systems/schemas, vicarious traumatization, moral injury related to working in mental health system) consideration of some of the barriers to seeking help (confidentiality, dual relationships etc clinician reservations around open talking about their needs/challenges of working in the field Comments or feedback? Email the podcast: email@example.com Finding the podcast adds value for you? We would be very grateful to receive a rating (and especially review) on Apple podcasts! Dr. Stacey Kosmerly is a practicing clinical psychologist at the OICBT. She comes from a training background in Emotion-Focused Therapy (EFT), Cognitive Behavioural Therapy (CBT) and Dialectical Behavioural Therapy (DBT). Her current practice consists largely of working to support individuals in their development of skills for more effetely relating to and regulating their emotions and moving towards a more fulfilled life. Her personal and clinical experiences have left her with a deep belief in the healing that can come from changing our relationship to our emotions.
Host note: Just a quick note that we'll be taking a breather until the fall to enjoy the rest of the short Canadian summer. Have comments or feedback? You can reach the show at firstname.lastname@example.org. Finding the show adds value for you? A rating (and especially review) on Apple podcasts would be greatly appreciated (and, we really like to hear how the content is landing for you, helping you in your practice, life etc). Take care and enjoy the episode - one of our favourites to date! Personality disorders can present a significant challenge from the lens of assessment & treatment. Psychologist, professor, researcher & author, Dr. Lisa Cohen, returns to discuss core themes in her new book The Psychotherapy of Personality Disorders. In this discussion we cover: why Dr. Cohen wanted to take on such an ambitious model of personality pathology that includes elements of emergent systems theory, schema therapy, biological psychiatry, evolutionary psychology, attachment theory (among others) her model's very unique conceptualization of differential diagnosis (frequently a great challenge in the context of personality disorders) the central role and utility of emergent systems theory in Dr. Cohen's model of personality pathology how her model compares and contrast with other models of personality pathology exploration of the notion that personality pathology reside at the level of interpersonal representations a brief consideration of the evidence for this model of personality pathology an in-depth consideration of the role of processes related to integration, differentiation & articulation related to managing interpersonal nuance and complexity that can become dysfunctional in the context of personality pathology (with examples to illustrate these principles) discussion of the 5 level model of the mind-brain including examples of specific treatment treatment that map to different levels of the model how Dr. Cohen's model informs assessment, diagnosis and treatment personality pathology speaking compassionately and realistically about personality pathology through the lens of this model the importance of evaluating personality psychopathology in the context of environmental demands (especially those related to the family system). Dr. Lisa J. Cohen is clinical professor of psychiatry at the Carl Icahn School of Medicine at Mount Sinai, working at the Mount Sinai Beth Israel location. Dr. Cohen has long been involved with clinically relevant research in a wide range of topics relevant to psychiatry and psychology. Her more recent research domains have included the risk assessment and psychological correlates of suicide, risk factors for and differential diagnosis of personality pathology, the adult psychological sequelae of childhood maltreatment, as well as the childhood antecedents, psychological correlates, subjective experience and psychological burden of individuals with pedophilia. She has previously researched opiate addiction, bipolar disorder, and obsessive compulsive disorder. She has also written on psychological assessment. Dr. Cohen is an author on over 100 peer-reviewed journal articles and two books. Here third book, The psychotherapy of personality disorders was published in 2022. Dr. Cohen received her PhD in clinical psychology from the City University of New York and performed her pre-doctoral internship at St. Luke’s Hospital in New York City. She received her undergraduate education at the University of Michigan, obtaining a bachelor’s degree in psychology and another one in Fine Arts. Buy Dr. Cohen's book here
Death & dying are topics that clinicians frequently tackle both directly (as manifested around a fear of death), indirectly (through discussion of questions of meaning, managing pulls towards nihilism) and process-wise, through helping clients manage grief around the loss of a loved one or to process/manage their own impending death. Medical Anthropologist & podcaster, Dr. Renske Visser, joins us for a discussion of the topics of death & dying. In this conversation we cover: what led Dr. Visser towards the study of medical anthropology and the sub-speciality of aging, dying and death the experiences that have shaped Dr. Visser's personal reflections on death and dying the important distinction between death and dying Dr. Visser's thoughts on the importance of cultural tools in navigating death & dying consideration of the inborn psychological tools we may posses for managing death vs. messaging by/distraction of modern society how the subjectivity that we bring to our own conceptualizations of death, influences how we talk about, research & generally deal with death how attitudes towards death and dying change across the arc of the lifespan and a consideration of how good (or bad) we are at predicting how we will feel about our deaths when the time comes potential "active ingredients" with respect to what eases the process of dying for people psychologically (control, place of death etc.) why the notion of “home” (i.e., dying at home) is often so prominent in discussions around end of life and how this applies to more marginalized settings like mental health institutions, prisons etc. how the ongoing cultural evolution around euthanasia/medical assistance in dying has influenced attitudes & conversations about dying/death consideration of conundrums & observations around extending medical assistance in dying to those with mental disorders the missed opportunities with respect to talking about dying more openly aspects of our day-to-day life (or way that we lives our day-to-day life) that are profoundly affected by knowledge of our own death that we don’t always (or ever) acknowledge or we could benefit from making more conscious or intentional Feedback or comments? Email the show at: email@example.com Renske Visser is a Medical Anthropologist interested in Ageing, Dying and Death. Renske was born in Amsterdam, The Netherlands, has lived and worked in England and is currently living in Helsinki, Finland. She holds a PhD in Social and Policy Sciences from the Centre for Death and Society at the University of Bath and has done research on parental bereavement in young adulthood, homemaking in later life, ageing in secure environments, and cancer care in prison. Renske is the post-doctoral representative of the Association for the Study of Death and Society. She has a blog entitled Dead Good Reading, where she reviews books on death, dying and the dead, and is co-host of the Death Studies Podcast which is a monthly podcast and a platform for the diversity of voices in, around and contributing to the academic field of Death Studies. https://www.deadgoodreading.com/
Investing and management of finances is often a source of considerable distress for many individuals. Investor, CIO & author, Scott Nations, joins us for a discussion of some of the core themes discussed in his new book, The Anxious Investor. In this conversation we cover: why Scott wrote The Anxious Investor the evolutionary basis of investing behavior loss aversion as a central driver of irrational behavior in the context of investing lessons from the mathematics of the stock market that can be applied to day-to-day decision making the role of cognitive distortions with respect to irrational behavior and decision making in the context of investing with discussion of specific examples consideration of financial tools (e.g., exchange traded funds) that might help investors navigate their own cognitive distortions the psychological reality of "beating the market" and whether investing can truly be a "meritocracy" why it is difficult to learn from previous bubbles that frequently seem so predictable Scott's view of the key behaviors that investors should veer away from, moderate etc. to manage anxiety related to investing evaluation of cryptocurrency, NFTs and other emergent financial entities from a psychological perspective how mood affects investing behavior a consideration of how AI-driven investing may have changed the psychological landscape for the investor a discussion of whether the average retail investor is psychologically positioned to manage their own investment portfolio effectively given the cognitive distortions to be navigated Scott's take on designing the perfect investing mindset The content contained in this episode is for general information only and should not be regarded as financial or investment advice. Questions or Feedback? Email the show: firstname.lastname@example.org Scott Nations is the President of Nations Indexes, Inc. and a bestselling author. Scott also spent a decade as a Contributor to CNBC and regularly appears on-air to discuss markets, current economic events, and the outlook for a variety of financial vehicles. Scott founded Nations Indexes in 2014. Nations Indexes is the world’s leading independent developer of volatility and option enhanced indexes and investment vehicles. Nations Indexes created the methodology used in the Nasdaq-100 Volatility Index (ticker symbol VOLQ). Futures on VOLQ launched on the Chicago Mercantile Exchange on October 5, 2020. Scott is also the developer of the Nations suite of large-cap volatility indexes including VolDex® (ticker symbol VOLI) and TailDex® (ticker symbol TDEX), the first measure of the market’s expectations for a “tail event” or steep drop in prices. In addition to these indexes, Nations Indexes has also created a number of option strategy indexes which combine equity indexes and other underlying asset classes with unique option strategies which generate unique risk/return profiles. Prior to founding Nations Indexes, Scott was a member of the Chicago Mercantile Exchange and was a market maker and floor manager for a leading index option trading firm. Scott is the author of A History of the United States in Five Crashes, a general interest history of the five modern stock market crashes (1907, 1929,1987, 2008 and the Flash of 2010) which was published by HarperCollins in June 2017. Scott is the author of Options Math for Traders, published by Wiley & Sons in 2012 which was an Amazon.com bestseller. He is also the author of The Complete Book of Option Spreads and Combinations, published by Wiley & Sons in October 2014. https://www.scottnations.com Twitter: @ScottNations
Assessing & treating adult ADHD can be both very challenging as well as highly rewarding for client and clinician alike. Professor, psychiatrist & author, Dr. Sandra Kooij joins us for an in-depth discussion of the assessment and treatment of adult ADHD. In this discussion we cover: description of the main symptom clusters of adult ADHD (attention, hyperactivity, impulsivity) and how risk stratifies by various demographic factors consideration of the frequent presence of emotion dysregulation with adult ADHD the challenge of under and over diagnosis in the context of adult ADHD comorbidity in the context of ADHD and the challenge of differential diagnosis the relationship between borderline personality and ADHD and why they may reflect the same underlying biological vulnerability assessment of ADHD in the context of active substance use, in particular cannabis the special role that sleep disruption may play in the etiology and maintenance of ADHD the differentiation between ADHD and cognitive ability and Dr. Kooij's thoughts on the role of cognitive testing in ADHD assessment how perfectionism, pleasing etc. - especially in the context of high functioning clients (and in particular, women) - can hide underlying adult ADHD conceptualizing diagnostic situations in which symptoms only become clinically significant later in life (or as life demands grow e.g., starting university, starting a family etc.) - particularly for high functioning clients or clients who grew up in a highly structured/supportive environment the challenge of navigating diagnosis in the context of subsyndromal symptomatology which may be better served by a continuum vs. categorical framework the relationship between hormonal disturbance, dopaminergic imbalance and ADHD in women the relationship between cardiovascular disease and ADHD in women Dr. Kooij's suggested resources for clinicians and consumers Comments or feedback? Email the show: email@example.com Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023. For more information and registration, please visit: https://www.ottawacbt.ca/news. Sandra Kooij, MD, Ph.D., is a professor at Amsterdam University Medical Center and Head of the Expertise Center Adult ADHD at PsyQ in the Hague, the Netherlands. She has more than 25 years of clinical experience and founded the ExpertiseCenter, the DIVA Foundation (Diagnostic Interview for ADHD in adults in 29 languages), The European Network Adult ADHD, and The Dutch Network Adult ADHD. Her research focuses on ADHD, sleep and health, on women with ADHD and hormonal mood changes during the lifespan, and on ADHD in older people. She is the author of “Adult ADHD - Diagnostic Assessment & Treatment” (Third Edition) published by SpringerLink. She is involved in research, treating patients, training professionals, informing the public, publishing articles, books, webinars and podcasts.
The past 2 years appear to have precipitated an unprecedented rise in the dissemination and propagation of misinformation and conspiracy theories, leading to considerable distress and uncertainty around consumers of traditional media platforms as well as social media. Psychiatrist and professor, Dr. Joe Pierre, joins us for an extensive discussion of conspiracy theories in which we cover: Dr. Pierre's thoughts on the nature & severity of challenges involved in navigating the current information landscape an evolutionary perspective around our biological capacity to effectively manage the amount of information we are exposed to on a daily basis Dr. Pierre's assessment of the health of society’s cognitive, emotional and behavioral coping strategies at the present time tools/mindset that we can deploy to effectively navigate the massive amount of (mis)information that is out there. why psychiatric terminology is often misused and why terms like "mass delusion" and "mass psychosis" are not appropriate terms to describe widespread false beliefs (such as conspiracy theories) how to balance engagement with media to remain appropriately informed without unduly evoking distress and a sense of helplessness/hopelessness the environmental and psychological conditions under which people are most likely to be susceptible to misinformation and/or conspiracy theories predatory use of misinformation and conspiracy theories by political entities critical consideration of whether conspiracy theories are more prevalent today the personality traits and features that reliably predict engagement in conspiracy theories distinguishing between extreme/rigid ideological beliefs and delusions the role of the occasional validation of a conspiracy theory (i.e., variable reinforcement) in promoting belief in conspiracies consideration of the evidence that psychological interventions can be helpful in managing dysfunctional belief in conspiracy theories strategies for mental health professionals and family members to best assist clients who are consumed by a conspiracy theory Feedback or comments? Email the show: firstname.lastname@example.org. A review on Apple Podcasts is always appreciated! Dr. Joe Pierre is a Health Sciences Clinical Professor in the Department of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA. He is a graduate of MIT, the UCLA School of Medicine, and the psychiatry residency training program at the UCLA Neuropsychiatric Institute. He has extensive clinical experience working with individuals with psychotic disorders, substance use disorders, and those with “dual diagnosis.” He has authored over 100 papers, abstracts, and book chapters related to schizophrenia, antipsychotic medications, substance-induced psychosis, delusions and delusion-like beliefs, auditory hallucinations and voice-hearing, and a variety of other topics including the neuroscience of free will and culturally sanctioned suicide. He also writes the Psych Unseen blog at Psychology Today and is working on a forthcoming book with the same title about the psychology of false beliefs. Dr. Pierre serves as an expert witness and consultant in forensic/legal cases involving schizophrenia, the intersection of psychosis and religion, delusion-like beliefs and conspiracy theories, and the side effects of antipsychotic therapy. He has also been featured in numerous interviews for print media, radio, television, and a documentary film.
Engaging in regular exercise is a frequent recommendation of mental health clinicians as a way to address symptoms of anxiety & depression; however, despite clients almost universally voicing a strong belief in the benefit of exercise, it is often challenging for clients (and let's be honest, clinicians) to implement. Professor, neuroscientist and author, Dr. Jennifer Heisz joins us for a discussion of themes contained in her new book "Move the Body, Heal the Mind". In this discussion we cover: what motivated Dr. Heisz to write her book the specific mechanisms by which exercise promotes mental health the kinds of activities & dosages of exercise that have been found to be effective in promoting symptom reduction, brain health etc. evolutionary lens on the importance of exercise the evidence/effective size with respect to the link between exercise and mental health why exercise is often one of the hardest behavioural changes to get clients to engage in the importance of exercise evoking some level of physiological stress in order to generate benefits (and how could this could help clients to reframe their experience of discomfort during exercise) employing exposure-informed paradigms to help clients engage in exercise why rest & recovery are overlooked, but are very important aspects of training compulsive vs. healthy exercise the potential benefits of wearables for biofeedback, tracking sleep, measuring stress levels etc. tips for accessing the benefits of exercise when feeling depressed or anxious and energy/willpower may be hard to come by the emergence of hot/cold therapies as analogs to exercise via hormesis (i.e., gently stressing the body to generate helpful adaptations) Feedback or comments? Email the show: email@example.com Dr. Jennifer J. Heisz is an expert in brain health. She is Associate Professor in the Department of Kinesiology at McMaster University (ranked Top 25 in the world) and directs the NeuroFit Lab, which has attracted nearly $1 million to support her research program on the effects of exercise for brain health. Dr. Heisz received her Ph.D. in Cognitive Neuroscience (McMaster) and completed a postdoctoral fellowship in Brain Health and Aging at the Rotman Research Institute at Baycrest Hospital (Toronto). Dr. Heisz's research examines the effects of physical activity on brain function to promote mental health and cognition in young adults, older adults and individuals with Alzheimer's disease. Many honors and awards recognize Dr. Heisz for her outstanding contributions to research including the Early Researcher Award from the Government of Ontario and the Petro-Canada Young Innovator Award. https://www.jenniferheisz.com
While at times a difficult topic to broach, men's mental health reflects an important area of both clinical and research interest. Moreover, despite the strong emotions that can be evoked by this subject, it is an issue which must be successfully integrated into the current discussion around mental health and wellbeing. In this wide ranging discussion, professor, author and documentary producer, Dr. Rob Whitley and men's mental health advocate, keynote speaker and panelist, Mr. Jean-Francois Claude join us for a discussion of men's mental health. In this conversation we cover: the most common sources of challenge with respect to men’s mental health common misconceptions that clinicians and/or the average lay person may hold with respect to men’s mental health why men’s mental health can feel at times a “radioactive” topic to discuss why men do not disclose their mental health issues to family and/or health care providers discussion of the term “toxic masculinity” considerations around discussing the realities of men’s mental health without alienating the equally unique circumstances and burdens of other groups, including women opportunities for men to take responsibility for their mental health at the individual and group level why men are often viewed as disposable (by themselves and others) how men relate to therapy and current norms in the delivery of psychotherapy as well as innovations in the delivery of mental health services for men the importance of vulnerability in seeking help vs. the reception that men get when demonstrating vulnerability (e.g., military and police clients and so-called “broken toy” syndrome) Comments or feedback? Email the show @ firstname.lastname@example.org Jean-François Claude regularly shares his lived experience of Persistent Depressive Disorder and Generalized Anxiety Disorder as a bilingual mental health keynote speaker and panelist, leveraging the power of storytelling to help reduce the stigma of mental illness. In 2017, for his advocacy work and anti-stigma efforts in the area of men’s mental health, Jean-François was awarded a Meritorious Service Medal by His Excellency the Governor General of Canada, and was named a Leading Canadian Difference Maker for Mental Health by the Centre for Addiction and Mental Health. Rob Whitley is an Associate Professor in the Department of Psychiatry, McGill University, and a Research Scientist at the Douglas Research Centre. He is the author of a new book Men's Issues and Men's Mental Health (Springer 2021). He is currently a Fonds de recherche du Québec-Santé Senior Research Scholar, and an Honorary Principal Fellow at the University of Melbourne. He has also held honorary appointments at King’s College London, Dartmouth Medical School (New Hampshire) and Howard University (Washington DC). He has published over 135 academic papers in the field of social and cultural psychiatry; and has written over 100 mental health related articles for lay audiences in diverse venues including Psychology Today, the HuffPost, the Montreal Gazette, the Vancouver Sun and the National Post. Whitley is also a video-producer and script-writer, and has produced several documentaries and short fictional films related to mental health that have been featured in film festivals across North America.
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